Babak Ettekal (NPI# 1548474778, PAC ID# 9739211343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1548474778 |
PAC ID by PECOS | 9739211343 |
Professional Enrollment ID | I20100717000127 |
Full Name | Babak Ettekal |
Organization Legal Name | ONE MEDICAL GROUP INC |
Address |
1004 Northgate Dr San Rafael CA 94903-2502 |
Phone Number | 4155906150 |
Gender | M |
Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2567623739 |
Number of Group Practice Members | 166 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050360 | MARIN GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1004 Northgate Dr, San Rafael, CA 94903-2502 | 4155906150 | ONE MEDICAL GROUP INC |
Organization Legal Name | ONE MEDICAL GROUP INC |
Physicians | 215 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin Rae Thurston | Family Medicine | One Medical Group Inc | 501 2nd St, Suite 415, San Francisco, CA 94107-4132 |
Melinda Kong | Family Medicine | One Medical Group Inc | 1823 Union St, San Francisco, CA 94123-4307 |
David Cole | Family Medicine | One Medical Group Inc | 98 Gough St, San Francisco, CA 94102-5920 |
Hannah Ryann Peckler | Nurse Practitioner | One Medical Group Inc | 840 Irving St, San Francisco, CA 94122-2311 |
Laura Millener | Nurse Practitioner | One Medical Group Inc | 1333 Powell St, Suite A103, Emeryville, CA 94608-2598 |
Jessica Fant Norkoski | Nurse Practitioner | One Medical Group Inc | 900 Veterans Blvd, Suite 150, Redwood City, CA 94063-1741 |
Marla Lucas | Physician Assistant | One Medical Group Inc | 2 Embarcadero Ctr, San Francisco, CA 94111-3823 |
Michelle Benrath | Nurse Practitioner | One Medical Group Inc | 746 The Alameda, Suite 10, San Jose, CA 95126-3178 |
Meredith L Bassler | Nurse Practitioner | One Medical Group Inc | 580 Valencia St, San Francisco, CA 94110-1115 |
Francisco Virgen-giron | Nurse Practitioner | One Medical Group Inc | 329 Primrose Rd, Burlingame, CA 94010-4037 |
Street Address |
1004 NORTHGATE DR |
City | SAN RAFAEL |
State | CA |
Zip | 94903-2502 |
Name | Specialty | Organization | Address |
---|---|---|---|
Grace Hochstoeger | Nurse Practitioner | One Medical Group Inc | 1004 Northgate Dr, San Rafael, CA 94903-2502 |
Edwin Seth Munich | Family Medicine | One Medical Group Inc | 1004 Northgate Dr, San Rafael, CA 94903-2502 |
Wayne W Wolfe | Family Medicine | One Medical Group Inc | 1004 Northgate Dr, San Rafael, CA 94903-2502 |
Kimberlie Keller | Family Medicine | One Medical Group Inc | 1004 Northgate Dr, San Rafael, CA 94903-2502 |
Jessica Lujan | Nurse Practitioner | One Medical Group Inc | 1004 Northgate Dr, San Rafael, CA 94903-2502 |
Rose Marie Grainda | Physician Assistant | One Medical Group Inc | 1004 Northgate Dr, San Rafael, CA 94903-2502 |
Sarah Lowenthal | Family Practice | One Medical Group Inc | 1004 Northgate Dr, San Rafael, CA 94903-2502 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michele E Saloner | Psychologist, Clinical | 120 El Capitan Dr, San Rafael, CA 94903-1003 | |
Thomas Isaacs | Psychologist, Clinical | 7 Mount Lassen Dr, C252, San Rafael, CA 94903-1154 | |
Angela M Savelli | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
Nicholas A Verville | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
Stewart Lin | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
Marci A Silverberg | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
Krishna Wittman | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
Stacey A Clemenceau | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
Brandi R Marcaletti | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
Find all physicians in zip 94903 |
City | SAN RAFAEL |
Zip Code | 94903 |
Specialty | FAMILY MEDICINE |
City + Specialty | SAN RAFAEL + FAMILY MEDICINE |
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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.