| Cody Lesniak, | |
|
5755 Cottle Rd, San Jose, CA 95123-3640 | |
| (983) 201-2440 | |
| Not Available |
| Full Name | Cody Lesniak |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 2 Years |
| Location | 5755 Cottle Rd, San Jose, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124546346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY36223 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10928 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Lesniak, 5805 Charlotte Dr Apt 401, San Jose, CA 95123-6917 Ph: Not Available | Cody Lesniak, 5755 Cottle Rd, San Jose, CA 95123-3640 Ph: (983) 201-2440 |
Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276 |
Courtney Kerr, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4850 Union Ave, San Jose, CA 95124 Phone: 800-913-2615 Fax: 408-559-3158 |
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445 |
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230 |
Dr. Victoria Wu, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 760 Newhall Dr # 1022, San Jose, CA 95110 Phone: 669-319-8657 |
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730 |
Maritza Aguilar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3235 Union Ave, San Jose, CA 95124 Phone: 408-626-3405 |