Tania Marie Mantua (NPI# 1053337097, PAC ID# 8022286095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1053337097 |
PAC ID by PECOS | 8022286095 |
Professional Enrollment ID | I20110718000486 |
Full Name | Tania Marie Mantua |
Organization Legal Name | LORA POND INC AND TANIA MANTUA |
Address |
7075 Redwood Blvd F Novato CA 94945-4136 |
Phone Number | 4158972997 |
Gender | F |
Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
Graduation Year | 1990 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 2860556768 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
7075 Redwood Blvd F, Novato, CA 94945-4136 | 4158972997 | LORA POND INC AND TANIA MANTUA |
Organization Legal Name | LORA POND INC AND TANIA MANTUA |
Physicians | 1 |
Street Address |
7075 REDWOOD BLVD F |
City | NOVATO |
State | CA |
Zip | 94945-4136 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lora Pond | Optometry | 7075 Redwood Blvd F, Novato, CA 94945-4136 |
Name | Specialty | Organization | Address |
---|---|---|---|
Helen J Man Son Hing | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
David A Miller | Infectious Disease | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
David L Conant | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
Lindsay K Finkas | Allergy/immunology | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
Zakir H Halai | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
John W Fisk Jr. | Family Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
Steven H Kim | Nephrology | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
John D Culbertson | Internal Medicine | Permanente Medical Group Inc | 97 San Marin Dr, Novato, CA 94945-1100 |
Sun H Costigan | Oral Surgery | 197 San Marin Dr, Novato, CA 94945-1254 | |
Lee M Weissman | Qualified Audiologist | 505 A San Marin Dr, Suite 130, Novato, CA 94945-1321 | |
Find all physicians in zip 94945 |
City | NOVATO |
Zip Code | 94945 |
Specialty | OPTOMETRY |
City + Specialty | NOVATO + OPTOMETRY |
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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.