Kristen A Wendorf, MD | |
850 Marina Bay Parkway, Building P, 2nd Floor, Richmond, CA 94804-6403 | |
(847) 571-6201 | |
Not Available |
Full Name | Kristen A Wendorf |
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Gender | Female |
Speciality | Pediatrics |
Location | 850 Marina Bay Parkway, Richmond, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992021596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A118440 (California) | Primary |
Entity Name | University Of California San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Entity Name | City & County Of San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 |
Mailing Address | Practice Location Address |
---|---|
Kristen A Wendorf, MD 850 Marina Bay Parkway, Building P, 2nd Floor, Richmond, CA 94804-6403 Ph: (847) 571-6201 | Kristen A Wendorf, MD 850 Marina Bay Parkway, Building P, 2nd Floor, Richmond, CA 94804-6403 Ph: (847) 571-6201 |
Edward Eugene Mahl, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Haylene Anesoir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Broadway, Suite 4, Richmond, CA 94804 Phone: 510-237-9537 | |
Anjana Ray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Sarah Horner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Jennifer An, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Harbour Way N, Richmond, CA 94804 Phone: 510-237-9537 | |
Susan Elizabeth Stephens Dierauf, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Kaiser Richmond Campus, Richmond, CA 94801 Phone: 510-307-1500 | |
Cherilyn M. Brunetti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 |