Dr Anthony A Portale, MD | |
505 Parnassus Ave, San Francisco, CA 94143-2204 | |
(415) 476-2423 | |
(415) 476-9976 |
Full Name | Dr Anthony A Portale |
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Gender | Male |
Speciality | Pediatrics |
Location | 505 Parnassus Ave, San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861433989 | NPI | - | NPPES |
00G343470 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | G34347 (California) | Primary |
208000000X | Pediatrics | G34347 (California) | Primary |
Entity Name | Ucsf Pediatrics Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Mailing Address | Practice Location Address |
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Dr Anthony A Portale, MD 1635 Divisadero Street, Suite 625, Box 1821, San Francisco, CA 94143-0001 Ph: (415) 476-4029 | Dr Anthony A Portale, MD 505 Parnassus Ave, San Francisco, CA 94143-2204 Ph: (415) 476-2423 |
Dr. Kathryn Rachel Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Parnassus Ave # 0110, University Of California San Francisco, M691, San Francisco, CA 94143 Phone: 415-476-6245 | |
Dr. David Michael Gordon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Parnassus Ave # M696, Box 0110, San Francisco, CA 94143 Phone: 415-353-1000 | |
Jayme Congdon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Owens St, San Francisco, CA 94158 Phone: 415-476-1000 | |
Laurie Song, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 16th St, San Francisco, CA 94158 Phone: 415-514-4079 Fax: 415-476-5354 | |
Ms. Tatiana Goldstein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Spruce Street, Suite 3, San Francisco, CA 94118 Phone: 415-668-8900 Fax: 415-668-1695 | |
John T Tsukahara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2340 Clay St, 3rd Floor, San Francisco, CA 94115 Phone: 415-600-1111 | |
William Bernard Solomon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 45 Castro Street, Suite 232, San Francisco, CA 94114 Phone: 415-565-6810 Fax: 415-565-6844 |