MEDICARE: DR. ELPIDIO C MARIANO M.D.

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	208600000X	Surgery Physician	A39817	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063524528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELPIDIO C MARIANO M.D.

Provider Business Mailing Address
First Line	:	106 LYNCH CREEK WAY
Second Line	:	SUITE 9B
City	:	PETALUMA
State	:	CA
Zip	:	94954-2356
Country	:	US
Telephone Number	:	707-763-1575
Fax Number	:	707-763-9172

Provider Business Practice Location Address
First Line	:	106 LYNCH CREEK WAY
Second Line	:	SUITE 9B
City	:	PETALUMA
State	:	CA
Zip	:	94954-2356
Country	:	US
Telephone Number	:	707-763-1575
Fax Number	:	707-763-9172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/14/2010

Similar Medicare Providers

1710099585 — DR. SANTIAGO ALBERTO CENTURION M.D.
Practice Location Address:

106 LYNCH CREEK WAY , SUITE 8
PETALUMA, CA
94954-2356

Practice Phone: 707-763-6816
Practice Fax: 707-763-1730

1851490718 — ERIN HANAUER PA-C
Practice Location Address:

106 LYNCH CREEK WAY STE 8 , NORTH BAY DERMATOLOGY
PETALUMA, CA
94954-2356

Practice Phone: 707-763-6816
Practice Fax: 707-763-1730

1275622664 — NORTH BAY DERMATOLOGY ASSOCIATES
Practice Location Address:

106 LYNCH CREEK WAY , SUITE #8
PETALUMA, CA
94954-2356

Practice Phone: 707-763-6816
Practice Fax: 707-763-1730

1710053095 — CRISTINA S CENTURION NP-C
Practice Location Address:

106 LYNCH CREEK WAY , SUITE 8
PETALUMA, CA
94954-2356

Practice Phone: 707-763-6816
Practice Fax: 707-763-1730

1801006804 — DENNIS M. MCLEOD, M.D., INC
Practice Location Address:

106 LYNCH CREEK WAY , SUITE 9A
PETALUMA, CA
94954-2356

Practice Phone: 707-762-3561
Practice Fax: 707-762-5174

1700103827 — PETALUMA VALLEY HEARING CENTER
Practice Location Address:

106 LYNCH CREEK WAY , SUITE 9A
PETALUMA, CA
94954-2356

Practice Phone: 866-853-3499
Practice Fax:

Directions to “ DR. ELPIDIO C MARIANO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.