Ken Soderlund Sato, MD is a
Neurological Surgery physician based in Santa Cruz, California. Ken Soderlund Sato is licensed to practice in California (license number G85728) and his current practice location is 352 Alta Ave, Santa Cruz, California. He can be reached at his office (for appointments etc.) via phone at
(831) 401-2313.
NPI number for Ken Soderlund Sato is 1306835012 and his current mailing address is 849 Almar Ave, Suite C, #169, Santa Cruz, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306835012.
Physician's Profile
| Full Name | Ken Soderlund Sato |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 352 Alta Ave, Santa Cruz, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306835012
- Provider Enumeration Date: 10/14/2005
- Last Update Date: 04/07/2010
Medical Identifiers
Medical identifiers for Ken Soderlund Sato such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306835012 | NPI | - | NPPES |
| 297482 | Medicaid | OR | |
| 00G857280 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | G85728 (California) | Primary |
| 207T00000X | Neurological Surgery | MD24401 (Oregon) | Secondary |
| 207T00000X | Neurological Surgery | 10583 (Hawaii) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ken Soderlund Sato is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ken Soderlund Sato, MD
849 Almar Ave, Suite C, #169,
Santa Cruz, CA 95060-5875
Ph: (831) 401-2313 | Ken Soderlund Sato, MD
352 Alta Ave,
Santa Cruz, CA 95060-6442
Ph: (831) 401-2313 |
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