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
Steven Joe 2501 E Chapman Ave, Orange, CA 92869-3204 FAMILY PRACTICE
Robin Zagone 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 UROLOGY
Daniel Mirda 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 MEDICAL ONCOLOGY
Jennifer Woolsey-hales 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PHYSICIAN ASSISTANT
Scott Middleton 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 FAMILY PRACTICE
Julia Kao 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 INTERNAL MEDICINE
Amy Van Bui 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 ENDOCRINOLOGY
Renee Soderquist 2501 E Chapman Ave, Orange, CA 92869-3204 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Keri Weigle 106 Lynch Creek Way, Petaluma, CA 94954-2356 GENERAL SURGERY
Joel Tetzlaff 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 PHYSICIAN ASSISTANT
Alex Leung 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 INTERNAL MEDICINE
Gregory Christie 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 PHYSICIAN ASSISTANT
Rajesh Ranadive 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
Victoria Leigh 1095 Irvine Blvd, Tustin, CA 92780-3526 INTERNAL MEDICINE
Wanjun Bae 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 GASTROENTEROLOGY
Robert Landman 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 INTERNAL MEDICINE
Afshin Arianjam 19333 Bear Valley Rd, Apple Valley, CA 92308-5149 ORTHOPEDIC SURGERY
Roger Chang 1100 W Stewart Dr, Orange, CA 92868-3849 INTERNAL MEDICINE
Douglas Clark 2501 E Chapman Ave, Orange, CA 92869-3204 INTERNAL MEDICINE
Yee Miao 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 GASTROENTEROLOGY

Zip 95405 · General Surgery · Medicare Physician

Name Address Specialty
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
Brian Schmidt 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Kendra Iskander 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Allen Cortez 4702 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
John Rabkin 4702 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Michael Bozuk 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Huy Trieu 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Cassandra Kennedy 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Matthew Shepherd 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Shumaila Syed 4700 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Charles Elboim 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
David Russell 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
Robert Woodbury 4700 Hoen Ave, Santa Rosa, CA 95405-7824 GENERAL SURGERY
Thomas Polidore 4702 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
Chris Kosakowski 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GENERAL SURGERY
James Harwood 1111 Sonoma Ave, Santa Rosa, CA 95405-4820 GENERAL SURGERY

Zip 95405 · Medicare Physician

Name Address Specialty
Kathleen Horan 4700 Hoen Ave, Santa Rosa, CA 95405-7824 FAMILY PRACTICE
Allen Lavee 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 ANESTHESIOLOGY
Jennifer Mccall 500 Doyle Park Dr, Santa Rosa, CA 95405-4559 PEDIATRIC MEDICINE
Peter Marincovich 1111 Sonoma Ave, Santa Rosa, CA 95405-4820 AUDIOLOGIST
Robert Alessi 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PSYCHIATRY
James Wu 4702 Hoen Ave, Santa Rosa, CA 95405-7824 FAMILY PRACTICE
Christopher Stafford 4702 Hoen Ave, Santa Rosa, CA 95405-7824 PULMONARY DISEASE
Harry Carr 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
Richard Flinders 4700 Hoen Ave, Santa Rosa, CA 95405-7824 FAMILY PRACTICE
Melissa Sloan 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 NURSE PRACTITIONER
Elizabeth Cassanos 1144 Sonoma Ave, Santa Rosa, CA 95405-4812 CLINICAL PSYCHOLOGIST
Candra Carr 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PHYSICIAN ASSISTANT
Elisa Washburn 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 FAMILY PRACTICE
David Martinez 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 FAMILY PRACTICE
Joyce Colton House 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 OTOLARYNGOLOGY
Paul Wasserstein 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PATHOLOGY
Neema Pourtaheri 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 ORTHOPEDIC SURGERY
Julia Adler 4702 Hoen Ave, Santa Rosa, CA 95405-7824 PSYCHIATRY
Sara Christensen 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PHYSICIAN ASSISTANT
Catherine Friesch 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 NURSE PRACTITIONER