| Cheryl Leigh Rouse, | |
|
220 Shire St, Gilroy, CA 95020-8508 | |
| (408) 204-4859 | |
| Not Available |
| Full Name | Cheryl Leigh Rouse |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 220 Shire St, Gilroy, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003014119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 51633 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Leigh Rouse, 220 Shire St, Gilroy, CA 95020-8508 Ph: () - | Cheryl Leigh Rouse, 220 Shire St, Gilroy, CA 95020-8508 Ph: (408) 204-4859 |
Vicki Kato, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6890 Chestnut St, Gilroy, CA 95030 Phone: 408-776-6200 | |
Lisa Elaine Dubois, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6980 Chestnut St, Gilroy, CA 95020 Phone: 408-776-6200 | |
Martha Susanna Guardado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Ioof Ave, Gilroy, CA 95020 Phone: 408-846-2100 | |
Jacqueline Valdivias Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9015 Murray Ave, Suite 100, Gilroy, CA 95020 Phone: 408-665-4908 | |
Patricia Mears, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6980 Chestnut St, Gilroy, CA 95020 Phone: 408-846-4715 | |
Mr. Robert Anson Carl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 I O O F Ave, Gilroy, CA 95020 Phone: 408-846-2100 |