| Mr Chris B Threatt, MD | |
|
801 Brewster Ave Ste 240, Redwood City, CA 94063-1558 | |
| (650) 465-6038 | |
| (650) 362-9440 |
| Full Name | Mr Chris B Threatt |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 801 Brewster Ave Ste 240, Redwood City, 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 |
|---|---|---|---|
| 1568466589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A79072 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sequoia Hospital | Redwood city, CA | Hospital |
| Peninsula Medical Center | Burlingame, CA | Hospital |
| El Camino Hospital | Mountain view, CA | Hospital |
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baychildrens | 9638403819 | 34 |
| Entity Name | County Of San Mateo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
| Entity Name | County Of San Mateo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831268580 PECOS PAC ID: 9032023171 Enrollment ID: O20040123000822 |
| Entity Name | Baychildrens |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043628316 PECOS PAC ID: 9638403819 Enrollment ID: O20190621000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chris B Threatt, MD 570 El Camino Real # 150-446, Redwood City, CA 94063-1200 Ph: (650) 465-6038 | Mr Chris B Threatt, MD 801 Brewster Ave Ste 240, Redwood City, CA 94063-1558 Ph: (650) 465-6038 |
Tien Q. Pham, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Dr. Steven P Guarnaccia, MD Urology Medicare: Medicare Enrolled Practice Location: 2900 Whipple Ave Ste 132, Redwood City, CA 94062 Phone: 650-306-1016 Fax: 650-216-9403 |