Miata Holmes, | |
205 Pacifica Ave, Bay Point, CA 94565-2904 | |
(925) 458-3216 | |
Not Available |
Full Name | Miata Holmes |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 205 Pacifica Ave, Bay Point, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952567042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (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 |
---|---|
Miata Holmes, 2275 Arlington Dr, San Leandro, CA 94578-1132 Ph: (510) 317-1444 | Miata Holmes, 205 Pacifica Ave, Bay Point, CA 94565-2904 Ph: (925) 458-3216 |
Sanmit Singh, Counselor Medicare: Medicare Enrolled Practice Location: 205 Pacifica Ave, Bay Point, CA 94565 Phone: 925-458-3216 | |
Jonathan Dinio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Pacifica Ave, Bay Point, CA 94565 Phone: 925-458-3216 | |
Shamean Trucks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Pacifica Ave, Bay Point, CA 94565 Phone: 510-317-1437 | |
Mr. Rumuel Hernaez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Pacifica Ave, Bay Point, CA 94565 Phone: 925-458-3216 Fax: 925-458-7623 | |
Jeffrey William King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Pacifica Ave, Bay Point, CA 94565 Phone: 925-458-3216 | |
Diane Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Wollam Ave, Bay Point, CA 94565 Phone: 925-458-1978 Fax: 925-458-8996 | |
Stephanie Esquivel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Pacifica Ave, Bay Point, CA 94565 Phone: 925-458-3216 |