Michael K Matsumoto, MD | |
97 San Marin Dr, Novato, CA 94945-1100 | |
(415) 899-7400 | |
Not Available |
Full Name | Michael K Matsumoto |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 97 San Marin Dr, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295819266 | NPI | - | NPPES |
00A629070 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A62907 (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 |
---|---|
Michael K Matsumoto, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Michael K Matsumoto, MD 97 San Marin Dr, Novato, CA 94945-1100 Ph: (415) 899-7400 |
Ghazal Khorrami, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Vintage Way, Novato, CA 94945 Phone: 415-892-0965 Fax: 415-461-3792 | |
Dr. Michael I Harris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7414 Fax: 415-899-7612 | |
Megan Darah Reeves, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Rowland Way Ste 220, Novato, CA 94945 Phone: 415-878-7200 Fax: 415-369-1274 | |
Dr. Richard P. Knudsen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Rowland Way, Suite 300, Pulmonary And Sleep Associates Of Marin, Novato, CA 94945 Phone: 415-878-0225 Fax: 415-878-0215 | |
Dr. Katherine Jennie Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505a San Marin Dr, Ste 260, Novato, CA 94945 Phone: 415-898-5437 Fax: 415-898-1698 | |
Dr. Rebekah Harding, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6090 Redwood Blvd, Novato, CA 94945 Phone: 415-448-1500 |