Lisa Young-prendergast, MD | |
1 Quality Dr, Vacaville, CA 95688-9494 | |
(707) 453-5000 | |
Not Available |
Full Name | Lisa Young-prendergast |
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Gender | Female |
Speciality | Family Medicine |
Location | 1 Quality Dr, Vacaville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477625226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G56668 (California) | Primary |
Entity Name | Hawaii Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
Mailing Address | Practice Location Address |
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Lisa Young-prendergast, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Lisa Young-prendergast, MD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 453-5000 |
Ankur Nitin Kapadia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-4000 | |
Conrad Frederic Schoenwald, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1119 E Monte Vista Ave, Vacaville, CA 95688 Phone: 707-469-4640 Fax: 707-449-3919 | |
Stephen R Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 Nut Tree Rd, Vacaville, CA 95687 Phone: 707-455-3000 | |
Behroz Hamkar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 770 Mason St, Vacaville, CA 95688 Phone: 707-454-5800 Fax: 707-454-5911 | |
Dr. Michelle Rodriguez Chungtuyco, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-4000 | |
Nicole D Arthur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Quality Drive, Mob A 2nd Floor A22, Vacaville, CA 95688 Phone: 707-624-2600 | |
Dr. William Roger Davis, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1119 E Monte Vista Ave, Vacaville, CA 95688 Phone: 707-469-4610 |