Brian Duane Fitch, MD | |
901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | |
(415) 642-0707 | |
(650) 755-8638 |
Full Name | Brian Duane Fitch |
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Gender | Male |
Speciality | Anesthesiology |
Location | 901 Campus Drive, Daly City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780692095 | NPI | - | NPPES |
25002384 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 39679 (Colorado) | Secondary |
207L00000X | Anesthesiology | M-1953 (Guam) | Secondary |
207L00000X | Anesthesiology | C55198 (California) | Primary |
Entity Name | The Anesthesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356362990 PECOS PAC ID: 1254234842 Enrollment ID: O20040130000443 |
Entity Name | Island Professional Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174159834 PECOS PAC ID: 7618307943 Enrollment ID: O20200428001247 |
Mailing Address | Practice Location Address |
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Brian Duane Fitch, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Brian Duane Fitch, MD 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 Ph: (415) 642-0707 |
Dr. Richard Derby Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 901 Campus Drive, Suite 312, Daly City, CA 94015 Phone: 650-755-0733 Fax: 650-755-3018 | |
Ronald D Friedman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Sullivan Ave, Daly City, CA 94015 Phone: 650-992-4000 | |
Jeffrey Michael Gaynor, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Sullivan Ave, Daly City, CA 94015 Phone: 650-992-4000 | |
Michael Welby Bigelow, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Sullivan Ave, Daly City, CA 94015 Phone: 650-992-4000 | |
Adam Dziuba, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Sullivan Ave, Daly City, CA 94015 Phone: 650-992-4000 | |
Dr. Jackie Phan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Sullivan Ave, Daly City, CA 94015 Phone: 650-991-6816 | |
Nuzhat S. Zaidi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 901 Campus Drive, Suite 102, Daly City, CA 94015 Phone: 415-642-0707 Fax: 650-755-8638 |