Larisa V Petrison (NPI# 1902965676, PAC ID# 0840388781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1902965676 |
PAC ID by PECOS | 0840388781 |
Professional Enrollment ID | I20071110000177 |
Full Name | Larisa V Petrison |
Organization Legal Name | THE ALLERGY AND ASTHMA CLINIC INC |
Address |
290 Baldwin Ave San Mateo CA 94401-3915 |
Phone Number | 6503434597 |
Gender | F |
Graduation Year | 2004 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7810089075 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
290 Baldwin Ave, San Mateo, CA 94401-3915 | 6503434597 | THE ALLERGY AND ASTHMA CLINIC INC |
Organization Legal Name | THE ALLERGY AND ASTHMA CLINIC INC |
Physicians | 1 |
Street Address |
290 BALDWIN AVE |
City | SAN MATEO |
State | CA |
Zip | 94401-3915 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brooke Leon | Nurse Practitioner | Allergy and Asthma Clinic Incorporated | 290 Baldwin Ave, San Mateo, CA 94401-3915 |
Elisabeth M Denker | Nurse Practitioner | Allergy and Asthma Clinic Incorporated | 290 Baldwin Ave, San Mateo, CA 94401-3915 |
Andrew C Engler | Allergy/immunology | Allergy and Asthma Clinic Incorporated | 290 Baldwin Ave, San Mateo, CA 94401-3915 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edwin Chen | Chiropractic | 417 N San Mateo Dr, San Mateo, CA 94401-2417 | |
Ian Y.h. Lin | Internal Medicine | 417 N San Mateo Dr, San Mateo, CA 94401-2417 | |
Marilyn I Carmona | Chiropractic | 415 N San Mateo Dr, Suite 2, San Mateo, CA 94401-2494 | |
Anthony Ferrera | Oral Surgery | 341 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2513 | |
Thang Cao Nguyen | Family Medicine | 328 N San Mateo Dr, Suite A, San Mateo, CA 94401-2514 | |
Edward C Sun | Orthopedic Surgery | 359 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2584 | |
Jonathan M Rose | Psychologist, Clinical | 327 N San Mateo Dr, Suite 3, San Mateo, CA 94401-2585 | |
Paul I Wachter | Psychiatry | 327 N San Mateo Dr, Suite 7, San Mateo, CA 94401-2585 | |
Marcia J Schwartz | Clinical Psychologist | 215 N San Mateo Dr, Suite 9, San Mateo, CA 94401-2622 | |
Gregory W Becker | Chiropractic | 215 N San Mateo Dr, 3 Becker Chiropractic, San Mateo, CA 94401-2674 | |
Find all physicians in zip 94401 |
City | SAN MATEO |
Zip Code | 94401 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | SAN MATEO + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.