| Amy Gilliam, MD | |
|
795 El Camino Real, Palo Alto, CA 94301-2302 | |
| (650) 853-2982 | |
| Not Available |
| Full Name | Amy Gilliam |
|---|---|
| Gender | Female |
| Speciality | Dermatology - Pediatric Dermatology |
| Location | 795 El Camino Real, Palo Alto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073571139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A70772 (California) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | A70772 (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 |
|---|---|
| Amy Gilliam, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 853-2982 | Amy Gilliam, MD 795 El Camino Real, Palo Alto, CA 94301-2302 Ph: (650) 853-2982 |
Ruth Rothman, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-4865 | |
Shireen Victoria Guide, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Dr. Sara Whitehead, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 310 Bryant St, Palo Alto, CA 94301 Phone: 650-250-2434 | |
Dr. Miguel Canales, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 900 Welch Rd Ste 300, Palo Alto, CA 94304 Phone: 650-683-0535 | |
Dr. Thomas Edward Hoffman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 301 High St, Palo Alto, CA 94301 Phone: 650-969-5600 Fax: 650-969-0360 | |
Dr. Eric Petrie Smith, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 900 Welch Rd, Suite 300, Palo Alto, CA 94304 Phone: 650-325-6000 |