| Pittsburg-antioch Medical Group A Professional Corporation | |
|
2220 Gladstone Dr Suite 3 Pittsburg CA 94565-5123 | |
| (924) 432-3318 | |
| Not Available |
| Full Name | Pittsburg-antioch Medical Group A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2220 Gladstone Dr, Pittsburg, California |
| Authorized Official Name and Position | Gerald R Del Rio (PRESIDENT) |
| Authorized Official Contact | 9256352978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsburg-antioch Medical Group A Professional Corporation 2220 Gladstone Dr Suite 3 Pittsburg CA 94565-5123 Ph: (924) 432-3318 | Pittsburg-antioch Medical Group A Professional Corporation 2220 Gladstone Dr Suite 3 Pittsburg CA 94565-5123 Ph: (924) 432-3318 |
| NPI Number | 1619922911 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 3173535846 |
|---|---|
| Medicare Enrollment ID | O20060620000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619922911 | NPI | - | NPPES |
| GR0053010 | Medicaid | CA | |
| 00A826120 | Medicaid | CO | |
| CS2543 | Other | CA | RAILROAD MEDICARE |
| 00G327970 | Medicaid | CA | |
| 00A651470 | Medicaid | CA | |
| 00A502050 | Medicaid | CA | |
| 00G435690 | Medicaid | CA | |
| 00A836250 | Medicaid | CA | |
| ZZZ34060Z | Other | CA | BLUE SHIELD PROVIDER NUMB |
| Provider Name | Wengang Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063451243 PECOS PAC ID: 6800853649 Enrollment ID: I20041214000475 |
| Provider Name | Krishna Moorthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811933724 PECOS PAC ID: 5799736302 Enrollment ID: I20050202000307 |
| Provider Name | Pragnesh Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053488866 PECOS PAC ID: 0547153629 Enrollment ID: I20050427001333 |
| Provider Name | Henry P Gong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215982855 PECOS PAC ID: 4082643879 Enrollment ID: I20050811000671 |
| Provider Name | Gerald R Delrio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568417889 PECOS PAC ID: 7517979289 Enrollment ID: I20070205000692 |
| Provider Name | Siamak Elyasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467407809 PECOS PAC ID: 8426060195 Enrollment ID: I20080715000935 |
| Provider Name | Sanjay Ray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073538146 PECOS PAC ID: 7719043371 Enrollment ID: I20090901000481 |
| Provider Name | Hsien-wen Hsu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548209646 PECOS PAC ID: 0244242915 Enrollment ID: I20100630000097 |
| Provider Name | Irina Kolomey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104062173 PECOS PAC ID: 0042342743 Enrollment ID: I20100715000696 |
| Provider Name | John W Gallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558446229 PECOS PAC ID: 2769666759 Enrollment ID: I20110415000698 |
| Provider Name | Shalini Madugundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154635506 PECOS PAC ID: 5193950855 Enrollment ID: I20131105000850 |
| Provider Name | Karthik Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881755429 PECOS PAC ID: 0446325245 Enrollment ID: I20150608001613 |
| Provider Name | Mostafa Shalaby |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528351210 PECOS PAC ID: 1456670678 Enrollment ID: I20161018002168 |
| Provider Name | Kourosh Moazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184774374 PECOS PAC ID: 0345225736 Enrollment ID: I20170120001194 |
| Provider Name | Christine Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851774707 PECOS PAC ID: 6204144660 Enrollment ID: I20171023002883 |
| Provider Name | Christine Cave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144743386 PECOS PAC ID: 3274899901 Enrollment ID: I20171129000219 |
| Provider Name | Melody Lee Brewer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700050770 PECOS PAC ID: 9830345826 Enrollment ID: I20181114001384 |
| Provider Name | Nicole Natalie Ranahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063967594 PECOS PAC ID: 7113332156 Enrollment ID: I20210224002464 |
| Provider Name | Sara Yakoob Jaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760989222 PECOS PAC ID: 7517362221 Enrollment ID: I20210818002780 |
| Provider Name | Anirudh Vijay Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255837597 PECOS PAC ID: 6901204775 Enrollment ID: I20211007003549 |
| Provider Name | Sam Chitsaz Avval |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821364084 PECOS PAC ID: 0547488728 Enrollment ID: I20211117000473 |
| Provider Name | David Clemons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831683044 PECOS PAC ID: 5597002733 Enrollment ID: I20220929000540 |
Southern Health Np Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Loveridge Cir, Pittsburg, CA 94565 Phone: 925-808-0305 | |
Sung Ha Ryoo M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 Gladstone Dr Ste 1, Pittsburg, CA 94565 Phone: 925-432-8422 Fax: 925-432-8264 | |
Bi-bett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 California Ave Ste 600, Pittsburg, CA 94565 Phone: 925-439-5161 Fax: 925-439-0322 | |
Enlight Consulting Co Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2260 Gladstone Dr Ste 8, Pittsburg, CA 94565 Phone: 415-666-2536 | |
Planned Parenthood Shasta Diablo, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Railroad Ave, Suite B, Pittsburg, CA 94565 Phone: 925-439-1237 Fax: 925-439-8974 | |
Contra Costa County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 Loveridge Rd, Pittsburg, CA 94565 Phone: 925-957-5429 |