| Ms Karen Gold, NP | |
|
50 E. Lwewlling Blvd., San Lorenzo, CA 94580-1732 | |
| (510) 317-3167 | |
| (510) 276-5483 |
| Full Name | Ms Karen Gold |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 50 E. Lwewlling Blvd., San Lorenzo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003023946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 448089 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 14779 (California) | Primary |
| Entity Name | La Clinica De La Raza Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
| Entity Name | The Davis Street Community Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Karen Gold, NP P.o. Box 22210, Oakland, CA 94623-2210 Ph: (510) 535-4000 | Ms Karen Gold, NP 50 E. Lwewlling Blvd., San Lorenzo, CA 94580-1732 Ph: (510) 317-3167 |
Andrea Banouvong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 927 Via Honda, San Lorenzo, CA 94580 Phone: 510-407-0749 | |
Elizabeth Gonzalez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 E Lewelling Blvd, San Lorenzo, CA 94580 Phone: 510-535-4000 | |
Ms. Develle Williams, APRN MSN FNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16177 Hesperian Blvd Ste C, San Lorenzo, CA 94580 Phone: 510-276-5558 Fax: 510-276-5646 |