| Lauren Riddle, PA-C | |
|
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
| (415) 444-2988 | |
| Not Available |
| Full Name | Lauren Riddle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| 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 |
|---|---|---|---|
| 1184409963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA65694 (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 |
|---|---|
| Lauren Riddle, PA-C 3213 Gleneagles Ct, Fairfield, CA 94534-7846 Ph: Not Available | Lauren Riddle, PA-C 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2988 |
Miranda Minh-han Nguyen, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4000 Civic Center Dr, San Rafael, CA 94903 Phone: 415-492-3333 |
Miguel Serrato, ATC OT-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, San Rafael, CA 94901 Phone: 415-457-4440 |
Page Tenley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 H St, San Rafael, CA 94901 Phone: 415-459-4907 |
Phyllis Won, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |
Thi Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, San Rafael, CA 94901 Phone: 415-457-4440 |
Chantilay Ruffin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Acacia Ave, Meadowlands 302, San Rafael, CA 94901 Phone: 415-482-3571 |
Nicole M Newhauser, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Civic Center Dr Ste 209, San Rafael, CA 94903 Phone: 415-925-8963 |