| Dr Joy Mombourquette, MD | |
|
1600 Eureka Rd, Kaiser Permanente Pediatric Specialties, Roseville, CA 95661-3027 | |
| (916) 474-2250 | |
| Not Available |
| Full Name | Dr Joy Mombourquette |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1600 Eureka Rd, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467759217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A114966 (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 Joy Mombourquette, MD 1600 Eureka Rd, Kaiser Permanente Pediatric Specialties, Roseville, CA 95661-3027 Ph: (916) 474-2250 | Dr Joy Mombourquette, MD 1600 Eureka Rd, Kaiser Permanente Pediatric Specialties, Roseville, CA 95661-3027 Ph: (916) 474-2250 |
Scott W. Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Vyjayanthi N Srinivasan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4190 | |
Dr. Carol Frances Milazzo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Sunrise Ave, Suite 280, Roseville, CA 95661 Phone: 916-782-3786 Fax: 916-773-6251 | |
Elaine Chiu, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd Ste 21, Roseville, CA 95661 Phone: 916-474-2250 | |
Catherine Bakey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd Bldg B, Roseville, CA 95661 Phone: 916-216-3377 | |
Amy Cruickshank, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-2250 Fax: 916-474-2251 | |
Jean Marie Struthers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |