Kornelis Poelstra in Los Gatos - Emergency Medical Services
Kornelis Poelstra - NPI 1467496828
Kornelis Poelstra is a Emergency Medical Services in Los Gatos, California. Kornelis Poelstra practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Kornelis Poelstra is 1467496828. The last update date is 2020-06-23.
Kornelis Poelstra's current location address is 340 Dardanelli Ln Ste 10, Los Gatos, California. You can contact this provider via phone number 4084128110 and fax number 4084128499. The mailing address for Kornelis Poelstra is 340 Dardanelli Ln Ste 10, Los Gatos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kornelis Poelstra |
|---|---|
| Address | 340 Dardanelli Ln Ste 10, Los Gatos, California |
| Phone Number | 4084128110 |
| Fax Number | 4084128499 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467496828 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2020-06-23 |
Provider Mailing Address Detail
| Address | 340 Dardanelli Ln Ste 10 |
|---|---|
| City | Los Gatos |
| State | California (CA) |
| Post Code | 950321418 |
| Phone Number | 4084128110 |
| Fax Number | 4084128499 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | D0064282 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 146PG | FL | FLORIDA BLUE | |
| C154182 | CA | STATE LICENSE | |
| CA362605 | CA | MEDICARE PTAN | |
| 1556000 | FL | -- | |
| 9808600 | MD | -- | |
| ME 105637 | FL | LICENSE | |
| 593-09767 | AL | BCBS OF ALABAMA | |
| D0064282 | MD | STATE LICENSE NUMBER | |
| 593-09895 | AL | BCBS OF ALABAMA | |
| CA362605 | CA | MEDICARE PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kornelis Poelstra by the Centers for Medicare & Medicaid Services?
The Kornelis Poelstra has been assigned the NPI (National Provider Identifier) 1467496828 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kornelis Poelstra is geographically located?
The Kornelis Poelstra is physically situated at the following location: 340 Dardanelli Ln Ste 10, Los Gatos, CA, 950321418.
What is Kornelis Poelstra's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kornelis Poelstra is Emergency Medical Services, and the taxonomy classification code that categorizes this area of expertise is 207Pe0004X.
When did Kornelis Poelstra receive its 1467496828 assignment?
The Kornelis Poelstra was assigned its 1467496828 on 2006-06-16, which is the date when this unique identifier was issued to the organization.
As of what date were the Kornelis Poelstra's details last updated?
The information pertaining to the Kornelis Poelstra, including its address, specialty, and other details, was most recently updated on 2020-06-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY