| North Bay Spine & Neuropathy Inc | |
|
7595 Redwood Blvd Ste 108 Novato CA 94945-7705 | |
| (415) 898-6888 | |
| Not Available |
| Full Name | North Bay Spine & Neuropathy Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7595 Redwood Blvd Ste 108, Novato, California |
| Authorized Official Name and Position | Douglas Desalvo (OWNER, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4158986888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Bay Spine & Neuropathy Inc 7595 Redwood Blvd Ste 108 Novato CA 94945-7705 Ph: (415) 898-6888 | North Bay Spine & Neuropathy Inc 7595 Redwood Blvd Ste 108 Novato CA 94945-7705 Ph: (415) 898-6888 |
| NPI Number | 1427683481 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 05/11/2020 |
| Medicare PECOS PAC ID | 0941631766 |
|---|---|
| Medicare Enrollment ID | O20200512001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427683481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Marie Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437335551 PECOS PAC ID: 0244296226 Enrollment ID: I20041202000275 |
| Provider Name | George Wagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770649766 PECOS PAC ID: 0446204283 Enrollment ID: I20050304000367 |
| Provider Name | Douglas Desalvo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952521130 PECOS PAC ID: 0840345138 Enrollment ID: I20090910000413 |
| Provider Name | Priscilla Wild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013222454 PECOS PAC ID: 8729260310 Enrollment ID: I20110302000914 |
| Provider Name | Shohreh Semati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528498441 PECOS PAC ID: 6103056148 Enrollment ID: I20140313000338 |
| Provider Name | Robert P Gnat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386876712 PECOS PAC ID: 4486937539 Enrollment ID: I20190717000924 |
Marin Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Redwood Blvd, Novato, CA 94945 Phone: 415-448-1500 Fax: 415-798-3198 | |
Matrix Parent Netwrok And Resource Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Galli Dr, Suite C, Novato, CA 94949 Phone: 415-884-3535 | |
N/a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Grant Ave, Novato, CA 94945 Phone: 415-892-3300 Fax: 415-897-0079 | |
Glutality Provider Group Of California Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7250 Redwood Blvd Ste 300, Novato, CA 94945 Phone: 561-678-2026 Fax: 561-423-9249 | |
Veterans Administration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Lavenham Rd, Novato, CA 94949 Phone: 415-218-1435 | |
Novato Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Suite 201, Novato, CA 94945 Phone: 415-897-3174 Fax: 415-892-9589 | |
Aspire Hospitalist Management Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Novato, CA 94945 Phone: 415-990-7901 |