Darryl A Bates, MD | |
9333 Genesee Ave Ste 200, La Jolla Family And Sports Medicine, San Diego, CA 92121-2113 | |
(858) 657-8525 | |
Not Available |
Full Name | Darryl A Bates |
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Gender | Male |
Speciality | Family Medicine |
Location | 9333 Genesee Ave Ste 200, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376707901 | NPI | - | NPPES |
433017499 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | EC081067 (Maine) | Primary |
Entity Name | Golden State Pain Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891458121 PECOS PAC ID: 9234522681 Enrollment ID: O20220207001205 |
Mailing Address | Practice Location Address |
---|---|
Darryl A Bates, MD 8575 Gibbs Dr Ste 202, Ucsd Medical Group, Mail Code 8201, San Diego, CA 92123-1773 Ph: (619) 543-1899 | Darryl A Bates, MD 9333 Genesee Ave Ste 200, La Jolla Family And Sports Medicine, San Diego, CA 92121-2113 Ph: (858) 657-8525 |
Dr. Kyle P. Edmonds, M.D., FAAHPM Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8216, San Diego, CA 92103 Phone: 858-534-6091 Fax: 619-543-3947 | |
Jessica C. Cook, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4291 Robbins St, San Diego, CA 92122 Phone: 858-531-5692 | |
Robina Ahmad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Rd, San Diego, CA 92111 Phone: 858-279-9676 | |
Dr. Anna M Mercer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Bashir A. Rawi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Martin P. Murillo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Erwin Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 |