| Tassajara Critical Care | |
|
5401 Norris Canyon Rd Ste 308 San Ramon CA 94583-5408 | |
| (925) 866-8822 | |
| (925) 866-8323 |
| Full Name | Tassajara Critical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 5401 Norris Canyon Rd Ste 308, San Ramon, California |
| Authorized Official Name and Position | Olga Gomez (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9258668822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tassajara Critical Care 5401 Norris Canyon Rd Ste 308 San Ramon CA 94583-5408 Ph: (925) 866-8822 | Tassajara Critical Care 5401 Norris Canyon Rd Ste 308 San Ramon CA 94583-5408 Ph: (925) 866-8822 |
| NPI Number | 1144894650 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 4284030552 |
|---|---|
| Medicare Enrollment ID | O20210913000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144894650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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