Dr Mehrdad Ali Mansouri, MD, PHD | |
2500 Alhambra Ave, Martinez, CA 94553-3156 | |
(925) 370-5200 | |
Not Available |
Full Name | Dr Mehrdad Ali Mansouri |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 2500 Alhambra Ave, Martinez, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376532747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A101584 (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 |
Entity Name | John Muir Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Mehrdad Ali Mansouri, MD, PHD 528 Clyne Ct, Benicia, CA 94510-3842 Ph: (707) 365-7039 | Dr Mehrdad Ali Mansouri, MD, PHD 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (925) 370-5200 |
Jennifer Stanziale, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5200 | |
Maxwell Logan Binstock, MD, MS Hospitalist Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5000 |