| Ayumi Imai, | |
|
1150 Veterans Blvd, Redwood City, CA 94063-2037 | |
| (650) 299-2000 | |
| Not Available |
| Full Name | Ayumi Imai |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1150 Veterans Blvd, Redwood City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861748642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 21102 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 1954 (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 |
|---|---|
| Ayumi Imai, 55 Bay Ct, South San Francisco, CA 94080-3464 Ph: (650) 952-6642 | Ayumi Imai, 1150 Veterans Blvd, Redwood City, CA 94063-2037 Ph: (650) 299-2000 |
Anne M Galko, NMW Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3200 | |
Ms. Sheri Matteo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Ms. Terri Sue Westerlund, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3200 |