| Laurel G King, PA | |
|
100 S Ellsworth Ave, San Mateo, CA 94401-3939 | |
| (650) 380-5695 | |
| Not Available |
| Full Name | Laurel G King |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 100 S Ellsworth Ave, San Mateo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508954132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA12673 (California) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1982845186 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000247 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1104067115 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000456 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497996524 PECOS PAC ID: 4284538778 Enrollment ID: O20090506000097 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1568851327 PECOS PAC ID: 4284538778 Enrollment ID: O20170927001545 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1033817168 PECOS PAC ID: 4284538778 Enrollment ID: O20230407001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel G King, PA 100 S Ellsworth Ave, San Mateo, CA 94401-3939 Ph: (650) 380-5695 | Laurel G King, PA 100 S Ellsworth Ave, San Mateo, CA 94401-3939 Ph: (650) 380-5695 |
Mrs. Lorena Ramos, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 235, San Mateo, CA 94403 Phone: 650-573-3609 |
Denise Mary Ros, Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-652-8788 |
Elena Nimon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 280 Baldwin Ave, San Mateo, CA 94401 Phone: 650-344-1121 |
Alyssa Sahu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 29 Baywood Ave, San Mateo, CA 94402 Phone: 650-235-7940 |
Maria De La Paz Guzman, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2671 |
Caitlin De Castro, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-652-8500 Fax: 650-652-8501 |
Jessica K Chu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 Fax: 650-573-2214 |