Desmond Earl Carson, MD | |
Sutter Solano Medical Center, 300 Hospital Drive, Vallejo, CA 94589 | |
(707) 554-4444 | |
Not Available |
Full Name | Desmond Earl Carson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | Sutter Solano Medical Center, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912934464 | NPI | - | NPPES |
00A604760 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A60476 (California) | Secondary |
207Q00000X | Family Medicine | A60476 (California) | Primary |
Entity Name | Lifelong Medical Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
Mailing Address | Practice Location Address |
---|---|
Desmond Earl Carson, MD 3629 Ridgewood Way, Richmond, CA 94806-1943 Ph: () - | Desmond Earl Carson, MD Sutter Solano Medical Center, 300 Hospital Drive, Vallejo, CA 94589 Ph: (707) 554-4444 |
Laurena Nelly Dongmo Fotsing, Family Medicine Medicare: Medicare Enrolled Practice Location: 365 Tuolumne St, Vallejo, CA 94590 Phone: 707-553-5509 | |
Donn R. Erickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Archana Krishnan, Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Saw Sein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 304, Vallejo, CA 94589 Phone: 707-643-6483 Fax: 707-643-3018 | |
Dr. Gabriel Flaxman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1025 | |
Yasmin Crespo-mejias, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4801 | |
Aaser Ali, Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |