Charles Kaplove, | |
500 1st Ave, Portola, CA 96122-9406 | |
(530) 832-6500 | |
Not Available |
Full Name | Charles Kaplove |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 500 1st Ave, Portola, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114925898 | NPI | - | NPPES |
00G422080 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G42208 (California) | Primary |
Entity Name | University Of California Sfgh Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366417420 PECOS PAC ID: 5496668410 Enrollment ID: O20031112000551 |
Entity Name | Petaluma Emergency Physicians Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649201898 PECOS PAC ID: 2365478914 Enrollment ID: O20050714000510 |
Mailing Address | Practice Location Address |
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Charles Kaplove, 500 1st Ave, Portola, CA 96122-9406 Ph: (530) 832-6500 | Charles Kaplove, 500 1st Ave, Portola, CA 96122-9406 Ph: (530) 832-6500 |
Dr. Jeffrey Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 1st Ave, Portola, CA 96122 Phone: 530-832-6500 | |
Paul Swanson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 1st Ave, Portola, CA 96122 Phone: 530-832-6500 | |
Kenneth Robinson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 1st Ave, Portola, CA 96122 Phone: 530-832-6500 | |
Dr. Mark Boettger, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 1st Ave, Portola, CA 96122 Phone: 530-832-6500 |