Tabitha Rachelle Shannon Vase
MD | Pediatrics | Female
Tabitha Rachelle Shannon Vase, MD is a San Francisco, California based Pediatric doctor with medical specialization in
General Pediatrics. Tabitha Rachelle Shannon Vase is also known as
Tabitha Rachelle Shannon.
Current practice location of Tabitha Rachelle Shannon Vase is
3537 Ortega St, San Francisco, California - 94122-4031. She can be contacted on phone at
909-267-5424.
Tabitha Rachelle Shannon Vase is a sole proprietor of her business.
NPI number (Unique professional ID) for Tabitha Rachelle Shannon Vase is
1215497615 which was assigned by NPPES on 21 Mar, 2019 and it was last updated on 20 Oct, 2022.
Tabitha Rachelle Shannon Vase license number is
A179736 for Pediatrics (208000000X) in California.
Tabitha Rachelle Shannon Vase is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tabitha Rachelle Shannon Vase basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tabitha Rachelle Shannon Vase |
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| Other Name : | Tabitha Rachelle Shannon |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Tabitha Rachelle Shannon Vase address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3537 Ortega St
San Francisco, CA, 94122-4031
United States |
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| Phone Number : | 909-267-5424 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215497615 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Mar, 2019 |
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| Last Updated On : | 20 Oct, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tabitha Rachelle Shannon Vase are as mentioned. Primary taxonomy code for Tabitha Rachelle Shannon Vase, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A179736 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Tabitha Rachelle Shannon Vase such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| A179736 | Other (non-Medicare) | CA | Medical Board of California |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 2238 Geary Blvd Fl 5,
San Francisco, CA, 94115-3416
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2238 Geary Blvd Fl 5
San Francisco, CA, 94115-3416
United States |
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| Phone Number : | 415-833-2200 |
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Business Location:
Patients can refer following map for directions to
Tabitha Rachelle Shannon Vase practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.