Keith M Tao (NPI# 1265468094, PAC ID# 5092783688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1265468094 |
| PAC ID by PECOS | 5092783688 |
| Professional Enrollment ID | I20040921001197 |
| Full Name | Keith M Tao |
| Organization Legal Name | SOLANO DIAGNOSTICS PARTNERS, A CALIF LIMITED PARTNERSHIP |
| Address |
4442 Deer Field Way Danville CA 94506-6015 |
| Phone Number | 7076464646 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587556865 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050101 | SUTTER SOLANO MEDICAL CENTER |
| 050013 | ADVENTIST HEALTH ST HELENA |
| 050523 | SUTTER DELTA MEDICAL CENTER |
| 050367 | NORTHBAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3901 Lone Tree Way, Antioch, CA 94509-6200 | 9257797212 | BAY IMAGING CONSULTANTS MEDICAL GROUP INC |
| 4442 Deer Field Way, Danville, CA 94506-6015 | 7076464646 | SOLANO DIAGNOSTICS PARTNERS, A CALIF LIMITED PARTNERSHIP |
| Organization Legal Name | SOLANO DIAGNOSTICS PARTNERS, A CALIF LIMITED PARTNERSHIP |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilpa Puppala | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 1100 B Gale Wilson Blvd, Solano Diagnostics Imaging Medical Group, Fairfield, CA 94533-3700 |
| Kathryn A Klima | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 1101 B Gale Wilson Blvd, Suite 100, Fairfield, CA 94533-3771 |
| Vincent Kw Wong | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 20 Garden Estates Ct, Alamo, CA 94507-1129 |
| Christopher Ct Lee | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 900 Bronson Ln, Walnut Creek, CA 94596-5465 |
| George D Chu | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 40 Neva Ct, Oakland, CA 94611-1827 |
| Ying Fung | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 871 Lawton St, San Francisco, CA 94122-3541 |
| Stephen M Hesseltine | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 108 Fernwood Dr, Moraga, CA 94556-2316 |
| Michael John Martinucci | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 9062 Broadway Ter, Oakland, CA 94611-1952 |
| David Howard | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 4016 Eagle Nest Ln, Danville, CA 94506-5810 |
| Eric Tao | Diagnostic Radiology | Solano Diagnostics Partners, A Calif Limited Partnership | 1601 Campesino Ct, Alamo, CA 94507-2616 |
| Street Address |
4442 DEER FIELD WAY |
| City | DANVILLE |
| State | CA |
| Zip | 94506-6015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jess M Pontious | Chiropractic | 9500 Crow Canyon Rd, Suite C, Danville, CA 94506-1100 | |
| Selin Khayatan | Optometry | 3580 Blackhawk Plaza Circle, Danville, CA 94506-4611 | |
| David K Padgett | Physical Medicine and Rehabilitation | 4125 Blackhawk Plaza Cir, Suite 100, Danville, CA 94506-4673 | |
| Jonathan Humphrey | Family Medicine | Bay Area Surgical Specialists Inc A Medical Corporation | 3424 Camino Tassajara, Danville, CA 94506-4680 |
| Peter S Visendi | Optometry | 3464 Camino Tassajara, Danville, CA 94506-4680 | |
| John William Roberts | Family Medicine | Bay Area Surgical Specialists Inc A Medical Corporation | 3424 Camino Tassajara, Danville, CA 94506-4680 |
| Sheetal Shah | Family Medicine | Bay Area Surgical Specialists Inc A Medical Corporation | 3424 Camino Tassajara, Danville, CA 94506-4680 |
| Courtney Sepic | Nurse Practitioner | Bay Area Surgical Specialists, Inc A Medical Corporation | 3424 Camino Tassajara, Danville, CA 94506-4680 |
| Pamela Mcdonald | Nurse Practitioner | 4165 Blackhawk Plaza Cir, Suite 125, Danville, CA 94506-4681 | |
| Elizabeth F Buselli | Nurse Practitioner | Penscott Medical Corporation | 4165 Blackhawk Plaza Cir, Suite 125, Danville, CA 94506-4681 |
| Find all physicians in zip 94506 | |||
| City | DANVILLE |
| Zip Code | 94506 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DANVILLE + DIAGNOSTIC RADIOLOGY |
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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.