Phassarin Chansakul, MD | |
20101 Lake Chabot Rd, Castro Valley, CA 94546-5305 | |
(510) 866-3400 | |
(510) 506-7729 |
Full Name | Phassarin Chansakul |
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Gender | Female |
Speciality | Pediatrics |
Location | 20101 Lake Chabot Rd, Castro Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922413038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A149124 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Phassarin Chansakul, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 866-3400 | Phassarin Chansakul, MD 20101 Lake Chabot Rd, Castro Valley, CA 94546-5305 Ph: (510) 866-3400 |
Dr. Faruqa Shariff Ladha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20103 Lake Chabot Rd, Eden Medical Center, Castro Valley, CA 94546 Phone: 650-338-8443 | |
Olivia Pan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20101 Lake Chabot Rd Fl 3, Castro Valley, CA 94546 Phone: 510-886-3400 Fax: 510-886-8466 | |
Dr. Eric Donald Wells, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20055 Lake Chabot Rd, #320, Castro Valley, CA 94546 Phone: 510-889-8900 Fax: 510-727-9811 | |
Dr. Sinnakaman S Rajaram, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3845 Denise Ln, Denise Lane, Castro Valley, CA 94546 Phone: 510-889-6890 Fax: 510-886-6709 | |
John E Nackley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20126 Stanton Ave, Ste 201, Castro Valley, CA 94546 Phone: 510-581-2559 Fax: 510-581-5396 | |
Benedikt Kurz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20101 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-886-3400 | |
Dr. Donald Martin Selcer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20101b Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-581-1446 |