Carolyn B Klebanoff MD Julie a Omelveny MD a Professional Corp.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G51271 Issued in CA

Legal business name

CAROLYN B KLEBANOFF MD JULIE A OMELVENY MD A PROFESSIONAL CORP.

Practice address

3000 Colby St
Suite 200
Berkeley, CA 94705-2058

Phone

(510) 848-7977

Fax

(510) 848-2831

NPI assigned

Feb 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Klebanoff, M.D.NPI 1093892846

Title

Practice Owner

Phone

(510) 848-7977

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Beth Klebanoff, MD

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1093892846
  NPD Authorized official
• Kathryn Jeanne Drinkard, MD

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1487740437
  NPD
• Julie Ann Omelveny, MD

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1861579609
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1306984836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN B KLEBANOFF MD JULIE A OMELVENY MD A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "KLEBANOFF",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "510-848-7977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G51271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Carlson, PH.D.
• Maya McGinnis Carlson
• Kristen Carney, R.D.
• Caro Grosvenor
• Emily Caro-Bruce, MD
• Karen Carothers, MD
• Julia Carpenter, LAC
• Shannan Carpenter
• William L Carpenter
• Anthony Peter Carpentieri, MFT

• Internal Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.