| Amita Jain, MD | |
|
1501 Trousdale Dr, Burlingame, CA 94010-4506 | |
| (650) 652-8730 | |
| Not Available |
| Full Name | Amita Jain |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1501 Trousdale Dr, Burlingame, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760562037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G66678 (California) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Amita Jain, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 652-8720 | Amita Jain, MD 1501 Trousdale Dr, Burlingame, CA 94010-4506 Ph: (650) 652-8730 |
Dr. Tara Tanaka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1720 El Camino Real Ste 205, Burlingame, CA 94010 Phone: 650-259-5050 | |
Karin K. Wertz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8720 | |
Jennifer Lynn Carlson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 California Dr, Burlingame, CA 94010 Phone: 415-353-2002 | |
Debra A Barra-stevens, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8720 | |
Dr. Eric Perez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8720 | |
Marie Elizabeth Ribeiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-652-8720 | |
Dr. Laurie Yang Marsh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1720 El Camino Real, Burlingame, CA 94010 Phone: 650-259-5050 |