Randolph Lippert, MD | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 795-3000 | |
Not Available |
Full Name | Randolph Lippert |
---|---|
Gender | Male |
Speciality | Allergy & Immunology |
Location | 39400 Paseo Padre Pkwy, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316022072 | NPI | - | NPPES |
00A366640 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | A36664 (California) | Primary |
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 |
---|---|
Randolph Lippert, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Randolph Lippert, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000 |
Dr. Rao R Kosaraju, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1999 Mowry Ave, Suite L, Fremont, CA 94538 Phone: 510-373-3000 Fax: 510-744-9959 | |
Grace Yu, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3200 Kearney Street, Fremont, CA 94301 Phone: 510-490-1222 | |
Chyh Woei Lee, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-498-2350 | |
Kristina Philpott, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney St., Fremont, CA 94538 Phone: 510-490-1222 |