Zaya Ismail, | |
1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | |
(209) 585-8662 | |
Not Available |
Full Name | Zaya Ismail |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 1700 Keystone Pacific Pkwy, Patterson, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245855923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT298487 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden Bear Physical Therapy Sports Injury Center Inc | 2961423082 | 63 |
Provider Name | Golden Bear Physical Therapy Sports Injury Center Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811084676 PECOS PAC ID: 2961423082 Enrollment ID: O20051215000812 |
Mailing Address | Practice Location Address |
---|---|
Zaya Ismail, 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 Ph: (209) 895-4206 | Zaya Ismail, 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 Ph: (209) 585-8662 |
Jason Oliveira, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-895-4206 | |
Rona Kaye Nagal Hillerman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-895-4206 Fax: 209-222-6158 | |
Christopher Evan Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-881-9274 | |
Megan Gallagher, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy Unit C2, Patterson, CA 95363 Phone: 209-881-9274 |