Gannon Dudlar (NPI# 1003865775, PAC ID# 5092722801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003865775 |
| PAC ID by PECOS | 5092722801 |
| Professional Enrollment ID | I20190411002778 |
| Full Name | Gannon Dudlar |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Address |
701 E El Camino Real Mountain View CA 94040-2833 |
| Phone Number | 6506916174 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4284538778 |
| Number of Group Practice Members | 2620 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 701 E El Camino Real, Mountain View, CA 94040-2833 | 6506916174 | SUTTER BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Physicians | 2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
| Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
| Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
| Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
| Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
| Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
| Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
| Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
| Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
| Kyle Willson | Podiatry | Sutter Bay Medical Foundation | 701 E El Camino Real 1 Nw, Mountain View, CA 94040-2833 |
| Street Address |
701 E EL CAMINO REAL |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip | 94040-2833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lydia Mandrussow | Internal Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Lara Wong | Endocrinology | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Shreyas Mallur | Hospitalist | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Dang Lin | Internal Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Shannon Mark Rush | Podiatry | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Ariele Lauren Greenfield | Neurology | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Daniel L Taylor | Internal Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Matthew T Chin | Internal Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Tiffany Hui | Registered Dietitian Or Nutrition Professional | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Allen H Shah | Physical Medicine and Rehabilitation | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina S Arneja | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2630 W El Camino Real, Mountain View, CA 94040-1117 |
| Oksana Prodan | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2630 W El Camino Real, Mountain View, CA 94040-1117 |
| Christina H Biondolillo | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2630 W El Camino Real, Mountain View, CA 94040-1117 |
| Tychelle Yvette Allen | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2630 W El Camino Real, Mountain View, CA 94040-1117 |
| Abraham Cabebe | Family Medicine | Planned Parenthood Mar Monte, Inc | 225 San Antonio Rd, Mountain View, CA 94040-1209 |
| Lindsey Skelly | Nurse Practitioner | Planned Parenthood Mar Monte, Inc | 225 San Antonio Rd, Mountain View, CA 94040-1209 |
| Alexa Wash Proctor | Nurse Practitioner | Planned Parenthood Mar Monte, Inc | 225 San Antonio Rd, Mountain View, CA 94040-1209 |
| Margaux Helene Lazarin | Family Medicine | Planned Parenthood Mar Monte, Inc | 225 San Antonio Rd, Mountain View, CA 94040-1209 |
| Harpreet Kaur | Nurse Practitioner | Planned Parenthood Mar Monte, Inc | 225 San Antonio Rd, Mountain View, CA 94040-1209 |
| Yura Kim | Optometry | 644 San Antonio Rd, Mountain View, CA 94040-1304 | |
| Find all physicians in zip 94040 | |||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MOUNTAIN VIEW + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Gannon Dudlar.
| 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.