Kenneth Satoshi Kumamoto, MD | |
13855 E 14th St, San Leandro, CA 94578-2611 | |
(209) 342-2300 | |
(209) 524-4240 |
Full Name | Kenneth Satoshi Kumamoto |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 13855 E 14th St, 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 |
---|---|---|---|
1760473482 | NPI | - | NPPES |
00A649580 | Medicaid | CA | |
00A649580 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A64958 (California) | Primary |
Entity Name | San Francisco Emergency Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134110661 PECOS PAC ID: 5698662518 Enrollment ID: O20040303001130 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Satoshi Kumamoto, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Kenneth Satoshi Kumamoto, MD 13855 E 14th St, San Leandro, CA 94578-2611 Ph: (209) 342-2300 |
Chin-hsiang Feng, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-518-5598 | |
Dr. Grace Mindy Lee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 203-688-5599 | |
Dr. Vibha Kundi Gupta, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 517-648-0339 | |
Allison Boyd, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Dr. Bing Chung Shen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Anthony Michael Montefusco Iv, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13855 E 14th St, San Leandro, CA 94578 Phone: 209-342-2300 Fax: 209-524-4240 | |
Mark Makoto Tanaka, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 |