Dr Ralph Edward Dilisio, MD, FCCP | |
585 W College Ave, Santa Rosa, CA 95401-5000 | |
(707) 526-3500 | |
(707) 526-2358 |
Full Name | Dr Ralph Edward Dilisio |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 585 W College Ave, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124085378 | NPI | - | NPPES |
00G873970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | G87397 (California) | Primary |
Entity Name | Providence Medical Foundation |
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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 Ralph Edward Dilisio, MD, FCCP 585 W College Ave, Santa Rosa, CA 95401-5000 Ph: (707) 526-3500 | Dr Ralph Edward Dilisio, MD, FCCP 585 W College Ave, Santa Rosa, CA 95401-5000 Ph: (707) 526-3500 |
Rajveer Sangera, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100 | |
Dr. Yulia Rivelis, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458 | |
Soheila Benrazavi, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616 | |
Suhana Elamsenthil, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 | |
Jarrod Paul Holmes, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874 | |
Dr. James Andrew Driscoll, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599 | |
Dominic Joseph Picetti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 |