| Bayarea Hyperbarics | |
|
14589 S Bascom Ave Los Gatos CA 95032-2026 | |
| (408) 356-7438 | |
| (408) 356-7491 |
| Full Name | Bayarea Hyperbarics |
|---|---|
| Speciality | Clinic/Center |
| Location | 14589 S Bascom Ave, Los Gatos, California |
| Authorized Official Name and Position | Lisa St. John (PRESIDENT) |
| Authorized Official Contact | 4083567438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayarea Hyperbarics 14589 S Bascom Ave Los Gatos CA 95032-2026 Ph: (408) 356-7438 | Bayarea Hyperbarics 14589 S Bascom Ave Los Gatos CA 95032-2026 Ph: (408) 356-7438 |
| NPI Number | 1225191026 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 4082011259 |
|---|---|
| Medicare Enrollment ID | O20210930002623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225191026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | La'shonda Mechel Sharble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043898851 PECOS PAC ID: 7911305115 Enrollment ID: I20211029001951 |
| Provider Name | Robbie Masangkay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639712599 PECOS PAC ID: 2668853920 Enrollment ID: I20220718001850 |
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