Erika Dominique Vicente, MD | |
725 Welch Rd, Palo Alto, CA 94304-1601 | |
(650) 497-8000 | |
Not Available |
Full Name | Erika Dominique Vicente |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 725 Welch Rd, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174027791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | DR.0066299 (Colorado) | Secondary |
208000000X | Pediatrics | A165676 (California) | Primary |
Entity Name | New West Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427010859 PECOS PAC ID: 9537054614 Enrollment ID: O20040218000087 |
Entity Name | Optumcare Colorado Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407252828 PECOS PAC ID: 2769706431 Enrollment ID: O20150129000413 |
Mailing Address | Practice Location Address |
---|---|
Erika Dominique Vicente, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 | Erika Dominique Vicente, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
Jean Chia, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 730 Welch Rd, Palo Alto, CA 94304 Phone: 650-721-6073 | |
Crystal Lee Mackall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Somya Jalan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Erin E Holsinger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Dr. Jerome Linus Murphy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Peter Andrew Meaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Kenneth Ivers Weinberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-498-7103 |