Dr Dionisio A Fernandes, MD | |
13847 E 14th St., Ste 112, San Leandro, CA 94578 | |
(510) 352-8585 | |
(510) 352-8644 |
Full Name | Dr Dionisio A Fernandes |
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Gender | Male |
Speciality | Allergy & Immunology - Allergy |
Location | 13847 E 14th St., San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285691121 | NPI | - | NPPES |
GR0066330 | Medicaid | CA | |
GR0066331 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | A29416 (California) | Primary |
Entity Name | Baz Allergy Asthma & Sinus Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710906995 PECOS PAC ID: 6507770716 Enrollment ID: O20031112000791 |
Entity Name | Columbia Asthma & Allergy Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962687566 PECOS PAC ID: 4688606536 Enrollment ID: O20090904000403 |
Mailing Address | Practice Location Address |
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Dr Dionisio A Fernandes, MD 3448 Mowry Ave, Fremont, CA 94538-1422 Ph: (510) 373-3000 | Dr Dionisio A Fernandes, MD 13847 E 14th St., Ste 112, San Leandro, CA 94578 Ph: (510) 352-8585 |
Dr. Paul P Cheng, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 433 Estudillo Avenue, Suite 206, San Leandro, CA 94577 Phone: 510-352-8585 Fax: 510-352-8644 | |
Farinaz Farrahi, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 13847 E 14th Street Ste 112, San Leandro, CA 94578 Phone: 510-352-8535 Fax: 510-352-8644 |