|
| |
|
303 Twin Dolphin Drive Suite 600 #6002 Redwood City CA 94065-9406 | |
| (740) 350-3565 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 303 Twin Dolphin Drive, Redwood City, California |
| Authorized Official Name and Position | Joshua Duskey (DIRECTOR, MARKET DEVELOPMENT) |
| Authorized Official Contact | 7403503565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
303 Twin Dolphin Drive Suite 600 #6002 Redwood City CA 94065 Ph: () - | 303 Twin Dolphin Drive Suite 600 #6002 Redwood City CA 94065-9406 Ph: (740) 350-3565 |
| NPI Number | 1295516128 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 2668916214 |
|---|---|
| Medicare Enrollment ID | O20240708000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295516128 | NPI | - | NPPES |
| Provider Name | Kevin Matthews Enloe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841731858 PECOS PAC ID: 9133651458 Enrollment ID: I20241011001181 |
| Provider Name | Palaniappan Chidambaram |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1770651200 PECOS PAC ID: 8729024146 Enrollment ID: I20241203001659 |
| Provider Name | Elaine Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134738040 PECOS PAC ID: 5092135624 Enrollment ID: I20241205004059 |
Caminar Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Marshall St, Redwood City, CA 94063 Phone: 650-578-8691 Fax: 650-373-0777 | |
Dr Dana Girard Clinical Psychologist Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1788 Kansas St, Redwood City, CA 94061 Phone: 650-889-8765 Fax: 650-649-1943 | |
Agility Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Jefferson Ave # 70, Redwood City, CA 94063 Phone: 415-968-9540 | |
Catch Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1694 Hampton Ave, Redwood City, CA 94061 Phone: 650-483-3580 | |
Katherine Chi Licensed Clinical Social Worker And Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 647 Veterans Blvd Ste A, Redwood City, CA 94063 Phone: 650-420-7761 Fax: 650-839-7841 | |
Cordilleras Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Edmonds Rd, Redwood City, CA 94062 Phone: 650-367-1890 |