Alexander Nicholas Prevallet, DO | |
4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | |
(619) 688-0770 | |
Not Available |
Full Name | Alexander Nicholas Prevallet |
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Gender | Male |
Speciality | Hospitalist |
Location | 4077 Fifth Ave # Mer35, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659833556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 20A19716 (California) | Primary |
207R00000X | Internal Medicine | 20A19716 (California) | Secondary |
Entity Name | Scripps Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
Entity Name | Family Health Centers Of San Diego, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Entity Name | Scripps Health Inpatient Providers Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699043000 PECOS PAC ID: 9436314762 Enrollment ID: O20120711000317 |
Mailing Address | Practice Location Address |
---|---|
Alexander Nicholas Prevallet, DO 4077 Fifth Ave, San Diego, CA 92103-2105 Ph: (619) 686-3935 | Alexander Nicholas Prevallet, DO 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 Ph: (619) 688-0770 |
Omar Mahmoud Aldaas, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-543-6268 | |
Dr. Todd M. Hitchcock, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3811 Valley Centre Dr, San Diego, CA 92130 Phone: 858-764-3110 | |
Marina Valeryevna Levin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. Diana Jane Childers, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. Ramez A Ghabour, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-6751 | |
Leybelis Padilla, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8983 Fax: 619-532-9470 | |
Noelle Griffin Martinez, MD MPH Hospitalist Medicare: Medicare Enrolled Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-8585 |