| Grant Nybakken, MD | |
|
383 E Grand Ave Ste A, South San Francisco, CA 94080-6234 | |
| (650) 616-2951 | |
| Not Available |
| Full Name | Grant Nybakken |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 17 Years |
| Location | 383 E Grand Ave Ste A, South San Francisco, 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 |
|---|---|---|---|
| 1104088400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MT193042 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| El Camino Hospital | Mountain view, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peninsula Pathologists Medical Group Inc | 2961485925 | 16 |
| 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 |
| 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 |
|---|---|
| Grant Nybakken, MD 383 E Grand Ave Ste A, South San Francisco, CA 94080-6234 Ph: () - | Grant Nybakken, MD 383 E Grand Ave Ste A, South San Francisco, CA 94080-6234 Ph: (650) 616-2951 |
Donghui Lin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Dr. Weidong Huang, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 345 Oyster Point Blvd, South San Francisco, CA 94080 Phone: 650-624-4590 | |
Michael Abraham Pepper, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Shirley J. Huang, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Athanasios Tsiatis, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 323 Allerton Ave, South San Francisco, CA 94080 Phone: 650-466-7125 | |
Eric John Suba, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-3162 Fax: 650-742-3055 |