Dr Jonathan Todd Engelhardt, MD | |
2500 Grant Rd, Mountain View, CA 94040 | |
(650) 940-7000 | |
Not Available |
Full Name | Dr Jonathan Todd Engelhardt |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2500 Grant Rd, Mountain View, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003897117 | NPI | - | NPPES |
39-81220 | Other | AZ | EVERCARE GROUP |
453051001 | Other | AZ | GROUP HEALTH GROUP |
AZ0728670 | Other | AZ | BLUECROSS/BLUESHIELD GRP |
86-0373636 | Other | AZ | HUMANA GROUP |
884016 | Medicaid | AZ | |
AW1436 | Other | AZ | HEALTHNET GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 32462 (Arizona) | Secondary |
207P00000X | Emergency Medicine | A89837 (California) | Primary |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Todd Engelhardt, MD 2100 Powell St Ste 400, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Dr Jonathan Todd Engelhardt, MD 2500 Grant Rd, Mountain View, CA 94040 Ph: (650) 940-7000 |
Dr. Gannon Dudlar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7800 | |
Dr. Sergio Alvarez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7111 | |
Griffeth Tully, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7800 | |
Dr. David M Toor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7800 | |
Michael Curtis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7800 | |
Alan Harvey Gladman, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Grant Road, Mountain View, CA 94040 Phone: 650-940-7055 |