Mr David Tai-wai Tom, MFTI | |
22455 Maple Ct, Suite 402, Hayward, CA 94541-4031 | |
(510) 582-0148 | |
(510) 582-8460 |
Full Name | Mr David Tai-wai Tom |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 22455 Maple Ct, Hayward, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205047891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFTI 41885 (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 David Tai-wai Tom, MFTI 22455 Maple Ct, Suite 402, Hayward, CA 94541-4031 Ph: (510) 582-0148 | Mr David Tai-wai Tom, MFTI 22455 Maple Ct, Suite 402, Hayward, CA 94541-4031 Ph: (510) 582-0148 |
Ms. Valla Jean Dale, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24301 Southland Dr, Suite 605b, Hayward, CA 94545 Phone: 510-757-7777 | |
Michelle Leigh Lane, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 22248 Main St, Hayward, CA 94541 Phone: 510-620-7988 | |
Maria Edward Mousa, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 26172 Regal Ave, Hayward, CA 94544 Phone: 949-836-5103 | |
Ms. Tatum Danielle Stockard, M.S., MFT-INTERN, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21455 Birch St Ste 201, Hayward, CA 94541 Phone: 510-583-0414 Fax: 510-583-0410 | |
Mrs. Mary L. Triplett, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-783-6629 | |
Ms. Jill E Sardeson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 225 W Winton Ave, Hayward, CA 94544 Phone: 510-324-2222 | |
Ms. Debbie A Green, MFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 22248 Main St, Hayward, CA 94541 Phone: 510-331-6393 Fax: 510-748-2339 |