Mr Jose E Trejo, MSW | |
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
(650) 742-2151 | |
(650) 742-2591 |
Full Name | Mr Jose E Trejo |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1200 El Camino Real, South San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679766281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 22099 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mr Jose E Trejo, MSW 4 Bruce Ave, San Francisco, CA 94112-2322 Ph: (415) 239-8272 | Mr Jose E Trejo, MSW 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2151 |
Connie Yuan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 S Spruce Ave Ste 200, South San Francisco, CA 94080 Phone: 415-681-3211 | |
Janice Higuera, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Wilms Ave, South San Francisco, CA 94080 Phone: 650-243-8534 | |
Cassandra Marie Laterza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Gateway Blvd Fl 4, South San Francisco, CA 94080 Phone: 650-616-2576 Fax: 833-522-0986 | |
William L Matherly, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2151 | |
Fangchen Guo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 398 Cypress Ave Unit 504, South San Francisco, CA 94080 Phone: 314-897-9031 | |
Carolyn Maryam Moody, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 Chestnut Ave, #5553, South San Francisco, CA 94083 Phone: 415-200-4587 | |
Mr. William Patrick Brimmer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 S Spruce Ave, South San Francisco, CA 94080 Phone: 415-265-7384 |