| Dr Diane Groth Mimran, MD | |
|
6001 Norris Canyon Rd, San Ramon Regional Medical Center, San Ramon, CA 94583-5400 | |
| (925) 275-8282 | |
| Not Available |
| Full Name | Dr Diane Groth Mimran |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 6001 Norris Canyon Rd, San Ramon, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285670877 | NPI | - | NPPES |
| A91557 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A91557 (California) | Primary |
| Entity Name | Team Physicians Of Northern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diane Groth Mimran, MD 4009 Tulip Way, San Ramon, CA 94582 Ph: (925) 964-1416 | Dr Diane Groth Mimran, MD 6001 Norris Canyon Rd, San Ramon Regional Medical Center, San Ramon, CA 94583-5400 Ph: (925) 275-8282 |
Monica Rosenthal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Crow Canyon Pl, Suite 260, San Ramon, CA 94583 Phone: 925-962-1067 | |
Samuel Katz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8282 | |
Dr. Randeep Singh Thiara, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8280 | |
Amanda Stephenson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8280 | |
Dr. Harold Washington Wilkie Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583 Phone: 925-275-8280 Fax: 925-275-8284 | |
Dr. Saba Haq, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3557 Ashbourne Cir, San Ramon, CA 94583 Phone: 949-463-0650 |