John S Videen, MD | |
752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | |
(619) 421-3361 | |
(619) 656-8936 |
Full Name | John S Videen |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 39 Years |
Location | 752 Medical Center Ct, Chula Vista, 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 |
---|---|---|---|
1043318199 | NPI | - | NPPES |
00G592710 | Medicaid | CA | |
BD830S | Other | CA | SO. CALIFORNIA PTAN |
CA108496 | Other | CA | NO. CALIFORNIA PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | G59271 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc-east Lakes | Chula vista, CA | Dialysis facility |
U.s. Renal Care Chula Vista Dialysis | Chula vista, CA | Dialysis facility |
Fmc-balboa South Bay Home Therapies | Chula vista, CA | Dialysis facility |
Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
Sharp Coronado Hospital And Hlthcr Ctr | Coronado, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
Balboa Nephrology Medical Group Inc | 9638164015 | 70 |
Entity Name | Balboa Nephrology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316997505 PECOS PAC ID: 9638164015 Enrollment ID: O20040415001031 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Mailing Address | Practice Location Address |
---|---|
John S Videen, MD 4225 Executive Sq Ste 450, La Jolla, CA 92037-8411 Ph: (858) 810-0000 | John S Videen, MD 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 Ph: (619) 421-3361 |
Dr. Perry V Montoya, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 525 3rd Ave, Chula Vista, CA 91910 Phone: 858-499-2600 Fax: 619-585-4353 | |
Daniel Cepin, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 890 Eastlake Pkwy, Suite 205, Chula Vista, CA 91914 Phone: 619-482-0300 Fax: 619-482-0959 | |
Kenneth Burton Johnson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 769 Medical Center Ct, Suite 202, Chula Vista, CA 91911 Phone: 619-482-8430 Fax: 619-482-8005 | |
Dr. Michael Sonbaty, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 858-499-2616 | |
Sara Khandan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 835 Third Ave Ste A, Chula Vista, CA 91911 Phone: 619-425-7755 Fax: 619-425-2138 | |
Alejandro G Hinojosa-valencia, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 629 Third Ave Ste A, Chula Vista, CA 91910 Phone: 619-422-6158 Fax: 619-422-2019 |