Dr Michael Joseph Disandro, MD | |
747 52nd St, Oakland, CA 94609-1809 | |
(510) 428-3885 | |
Not Available |
Full Name | Dr Michael Joseph Disandro |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 747 52nd St, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972539963 | NPI | - | NPPES |
263295100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 83628 (Florida) | Secondary |
2088P0231X | Urology - Pediatric Urology | G70600 (California) | Primary |
Entity Name | Ucsf Pediatrics Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Entity Name | University Of California Sfgh Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407821465 PECOS PAC ID: 5496668410 Enrollment ID: O20050328001098 |
Mailing Address | Practice Location Address |
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Dr Michael Joseph Disandro, MD 3200 Sw 60th Ct, Suite 105, Miami, FL 33155-4000 Ph: (305) 669-6448 | Dr Michael Joseph Disandro, MD 747 52nd St, Oakland, CA 94609-1809 Ph: (510) 428-3885 |
Qingwei Robert Yan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3100 Telegraph Ave Ste 3000, Oakland, CA 94609 Phone: 510-238-1238 Fax: 510-238-1338 | |
Phillip Leon Ross, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 30th St, Ste 100, Oakland, CA 94609 Phone: 510-204-8290 Fax: 510-273-8977 | |
Dr. Dawud Omar Lankford, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3300 Webster St Ste 710, Oakland, CA 94609 Phone: 510-465-5800 Fax: 510-267-1833 | |
Dr. Andrew W Tam, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 30th St Ste 100, Oakland, CA 94609 Phone: 510-204-8168 | |
Dr. Clifford Ralph Melton, MD MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 29th St, 206, Oakland, CA 94609 Phone: 510-835-3680 Fax: 510-835-0738 | |
Dr. Selma Masic, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-6789 Fax: 510-752-1673 | |
Dr. David S. Aaronson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 Fax: 415-353-2641 |