| Dr Gerardo Baluyut Manansala, MD | |
|
30 Marsala Pl, American Canyon, CA 94503-3137 | |
| (707) 980-6738 | |
| (707) 649-2739 |
| Full Name | Dr Gerardo Baluyut Manansala |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 30 Marsala Pl, American Canyon, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215195813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A102439 (California) | Primary |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerardo Baluyut Manansala, MD 30 Marsala Pl, American Canyon, CA 94503-3137 Ph: (707) 980-6738 | Dr Gerardo Baluyut Manansala, MD 30 Marsala Pl, American Canyon, CA 94503-3137 Ph: (707) 980-6738 |
Dr. Diane Joyce Sutton, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 W American Canyon Rd # 508-396, American Canyon, CA 94503 Phone: 707-319-1203 Fax: 707-554-2555 | |
Michael Horst Feddersen, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3433 Broadway St, Suite B5, American Canyon, CA 94503 Phone: 707-561-9005 |