Elliott Fankuchen, MD | |
31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | |
(949) 499-7195 | |
Not Available |
Full Name | Elliott Fankuchen |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 31872 South Coast Highway, Laguna Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356394969 | NPI | - | NPPES |
00G495240 | Medicaid | CA | |
00G495240 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G49524 (California) | Primary |
Entity Name | Diagnostic Radiological Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710931910 PECOS PAC ID: 4981680220 Enrollment ID: O20040626000471 |
Entity Name | Truxtun Radiology Medical Group Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548265036 PECOS PAC ID: 5698714582 Enrollment ID: O20050429000546 |
Entity Name | South Coast Radiological Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902858384 PECOS PAC ID: 0749225753 Enrollment ID: O20050621000552 |
Entity Name | Pronet Imaging Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20050721000831 |
Entity Name | Beverly Radiology Medical Group Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
Entity Name | Vallejo Open Mri Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164478277 PECOS PAC ID: 9133132046 Enrollment ID: O20060719000128 |
Entity Name | San Fernando Valley Interventional Radiology And Imaging Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
Entity Name | Fresno Imaging Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20070724000813 |
Entity Name | Norcal Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003965997 PECOS PAC ID: 7911099346 Enrollment ID: O20070815000403 |
Entity Name | Radnet Medical Imaging - San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548345382 PECOS PAC ID: 9830283761 Enrollment ID: O20070921000636 |
Entity Name | Emeryville Advanced Imaging Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376597930 PECOS PAC ID: 3375637051 Enrollment ID: O20070926000354 |
Entity Name | Modesto Advanced Diagnostic Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730133893 PECOS PAC ID: 1850336736 Enrollment ID: O20080313000323 |
Entity Name | Santa Rosa Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689890444 PECOS PAC ID: 2567408859 Enrollment ID: O20100324000598 |
Mailing Address | Practice Location Address |
---|---|
Elliott Fankuchen, MD Dept La 21650, Pasadena, CA 91185-1650 Ph: (949) 263-8620 | Elliott Fankuchen, MD 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 Ph: (949) 499-7195 |
Richard Wasley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
Aaron Esrig, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2505 Kilo Way, Laguna Beach, CA 92651 Phone: 949-497-4091 Fax: 949-497-1557 | |
Andrew Lazere, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
James Sutherland, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 31872 Outh Coast Highway, Radiology Department, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
Gerald Stevens, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
Robert Pompei, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-499-7195 |