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 | Emergency 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) | Primary |
Entity Name | Lifelong Medical Care |
---|---|
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 |
Jason Willis-shore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Timothy Charles Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Steven P. Whiteley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Judith E Peck, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3373 Fax: 707-651-2478 | |
Peter P. Chau, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Neil L. Markus, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Thomas Welch Gross, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4910 |