| Alexander Paiz, | |
|
1721 W Yosemite Ave, Manteca, CA 95337-5130 | |
| (209) 825-3700 | |
| Not Available |
| Full Name | Alexander Paiz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1721 W Yosemite Ave, Manteca, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003628074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 307255 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Paiz, 124 27th Ave Apt 11, San Mateo, CA 94403-2494 Ph: () - | Alexander Paiz, 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 825-3700 |
Victoria Fara Leah Diaz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2531 Edgebrook Ln, Manteca, CA 95336 Phone: 646-270-1537 | |
April Diamond Witherspoon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave, Manteca, CA 95336 Phone: 843-356-2790 | |
Mr. Mark Dejong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1041 N Main St Ste A, Manteca, CA 95336 Phone: 209-824-9888 Fax: 209-824-9469 | |
Roger Cabo Inciong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3652 Rapallo Way, Manteca, CA 95337 Phone: 408-656-9834 | |
Kaitlin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 239-784-9354 | |
Kevin Patrick Bergman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 S Main St, Manteca, CA 95337 Phone: 209-624-1002 Fax: 209-222-6182 |