Dr Dawnell Jean Moody, DO | |
5925 W Las Positas Blvd, Pleasanton, CA 94588-8537 | |
(925) 462-1755 | |
(925) 417-1503 |
Full Name | Dr Dawnell Jean Moody |
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Gender | Female |
Speciality | Pediatrics |
Location | 5925 W Las Positas Blvd, Pleasanton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144431750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 20A10486 (California) | Primary |
Entity Name | Axis Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376760546 PECOS PAC ID: 7012975071 Enrollment ID: O20041222000621 |
Mailing Address | Practice Location Address |
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Dr Dawnell Jean Moody, DO 4361 Railroad Ave, Pleasanton, CA 94566-6611 Ph: (925) 462-1755 | Dr Dawnell Jean Moody, DO 5925 W Las Positas Blvd, Pleasanton, CA 94588-8537 Ph: (925) 462-1755 |
Donna M. Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7601 Stoneridge Dr, Pleasanton, CA 94588 Phone: 925-847-5000 | |
Simon Y Lee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-3672 | |
Loc T Le, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5555 W Las Positas, Valley Care Hospital, Pleasanton, CA 94855 Phone: 925-416-3440 | |
Anna Rebecca Kerr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5720 Stoneridge Mall Rd, Suite 240, Pleasanton, CA 94588 Phone: 925-463-1234 Fax: 925-463-9599 | |
Mary M Anastasiou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5565 W Las Positas, Ste 240, Pleasanton, CA 94588 Phone: 925-460-8444 Fax: 925-460-8565 | |
Asha Ramchandran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5720 Stoneridge Mall Rd, Suite 240, Pleasanton, CA 94588 Phone: 925-463-1234 Fax: 925-463-9599 |