| Anita Jain, MD | |
|
1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | |
| (707) 864-5383 | |
| (707) 399-2651 |
| Full Name | Anita Jain |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1200 B Gale Wilson Blvd, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962508713 | NPI | - | NPPES |
| A76657 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A76657 (California) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149 |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Jain, MD 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 Ph: (707) 864-5383 | Anita Jain, MD 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 Ph: (707) 864-5383 |
Imelda Maria C. Tandinco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2012 | |
Megan Connick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 470 Chadbourne Rd Ste A, Fairfield, CA 94534 Phone: 707-419-8988 Fax: 707-254-1779 | |
Maika Manalastas, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-646-4051 | |
Christi Klimisch Lombre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4048 Fax: 707-427-4385 | |
Dr. Alok K. Bose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5030 Business Center Dr, Suite 230, Fairfield, CA 94534 Phone: 707-863-8190 Fax: 707-863-8193 | |
Daniel A. Schleske, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-423-5323 |