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
Luminita Mann 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 NURSE PRACTITIONER
David Rhodes 1514 S Valley Vista, Diamond Bar, CA 91765-1038 FAMILY PRACTICE
Aeri Kang 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 INTERNAL MEDICINE
William Kilgore 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 ORTHOPEDIC SURGERY
Brian Starr 2700 Dolbeer St, Eureka, CA 95501-4736 ANESTHESIOLOGY
Nancy Councelbaum 16300 Sand Canyon Ave, Irvine, CA 92618-3703 INTERNAL MEDICINE
Stuart Cataldo 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
Aidan Raney 1140 W La Veta Ave, Orange, CA 92868-4226 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Rebecca Penera 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 PODIATRY
Eric Simpson 2576 Renfrew St, Eureka, CA 95501-3345 UROLOGY
Richard Rattin 240 Hospital Dr, Ukiah, CA 95482-4558 INTERVENTIONAL CARDIOLOGY
Virginia Hinkle 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 NURSE PRACTITIONER
Jennifer Hubert 500 Doyle Park Dr, Santa Rosa, CA 95405-4559 INTERNAL MEDICINE
Michelle Ngo 2141 N Harbor Blvd, Fullerton, CA 92835-3827 RHEUMATOLOGY
Lauren Tran 1514 S Valley Vista, Diamond Bar, CA 91765-1038 FAMILY PRACTICE
Thomas Hughes 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 OBSTETRICS/GYNECOLOGY
Michelle Nowroozi 1100 W Stewart Dr, Orange, CA 92868-3849 INTERNAL MEDICINE
Tammy Wegrzyn 100 E Valencia Mesa Dr, Fullerton, CA 92835-3816 NURSE PRACTITIONER
William Steffan 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6337 FAMILY PRACTICE
Daniel Hersh 1100 Trancas St, Napa, CA 94558-2946 OBSTETRICS/GYNECOLOGY

Zip 95405 · General Surgery · Medicare Physician

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

Zip 95405 · Medicare Physician

Name Address Specialty
George Bisbee 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
Hyun Kang 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 CRITICAL CARE (INTENSIVISTS)
Michael Harlan 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PHYSICIAN ASSISTANT
Adriena Kajdos 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 GASTROENTEROLOGY
Gregory Houghton 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 CRITICAL CARE (INTENSIVISTS)
Amber Gomes 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PHYSICIAN ASSISTANT
Mark Schakel 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 ORTHOPEDIC SURGERY
Mark Pardoe 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PLASTIC AND RECONSTRUCTIVE SURGERY
Monica Ferguson 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 INTERNAL MEDICINE
David Smith 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PEDIATRIC MEDICINE
Shawn Franklin 4700 Hoen Ave, Santa Rosa, CA 95405-7824 EMERGENCY MEDICINE
Cindi Rich 1144 Sonoma Ave, Santa Rosa, CA 95405-4812 CLINICAL PSYCHOLOGIST
Linda Hollywood 1144 Sonoma Ave, Santa Rosa, CA 95405-6831 CLINICAL PSYCHOLOGIST
Robert Alessi 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PSYCHIATRY
Jennifer Henshaw-lefever 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 PHYSICIAN ASSISTANT
Elda Ilia 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 PHYSICIAN ASSISTANT
Scott Tweten 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 ANESTHESIOLOGY
Joseph Liu 4655 Hoen Ave, Santa Rosa, CA 95405-7830 CHIROPRACTIC
David Nguyen 4702 Hoen Ave, Santa Rosa, CA 95405-7824 HEMATOLOGY/ONCOLOGY
Marisha Lockwood-chilcott 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 FAMILY PRACTICE