| Robert Charles Southmayd, DO | |
|
1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | |
| (209) 353-4838 | |
| Not Available |
| Full Name | Robert Charles Southmayd |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1768 Mitchell Rd Ste 301, Ceres, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982700969 | NPI | - | NPPES |
| 911803606 | Other | CA | BLUE SHIELD |
| 00AX52980 | Medicaid | CA | |
| 160038160 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5298 (California) | Primary |
| 207V00000X | Obstetrics & Gynecology | 20A5298 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Charles Southmayd, DO 3062 Joshua Tree Cir, Stockton, CA 95209-3800 Ph: (209) 244-8101 | Robert Charles Southmayd, DO 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 Ph: (209) 353-4838 |
Dr. Virgilio Celeste Ereso Sr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1917 Memorial Dr, Suite A-1, Ceres, CA 95307 Phone: 209-538-1985 Fax: 209-538-6836 |