| Renee Oliphant, | |
|
933 San Martin Pl, Fremont, CA 94539-4781 | |
| (510) 468-2447 | |
| Not Available |
| Full Name | Renee Oliphant |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 933 San Martin Pl, Fremont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942979877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA95001667 (California) | Primary |
| 163W00000X | Registered Nurse | 95038674 (California) | Secondary |
| 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 |
|---|---|
| Renee Oliphant, 933 San Martin Pl, Fremont, CA 94539-4781 Ph: (510) 468-2447 | Renee Oliphant, 933 San Martin Pl, Fremont, CA 94539-4781 Ph: (510) 468-2447 |
Jacqueline L Pitts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1895 Mowry Ave, Suite 116, Fremont, CA 94538 Phone: 510-792-3398 Fax: 510-792-3951 | |
Richard Mark Mendenhall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-784-4305 | |
Gopi Patel, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 177 Kansas Way, Fremont, CA 94539 Phone: 510-909-3041 |