| Dr Brent Seiji Izu, MD | |
|
4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | |
| (925) 776-7725 | |
| Not Available |
| Full Name | Dr Brent Seiji Izu |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 4053 Lone Tree Way Ste 200, Antioch, 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 |
|---|---|---|---|
| 1912004367 | NPI | - | NPPES |
| C156246 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35.088603 (Ohio) | Secondary |
| 208600000X | Surgery | 1012919 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Modesto, CA | Hospital |
| Sutter Delta Medical Center | Antioch, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Surgical Associates Inc | 6002110814 | 15 |
| 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 | Surgical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366824161 PECOS PAC ID: 6002110814 Enrollment ID: O20160215001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Seiji Izu, MD 4053 Lone Tree Way, Antioch, CA 94531-6210 Ph: (925) 776-7725 | Dr Brent Seiji Izu, MD 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 Ph: (925) 776-7725 |
Hamid R. Rassai, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2350 Country Hills Dr Ste A, Antioch, CA 94509 Phone: 925-757-0800 Fax: 925-757-2160 | |
Phillip Willie Tan Polido, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 2350 Country Hills Dr Ste A, Antioch, CA 94509 Phone: 925-757-0800 Fax: 925-757-2160 | |
Michael Lee Ditmars, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3903 Lone Tree Way, Suite 210, Antioch, CA 94509 Phone: 925-757-0800 Fax: 925-757-2160 | |
Dr. Christopher Solis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4053 Lone Tree Way Ste 200, Antioch, CA 94531 Phone: 925-776-7725 | |
Abnet Amsalework Alemu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2350 Country Hills Drive, Antioch, CA 94506 Phone: 612-508-2755 | |
Tripurari Mishra, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 4053 Lone Tree Way, Antioch, CA 94531 Phone: 925-779-7200 | |
Joseph M Brandel, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 2350 Country Hills Dr, Antioch, CA 94509 Phone: 925-757-0800 Fax: 925-757-2160 |