| Dr Michael Joseph Disandro, MD | |
| 747 52nd St, Oakland, CA 94609-1809 | |
| (510) 428-3885 | |
| Not Available | 
| Full Name | Dr Michael Joseph Disandro | 
|---|---|
| Gender | Male | 
| Speciality | Urology - Pediatric Urology | 
| Location | 747 52nd St, Oakland, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972539963 | NPI | - | NPPES | 
| 263295100 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 83628 (Florida) | Secondary | 
| 2088P0231X | Urology - Pediatric Urology | G70600 (California) | Primary | 
| Entity Name | Ucsf Pediatrics Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 | 
| Entity Name | University Of California San Francisco | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 | 
| Entity Name | Ucsf Medical Group Business Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 | 
| Entity Name | University Of California Sfgh Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407821465 PECOS PAC ID: 5496668410 Enrollment ID: O20050328001098 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael Joseph Disandro, MD 3200 Sw 60th Ct, Suite 105, Miami, FL 33155-4000 Ph: (305) 669-6448 | Dr Michael Joseph Disandro, MD 747 52nd St, Oakland, CA 94609-1809 Ph: (510) 428-3885 | 
| Qingwei Robert Yan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3100 Telegraph Ave Ste 3000, Oakland, CA 94609 Phone: 510-238-1238 Fax: 510-238-1338 | |
| Phillip Leon Ross, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 30th St, Ste 100, Oakland, CA 94609 Phone: 510-204-8290 Fax: 510-273-8977 | |
| Dr. Dawud Omar Lankford, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3300 Webster St Ste 103, Oakland, CA 94609 Phone: 510-455-2699 Fax: 510-982-2226 | |
| Dr. Andrew W Tam, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 30th St Ste 100, Oakland, CA 94609 Phone: 510-204-8168 | |
| Dr. Clifford Ralph Melton, MD MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 29th St, 206, Oakland, CA 94609 Phone: 510-835-3680 Fax: 510-835-0738 | |
| Dr. Selma Masic, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-6789 Fax: 510-752-1673 | |
| Dr. David S. Aaronson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 Fax: 415-353-2641 |