| Dr Michael Lane Ginsberg, MD | |
|
2458 Hilborn Rd, Fairfield, CA 94534-1072 | |
| (707) 646-5500 | |
| (707) 646-5501 |
| Full Name | Dr Michael Lane Ginsberg |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 2458 Hilborn Rd, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710128558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | A106486 (California) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 250559 (New York) | Secondary |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Lane Ginsberg, MD 2458 Hilborn Rd, Fairfield, CA 94534-1072 Ph: (707) 646-5500 | Dr Michael Lane Ginsberg, MD 2458 Hilborn Rd, Fairfield, CA 94534-1072 Ph: (707) 646-5500 |
Imelda Maria C. Tandinco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2012 | |
Megan Connick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 470 Chadbourne Rd Ste A, Fairfield, CA 94534 Phone: 707-419-8988 Fax: 707-254-1779 | |
Maika Manalastas, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-646-4051 | |
Christi Klimisch Lombre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4048 Fax: 707-427-4385 | |
Dr. Alok K. Bose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5030 Business Center Dr, Suite 230, Fairfield, CA 94534 Phone: 707-863-8190 Fax: 707-863-8193 | |
Daniel A. Schleske, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-423-5323 |