Heather Ariagno Iezza, MD | |
751 S Bascom Ave, Pediatrics Department, San Jose, CA 95128-2604 | |
(408) 885-5000 | |
Not Available |
Full Name | Heather Ariagno Iezza |
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Gender | Female |
Speciality | Pediatrics |
Location | 751 S Bascom Ave, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649227943 | NPI | - | NPPES |
00A926710 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A92671 (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 |
---|---|
Heather Ariagno Iezza, MD 751 S Bascom Ave, San Jose, CA 95128-2604 Ph: (408) 885-5000 | Heather Ariagno Iezza, MD 751 S Bascom Ave, Pediatrics Department, San Jose, CA 95128-2604 Ph: (408) 885-5000 |
Dr. Thanhmai Duong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Rd, San Jose, CA 95134 Phone: 408-451-6198 | |
Dr. Rita Roop Thakur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 E Santa Clara St, San Jose, CA 95112 Phone: 408-307-2123 | |
Dr. Louis Edwin Girling Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 720 Empey Way, San Jose, CA 95128 Phone: 408-793-6230 | |
Dr. Jerry Mercado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Suite 304, San Jose, CA 95124 Phone: 408-377-8100 | |
Dr. Perry F Lim, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1206 N Capitol Ave, Suite 204, San Jose, CA 95132 Phone: 408-929-2276 | |
Mrs. Latha B Vrittamani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 Phone: 408-356-9900 Fax: 408-356-9939 | |
Venny V. Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |