MEDICARE: DANVILLE-SAN RAMON EYE MEDICAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician		CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CS4583	OTHER	CA	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	ZZZ57540Z	OTHER	CA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437146206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANVILLE-SAN RAMON EYE MEDICAL CORP

Provider Business Mailing Address
First Line	:	909 SAN RAMON VALLEY BLVD
Second Line	:	STE 114
City	:	DANVILLE
State	:	CA
Zip	:	94526-4038
Country	:	US
Telephone Number	:	925-837-6428
Fax Number	:	925-837-1403

Provider Business Practice Location Address
First Line	:	909 SAN RAMON VALLEY BLVD
Second Line	:	STE 114
City	:	DANVILLE
State	:	CA
Zip	:	94526-4038
Country	:	US
Telephone Number	:	925-837-6428
Fax Number	:	925-837-1403

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. CLAUDIA SUSANA PINILLA
Credential	:	MD
Telephone Number	:	925-837-6428

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1598751638 — DR. CLAUDIA SUSANA PINILLA MD
Practice Location Address:

909 SAN RAMON VALLEY BLVD , STE 114
DANVILLE, CA
94526-4038

Practice Phone: 925-837-6428
Practice Fax: 925-837-1403

1770579443 — DR. RUPINDER K MANN MD
Practice Location Address:

909 SAN RAMON VALLEY BLVD , STE 114
DANVILLE, CA
94526-4038

Practice Phone: 925-837-6428
Practice Fax: 925-837-1403

1790746238 — DIANE H WILLIAMS OD
Practice Location Address:

909 SAN RAMON VALLEY BLVD , SUITE 114
DANVILLE, CA
94526-4038

Practice Phone: 925-837-5922
Practice Fax: 925-837-1403

1134139777 — LAWRENCE ALAN TEPLIN DPM
Practice Location Address:

909 SAN RAMON VALLEY BLVD , STE. 118
DANVILLE, CA
94526-4038

Practice Phone: 925-362-1080
Practice Fax: 925-362-1083

1528288115 — DR. CHRIS MICHAEL VITAKES D.D.S.
Practice Location Address:

909 SAN RAMON VALLEY BLVD STE 218
DANVILLE, CA
94526-4038

Practice Phone: 510-825-9105
Practice Fax: 925-553-7855

1124223482 — ROGER A GREENWALD M.D.
Practice Location Address:

909 SAN RAMON VALLEY BLVD , #114
DANVILLE, CA
94526-4038

Practice Phone: 925-837-6428
Practice Fax: 925-837-1403

Directions to “DANVILLE-SAN RAMON EYE MEDICAL CORP ” Practice Location

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