| Sara Louise Johansen, MD | |
|
1 Blackfield Dr # 152, Tiburon, CA 94920-2053 | |
| (650) 382-2191 | |
| Not Available |
| Full Name | Sara Louise Johansen |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 7 Years |
| Location | 1 Blackfield Dr # 152, Tiburon, 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 |
|---|---|---|---|
| 1891255345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A180750 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Health Care | 6709797491 | 3036 |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Louise Johansen, MD 1 Blackfield Dr # 152, Tiburon, CA 94920-2053 Ph: (650) 382-2191 | Sara Louise Johansen, MD 1 Blackfield Dr # 152, Tiburon, CA 94920-2053 Ph: (650) 382-2191 |
Susan I Goldwasser, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 38 Paseo Mirasol, Tiburon, CA 94920 Phone: 415-507-2537 | |
Diane Marylin Mcewen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Old Landing Rd, Tiburon, CA 94920 Phone: 415-990-1249 | |
Dr. Jacqueline Grey Etemad, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15 Venado Dr, Tiburon, CA 94920 Phone: 415-435-2776 Fax: 415-435-9415 | |
Dr. Herbert W. Peterson, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 112 Sugarloaf Dr, Tiburon, CA 94920 Phone: 415-435-1101 | |
Paul Alexander Vanravenswaay, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 125 Solano St, Tiburon, CA 94920 Phone: 415-900-5022 |