Ralph Crisostomo, MD | |
975 Sereno Dr, Spine Clinic H31, Vallejo, CA 94589-2441 | |
(707) 651-1000 | |
Not Available |
Full Name | Ralph Crisostomo |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 20 Years |
Location | 975 Sereno Dr, Vallejo, 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 |
---|---|---|---|
1144292525 | NPI | - | NPPES |
356952700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A104669 (California) | Primary |
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 |
---|---|
Ralph Crisostomo, MD 975 Sereno Dr, Spine Clinic H31, Vallejo, CA 94589-2441 Ph: (707) 651-1000 | Ralph Crisostomo, MD 975 Sereno Dr, Spine Clinic H31, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Dr. Roberta Yiwun Wang, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5128 | |
Yonghua Tai, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1044 | |
Raymond A. Samatovicz, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1044 | |
Elliott Sinclair Block, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 909-724-4127 | |
Spencer H. Wang, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2306 | |
M. Elizabeth Sandel, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1044 |