Jhoanne Bautista, MD PHD | |
Kaiser Permanente San Leandro, 2500 Merced Street, San Leandro, CA 94577 | |
(510) 298-2146 | |
Not Available |
Full Name | Jhoanne Bautista |
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Gender | Female |
Speciality | Surgery |
Location | Kaiser Permanente San Leandro, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831517358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A138904 (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 |
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Jhoanne Bautista, MD PHD Kaiser Permanente San Leandro, 2500 Merced Street, San Leandro, CA 94577 Ph: (510) 298-2146 | Jhoanne Bautista, MD PHD Kaiser Permanente San Leandro, 2500 Merced Street, San Leandro, CA 94577 Ph: (510) 298-2146 |
Dr. Lamont D Paxton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712 | |
Mr. Daniel Bradley Allen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274 | |
Donato Joseph Stinghen, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 13851 E 14th St Ste 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712 | |
Sara Jamie Reinganum, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274 | |
Brian Walker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St, Suite 118, San Leandro, CA 94578 Phone: 510-352-8400 | |
Kian Mostafavi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 937-208-4286 | |
Dr. Robert O. Gingery, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712 |