John J Dahmen, MD | |
3900 Lakeville Hwy, Petaluma, CA 94954-5698 | |
(707) 765-3900 | |
Not Available |
Full Name | John J Dahmen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3900 Lakeville Hwy, Petaluma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851475842 | NPI | - | NPPES |
00A550600 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A55060 (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 |
---|---|
John J Dahmen, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | John J Dahmen, MD 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900 |
Dr. Lindsey Hibbard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3920 Fax: 707-765-3461 | |
Mrs. Faye Susan Lundergan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1456 Professional Dr Ste 405, Petaluma, CA 94954 Phone: 707-769-7500 Fax: 707-769-7570 | |
Donald S. Hensley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900 | |
Dr. Eric D. Scher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 4th St, Petaluma, CA 94952 Phone: 415-846-9160 | |
Dr. Ian Christopher Hopper, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Carol A. Ekelund, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900 | |
Ms. Martha E Cueto-salas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7707 |