Allan H Rappaport, M.D., J.D.
Individual provider Active NPI Radiation Oncology Physician · Tiburon, CA
NPI 1346310539 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346310539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- CR5189 (CA)
- Practice address
- 39 Main St
Tiburon, CA 94920-2507 - Phone
- (415) 435-4591
- Fax
- (415) 435-4591
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190208002983 | CA | Practitioner - Emergency Medicine | 8921085077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR5189 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Western Group, a Professional Corporation | Current |
Accepting new patients | |
| Nes Western Group, a Professional Corporation | Current |
Accepting new patients | |
| Nes Medical Services of New England Inc | Past |
Accepting new patients | |
| Nes Arkansas, Inc. | Past |
Accepting new patients |
Locations
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | CR5189 | CA | Yes |
Addresses
Primary practice location
39 Main St
Tiburon, CA 94920-2507
Mailing address
PO Box 156
Tiburon, CA 94920-0156
Phone (415) 435-4591
Other providers in Tiburon, CA
- Polly Ely, Inc.
- Portofino Labs, Inc
- Clara Prigge
- Kendra Radtke
- Timothy M Rankin
- Ruth Ann Rassel
- Ronald H Roberts
- Lucy Salter
- Kari Lynn Sandell
- Heather Rourke- Schlueter
All providers in Tiburon, CA · Radiation Oncology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.