Dr Fulgencio Braganza Del Castillo Iii, MD | |
710 Lawrence Expy Dept 190, Santa Clara, CA 95051-5173 | |
(408) 851-1240 | |
Not Available |
Full Name | Dr Fulgencio Braganza Del Castillo Iii |
---|---|
Gender | Male |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 710 Lawrence Expy Dept 190, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881692291 | NPI | - | NPPES |
C177174 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
500635192 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C177174 (California) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | C177174 (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 |
---|---|
Dr Fulgencio Braganza Del Castillo Iii, MD 710 Lawrence Expy Dept 190, Santa Clara, CA 95051-5173 Ph: (408) 851-1240 | Dr Fulgencio Braganza Del Castillo Iii, MD 710 Lawrence Expy Dept 190, Santa Clara, CA 95051-5173 Ph: (408) 851-1240 |
David Tran La, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-554-9810 | |
Lynne Chang Wu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2652 El Camino Real, Santa Clara, CA 95051 Phone: 408-524-5952 | |
Karen Chan, Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Dr. Kristina Marie Manning, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Dept. 320, Santa Clara, CA 95051 Phone: 415-640-9910 | |
Emma Steinberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Jessica Ashley Jeanene Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-554-9810 | |
Rebecca L. Redman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 |