Diana Escobar, MD | |
1328 22nd St, Santa Monica, CA 90404-2032 | |
(310) 829-5511 | |
(701) 770-6673 |
Full Name | Diana Escobar |
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Gender | Female |
Speciality | Anesthesiology |
Location | 1328 22nd St, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598143638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A162580 (California) | Secondary |
207L00000X | Anesthesiology | 84745 (South Carolina) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Bayside Anesthesia Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184668469 PECOS PAC ID: 2466490560 Enrollment ID: O20050419001522 |
Mailing Address | Practice Location Address |
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Diana Escobar, MD Po Box 888298, Los Angeles, CA 90088-8298 Ph: (888) 854-3822 | Diana Escobar, MD 1328 22nd St, Santa Monica, CA 90404-2032 Ph: (310) 829-5511 |
Vivek Ram Vallurupalli, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511 | |
Dr. Daniel Sompoj Tongbai, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1245 16th St Ste 225, Santa Monica, CA 90404 Phone: 310-319-2241 Fax: 310-319-2263 | |
Dr. Sophie M. Andriaschuk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202 | |
Daniel Cherkassky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 650-823-8969 | |
Dr. David Asher Rakoff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-423-2056 Fax: 310-423-8232 | |
Mark S. Goh, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202 Fax: 310-829-8209 | |
Dr. Kevin M. Miller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, St. John's Anesthesia Department, Santa Monica, CA 90404 Phone: 818-712-0598 Fax: 818-712-0598 |