Dr Cha Choukao Thao, DO | |
2401 W Turner Rd Ste 450, Lodi, CA 95242-2191 | |
(209) 370-1700 | |
Not Available |
Full Name | Dr Cha Choukao Thao |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 2401 W Turner Rd Ste 450, Lodi, 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 |
---|---|---|---|
1245230069 | NPI | - | NPPES |
00AX67490 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A6749 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy General Hospital | Sacramento, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elica Health Centers | 4385706845 | 19 |
Entity Name | Elica Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548425853 PECOS PAC ID: 4385706845 Enrollment ID: O20090818000598 |
Mailing Address | Practice Location Address |
---|---|
Dr Cha Choukao Thao, DO 1860 Howe Ave Ste 440, Sacramento, CA 95825-1098 Ph: (916) 454-2345 | Dr Cha Choukao Thao, DO 2401 W Turner Rd Ste 450, Lodi, CA 95242-2191 Ph: (209) 370-1700 |
Frank Silvio Alvarado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 830 S Ham Lane, Suite 30, Lodi, CA 95240 Phone: 209-333-7540 Fax: 209-333-7444 | |
Michael Jay Boling, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-373-2859 | |
Richard Wyman Yee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Sutie P, Lodi, CA 95242 Phone: 209-366-1990 | |
Dr. James R Mcfarland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St # 20, Lodi, CA 95240 Phone: 209-339-7600 Fax: 209-369-4880 | |
Robert J Kellar Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 | |
Norman Dagobert Schmidt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 |