| Shajia Rahman Ansari, | |
|
10833 Le Conte Ave Ste As-370, Los Angeles, CA 90095-4056 | |
| (310) 267-2680 | |
| (310) 267-2685 |
| Full Name | Shajia Rahman Ansari |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 15 Years |
| Location | 10833 Le Conte Ave Ste As-370, Los Angeles, 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 |
|---|---|---|---|
| 1093277956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 694201 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Eden Medical Center | Castro valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alta East Bay Pathology, Inc. | 8224024013 | 11 |
| Entity Name | Alta East Bay Pathology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316909559 PECOS PAC ID: 8224024013 Enrollment ID: O20040426000754 |
| Entity Name | Bass Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Shajia Rahman Ansari, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Shajia Rahman Ansari, 10833 Le Conte Ave Ste As-370, Los Angeles, CA 90095-4056 Ph: (310) 267-2680 |
Evan Yung, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Tiannan Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Rm 216, Los Angeles, CA 90033 Phone: 323-442-2582 | |
Joshua Mo, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 10833 Leconte Ave Room A3-190, Los Angeles, CA 90095 Phone: 314-803-3291 | |
Nancy Klipfel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-2582 Fax: 323-442-2588 | |
Lee Harold Hilborne, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Peter Tontonoz, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095 Phone: 310-794-8285 | |
Jeffrey Fred Krane, MD PHD Pathology Medicare: Medicare Enrolled Practice Location: 10833 Le Conte Ave # 13-145f, Los Angeles, CA 90095 Phone: 310-206-8199 Fax: 310-267-2058 |