Leslie H Crebassa (NPI# 1578839239, PAC ID# 9739480930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1578839239 |
| PAC ID by PECOS | 9739480930 |
| Professional Enrollment ID | I20151211002077 |
| Full Name | Leslie H Crebassa |
| Organization Legal Name | PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION |
| Address |
400 N Mcdowell Blvd Petaluma CA 94954-2339 |
| Phone Number | 7077781111 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2365478914 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050136 | PETALUMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 | 7077781111 | PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION |
| Organization Legal Name | PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azalea Saemi | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles E Evans | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles L Kaplove | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Sean C Andrews | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Jay W Goldberg | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Richard R Tavernetti Jr. | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Henry L Fong | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Patrick J Lally | Family Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Joanna K Ramseyer | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Vicki S Martinez | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Street Address |
400 N MCDOWELL BLVD |
| City | PETALUMA |
| State | CA |
| Zip | 94954-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azalea Saemi | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles E Evans | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Charles L Kaplove | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Sean C Andrews | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Jay W Goldberg | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Richard R Tavernetti Jr. | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Henry L Fong | Emergency Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| James M Hurd | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Patrick J Lally | Family Medicine | Petaluma Emergency Physicians Medical Corporation | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 |
| Emily Petromilli | Nurse Practitioner | St Joseph Heritage Healthcare | 400 N Mcdowell Blvd, Petaluma, CA 95954-2339 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Kalane J Wong | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PETALUMA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Leslie H Crebassa.
| 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.