Dr Stephen Albert Santucci Jr, MD | |
5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | |
(415) 461-0440 | |
(415) 461-3792 |
Full Name | Dr Stephen Albert Santucci Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 5 Bon Air Road, Ste. 105, Larkspur, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306801287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | A063180 (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 |
Mailing Address | Practice Location Address |
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Dr Stephen Albert Santucci Jr, MD 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Ph: (415) 461-0440 | Dr Stephen Albert Santucci Jr, MD 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Ph: (415) 461-0440 |
Rim Elchaki, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Larkspur Landing Cir, Suite 10, Larkspur, CA 94939 Phone: 415-464-1350 | |
Jeanette R White, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 | |
John Marshall Harvey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 | |
Jan Ellen Maisel, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 | |
Kristin Moschetti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Bon Air Rd Ste 105, Larkspur, CA 94939 Phone: 415-461-0440 | |
Julie Bokser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 Phone: 415-461-0440 Fax: 415-461-3792 |