Gernanie Cruz Santiago, MS | |
801 Traeger Ave, 2nd Floor, San Bruno, CA 94066-3048 | |
(650) 742-2130 | |
Not Available |
Full Name | Gernanie Cruz Santiago |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 801 Traeger Ave, San Bruno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659423820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | MFC27491 (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 |
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Gernanie Cruz Santiago, MS 801 Traeger Ave, 2nd Floor, San Bruno, CA 94066-3048 Ph: (650) 742-2130 | Gernanie Cruz Santiago, MS 801 Traeger Ave, 2nd Floor, San Bruno, CA 94066-3048 Ph: (650) 742-2130 |
Luis Raul Iglesias Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln Ste 210, San Bruno, CA 94066 Phone: 650-244-1445 Fax: 650-763-2366 | |
Ashley Inez Guerin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln Ste 201, San Bruno, CA 94066 Phone: 650-214-1444 Fax: 650-244-1447 | |
Evedarda Melissa Vizcarra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 841 San Bruno Ave W Rm 1, San Bruno, CA 94066 Phone: 415-375-7629 | |
Mrs. Dina R Jenkins, RDA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln, San Bruno, CA 94066 Phone: 650-244-1444 Fax: 650-244-1447 | |
Ashley Lynn Theisen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 San Bruno Ave W, San Bruno, CA 94066 Phone: 415-681-3205 | |
Raymond J Taboada Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln, San Bruno, CA 94066 Phone: 650-244-1444 | |
Stephanie Alece Padrez, Counselor Medicare: Medicare Enrolled Practice Location: 1290 Commodore Dr, San Bruno, CA 94066 Phone: 650-550-7410 |