1144225343 NPI number — DR. TODD DANA SEVERIN M.D.

Table of content: DR. TODD DANA SEVERIN M.D. (NPI 1144225343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144225343 NPI number — DR. TODD DANA SEVERIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEVERIN
Provider First Name:
TODD
Provider Middle Name:
DANA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144225343
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5801 NORRIS CANYON RD
Provider Second Line Business Mailing Address:
STE 200
Provider Business Mailing Address City Name:
SAN RAMON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94583-5440
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-830-8823
Provider Business Mailing Address Fax Number:
925-866-6610

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5801 NORRIS CANYON RD
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
SAN RAMON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94583-5406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-830-8823
Provider Business Practice Location Address Fax Number:
925-866-6610
Provider Enumeration Date:
06/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207WX0009X , with the licence number:  G71183 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: OG711830 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 180046438 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ057067 . This is a "BLUE CROSS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: OGP164916 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZZ05706Z . This is a "BLUE SHIELD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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