| Dr Stephan Diljak, MD | |
| 700 Lawrence Expy, Santa Clara, CA 95051-5173 | |
| (480) 851-4164 | |
| Not Available | 
| Full Name | Dr Stephan Diljak | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 700 Lawrence Expy, Santa Clara, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770077828 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 2018017664 (Missouri) | Secondary | 
| 207L00000X | Anesthesiology | A195625 (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 Stephan Diljak, MD 680 N 6th St Apt 2345, San Jose, CA 95112-4350 Ph: (269) 270-6953 | Dr Stephan Diljak, MD 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (480) 851-4164 | 
| James M. Healzer, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
| Teresa A. Chiu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
| Thomas P. Holtzapple, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
| David Warren Newswanger, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
| Sheila Vaz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
| Grace Shih, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-6020 | |
| Christopher Karjun Cheung, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-6020 |