Dr Ernesto Martin Gonzalez, MD | |
2505 Samaritan Dr, San Jose, CA 95124-4006 | |
(408) 377-8100 | |
Not Available |
Full Name | Dr Ernesto Martin Gonzalez |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2505 Samaritan Dr, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689937344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 137019 (California) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | A137019 (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 |
Mailing Address | Practice Location Address |
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Dr Ernesto Martin Gonzalez, MD 2505 Samaritan Dr Ste 304, San Jose, CA 95124-4010 Ph: (408) 377-8100 | Dr Ernesto Martin Gonzalez, MD 2505 Samaritan Dr, San Jose, CA 95124-4006 Ph: (408) 377-8100 |
Dr. Thanhmai Duong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Rd, San Jose, CA 95134 Phone: 408-451-6198 | |
Dr. Rita Roop Thakur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 E Santa Clara St, San Jose, CA 95112 Phone: 408-307-2123 | |
Dr. Louis Edwin Girling Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 720 Empey Way, San Jose, CA 95128 Phone: 408-793-6230 | |
Dr. Jerry Mercado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Suite 304, San Jose, CA 95124 Phone: 408-377-8100 | |
Dr. Perry F Lim, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1206 N Capitol Ave, Suite 204, San Jose, CA 95132 Phone: 408-929-2276 | |
Mrs. Latha B Vrittamani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 Phone: 408-356-9900 Fax: 408-356-9939 | |
Venny V. Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |