Dr Angelo Nicholas Heropoulos, MD | |
1141 Rose Ave, Selma, CA 93662-3241 | |
(559) 891-6244 | |
Not Available |
Full Name | Dr Angelo Nicholas Heropoulos |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1141 Rose Ave, Selma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497896799 | NPI | - | NPPES |
00A487180 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A048718 (California) | Primary |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
---|---|
Dr Angelo Nicholas Heropoulos, MD 157 Hillside Ave, Menlo Park, CA 94025-6537 Ph: (650) 854-1833 | Dr Angelo Nicholas Heropoulos, MD 1141 Rose Ave, Selma, CA 93662-3241 Ph: (559) 891-6244 |
Navid Ahmadian, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-891-6244 | |
Jason Jackson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-856-6310 | |
Earl C Hackett, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-891-2238 | |
Aaron Jeffrey Carter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-856-6310 | |
Brian Woo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-891-1000 | |
Thomas Lauck, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1041 Rose Ave, Selma, CA 93662 Phone: 559-891-6345 Fax: 559-891-6346 |