Ayumi Imai, | |
1150 Veterans Blvd, Redwood City, CA 94063-2037 | |
(650) 299-2000 | |
Not Available |
Full Name | Ayumi Imai |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1150 Veterans Blvd, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861748642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 21102 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 1954 (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 |
---|---|
Ayumi Imai, 55 Bay Ct, South San Francisco, CA 94080-3464 Ph: (650) 952-6642 | Ayumi Imai, 1150 Veterans Blvd, Redwood City, CA 94063-2037 Ph: (650) 299-2000 |
Anne M Galko, NMW Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3200 | |
Ms. Sheri Matteo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Ms. Terri Sue Westerlund, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3200 |