| East Bay Center For Digestive Health Medical Associates, Inc | |
|
300 Frank H Ogawa Plz Suite 450 Oakland CA 94612-2037 | |
| (510) 444-3297 | |
| (510) 444-6421 |
| Full Name | East Bay Center For Digestive Health Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Frank H Ogawa Plz, Oakland, California |
| Authorized Official Name and Position | Maria E Duenas (BUSINESS MANAGER) |
| Authorized Official Contact | 5104337821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Center For Digestive Health Medical Associates, Inc 300 Frank H Ogawa Plz Ste 355 Oakland CA 94612-2088 Ph: (510) 444-3297 | East Bay Center For Digestive Health Medical Associates, Inc 300 Frank H Ogawa Plz Suite 450 Oakland CA 94612-2037 Ph: (510) 444-3297 |
| NPI Number | 1689782039 |
|---|---|
| Provider Enumeration Date | 08/27/2006 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 3072588383 |
|---|---|
| Medicare Enrollment ID | O20040831000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689782039 | NPI | - | NPPES |
| GR0082090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Paul S Chard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427006006 PECOS PAC ID: 8921060252 Enrollment ID: I20041029000429 |
| Provider Name | Lynne Tamara Tavera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952442535 PECOS PAC ID: 9739142175 Enrollment ID: I20041108000374 |
| Provider Name | Danny Wu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235197898 PECOS PAC ID: 0244126167 Enrollment ID: I20051130000922 |
| Provider Name | Neil Howard Stollman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225095763 PECOS PAC ID: 7719873637 Enrollment ID: I20051201000454 |
| Provider Name | Earl M Darby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790743292 PECOS PAC ID: 4183510100 Enrollment ID: I20051206000561 |
| Provider Name | Jianqiu Pan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487760716 PECOS PAC ID: 6305842956 Enrollment ID: I20061004000693 |
| Provider Name | Sebastian J Sasu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548387095 PECOS PAC ID: 2567561004 Enrollment ID: I20070623000063 |
| Provider Name | Liana Vesga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225058159 PECOS PAC ID: 5496854598 Enrollment ID: I20070629000293 |
| Provider Name | Silvia M Villagomez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790743359 PECOS PAC ID: 6709772627 Enrollment ID: I20080225000569 |
| Provider Name | Rebecca E Spies |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275750341 PECOS PAC ID: 4082785480 Enrollment ID: I20080612000186 |
| Provider Name | Shehla Arain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497927784 PECOS PAC ID: 0042364630 Enrollment ID: I20140613001280 |
| Provider Name | Susie W Cohn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205161130 PECOS PAC ID: 9931320496 Enrollment ID: I20141027000489 |
| Provider Name | Lauren Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326057092 PECOS PAC ID: 8022057603 Enrollment ID: I20141107000009 |
| Provider Name | Sanya M Wadhwa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003234501 PECOS PAC ID: 5092088369 Enrollment ID: I20200630002375 |
| Provider Name | Jenna J Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134734635 PECOS PAC ID: 4880006816 Enrollment ID: I20201216002431 |
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