| Samantha Malm, MD | |
|
2500 Milvia St, Berkeley, CA 94704 | |
| (510) 204-5600 | |
| (510) 204-5462 |
| Full Name | Samantha Malm |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 2500 Milvia St, Berkeley, 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 |
|---|---|---|---|
| 1396724266 | NPI | - | NPPES |
| A89453 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A89453 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A89453 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| 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 |
|---|---|
| Samantha Malm, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 204-5600 | Samantha Malm, MD 2500 Milvia St, Berkeley, CA 94704 Ph: (510) 204-5600 |
Maryna Vazmitsel, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2510 Webster St, Berkeley, CA 94705 Phone: 510-548-6555 | |
Dr. Tracie Yein-hwey Goh, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 1724 Eastshore Highway, Pathology, Berkeley, CA 94710 Phone: 510-898-4269 | |
Azadeh Esmaeili, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2510 Webster St, Berkeley, CA 94705 Phone: 510-548-6555 | |
Lawrence Low, M.D., PH.D. Pathology Medicare: Medicare Enrolled Practice Location: 1725 Eastshore Hwy, Berkeley, CA 94710 Phone: 916-205-0580 | |
Jerome S Burke, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-1642 | |
Maria-laura Mancianti, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-1642 | |
Dr. Emily Anne O'rourke, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2510 Webster St, Berkeley, CA 94705 Phone: 510-548-6555 Fax: 510-548-3761 |