| Eric K Yasumoto, MD | |
|
999 S Fairmont Ave, # 110, Lodi, CA 95240-5100 | |
| (209) 334-4416 | |
| (209) 371-0119 |
| Full Name | Eric K Yasumoto |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 999 S Fairmont Ave, Lodi, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700914116 | NPI | - | NPPES |
| 00A700700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A70070 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highland Hospital | Oakland, CA | Hospital |
| Alameda Hospital | Alameda, CA | Hospital |
| Eden Medical Center | Castro valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alameda Health System | 3779494521 | 531 |
| Entity Name | Alameda Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric K Yasumoto, MD 5222 Cosumnes Dr Apt 272, Stockton, CA 95219-7221 Ph: (216) 337-8582 | Eric K Yasumoto, MD 999 S Fairmont Ave, # 110, Lodi, CA 95240-5100 Ph: (209) 334-4416 |
Adam Joseph Woodyard, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 | |
Maxine Louise Del Paine, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Grant W Rogero, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine St, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Laszlo B Fodor, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Frank M Hartwick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Daniel W. Terry Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Travers J Mcloughlin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 S Ham Ln, Lodi, CA 95242 Phone: 209-365-1761 Fax: 209-333-3673 |