Amanda Vastag, MD | |
222 W 39th Ave, San Mateo, CA 94403 | |
(650) 573-2222 | |
Not Available |
Full Name | Amanda Vastag |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 222 W 39th Ave, San Mateo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417396466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036139917 (Illinois) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 155110 (California) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
---|---|
Amanda Vastag, MD 222 W 39th Ave, San Mateo, CA 94403-4364 Ph: () - | Amanda Vastag, MD 222 W 39th Ave, San Mateo, CA 94403 Ph: (650) 573-2222 |
Jennie Yoo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1950 Alameda De Las Pulgas, San Mateo, CA 94403 Phone: 650-570-3515 | |
Mariel Herbert, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 181 2nd Ave Ste 450, San Mateo, CA 94401 Phone: 415-922-9122 | |
Huaiyu Yang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2426 | |
Denise Albert, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 999 Baker Way Ste 420, San Mateo, CA 94404 Phone: 650-571-9652 Fax: 650-571-9657 | |
Darshana Sachin Pai, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 177 Bovet Rd Ste 300, San Mateo, CA 94402 Phone: 650-627-1700 | |
Ms. Ryuko Ishikawa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 138 E Hillsdale Blvd, San Mateo, CA 94403 Phone: 415-640-1455 | |
Elizabeth J Rody, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1950 Alameda De Las Pulgas, San Mateo, CA 94403 Phone: 650-587-8574 |