Alan Russ Gottlieb, MD | |
20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | |
(209) 342-2300 | |
(209) 524-4240 |
Full Name | Alan Russ Gottlieb |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 46 Years |
Location | 20103 Lake Chabot Rd, Castro Valley, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306837521 | NPI | - | NPPES |
00A345460 | Other | CA | BLUE SHIELD |
00A345460 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A34546 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stat Med Pc A California Medical Professional Corporation | 1850528530 | 18 |
Entity Name | Stat Med Pc A California Medical Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891132106 PECOS PAC ID: 1850528530 Enrollment ID: O20140204000122 |
Mailing Address | Practice Location Address |
---|---|
Alan Russ Gottlieb, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Alan Russ Gottlieb, MD 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 Ph: (209) 342-2300 |
Evan Taylor Wythe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 | |
Thomas Eales, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3320 Fax: 317-963-5394 | |
Dr. Emily Rose Nelson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 651-249-4082 | |
Adria Simon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-727-3015 Fax: 626-623-1227 | |
Dr. Rahim James Sharifi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20101 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-247-6300 | |
Ralph James Damato, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 | |
Rochelle Ana Eggleston Philapil, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20103 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 209-342-2300 Fax: 209-524-4240 |