Lisa M Cardenas, MD | |
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
(650) 742-2000 | |
Not Available |
Full Name | Lisa M Cardenas |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1200 El Camino Real, South San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790857548 | NPI | - | NPPES |
00A720590 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A72059 (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 |
---|---|
Lisa M Cardenas, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Lisa M Cardenas, MD 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000 |
Michael Ryan Trindle, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1475 Huntington Ave, South San Francisco, CA 94080 Phone: 650-246-3829 Fax: 650-246-3838 | |
Connie Kang-ling Wu, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, Medical Office Building, 4th Floor, South San Francisco, CA 94080 Phone: 650-742-2179 | |
Vincent J. Dilella, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Dr. Ronald Richard Holt, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Purvi K. Sangani, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Chi-chen Mao, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Thomas D. Lupton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 |