Ian Craig Brown, MD | |
2160 W Grant Line Rd Ste 120, Tracy, CA 95377-7331 | |
(209) 836-5680 | |
(209) 836-5778 |
Full Name | Ian Craig Brown |
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Gender | Male |
Speciality | Anesthesiology |
Location | 2160 W Grant Line Rd Ste 120, Tracy, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538167903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G74032 (California) | Primary |
Entity Name | Empire Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174792261 PECOS PAC ID: 8224197108 Enrollment ID: O20081106000675 |
Mailing Address | Practice Location Address |
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Ian Craig Brown, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (800) 883-7243 | Ian Craig Brown, MD 2160 W Grant Line Rd Ste 120, Tracy, CA 95377-7331 Ph: (209) 836-5680 |
David Alan Edelsohn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2160 W Grant Line Rd, Suite 120, Tracy, CA 95377 Phone: 209-836-5680 | |
Anita Xue, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
Christopher Robert Fossaceca, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
James Robert Halderman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
Athanasios Magimbi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Bessie Ave, Ste 105, Tracy, CA 95376 Phone: 209-832-2095 Fax: 209-832-7828 | |
Samuel Youngsam Oh, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 |