| Ida Jahed, MD | |
|
5555 Montgomery Dr, Santa Rosa, CA 95409-8846 | |
| (707) 538-8400 | |
| Not Available |
| Full Name | Ida Jahed |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 5555 Montgomery Dr, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073541199 | NPI | - | NPPES |
| 000000558121 | Other | OH | ANTHEM |
| 741385 | Other | OH | BUCKEYE MEDICAID |
| 7703850 | Other | OH | AETNA |
| 2673567 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 087336 (Ohio) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 35-087336 (Ohio) | 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 |
|---|---|
| Ida Jahed, MD 3908 Millbrook Dr, Santa Rosa, CA 95404-7613 Ph: (216) 386-7221 | Ida Jahed, MD 5555 Montgomery Dr, Santa Rosa, CA 95409-8846 Ph: (707) 538-8400 |
Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611 | |
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626 | |
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697 | |
Irie Paul Padua, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-521-7777 | |
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595 | |
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |