Stanley W Chu, MD | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 795-3000 | |
Not Available |
Full Name | Stanley W Chu |
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Gender | Male |
Speciality | Pediatrics |
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 |
---|---|---|---|
1154406817 | NPI | - | NPPES |
00A530390 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A53039 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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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 |
---|---|
Stanley W Chu, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Stanley W Chu, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000 |
Stephanie Chiang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Natasha Beilin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Tina Fatin Scobel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Annabelle Soares, Pediatrics Medicare: Medicare Enrolled Practice Location: 2191 Mowry Ave Ste 600c, Fremont, CA 94538 Phone: 510-792-4373 | |
Rebecca Klint, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 43971 Boscell Road, Fremont, CA 94538 Phone: 510-979-0603 Fax: 510-979-0798 | |
Dr. Lyn Marise Dos Santos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-795-2002 | |
Dr. Patrick G Burke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2191 Mowry Ave, 600c, Fremont, CA 94538 Phone: 510-792-4373 Fax: 510-792-3420 |