Jeffrey L Gao, MD | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-1000 | |
Not Available |
Full Name | Jeffrey L Gao |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710065552 | NPI | - | NPPES |
00G809200 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | G80920 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Jeffrey L Gao, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Jeffrey L Gao, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Brian E. Knapp, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Susan D. Lambert, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Mr. Phillip Leroy Wagner, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Occupational Medicine, Vallejo, CA 94589 Phone: 707-651-2243 | |
Michael A. Palomino, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |