| Janna Lyn Doherty, MD | |
|
1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 | |
| (831) 479-4966 | |
| (831) 479-4967 |
| Full Name | Janna Lyn Doherty |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1779 Dominican Way, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790898823 | NPI | - | NPPES |
| GR0098130 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A64380 (California) | 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 |
|---|---|
| Janna Lyn Doherty, MD 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 Ph: (831) 479-4966 | Janna Lyn Doherty, MD 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 Ph: (831) 479-4966 |
Stuart Allen Mumm, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 | |
Mr. Henry Milton Pearce, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 Mooee St., Santa Cruz, CA 95060 Phone: 831-429-5441 | |
Dr. Lindsay Mitchell Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 100 Doyle St, Suite E, Santa Cruz, CA 95062 Phone: 831-458-0901 Fax: 831-458-0659 | |
Karen L Wang, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1156 High St, Santa Cruz, CA 95064 Phone: 831-459-1740 | |
Dr. Michelle Marie Sablan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065 Phone: 831-465-5440 Fax: 831-462-2017 | |
Martina Nicholson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 | |
Larisa Taylor, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 |