| Victor Alexander, MD | |
| 1777 W Yosemite Ave, Manteca, CA 95337-5130 | |
| (209) 825-3555 | |
| Not Available | 
| Full Name | Victor Alexander | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1777 W Yosemite Ave, Manteca, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871671156 | NPI | - | NPPES | 
| 4041679 | Other | CT | TRI-CARE | 
| 4024972 | Medicaid | CT | |
| 4041679 | Medicaid | CT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | C53788 (California) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Victor Alexander, MD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000 | Victor Alexander, MD 1777 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 825-3555 | 
| Jasleen Kaur Dhaliwal,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 951-973-2033 | |
| Andrew Thomas Melendez, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3555 | |
| Kanwal S. Gill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
| Kenneth C. Moy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
| Max William Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
| Dr. Amanda L Perez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3555 | |
| Dr. John B Woodbury, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 209-239-8301 |