| Marco R Randazzo, MD | |
|
2105 Forest Ave, San Jose, CA 95128-1425 | |
| (408) 947-2500 | |
| (818) 587-2493 |
| Full Name | Marco R Randazzo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 2105 Forest Ave, San Jose, 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 |
|---|---|---|---|
| 1972545952 | NPI | - | NPPES |
| P00290555 | Other | CA | RAILROAD MEDICARE |
| 00A691860 | Other | CA | BLUE SHIELD |
| 00A691860 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A69186 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Clara Valley Medical Center | San jose, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Associates San Jose Pc | 8921344292 | 120 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Emergency Physicians Associates Fremont Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790250967 PECOS PAC ID: 8527303585 Enrollment ID: O20181219000821 |
| Entity Name | Emergency Physicians Associates San Jose Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306311576 PECOS PAC ID: 8921344292 Enrollment ID: O20190107003386 |
| Mailing Address | Practice Location Address |
|---|---|
| Marco R Randazzo, MD Po Box 4419, Woodland Hills, CA 91365-4419 Ph: (888) 620-3100 | Marco R Randazzo, MD 2105 Forest Ave, San Jose, CA 95128-1425 Ph: (408) 947-2500 |
Anna Nguyen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Forest Ave, San Jose, CA 95128 Phone: 408-947-2500 | |
Rachel Smith Shain, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 614-772-3031 | |
Shalin Hira Patel, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-923-7121 | |
Tony Hue-dan Yuan, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 North Jackson Avenue, San Jose, CA 94608 Phone: 510-350-2777 | |
Rhys Vincent Dapar, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2425 Samaritan Drive, San Jose, CA 95124 Phone: 408-559-2011 | |
Xiao Wang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-362-4740 | |
Thomas Gildea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Forest Ave, San Jose, CA 95128 Phone: 408-947-2500 |