Kenneth Craig Vitale, MD | |
350 Dickinson St, Suite 121, San Diego, CA 92103-1913 | |
(619) 543-2539 | |
(619) 543-2540 |
Full Name | Kenneth Craig Vitale |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 23 Years |
Location | 350 Dickinson St, San Diego, 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 |
---|---|---|---|
1730176868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | C132964 (California) | Primary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | C132964 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San diego, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of California | 3577476761 | 1712 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225130677 PECOS PAC ID: 3577476761 Enrollment ID: O20031209000783 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Craig Vitale, MD 350 Dickinson St, Suite 121, San Diego, CA 92103-1913 Ph: (619) 543-2539 | Kenneth Craig Vitale, MD 350 Dickinson St, Suite 121, San Diego, CA 92103-1913 Ph: (619) 543-2539 |
Dr. Rogelio Hernandez Jr., DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1764 San Diego Ave, Suite 100, San Diego, CA 92110 Phone: 619-291-1959 | |
James Donald Fontaine, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4765 Carmel Mountain Rd, 207b, San Diego, CA 92130 Phone: 858-876-1300 | |
David Ryan Bakal, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. Susan Keiko Nakamura, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, Pmrs 117, San Diego, CA 92161 Phone: 858-642-1147 | |
Jake Fellow, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11848 Bernardo Plaza Ct Ste 100, San Diego, CA 92128 Phone: 858-217-2496 | |
Dr. Blake R Thompson, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9040 Friars Rd, Suite 400, San Diego, CA 92108 Phone: 619-284-6377 Fax: 619-528-2841 | |
Mr. Rajiv D Reddy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-543-5754 |