| Ralph Crisostomo, MD | |
|
975 Sereno Dr, Spine Clinic H31, Vallejo, CA 94589-2441 | |
| (707) 651-1000 | |
| Not Available |
| Full Name | Ralph Crisostomo |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 21 Years |
| Location | 975 Sereno Dr, Vallejo, 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 |
|---|---|---|---|
| 1144292525 | NPI | - | NPPES |
| 356952700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A104669 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Crisostomo, MD 975 Sereno Dr, Spine Clinic H31, Vallejo, CA 94589-2441 Ph: (707) 651-1000 | Ralph Crisostomo, MD 975 Sereno Dr, Spine Clinic H31, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Dr. Roberta Yiwun Wang, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5128 | |
Jack Ryan Takahashi, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr # 218, Vallejo, CA 94589 Phone: 707-651-1000 | |
Yonghua Tai, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1044 | |
Raymond A. Samatovicz, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1044 | |
Elliott Sinclair Block, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 909-724-4127 | |
Spencer H. Wang, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2306 |