| Mariko Ishiyama, DO | |
|
1441 Florida Ave, Modesto, CA 95350-4404 | |
| (209) 576-3525 | |
| Not Available |
| Full Name | Mariko Ishiyama |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 13 Years |
| Location | 1441 Florida Ave, Modesto, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952662991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A13309 (California) | Secondary |
| 208M00000X | Hospitalist | 12904 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| John Muir Medical Center - Concord Campus | Concord, CA | Hospital |
| John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 692 |
| John Muir Physician Network | 6608789813 | 466 |
| Entity Name | Hospitalists Of Modesto Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821190711 PECOS PAC ID: 2567360027 Enrollment ID: O20031222000781 |
| Entity Name | John Muir Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
| Entity Name | John Muir Trauma Physicians Billing Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariko Ishiyama, DO 3606 Brook St, Lafayette, CA 94549-4202 Ph: (510) 703-9040 | Mariko Ishiyama, DO 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 576-3525 |
Radha Chirumamilla, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Audrey Oen Tio, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Alexander L Johnson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Dr. Kyaw Yu San, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 Fax: 209-491-7587 | |
Yamin Aung, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 | |
Seth Ackuayi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Nahrin G. Khoshaba, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 |