Mr David A Deriemer, MD | |
4647 Zion Ave, Dept Of Anesthesiology, Kaiser Permanente Hospital, San Diego, CA 92120-2507 | |
(619) 528-7660 | |
Not Available |
Full Name | Mr David A Deriemer |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 4647 Zion Ave, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770695561 | NPI | - | NPPES |
050057040 | Other | NV | RR MEDIAN |
NV1301 | Other | NV | BLUE CROSS |
2013060 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 8462 (Nevada) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Mr David A Deriemer, MD 4647 Zion Ave, Dept Of Anesthesiology, Kaiser Permanente Hospital, San Diego, CA 92120-2507 Ph: (619) 528-7660 | Mr David A Deriemer, MD 4647 Zion Ave, Dept Of Anesthesiology, Kaiser Permanente Hospital, San Diego, CA 92120-2507 Ph: (619) 528-7660 |
Shawn Raveenth Vedamani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Michael Conrad Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Drive, San Diego, CA 92134 Phone: 619-532-6471 | |
Susanna Byrne, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Dr. Paige Tsuda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Thomas J. Pietuch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 | |
Dr. Ching-rong Cheng, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 Phone: 619-543-5720 | |
Dr. Jeffrey Koji Sakihara, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 |