Mr Donaldo Pablo Beroncal, PT | |
275 W Macarthur, Oakland, CA 94611-5641 | |
(510) 752-1000 | |
(510) 752-1517 |
Full Name | Mr Donaldo Pablo Beroncal |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 275 W Macarthur, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730248717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 28544 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mr Donaldo Pablo Beroncal, PT 275 W Macarthur, Oakland, CA 94611-5641 Ph: (510) 752-1000 | Mr Donaldo Pablo Beroncal, PT 275 W Macarthur, Oakland, CA 94611-5641 Ph: (510) 752-1000 |
Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463 | |
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221 | |
Miss Denitza V Hristova, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 | |
Alison Taba, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5297 College Ave, Oakland, CA 94618 Phone: 510-547-1630 Fax: 510-923-1944 |