Donald J Butera, MD | |
5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | |
(619) 644-4401 | |
Not Available |
Full Name | Donald J Butera |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5555 Grossmont Center Drive, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699783233 | NPI | - | NPPES |
00G420970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G42097 (California) | Primary |
Entity Name | Clinic Services Of California Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
Entity Name | Team Physicians Of Northern California Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
Mailing Address | Practice Location Address |
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Donald J Butera, MD Po Box 12170, Westminster, CA 92685-2170 Ph: (877) 818-6102 | Donald J Butera, MD 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 Ph: (619) 644-4401 |
Brendan J Lee, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-4401 | |
Christa Ann Landowska Arefieva, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
David Miles, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
Bret Winners, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
Dr. Jack J Springer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-710-4145 | |
John Kim, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
Dr. Tania Portillo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 |