| Collin A Mbanugo, MD | |
|
3300 Webster St, Suite 900, Oakland, CA 94609-3117 | |
| (510) 272-9610 | |
| (510) 272-9612 |
| Full Name | Collin A Mbanugo |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 43 Years |
| Location | 3300 Webster St, Oakland, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134271471 | NPI | - | NPPES |
| 00C411000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 00C411000 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| 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 |
| Entity Name | Robert Marriott Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20080519000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Collin A Mbanugo, MD 3300 Webster St, Suite 900, Oakland, CA 94609-3117 Ph: (510) 272-9610 | Collin A Mbanugo, MD 3300 Webster St, Suite 900, Oakland, CA 94609-3117 Ph: (510) 272-9610 |
Dr. Cheryl Lin Park, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4743 | |
Dr. Rachel Gomez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, Department Of Surgery, Oakland, CA 94602 Phone: 510-437-4965 Fax: 510-437-5127 | |
Veronica C. Shim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Beverly L. Bolinger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 | |
Dr. Elizabeth L. Cureton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-437-5127 | |
Ajay Kumar Upadhyay, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 365 Hawthorne Ave, Ste 101, Oakland, CA 94609 Phone: 510-465-5523 Fax: 510-832-6061 | |
Steven T Yedlin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3100 Telegraph Ave, 2nd Floor Bayside Medical Group, Oakland, CA 94609 Phone: 510-452-5231 Fax: 510-889-8392 |