Dr Diane Groth Mimran, MD | |
6001 Norris Canyon Rd, San Ramon Regional Medical Center, San Ramon, CA 94583-5400 | |
(925) 275-8282 | |
Not Available |
Full Name | Dr Diane Groth Mimran |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 6001 Norris Canyon Rd, San Ramon, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285670877 | NPI | - | NPPES |
A91557 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A91557 (California) | Primary |
Entity Name | Team Physicians Of Northern California Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
Mailing Address | Practice Location Address |
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Dr Diane Groth Mimran, MD 4009 Tulip Way, San Ramon, CA 94582 Ph: (925) 964-1416 | Dr Diane Groth Mimran, MD 6001 Norris Canyon Rd, San Ramon Regional Medical Center, San Ramon, CA 94583-5400 Ph: (925) 275-8282 |
Monica Rosenthal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Crow Canyon Pl, Suite 260, San Ramon, CA 94583 Phone: 925-962-1067 | |
Mr. Daniel James Smeester, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Park Place, Suite #120, San Ramon, CA 94583 Phone: 925-289-1430 Fax: 925-362-0174 | |
Samuel Katz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8282 | |
Dr. Randeep Singh Thiara, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8280 | |
Amanda Stephenson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8280 | |
Dr. Harold Washington Wilkie Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8280 Fax: 925-275-8284 |