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EITAN HOMA M.D. NPI 1326120718


NPI Information

NPI: 1326120718
Provider Name: EITAN HOMA, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
165 LYNCH CREEK WAY
PETALUMA, CA
ZIP 94954
Phone: (707) 762-5531
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Eitan Homa, M.D. is a specialist in Petaluma, CA with 36 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Eitan Homa, M.D. NPI is 1326120718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

165 LYNCH CREEK WAY
PETALUMA, CA
ZIP 94954-343
Phone: (707) 762-5531
Fax: (707) 762-5976

The NPI 1326120718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)

The enumeration date for this NPI number is 10/19/2006 and was last updated on 3/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A64754OTHERCALIFORNIALICENSE NUMBER
2G69605MEDICARE UPINCALIFORNIA
3070012651OTHERCALIFORNIAMEDICARE RAILROAD
400A647540MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.