Dr Keith Joseph Yablonicky, MD | |
1200 N State St, Emergency Department, Los Angeles, CA 90033-1029 | |
(323) 226-6937 | |
(323) 226-6454 |
Full Name | Dr Keith Joseph Yablonicky |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 1200 N State St, Los Angeles, 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 |
---|---|---|---|
1861487969 | NPI | - | NPPES |
1861487969 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A81617 (California) | Secondary |
207P00000X | Emergency Medicine | A81617 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sharp Memorial Hospital | San diego, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Diego Emergency Physicians Inc | 1052771698 | 34 |
Medhero San Clemente A Professional Medical Corporation | 3971809740 | 11 |
Entity Name | Emergency Services Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699725069 PECOS PAC ID: 6204720196 Enrollment ID: O20051215000870 |
Entity Name | Medhero San Clemente A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558736520 PECOS PAC ID: 3971809740 Enrollment ID: O20160304001676 |
Entity Name | San Diego Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194429233 PECOS PAC ID: 1052771698 Enrollment ID: O20230714001172 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Joseph Yablonicky, MD 1200 N State St, Emergency Department, Los Angeles, CA 90033-1029 Ph: (323) 226-6937 | Dr Keith Joseph Yablonicky, MD 1200 N State St, Emergency Department, Los Angeles, CA 90033-1029 Ph: (323) 226-6937 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585 |