Jay Ratilal, MD | |
2415 W Vine St, Suite 100, Lodi, CA 95242-3731 | |
(209) 333-3135 | |
(209) 333-3132 |
Full Name | Jay Ratilal |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2415 W Vine St, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487698585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A66236 (California) | Primary |
Entity Name | Golden Valley Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
Mailing Address | Practice Location Address |
---|---|
Jay Ratilal, MD 2415 W Vine St, Suite 100, Lodi, CA 95242-3731 Ph: (209) 333-3135 | Jay Ratilal, MD 2415 W Vine St, Suite 100, Lodi, CA 95242-3731 Ph: (209) 333-3135 |
Dr. Marietta Abellera Sumaquial, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Arvinder Kaur Thiara, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Suite P, Lodi, CA 95242 Phone: 209-366-1990 Fax: 209-473-9256 | |
Lancy Lu, Pediatrics Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7639 | |
Dr. Haeli Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-339-7639 | |
Dr. Roy Anunciacion, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1920 Tienda Dr, Ste 102, Lodi, CA 95242 Phone: 209-368-8310 | |
Dr. Rosemary Nunez-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242 Phone: 209-334-8540 | |
Abelardo Verceles Mayo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1300 W Lodi Ave, Suite P, Lodi, CA 95242 Phone: 209-369-7493 |