| Dr Dionisio A Fernandes, MD | |
|
13847 E 14th St., Ste 112, San Leandro, CA 94578 | |
| (510) 352-8585 | |
| (510) 352-8644 |
| Full Name | Dr Dionisio A Fernandes |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology - Allergy |
| Location | 13847 E 14th St., San Leandro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285691121 | NPI | - | NPPES |
| GR0066330 | Medicaid | CA | |
| GR0066331 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | A29416 (California) | Primary |
| Entity Name | Baz Allergy Asthma & Sinus Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710906995 PECOS PAC ID: 6507770716 Enrollment ID: O20031112000791 |
| Entity Name | Columbia Asthma & Allergy Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962687566 PECOS PAC ID: 4688606536 Enrollment ID: O20090904000403 |
| Entity Name | The Davis Street Community Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dionisio A Fernandes, MD 3448 Mowry Ave, Fremont, CA 94538-1422 Ph: (510) 373-3000 | Dr Dionisio A Fernandes, MD 13847 E 14th St., Ste 112, San Leandro, CA 94578 Ph: (510) 352-8585 |
Dr. Paul P Cheng, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 433 Estudillo Avenue, Suite 206, San Leandro, CA 94577 Phone: 510-352-8585 Fax: 510-352-8644 | |
Farinaz Farrahi, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 13847 E 14th Street Ste 112, San Leandro, CA 94578 Phone: 510-352-8535 Fax: 510-352-8644 |