Kenneth K Nakamoto, MD | |
1798 N Garey Ave, Pomona, CA 91767-2918 | |
(909) 865-9600 | |
Not Available |
Full Name | Kenneth K Nakamoto |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1798 N Garey Ave, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215949102 | NPI | - | NPPES |
00G344220 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G34422 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
---|---|
Kenneth K Nakamoto, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Kenneth K Nakamoto, MD 1798 N Garey Ave, Pomona, CA 91767-2918 Ph: (909) 865-9600 |
Ms. Sumi T Felix, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-620-7200 Fax: 909-620-5800 | |
Amy Leann Douglas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9500 | |
Wesley A Curry, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 Royalty Dr, Suite 200, Pomona, CA 91767 Phone: 909-865-5168 | |
Donald G. Barceloux, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9600 | |
Gregory William Burke, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1798 North Garey Avenue, Pomona, CA 91767 Phone: 909-865-9600 Fax: 909-865-9623 | |
Ms. Sapna Mary George-mattappally, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9500 |