| Gustavo A Diaz, MD | |
|
830 Jefferson Ave, Redwood City, CA 94063-1804 | |
| (650) 381-0616 | |
| Not Available |
| Full Name | Gustavo A Diaz |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 44 Years |
| Location | 830 Jefferson Ave, Redwood City, 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 |
|---|---|---|---|
| 1538122635 | NPI | - | NPPES |
| 000000006706 | Other | MA | BMC |
| 04-3329195 | Other | MA | NORTH AMERICAN PREFERRED |
| 04-3329195 | Other | MA | GREAT-WEST |
| 102531 | Other | MA | CIGNA |
| 2359897 | Other | MA | AETNA |
| 04-3329195 | Other | MA | PHCS |
| 04-3329195 | Other | MA | UNICARE/GIC |
| 04-3329195 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 04-3329195 | Other | MA | NORTHEAST HEALTH DIRECT |
| 04-3329195 | Other | MA | PLAN VISTA |
| 053006 | Other | MA | TUFTS |
| 24922 | Other | MA | HEALTH NEW ENGLAND |
| 3000915 | Medicaid | MA | |
| 438822 | Other | MA | HARVARD PILGRIM |
| 632919 | Other | MA | CONNECTICARE |
| J08576 | Other | MA | BCBS MA |
| 04-3329195 | Other | MA | CONSOLIDATED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | C54872 (California) | Primary |
| 207P00000X | Emergency Medicine | 53006 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Current Care Of California A Medical Corporation | 5799854303 | 142 |
| Doctors On Duty Medical Group, Inc | 2466366703 | 68 |
| Entity Name | Pinnacle Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669557930 PECOS PAC ID: 8921081076 Enrollment ID: O20040609001432 |
| Entity Name | American Current Care Of California A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo A Diaz, MD 100 Wilson Rd Ste 100, Monterey, CA 93940-7885 Ph: (831) 649-1000 | Gustavo A Diaz, MD 830 Jefferson Ave, Redwood City, CA 94063-1804 Ph: (650) 381-0616 |
Sean Edwin Bourke, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 Alameda De Las Pulgas, Redwood City, CA 94062 Phone: 650-369-5811 | |
Kirsten M. Stewart, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Andrea G. Roberts, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
George Bulloch Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Adam J. Landsdorf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
My Tuyet Tran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Frank Ruiz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 |