| Dr Balaji Venkat, DO | |
|
15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 | |
| (408) 730-6200 | |
| Not Available |
| Full Name | Dr Balaji Venkat |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 15400 Los Gatos Blvd, Los Gatos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639319916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A11767 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| 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 |
|---|---|
| Dr Balaji Venkat, DO 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Dr Balaji Venkat, DO 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 Ph: (408) 730-6200 |
Dr. Robert Gutshall Amburgey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Po Box 1557, Los Gatos, CA 95031 Phone: 669-208-2807 | |
Michael Benjamin Wolfe, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 | |
Rachel Kathleen Spoelhof, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-730-6200 | |
Ivan Rodrigo Burgos, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Rd, Los Gatos, CA 95032 Phone: 408-866-3863 | |
Edward Stanley Klofas, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 | |
Robert Kemp Carter, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 | |
Judith Louise Dethlefs, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Pollard Road, Los Gatos, CA 95032 Phone: 408-378-6131 |