Emanuel David Berston, MD | |
901 Campus Dr, Daly City, CA 94015-4900 | |
(650) 652-8720 | |
Not Available |
Full Name | Emanuel David Berston |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 901 Campus Dr, Daly City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649346636 | NPI | - | NPPES |
GR0081920 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G081364 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Emanuel David Berston, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 652-8720 | Emanuel David Berston, MD 901 Campus Dr, Daly City, CA 94015-4900 Ph: (650) 652-8720 |
Charito P. Sico, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2050 | |
Ofelia Ofrecio Maristela, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Suite 210, Daly City, CA 94015 Phone: 650-994-3000 | |
Esther Jin Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 90th St, Daly City, CA 94015 Phone: 650-573-2222 | |
Laura A. Prager, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 | |
Janice W Gilless, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8720 | |
Alice Breder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8720 Fax: 650-994-1126 | |
Dawn M. Belardinelli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 |