| Graham Livesay, | |
|
2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 | |
| (650) 348-6603 | |
| Not Available |
| Full Name | Graham Livesay |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2015 Pioneer Ct Ste B, San Mateo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124681986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCC13305 (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 |
|---|---|
| Graham Livesay, 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 Ph: Not Available | Graham Livesay, 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 Ph: (650) 348-6603 |
Miss Veronica Pena Barajas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403 Phone: 650-372-8540 |
Sonia Elena Mays, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403 Phone: 111-111-1111 |
Diana Moore, MA LMFT LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 650-906-3978 Fax: 650-570-4283 |
Bill Haddock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2251 Palm Ave, San Mateo, CA 94403 Phone: 650-513-6500 |
Gloria E Gutierrez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3080 La Selva St, San Mateo, CA 94403 Phone: 650-573-2076 |
Mr. Paul Saito, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3435 |
Lisa Kearns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402 Phone: 650-349-7969 Fax: 650-349-1103 |