Lisa Diane Chodak, MD | |
4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 | |
(916) 933-4222 | |
Not Available |
Full Name | Lisa Diane Chodak |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 29 Years |
Location | 4987 Golden Foothill Pkwy, El Dorado Hills, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750487310 | NPI | - | NPPES |
0926165 | Other | CA | CIGNA |
133086 | Other | CA | HEALTH NET |
309748 | Other | CA | INTERPLAN |
00C524730 | Other | CA | BLUE SHIELD |
90206061 | Other | CA | PACIFICARE |
MCMG491300 | Other | CA | WESTERN HEALTH ADVANTAGE |
1268871 | Other | CA | GREAT WEST |
C52473 | Other | CA | BLUE CROSS |
000810818782 | Other | CA | PHCS |
00C524730 | Medicaid | CA | |
5228393 | Other | CA | FIRST HEALTH |
5890742 | Other | CA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | C52473 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dignity Health Medical Foundation | 7810800661 | 1199 |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Lisa Diane Chodak, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Lisa Diane Chodak, MD 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 Ph: (916) 933-4222 |
Mrs. Glenda Darlene Goodwin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1106 Windfield Way, Suite 2, El Dorado Hills, CA 95762 Phone: 916-941-6500 Fax: 916-691-4300 | |
Mr. Sohrab Behbahani, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2019 Beckett Dr, El Dorado Hills, CA 95762 Phone: 530-917-5226 |