Andre H Baitoo, MD | |
4501 Sand Creek Rd, Antioch, CA 94531-8687 | |
(925) 813-3695 | |
Not Available |
Full Name | Andre H Baitoo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4501 Sand Creek Rd, Antioch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417035577 | NPI | - | NPPES |
00G805880 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G80588 (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 |
---|---|
Andre H Baitoo, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Andre H Baitoo, MD 4501 Sand Creek Rd, Antioch, CA 94531-8687 Ph: (925) 813-3695 |
Kathleen A Regacho, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-3522 | |
Khanh D Nguyen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 510-350-2657 | |
Mary Antionette Fitzsimons, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273 | |
Raj V. Dasari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Ivan S. Cavaliere, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Russell Gerald Rodriguez, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273 | |
Susan Woodmansee, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273 |