| Dr Fulgencio Braganza Del Castillo Iii, MD | |
|
710 Lawrence Expy Dept 190, Santa Clara, CA 95051-5173 | |
| (408) 851-1240 | |
| Not Available |
| Full Name | Dr Fulgencio Braganza Del Castillo Iii |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 710 Lawrence Expy Dept 190, Santa Clara, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881692291 | NPI | - | NPPES |
| C177174 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| 500635192 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C177174 (California) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | C177174 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fulgencio Braganza Del Castillo Iii, MD 710 Lawrence Expy Dept 190, Santa Clara, CA 95051-5173 Ph: (408) 851-1240 | Dr Fulgencio Braganza Del Castillo Iii, MD 710 Lawrence Expy Dept 190, Santa Clara, CA 95051-5173 Ph: (408) 851-1240 |
David Tran La, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-554-9810 | |
Lynne Chang Wu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2652 El Camino Real, Santa Clara, CA 95051 Phone: 408-524-5952 | |
Karen Chan, Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Dr. Kristina Marie Manning, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Dept. 320, Santa Clara, CA 95051 Phone: 415-640-9910 | |
Emma Steinberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Rebecca L. Redman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Yu-tzu Tseng, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-554-9810 |