Jonathan Lieberman (NPI# 1174601728, PAC ID# 6305033952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1174601728 |
| PAC ID by PECOS | 6305033952 |
| Professional Enrollment ID | I20101208000324 |
| Full Name | Jonathan Lieberman |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
1166 Post St Suite 201 San Francisco CA 94109-5505 |
| Phone Number | 4154741309 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050076 | KAISER FOUNDATION HOSPITAL - SAN FRANCISCO |
| Address | Phone | Organization |
|---|---|---|
| 1166 Post St, Suite 201, San Francisco, CA 94109-5505 | 4154741309 | PERMANENTE MEDICAL GROUP INC |
| 1493 Webster St, San Francisco, CA 94115-3705 | 4153463382 | PERMANENTE MEDICAL GROUP INC |
| 1499 Webster St, San Francisco, CA 94115-3705 | 8665446741 | PERMANENTE MEDICAL GROUP INC |
| 2200 Ofarrell St, San Francisco, CA 94115-3357 | 4158332000 | PERMANENTE MEDICAL GROUP INC |
| 2238 Geary Blvd, San Francisco, CA 94115-3416 | 4158332200 | PERMANENTE MEDICAL GROUP INC |
| 2425 Geary Blvd, San Francisco, CA 94115-3358 | 4158332200 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
1166 POST ST SUITE 201 |
| City | SAN FRANCISCO |
| State | CA |
| Zip | 94109-5505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail J Goetz | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Kari Jo Vanocker | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Kenneth B Maybury | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Martin S Liberman | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Stephen E Hall | Psychiatry | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Loren Clifford Stolle | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Richard J Moore | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Ahvie Herskowitz | Internal Medicine | 1700 California St, Suite 520, San Francisco, CA 94109-0430 | |
| Kaveri Korgavkar Karhade | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Eric Petrie Smith | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Find all physicians in zip 94109 | |||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
| Specialty | NEPHROLOGY |
| City + Specialty | SAN FRANCISCO + NEPHROLOGY |
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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.