| Lesje Derose, MD | |
|
1825 4th St Fl 6, San Francisco, CA 94143-2350 | |
| (415) 353-3450 | |
| Not Available |
| Full Name | Lesje Derose |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 1825 4th St Fl 6, San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801357181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 343629 (New York) | Primary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | A178217 (California) | Secondary |
| Entity Name | UCSF Pediatrics Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
| Entity Name | University of California San Francisco |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesje Derose, MD 3959 Broadway # Chn-2, New York, NY 10032-1559 Ph: Not Available | Lesje Derose, MD 1825 4th St Fl 6, San Francisco, CA 94143-2350 Ph: (415) 353-3450 |
Dr. Kathryn Rachel Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Parnassus Ave # 0110, University Of California San Francisco, M691, San Francisco, CA 94143 Phone: 415-476-6245 |
Dr. David Michael Gordon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Parnassus Ave # M696, Box 0110, San Francisco, CA 94143 Phone: 415-353-1000 |
Jayme Congdon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Owens St, San Francisco, CA 94158 Phone: 415-476-1000 |
Laurie Song, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 16th St, San Francisco, CA 94158 Phone: 415-514-4079 Fax: 415-476-5354 |
Ms. Tatiana Goldstein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Spruce Street, Suite 3, San Francisco, CA 94118 Phone: 415-668-8900 Fax: 415-668-1695 |
John T Tsukahara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2340 Clay St, 3rd Floor, San Francisco, CA 94115 Phone: 415-600-1111 |
William Bernard Solomon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 45 Castro Street, Suite 232, San Francisco, CA 94114 Phone: 415-565-6810 Fax: 415-565-6844 |