| Dr Betalina Blanco Bumatay, MD | |
|
165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 | |
| (209) 823-2345 | |
| Not Available |
| Full Name | Dr Betalina Blanco Bumatay |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 165 Saint Dominics Dr Ste 201, Manteca, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477510097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A50060 (California) | Primary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | First Choice Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Betalina Blanco Bumatay, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Dr Betalina Blanco Bumatay, MD 165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 Ph: (209) 823-2345 |
Herleen K Kailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave, Suite B, Manteca, CA 95336 Phone: 209-823-8158 Fax: 209-823-6186 | |
Bhavin Doshi, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Northgate Dr, Manteca, CA 95336 Phone: 209-381-7120 Fax: 209-381-7119 | |
Florinda Galang Mallorca, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave Ste B, Manteca, CA 95336 Phone: 209-239-4515 Fax: 209-239-7815 | |
Moosa M Lunat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1191 E Yosemite Ave, Suite B, Manteca, CA 95336 Phone: 209-823-8158 Fax: 209-823-6186 | |
Felixberto Tejada, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Diana F. Enrile, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 |