Nicholas Thomas Rudnick, MD | |
1661 Soquel Dr Ste G, Santa Cruz, CA 95065-1709 | |
(831) 476-7711 | |
(831) 462-0581 |
Full Name | Nicholas Thomas Rudnick |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 1661 Soquel Dr Ste G, Santa Cruz, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104119544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A148749 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital-san Jose | San jose, CA | Hospital |
Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
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 |
---|---|
Nicholas Thomas Rudnick, MD 1411 E 31st St, Radiology Department 3rd Floor, Oakland, CA 94602 Ph: (510) 437-4800 | Nicholas Thomas Rudnick, MD 1661 Soquel Dr Ste G, Santa Cruz, CA 95065-1709 Ph: (831) 476-7711 |
Victor Mockus, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5521 | |
Charlotte Y Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1575 Soquel Dr, Santa Cruz, CA 95065 Phone: 831-462-3050 | |
Nicholas Astromoff, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Drive, Building G, Santa Cruz, CA 95065 Phone: 831-476-7711 Fax: 831-476-6189 | |
Ka-wah Tung, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1661 Soquel Dr, Santa Cruz, CA 95065 Phone: 718-683-0390 | |
Roy Elias Martinez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Dr, Building G, Santa Cruz, CA 95065 Phone: 831-476-7711 Fax: 831-476-6189 | |
Edward Hutchinson Menges, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Bldg G, Santa Cruz, CA 95065 Phone: 831-476-7711 Fax: 831-476-6189 |