Edward J Baddour, MD | |
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
(650) 742-2000 | |
Not Available |
Full Name | Edward J Baddour |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1200 El Camino Real, South San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013095645 | NPI | - | NPPES |
00A636280 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A63628 (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 |
Mailing Address | Practice Location Address |
---|---|
Edward J Baddour, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Edward J Baddour, MD 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000 |
Richard A. Stagliano, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Edward Leiken, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Jason D. Eiband, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Dr. William Garrett Holder Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Ryan Himmelsbach, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2511 | |
Robert Andrew Zimmerman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 |