Igor M Bederov (NPI# 1659301000, PAC ID# 6103081385) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1659301000 |
PAC ID by PECOS | 6103081385 |
Professional Enrollment ID | I20120713000543 |
Full Name | Igor M Bederov |
Address |
100 S San Mateo Dr San Mateo CA 94401-3805 |
Phone Number | 6506965400 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050047 | CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP |
Address | Phone | Organization |
---|---|---|
100 S San Mateo Dr, San Mateo, CA 94401-3805 | 6506965400 |
Street Address |
100 S SAN MATEO DR |
City | SAN MATEO |
State | CA |
Zip | 94401-3805 |
Name | Specialty | Organization | Address |
---|---|---|---|
Theresa Chan | Emergency Medicine | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
Quddusa Doongerwala | Psychiatry | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | |
Jeffrey J Guttas | Cardiovascular Disease (cardiology) | Jeffrey J Guttas Md A Medical Corporation | 100 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3805 |
Colin Khoshabian | Nurse Practitioner | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
Michelle Lee | Nurse Practitioner | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
Dhara M Macdermed | Radiation Oncology | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
Gregory Matthew Lim | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
Alberto A Bolanos | Orthopedic Surgery | 100 S San Mateo Dr, Suite 424, San Mateo, CA 94401-3805 | |
Johanna M Wolgast | Family Medicine | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
Susanne Martin | Emergency Medicine | Sutter Bay Medical Foundation | 100 S San Mateo Dr, San Mateo, CA 94401-3805 |
Find all physicians in the same address |
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 | NURSE PRACTITIONER |
City + Specialty | SAN MATEO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Igor M Bederov.
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.