| Ian A Stine, MD | |
|
4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 | |
| (925) 463-0470 | |
| (925) 463-0473 |
| Full Name | Ian A Stine |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 23 Years |
| Location | 4626 Willow Rd, Pleasanton, 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 |
|---|---|---|---|
| 1154544468 | NPI | - | NPPES |
| CP2106 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A89303 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Professional Home Care Associates | Fremont, CA | Home health agency |
| Stanford Health Care - Valleycare | Pleasanton, CA | Hospital |
| San Ramon Regional Medical Center | San ramon, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bass Medical Group | 9032111281 | 279 |
| Entity Name | Tri-valley Orthopedic And Sports Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184808156 PECOS PAC ID: 3577461151 Enrollment ID: O20031219000786 |
| Entity Name | Bass Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian A Stine, MD 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 | Ian A Stine, MD 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 |
David J Jupina, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Dr. Robert H Malstrom, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Priscilla Wong, NP Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4626 Willow Rd, Pleasanton, CA 94588 Phone: 925-463-0470 | |
Kenneth G Venos, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Kambiz Behzadi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Gregory Horner, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 |