Audreyandra Lucia Imansjah, DO
Audreyandra Lucia Imansjah, DO is registered under Family Practice in San Ramon, California. Qualified in 2018, 8 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 8
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
San Ramon, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 17597 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1710481858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2018 |
| Last updated in NPPES | April 21, 2022 |
| Certification date | April 21, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Colleagues at Permanente Medical Group Inc
- Bertha Ewoenam Anku, MD Student in an Organized Health Care Education/Training Program · Oakland, CA
- Jolie Clark, LCSW Counselor · Oakland, CA
- Julia Rose Collins, MD Anesthesiology Physician · San Francisco, CA
- Teale Ross Kitson, MD Student in an Organized Health Care Education/Training Program · Fresno, CA
- Danna Moustafa, MD Dermatology Physician · Oakland, CA
- Dr. Rima Nakrani, MD Hematology & Oncology Physician · Vallejo, CA
- Jason J Ricci, PA Physician Assistant · Vallejo, CA
- Gurbind Jussa Singh Sidhu, MD Student in an Organized Health Care Education/Training Program · Walnut Creek, CA
- Janice Kit Ying Tong Mental Health Counselor · Millbrae, CA
- Melanie Erin Tuana, FNP Nurse Practitioner · Lodi, CA
- Dr. Eric Andrew Viquez, MD Student in an Organized Health Care Education/Training Program · Cortez, CO
- Dr. Mark Clifton Wainwright II, MD Student in an Organized Health Care Education/Training Program · San Francisco, CA
Other providers in San Ramon
-
Alex Diaz, DO
Student / training record San Ramon, CA
-
Dr. Luisa A. Duran
Student / training record San Ramon, CA
-
Christina Garges
Student / training record San Ramon, CA
-
Sarah Guo
Student / training record San Ramon, CA
-
Rina Asako Kawamura
Student / training record San Ramon, CA
-
Mrs. Claire M King
Student / training record San Ramon, CA
-
Mr. Paul Kiritsis, PSYD
Student / training record San Ramon, CA
-
Bryan Liu
Student / training record San Ramon, CA