| Dr Judy A Alonzo, MD | |
|
1783 El Camino Real, Pathology Dept, Burlingame, CA 94010-3205 | |
| (650) 696-5611 | |
| Not Available |
| Full Name | Dr Judy A Alonzo |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 1783 El Camino Real, Burlingame, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124040787 | NPI | - | NPPES |
| 00G791810 | Medicaid | CA | |
| G79181 | Other | CA | CALIF MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G79181 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sequoia Hospital | Redwood city, CA | Hospital |
| Peninsula Medical Center | Burlingame, CA | Hospital |
| California Pacific Medical Center- Van Ness Campus | San francisco, CA | Hospital |
| Novato Community Hospital | Novato, CA | Hospital |
| Sutter Coast Hospital | Crescent city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peninsula Pathologists Medical Group Inc | 2961485925 | 16 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Peninsula Pathologists Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285699793 PECOS PAC ID: 2961485925 Enrollment ID: O20040610000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Judy A Alonzo, MD 383 E Grand Ave, Suite A, South San Francisco, CA 94080-6234 Ph: () - | Dr Judy A Alonzo, MD 1783 El Camino Real, Pathology Dept, Burlingame, CA 94010-3205 Ph: (650) 696-5611 |
Dr. Keith L Duncan, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1783 El Camino Real, Pathology Dept, Burlingame, CA 94010 Phone: 650-696-5611 | |
Dr. John D Carney, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1783 El Camino Real, Pathology Dept, Burlingame, CA 94010 Phone: 650-616-2950 | |
Dr. Michael Joseph Cascio, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Trousdale Dr, Burlingame, CA 94010 Phone: 650-696-5511 | |
Dr. Sourav Ray, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1783 El Camino Real, Mills Peninsula Pathology Dept, Burlingame, CA 94010 Phone: 650-696-5611 | |
Dr. Scott A Taga, Md, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1783 El Camino Real, Mills-peninsula Pathology Dept, Burlingame, CA 94010 Phone: 650-853-4739 | |
Dr. Martha S Hales, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1783 El Camino Real, Hospital Pathology Dept, Burlingame, CA 94010 Phone: 650-696-5611 |