Brian Blaisch, MD | |
2700 International Blvd, Suite 11, Oakland, CA 94601-1520 | |
(510) 533-1248 | |
(510) 533-1870 |
Full Name | Brian Blaisch |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2700 International Blvd, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184648909 | NPI | - | NPPES |
G64161 | Other | CA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G64161 (California) | Primary |
Entity Name | Contra Costa County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376620336 PECOS PAC ID: 8628052974 Enrollment ID: O20050707001058 |
Mailing Address | Practice Location Address |
---|---|
Brian Blaisch, MD 2700 International Blvd, Suite 11, Oakland, CA 94601-1520 Ph: (510) 533-1248 | Brian Blaisch, MD 2700 International Blvd, Suite 11, Oakland, CA 94601-1520 Ph: (510) 533-1248 |
Mrs. Natalie Plotkin, MS, ACPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3484 | |
Rebecca Romanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3331 Fax: 510-428-3331 | |
Dr. Theodore John Chaconas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3237 Fax: 510-601-3979 | |
Dr. Robert E Mines Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5715 Market St, Oakland, CA 94608 Phone: 510-652-5161 Fax: 510-652-4225 | |
Spencer L Magargal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Dr. Arathi Lakhole, M.D, M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3058 | |
Kristen Lum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 |