Evelyn J Nakagawa Md Inc | |
2800 Benedict Dr San Leandro CA 94577-6840 | |
(415) 945-1010 | |
Not Available |
Full Name | Evelyn J Nakagawa Md Inc |
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Speciality | Internal Medicine |
Location | 2800 Benedict Dr, San Leandro, California |
Authorized Official Name and Position | Evelyn J Nakagawa (PRESIDENT) |
Authorized Official Contact | 4159451010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evelyn J Nakagawa Md Inc 14 Tamal Vista Blvd Corte Madera CA 94925-1107 Ph: (415) 233-3604 | Evelyn J Nakagawa Md Inc 2800 Benedict Dr San Leandro CA 94577-6840 Ph: (415) 945-1010 |
NPI Number | 1003577305 |
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Provider Enumeration Date | 01/07/2022 |
Last Update Date | 01/07/2022 |
Medicare PECOS PAC ID | 2466846399 |
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Medicare Enrollment ID | O20220218000896 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003577305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Evelyn J Nakagawa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023077294 PECOS PAC ID: 7214090414 Enrollment ID: I20090114000604 |
Provider Name | Edward D Esplin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1689883308 PECOS PAC ID: 1456424357 Enrollment ID: I20131029000171 |
Provider Name | Juan-david Nino-lopez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386307569 PECOS PAC ID: 0749647659 Enrollment ID: I20230608001681 |
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