Dr William Albert Deruso, MD | |
2320 Bath St Ste 113, Santa Barbara, CA 93105-4377 | |
(805) 682-7744 | |
(805) 682-3321 |
Full Name | Dr William Albert Deruso |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 2320 Bath St Ste 113, Santa Barbara, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316127145 | NPI | - | NPPES |
00A101578 | Other | CA | BS OF CA |
617939 | Medicaid | AZ | |
1316127145 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 44212 (Arizona) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A101578 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Regional Medical Center | Oxnard, CA | Hospital |
Community Memorial Hospital San Buenaventura | Ventura, CA | Hospital |
Santa Ynez Valley Cottage Hospital | Solvang, CA | Hospital |
Goleta Valley Cottage Hospital | Santa barbara, CA | Hospital |
Ojai Valley Community Hospital | Ojai, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
I. Grossman M.d., Inc. | 7113001884 | 20 |
California Managed Imaging Medical Group Inc | 9436229887 | 87 |
Entity Name | Beverly Radiology Medical Group Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20031106000784 |
Entity Name | Pueblo Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871549899 PECOS PAC ID: 6901708668 Enrollment ID: O20040122001107 |
Entity Name | Truxtun Radiology Medical Group Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548265036 PECOS PAC ID: 5698714582 Enrollment ID: O20050429000546 |
Entity Name | Norcal Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003965997 PECOS PAC ID: 7911099346 Enrollment ID: O20070815000403 |
Entity Name | I. Grossman M.d., Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366463572 PECOS PAC ID: 7113001884 Enrollment ID: O20080220000325 |
Entity Name | California Managed Imaging Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575 |
Mailing Address | Practice Location Address |
---|---|
Dr William Albert Deruso, MD Dept La 21613, Pasadena, CA 91185-1613 Ph: (949) 263-8620 | Dr William Albert Deruso, MD 2320 Bath St Ste 113, Santa Barbara, CA 93105-4377 Ph: (805) 682-7744 |
Dr. Donna E. Winingham, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath Street,, Suite 113, Santa Barbara, CA 93105 Phone: 805-682-7744 Fax: 805-682-3321 | |
Sean Henry Novak, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St # 113, Santa Barbara, CA 93105 Phone: 805-682-7744 | |
Wonsuk Warren Suh, M.D., M.P.H. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-682-7300 | |
Dr. Christopher Douglas Kuzminski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-682-7111 Fax: 805-682-0793 | |
Richard E Fulton, MD Radiology Medicare: Medicare Enrolled Practice Location: 2320 Bath St, Suite 208, Santa Barbara, CA 93105 Phone: 805-682-7984 Fax: 805-569-2964 | |
Dr. Jacob Lawrence Harter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St # 113, Santa Barbara, CA 93105 Phone: 805-682-7744 | |
Daniel T Fox, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St, Suite 208, Santa Barbara, CA 93105 Phone: 805-682-7984 Fax: 805-569-2964 |