Andrew Stanitsas, DO | |
3121 Mainway Dr, Rossmoor, CA 90720-4815 | |
(562) 397-3811 | |
(562) 493-3971 |
Full Name | Andrew Stanitsas |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3121 Mainway Dr, Rossmoor, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912087024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A6873 (California) | Secondary |
207P00000X | Emergency Medicine | 20A6873 (California) | Primary |
Entity Name | Apex Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265711089 PECOS PAC ID: 4688844277 Enrollment ID: O20110909002790 |
Entity Name | Orange County Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508114711 PECOS PAC ID: 8123279056 Enrollment ID: O20121127000164 |
Entity Name | Pacific Paradise Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780066076 PECOS PAC ID: 8628383544 Enrollment ID: O20150820010904 |
Entity Name | Can Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
Entity Name | Sunshine Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649725466 PECOS PAC ID: 3072893460 Enrollment ID: O20161130001458 |
Mailing Address | Practice Location Address |
---|---|
Andrew Stanitsas, DO 3121 Mainway Dr, Rossmoor, CA 90720-4815 Ph: (562) 397-3811 | Andrew Stanitsas, DO 3121 Mainway Dr, Rossmoor, CA 90720-4815 Ph: (562) 397-3811 |