Manuel G Diaz, MD | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Manuel G Diaz |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922183243 | NPI | - | NPPES |
00G544120 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G54412 (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 |
---|---|
Manuel G Diaz, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Manuel G Diaz, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Mr. Michael Long Tran, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4704 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-546-7979 Fax: 707-546-7667 | |
Kate Esther Black, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-3210 | |
Dr. Christopher Daniel Press, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 837 5th St, Santa Rosa, CA 95404 Phone: 707-522-1800 | |
Robert John Wood, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-3210 | |
Darin Dee Brunson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-3210 | |
Dr. Michael Ishu Yang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 392 Tesconi Ct, Santa Rosa, CA 95401 Phone: 707-623-9803 Fax: 707-843-3257 | |
James H. Pak, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4000 |