Elpidio C Mariano General Surgery
1165 Montgomery Dr, Santa Rosa, CA 95405-4801


Elpidio C Mariano is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1063524528. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9537356506. The primary specialty is GENERAL SURGERY. The organization is ST JUDE HOSPITAL YORBA LINDA. The address is 1165 Montgomery Dr, Santa Rosa, CA 95405-4801. The zip code is 95405.


Elpidio C Mariano · 1165 Montgomery Dr, Santa Rosa, CA 95405-4801

Nation Provider ID 1063524528
PAC ID by PECOS 9537356506
Professional Enrollment ID I20101203000589
Last Name MARIANO
First Name ELPIDIO
Middle Name C
Gender M
Medical School Name OTHER
Graduation Year 1971
Primary Specialty GENERAL SURGERY
Primary Specialty ST JUDE HOSPITAL YORBA LINDA
Phone Number 7075463210
Group Practice PAC ID 8921993205
Number of Group Practice Members 963
Address 1165 MONTGOMERY DR
SANTA ROSA, CA 954054801
Claims Based Hospital Affiliation Claim Control Number (CCN): 050136
Legal Business Name: PETALUMA VALLEY HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y
Participated in Million Hearts Y

street_number: 1165
route: Montgomery Drive (Montgomery Dr)
neighborhood, political: Memorial Hospital Neighborhood
locality, political: Santa Rosa
admin_level_2, political: Sonoma County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 95405
postal_code_suffix: 4801
types : premise
latitude: 38.4437611
longitude: -122.701141
latlng: (38.4437611, -122.701141)


St Jude Hospital Yorba Linda · Medicare Physician

Name Address Specialty
Robert Koida 8911 Lakewood Dr, Windsor, CA 95492-7857 FAMILY PRACTICE
Frederick David 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 RADIATION ONCOLOGY
Arthur Zepeda 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 PAIN MANAGEMENT
Doreen Rioux 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 FAMILY PRACTICE
Diana Fernandez 2141 N Harbor Blvd, Fullerton, CA 92835-3827 PHYSICIAN ASSISTANT
Richard Keller 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
Ani Baghdassarian 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 INTERNAL MEDICINE
Andrew Imparato 4900 Prospect Ave, Yorba Linda, CA 92886-2128 FAMILY PRACTICE
Ali Ebrahim 12550 Hesperia Rd, Victorville, CA 92395-5873 EMERGENCY MEDICINE
Emily Petromilli 400 N Mcdowell Blvd, Petaluma, CA 95954-2339 NURSE PRACTITIONER
Clare Green 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 FAMILY PRACTICE
Marlon Decastro 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
Stephen Wilson 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 GENERAL SURGERY
Gerrard Ferrer 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 NEUROLOGY
Paul Laband 1100 Trancas St, Napa, CA 94558-2946 INTERNAL MEDICINE
Terra Safer 510 Superior Ave, Newport Beach, CA 92663-3665 INTERNAL MEDICINE
Nicole Franklin 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 PHYSICIAN ASSISTANT
Ketsana Vilaysane 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 FAMILY PRACTICE
Gary Bogart 4750 Hoen Ave B, Santa Rosa, CA 95405-7833 FAMILY PRACTICE
Chizomam Abanobi 2141 N Harbor Blvd, Fullerton, CA 92835-3827 NURSE PRACTITIONER

Zip 95405 · General Surgery · Medicare Physician

Name Address Specialty
Matthew Shepherd 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Huy Trieu 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Shumaila Syed 4700 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Chris Kosakowski 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Allen Cortez 4702 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Richard Bland 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 GENERAL SURGERY
Robert White 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Gregg Jossart 4700 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Elizabeth Peralta 4702 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Allan Hill 4702 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Brian Schmidt 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Kendra Iskander 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Charles Elboim 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Thomas Polidore 4702 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
James Harwood 1111 Sonoma Ave, Santa Rosa, CA 95405-4820 GENERAL SURGERY
John Rabkin 4702 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Cesar Veluz 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Robert Woodbury 4700 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Cassandra Kennedy 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
David Russell 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY

Zip 95405 · Medicare Physician

Name Address Specialty
Nishita Sharma 4702 Hoen Ave, Santa Rosa, CA 95405-7824 NURSE PRACTITIONER
Julie Clark 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 OBSTETRICS/GYNECOLOGY
Elyse Eisenberg 725 Farmers Ln, Santa Rosa, CA 95405-6743 GENERAL PRACTICE
Annamaria Tedeschi 4702 Hoen Ave, Santa Rosa, CA 95405-7824 PHYSICAL THERAPY
Robert Alessi 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PSYCHIATRY
Cheryl Caletti 4702 Hoen Ave, Santa Rosa, CA 95405-7824 NURSE PRACTITIONER
Ellen Roche 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 NURSE PRACTITIONER
James Hurd 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 ANESTHESIOLOGY
Tori Crawford 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 NURSE PRACTITIONER
Jay Chung 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 RHEUMATOLOGY
Lei Han 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL PRACTICE
Michael Lazar 1140 Sonoma Ave, Santa Rosa, CA 95405-4817 UROLOGY
Gina Gastelum 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PHYSICIAN ASSISTANT
Thomas Duckett 4702 Hoen Ave, Santa Rosa, CA 95405-7824 UROLOGY
Gary Furness 4702 Hoen Ave, Santa Rosa, CA 95405-7824 FAMILY PRACTICE
Bruce Kessler 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
Christopher Krug 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 PHYSICAL THERAPY
David Martinez 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 FAMILY PRACTICE
Richard Comb 4655 Hoen Ave, Santa Rosa, CA 95405-7830 PHYSICAL THERAPY
Jon Karch 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 CRITICAL CARE (INTENSIVISTS)