Kristine Rustad, MD | |
710 Lawrence Expy Dept 290, Santa Clara, CA 95051-5173 | |
(408) 851-2000 | |
Not Available |
Full Name | Kristine Rustad |
---|---|
Gender | Female |
Speciality | Plastic Surgery |
Location | 710 Lawrence Expy Dept 290, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629335237 | NPI | - | NPPES |
NONE | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | A127857 (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 |
---|---|
Kristine Rustad, MD 710 Lawrence Expy Dept 290, Santa Clara, CA 95051-5173 Ph: () - | Kristine Rustad, MD 710 Lawrence Expy Dept 290, Santa Clara, CA 95051-5173 Ph: (408) 851-2000 |
Mark J. Dulong, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
James J. Orman, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Robert M. Menard, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Timothy Dan Santoro, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 |