Dr Diego Rafael Fernandez, MD | |
350 Hawthorne Ave Ste 2308, Oakland, CA 94609-3108 | |
(510) 869-6883 | |
(510) 869-6888 |
Full Name | Dr Diego Rafael Fernandez |
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Gender | Male |
Speciality | Internal Medicine |
Location | 350 Hawthorne Ave Ste 2308, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871957712 | NPI | - | NPPES |
A172321 | Other | CA | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD.36555 (Alabama) | Secondary |
207R00000X | Internal Medicine | A172321 (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 | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Dr Diego Rafael Fernandez, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 869-6883 | Dr Diego Rafael Fernandez, MD 350 Hawthorne Ave Ste 2308, Oakland, CA 94609-3108 Ph: (510) 869-6883 |
Jeeven Brah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hawthorne Ave, Room 2346, Oakland, CA 94609 Phone: 510-869-6883 | |
Sanya Wadhwa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Frank H Ogawa Plz Ste 355, Oakland, CA 94612 Phone: 510-444-3297 Fax: 510-444-6421 | |
Michael Uzoma Ohabughiro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St Fl 2, Oakland, CA 94602 Phone: 510-437-5039 Fax: 510-535-7313 | |
Dr. Omair Syed, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1411 E 31st Street, 2nd Flr A2, Oakland, CA 94602 Phone: 510-437-5039 | |
Lisha Lynne Wilson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 29th St, Ste 501, Oakland, CA 94609 Phone: 510-268-1800 Fax: 510-268-1803 | |
Chee C. Chow, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
David M. Bliss, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1950 Franklin St, Oakland, CA 94612 Phone: 510-987-1000 |