Diana F Enrile, MD | |
1721 W Yosemite Ave, Manteca, CA 95337-5130 | |
(209) 476-2000 | |
Not Available |
Full Name | Diana F Enrile |
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Gender | Female |
Speciality | Pediatrics |
Location | 1721 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518045400 | NPI | - | NPPES |
00A523660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A52366 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
Mailing Address | Practice Location Address |
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Diana F Enrile, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Diana F Enrile, MD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 476-2000 |
Herleen K Kailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave, Suite B, Manteca, CA 95336 Phone: 209-823-8158 Fax: 209-823-6186 | |
Bhavin Doshi, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Northgate Dr, Manteca, CA 95336 Phone: 209-381-7120 Fax: 209-381-7119 | |
Florinda Galang Mallorca, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 Cherry Ln, Suite 111, Manteca, CA 95337 Phone: 209-239-5867 | |
Moosa M Lunat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave, Suite B, Manteca, CA 95336 Phone: 209-823-8158 Fax: 209-823-6186 | |
Felixberto Tejada, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Dr. Betalina Blanco Bumatay, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 165 Saint Dominics Dr Ste 201, Manteca, CA 95337 Phone: 209-823-2345 |