MEDICARE: DR. PATRICIA SUZANNE MASKA 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	2084N0400X	Neurology Physician	A94785	CA

General Provider Information

NPI Number	:	1942275672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA SUZANNE MASKA M.D.

Provider Business Mailing Address
First Line	:	5601 NORRIS CANYON RD STE 310
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 NORRIS CANYON RD STE 240
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5407
Country	:	US
Telephone Number	:	510-748-5363
Fax Number	:	925-289-4975

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	02/26/2025

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