| East Bay Neurology, Inc. | |
|
675 Ygnacio Valley Rd Ste A102 Walnut Creek CA 94596-3882 | |
| (925) 938-5252 | |
| (925) 938-1343 |
| Full Name | East Bay Neurology, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 675 Ygnacio Valley Rd Ste A102, Walnut Creek, California |
| Authorized Official Name and Position | Chirag Hashmukh Patel (SECRETARY) |
| Authorized Official Contact | 8057204867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Neurology, Inc. 675 Ygnacio Valley Rd Ste A102 Walnut Creek CA 94596-3882 Ph: (925) 938-5252 | East Bay Neurology, Inc. 675 Ygnacio Valley Rd Ste A102 Walnut Creek CA 94596-3882 Ph: (925) 938-5252 |
| NPI Number | 1164928537 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 4587929815 |
|---|---|
| Medicare Enrollment ID | O20180607000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164928537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Timothy Y Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093762825 PECOS PAC ID: 3870628100 Enrollment ID: I20100311000977 |
| Provider Name | Lauren Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538506126 PECOS PAC ID: 4183942410 Enrollment ID: I20150427002395 |
| Provider Name | Chirag H Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285923201 PECOS PAC ID: 9830402379 Enrollment ID: I20150713002771 |
| Provider Name | Maridez Brinas Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245570266 PECOS PAC ID: 6305147315 Enrollment ID: I20170607000001 |
| Provider Name | Erin Rebecca Green-krogmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033577697 PECOS PAC ID: 1052653474 Enrollment ID: I20190503000648 |
| Provider Name | Jason Lee Massa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841636156 PECOS PAC ID: 9830496272 Enrollment ID: I20190701000588 |
| Provider Name | Amar Anand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407297005 PECOS PAC ID: 6709157365 Enrollment ID: I20190703002235 |
| Provider Name | Belma Sadikovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841449543 PECOS PAC ID: 2365841434 Enrollment ID: I20210521000444 |
| Provider Name | Tanya Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871024554 PECOS PAC ID: 0840690194 Enrollment ID: I20210608003759 |
| Provider Name | Marahmadelyn Moya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386398832 PECOS PAC ID: 7719358084 Enrollment ID: I20230124002163 |
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