| Ronald William Jimenez, MD | |
|
15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 | |
| (408) 730-6200 | |
| Not Available |
| Full Name | Ronald William Jimenez |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 15400 Los Gatos Blvd, Los Gatos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093779290 | NPI | - | NPPES |
| 00G646590 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G64659 (California) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald William Jimenez, MD 2350 W. El Camino Real, 2nd Floor, Mountain View, CA 94040-6203 Ph: () - | Ronald William Jimenez, MD 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 Ph: (408) 730-6200 |
Dr. Mary Beth Hughes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15899 Los Gatos Almaden Rd, Suite 4, Los Gatos, CA 95032 Phone: 408-356-7770 Fax: 408-356-7774 | |
Neela Parekh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15000 Los Gatos Blvd, # 3, Los Gatos, CA 95032 Phone: 408-356-6167 Fax: 408-356-0478 | |
Edith Haghnazarian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15899 Los Gatos Almaden Rd Ste 4, Los Gatos, CA 95032 Phone: 408-356-7770 | |
Iris Kaddis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-523-3640 | |
Robert Kwok, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 825 Pollard Rd, Suite 108, Los Gatos, CA 95032 Phone: 408-370-3774 Fax: 408-370-7011 | |
Dr. Mandana Neil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-730-6200 |