| Sandra L Pineros, PA-C | |
|
1310 El Camino Real Ste J, San Bruno, CA 94066-1305 | |
| (650) 270-2395 | |
| (650) 270-2397 |
| Full Name | Sandra L Pineros |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1310 El Camino Real Ste J, San Bruno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225220163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 20227 (California) | Primary |
| 363A00000X | Physician Assistant | 002981 (New York) | Secondary |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Sea Mar Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
| Entity Name | American Current Care of Washington PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073096871 PECOS PAC ID: 8022356617 Enrollment ID: O20190206000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra L Pineros, PA-C 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: Not Available | Sandra L Pineros, PA-C 1310 El Camino Real Ste J, San Bruno, CA 94066-1305 Ph: (650) 270-2395 |
Thomas Lesinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 El Camino Real Ste I-j, San Bruno, CA 94066 Phone: 650-270-2395 Fax: 650-270-2397 |
Audrey Rosales Ogg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 El Camino Real Ste I-j, San Bruno, CA 94066 Phone: 650-270-2395 |
Monica D Ramirez Cisneros, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 El Camino Real Ste I-j, San Bruno, CA 94066 Phone: 650-270-2395 Fax: 650-270-2397 |
Mrs. Hilary Johnston, PA-C, MMS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Traeger Ave Ste 310, San Bruno, CA 94066 Phone: 650-742-5969 Fax: 650-742-7116 |
Marc K Massey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1310 El Camino Real Ste J, San Bruno, CA 94066 Phone: 650-270-2395 Fax: 650-270-2397 |
Jasmine Guadalupe Gonzalez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 430 San Bruno Ave E Apt 5, San Bruno, CA 94066 Phone: 650-270-9641 |