Dr Jenny Raphael, MD | |
1620 E Roseville Pkwy Ste 200, Roseville, CA 95661-3303 | |
(916) 783-7109 | |
Not Available |
Full Name | Dr Jenny Raphael |
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Gender | Female |
Speciality | Pediatrics |
Location | 1620 E Roseville Pkwy Ste 200, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730243676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD073232L (Pennsylvania) | Secondary |
208000000X | Pediatrics | A76422 (California) | Secondary |
208000000X | Pediatrics | 242189 (Massachusetts) | 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 | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149 |
Mailing Address | Practice Location Address |
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Dr Jenny Raphael, MD 1620 E Roseville Pkwy Ste 200, Roseville, CA 95661-3303 Ph: (916) 783-7109 | Dr Jenny Raphael, MD 1620 E Roseville Pkwy Ste 200, Roseville, CA 95661-3303 Ph: (916) 783-7109 |
Scott W. Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Vyjayanthi N Srinivasan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4190 | |
Dr. Carol Frances Milazzo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Sunrise Ave, Suite 280, Roseville, CA 95661 Phone: 916-782-3786 Fax: 916-773-6251 | |
Elaine Chiu, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd Ste 21, Roseville, CA 95661 Phone: 916-474-2250 | |
Catherine Bakey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd Bldg B, Roseville, CA 95661 Phone: 916-216-3377 | |
Amy Cruickshank, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-2250 Fax: 916-474-2251 | |
Jean Marie Struthers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |