| Kian Mostafavi, MD | |
|
2500 Merced St, San Leandro, CA 94577-4201 | |
| (510) 454-1000 | |
| (937) 208-4286 |
| Full Name | Kian Mostafavi |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 26 Years |
| Location | 2500 Merced St, San Leandro, 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 |
|---|---|---|---|
| 1336383652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | A120688 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| 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 |
|---|---|
| Kian Mostafavi, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Kian Mostafavi, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Dr. Lamont D Paxton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712 | |
Mr. Daniel Bradley Allen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274 | |
Donato Joseph Stinghen, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 13851 E 14th St Ste 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712 | |
Sara Jamie Reinganum, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274 | |
Brian Walker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St, Suite 118, San Leandro, CA 94578 Phone: 510-352-8400 | |
Dr. Robert O. Gingery, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712 |