Bernadette Baltazar, | |
2035 Fairmont Dr, San Leandro, CA 94578-1088 | |
(510) 346-7832 | |
Not Available |
Full Name | Bernadette Baltazar |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2035 Fairmont Dr, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447688478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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 |
---|---|
Bernadette Baltazar, 6181 Mission St, Daly City, CA 94014-2002 Ph: (415) 337-0140 | Bernadette Baltazar, 2035 Fairmont Dr, San Leandro, CA 94578-1088 Ph: (510) 346-7832 |
Anusheh N Warda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-481-1222 Fax: 510-481-1605 | |
Mary Lightholder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Davis St, San Leandro, CA 94577 Phone: 510-618-6428 | |
Justin Reid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15942 Foothill Blvd, San Leandro, CA 94578 Phone: 510-317-1444 | |
Rashida Bremner Onwuka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 | |
Meredith Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 | |
Claudia Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1437 | |
Jacquelyn Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 |