Anthony M Acquaviva, MD | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-1000 | |
Not Available |
Full Name | Anthony M Acquaviva |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 28 Years |
Location | 975 Sereno Dr, Vallejo, 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 |
---|---|---|---|
1457439283 | NPI | - | NPPES |
00A909940 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A90994 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital | San rafael, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Anthony M Acquaviva, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Anthony M Acquaviva, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Christopher Robert Knopick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1092 | |
Eric R. Engelman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Ermis Nikas, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Melineh Ohanjanian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |