Christine S Humphrey, MD | |
3201 Data Dr, Rancho Cordova, CA 95670-7374 | |
(916) 851-1440 | |
(530) 387-8006 |
Full Name | Christine S Humphrey |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3201 Data Dr, Rancho Cordova, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235367236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD447045 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 135462 (California) | Primary |
Entity Name | Penn State Health Community Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
---|---|
Christine S Humphrey, MD 3201 Data Dr, Rancho Cordova, CA 95670-7374 Ph: (916) 851-1440 | Christine S Humphrey, MD 3201 Data Dr, Rancho Cordova, CA 95670-7374 Ph: (916) 851-1440 |
Lynette C. Francis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3000 | |
Ernest Joseph Vasti, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10089 Folsom Blvd, Suites A & C, Rancho Cordova, CA 95670 Phone: 916-366-6531 | |
Quang L. Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3000 | |
Venugopal Bellum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3010 | |
Edna Taniegra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3040 | |
John C. Luke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3201 Data Drive, Rancho Cordova, CA 95670 Phone: 916-851-1440 Fax: 916-635-7491 |