Brian Scott Penton, MD | |
1551 Bishop St Bldg A Ste 110, San Luis Obispo, CA 93401-4692 | |
(805) 548-8585 | |
(805) 548-8589 |
Full Name | Brian Scott Penton |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 1551 Bishop St Bldg A Ste 110, San Luis Obispo, 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 |
---|---|---|---|
1558316083 | NPI | - | NPPES |
00A841880 | Medicaid | CA | |
A84188 | Other | CA | NHIC- MEDICARE INDV PROVIDER NUMBER |
BV188Z | Other | CA | MEDICARE INDV PTAN NUMBER- PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | A84188 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita-pismo Beach Dialysis | Pismo beach, CA | Dialysis facility |
Davita-san Luis Obispo Dialysis | San luis obispo, CA | Dialysis facility |
Davita-casa St Home Training | San luis obispo, CA | Dialysis facility |
Marian Regional Medical Center | Santa maria, CA | Hospital |
French Hospital Medical Center | San luis obispo, CA | Hospital |
Twin Cities Community Hospital | Templeton, CA | Hospital |
Sierra Vista Regional Medical Center | San luis obispo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Coast Renal Care Inc | 2567513005 | 2 |
Pacific Central Coast Health Centers | 9739091364 | 213 |
Entity Name | Pacific Central Coast Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
Entity Name | Central Coast Renal Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578716759 PECOS PAC ID: 2567513005 Enrollment ID: O20090624000158 |
Mailing Address | Practice Location Address |
---|---|
Brian Scott Penton, MD 1551 Bishop St Bldg A Ste 110, San Luis Obispo, CA 93401-4692 Ph: (805) 548-8585 | Brian Scott Penton, MD 1551 Bishop St Bldg A Ste 110, San Luis Obispo, CA 93401-4692 Ph: (805) 548-8585 |
Rabab Hajar, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-595-1815 | |
Justin N Grammy, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 Phone: 805-543-4407 Fax: 805-543-4587 | |
Pravir R Vatsa, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401 Phone: 805-439-2998 Fax: 805-439-2997 | |
Philippe Duhaime, M.D Nephrology Medicare: Medicare Enrolled Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405 Phone: 805-546-7000 | |
Dr. Grace Crittenden, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 | |
Christopher Vaughn Holland, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401 Phone: 805-540-0689 Fax: 805-541-4376 | |
Dr. Deborah A. Cherry, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401 Phone: 805-439-1381 Fax: 805-439-0138 |