Ariel Troncoso, MD | |
1080 Emeline Ave, Santa Cruz, CA 95060-1966 | |
(831) 454-4971 | |
(831) 454-4663 |
Full Name | Ariel Troncoso |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Forensic Psychiatry |
Location | 1080 Emeline Ave, Santa Cruz, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386833929 | NPI | - | NPPES |
G30831 | Other | CA | PROFESSIONAL LICENSE |
ZZZ91891Z | Other | CA | MEDICARE GROUP ID# |
ZZZ91892Z | Other | CA | MEDICARE GROUP ID# |
ZZZ92073Z | Other | CA | MEDICARE GROUP ID# |
00G308312 | Medicaid | CA | |
ZZZ92069Z | Other | CA | MEDICARE GROUP ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | G30831 (California) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | G30831 (California) | Secondary |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
---|---|
Ariel Troncoso, MD 1400 Emeline Ave, Santa Cruz, CA 95060-1976 Ph: (831) 454-4170 | Ariel Troncoso, MD 1080 Emeline Ave, Santa Cruz, CA 95060-1966 Ph: (831) 454-4971 |
Dr. Jackson Michael Rowland, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Emeline Ave, Santa Cruz, CA 95060 Phone: 831-454-4971 Fax: 831-454-4663 | |
Katherine Yarborough, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1080 Emeline Ave, Santa Cruz, CA 95060 Phone: 831-454-4170 | |
Toral Nitinbhai Desai, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Emeline Ave, Santa Cruz, CA 95060 Phone: 831-454-0000 | |
Dr. Matthew S Markert, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1661 Soquel Dr Ste D, Santa Cruz, CA 95065 Phone: 831-460-6042 | |
Danit Bar Ziv, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-4888 | |
Dr. Sreekumar P. Nair, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Emeline Ave, Ste 100, Santa Cruz, CA 95060 Phone: 831-454-4170 Fax: 831-454-4663 | |
Thankamma John Puthiaparampil, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Emeline Ave, Santa Cruz, CA 95060 Phone: 831-454-4170 Fax: 831-454-4663 |