Judy A Alonzo, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Burlingame, CA
NPI 1124040787 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124040787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- G79181 (CA)
- Practice address
- 1783 El Camino Real
Pathology Dept
Burlingame, CA 94010-3205 - Phone
- (650) 696-5611
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of Colorado School of Medicine, Denver, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peninsula Pathologists Medical Group Inc
Practice addresses (Care Compare)
100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 348-8550
1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400
170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Phone (650) 367-5538
2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 616-2951
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (650) 616-2951
383 E Grand Ave
Suite a
South San Francisco, CA 94080-6234
Phone (650) 616-2951
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (650) 616-2951
Hospital & facility affiliations
- Sequoia Hospital
- Peninsula Medical Center
- El Camino Health
- California Pacific Medical Center- Van Ness Campus
- Novato Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041116001131 | CA | Practitioner - Pathology | 2264496561 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79181 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Peninsula Pathologists Medical Group | Current |
Accepting new patients | |
| Peninsula Pathologists Medical Group Inc. | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Mills-Peninsula Health Services | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
12935 Alcosta Blvd
Unit 3888
San Ramon, CA 94583
393 E Grand Ave
Ste I
South San Francisco, CA 94080
Phone (650) 589-5278
383 E Grand Ave
Ste A
South San Francisco, CA 94080
Phone (650) 616-2951
Interoperability endpoints
- jalonzo21497@smch.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G79181 | CA | Yes |
Addresses
Primary practice location
1783 El Camino Real
Pathology Dept
Burlingame, CA 94010-3205
Mailing address
383 E Grand Ave
Suite a
South San Francisco, CA 94080-6234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G791810 | Medicaid | CA | |
| G79181 | Other | CA | CALIF MEDICAL LICENSE |
Other providers in Burlingame, CA
- Allergy Asthma Clinic Burlingame, Incorporated
- Kendall Shane Allred
- Sara Almasian
- Osama Almasri
- Richard D Almeida
- Julia Alperovich
- Ayanti Alvarado
- Akua Foriwah Amanfo
- Sashibindu Amara
- Peggy Ambus
All providers in Burlingame, CA · Anatomic Pathology & Clinical Pathology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.