Alessandro De Vito, MD | |
20001 S Rancho Way, Rancho Dominguez, CA 90220-6318 | |
(310) 225-3244 | |
(310) 698-7040 |
Full Name | Alessandro De Vito |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 42 Years |
Location | 20001 S Rancho Way, Rancho Dominguez, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477518421 | NPI | - | NPPES |
4842079-1205 | Other | UT | PHYSICIAN LICENSE |
00A506870 | Medicaid | CA | |
01067227A | Other | IN | PHYSICIAN LICENSE |
39304 | Other | CO | PHYSICIAN LICENSE |
35.094397 | Other | OH | PHYSICIAN LICENSE |
36995 | Other | AZ | PHYSICIAN LICENSE |
10631 | Other | NV | PHYSICIAN LICENSE |
4301095525 | Other | MI | PHYSICIAN LICENSE |
8225A | Other | WY | PHYSICIAN LICENSE |
HI139164 | Other | PA | PHYSICIAN LICENSE |
MD153286 | Other | OR | PHYSICIAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A50687 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Apple valley, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affiliated Pathologists Medical Group, Inc. | 7315840535 | 40 |
Entity Name | Affiliated Pathologists Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838 |
Entity Name | Genesis Healthcare Partners Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548567498 PECOS PAC ID: 2163606807 Enrollment ID: O20110405000433 |
Mailing Address | Practice Location Address |
---|---|
Alessandro De Vito, MD 20001 S Rancho Way, Rancho Dominguez, CA 90220-6318 Ph: (310) 225-3244 | Alessandro De Vito, MD 20001 S Rancho Way, Rancho Dominguez, CA 90220-6318 Ph: (310) 225-3244 |
Suchetha Adiga, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Daniel Real, MD Pathology Medicare: Medicare Enrolled Practice Location: 20001 S Rancho Way, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Dr. Jennifer F O'dell, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Dr. Nicolas Gallegos Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Georgia Liles Tunstill, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7054 | |
Scott Binder, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-693-0718 Fax: 310-698-7040 | |
Dr. Nicholas Max Harding-jackson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 |