| Victoria A Clague, MD | |
|
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
| (415) 444-2000 | |
| Not Available |
| Full Name | Victoria A Clague |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 99 Montecillo Rd, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093887812 | NPI | - | NPPES |
| 00A779360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A77936 (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 |
|---|---|
| Victoria A Clague, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Victoria A Clague, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Cheryl Kahn, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Dr. Prasad Achuta Murthy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, Department Of Radiology, Kaiser San Rafael Hospital, San Rafael, CA 94903 Phone: 415-444-2066 |
Adam F. Petras, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Linda K. Rubio, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Elizabeth G. Dessouky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Christopher Norman Cappelen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2966 |
Kurt M. Dibbern, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |