Jeffrey Dean Kingsley, MD | |
825 Delbon Ave, Turlock, CA 95382-2016 | |
(209) 664-5065 | |
(209) 664-5067 |
Full Name | Jeffrey Dean Kingsley |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 825 Delbon Ave, Turlock, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558548255 | NPI | - | NPPES |
GR0078680 | Other | CA | GROUP MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 23415 (Nebraska) | Secondary |
208000000X | Pediatrics | A103298 (California) | Primary |
Entity Name | Valley Childrens Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Dean Kingsley, MD 9300 Valley Childrens Pl, Sc05, Madera, CA 93636-8761 Ph: (559) 353-5700 | Jeffrey Dean Kingsley, MD 825 Delbon Ave, Turlock, CA 95382-2016 Ph: (209) 664-5065 |
Myleen Basa Baluyot, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3100 W Christoffersen Pkwy, Turlock, CA 95382 Phone: 209-521-6097 | |
Dr. Preethi Conjeevaram Selvakumar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 Delbon Ave, Turlock, CA 95382 Phone: 209-722-4842 | |
Marilou Orpilla Ostrea, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3100 West Christoffersen Parkway, Turlock, CA 95382 Phone: 209-632-3901 | |
Dr. Abilash Jaganathan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Delbon Ave, Turlock, CA 95382 Phone: 866-682-4842 Fax: 209-667-0922 | |
Marina L. Apellanes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3100 W Christoffersen Pkwy, Turlock, CA 95382 Phone: 209-632-3901 | |
Dr. Krishan Goel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Delbon Ave, Turlock, CA 95382 Phone: 209-667-0905 Fax: 209-667-0922 |