Poonam Vijayvargiya, MD | |
15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 | |
(408) 523-3640 | |
Not Available |
Full Name | Poonam Vijayvargiya |
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Gender | Female |
Speciality | Pediatrics |
Location | 15400 Los Gatos Blvd, Los Gatos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225330251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A119641 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Entity Name | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
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Poonam Vijayvargiya, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Poonam Vijayvargiya, MD 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 Ph: (408) 523-3640 |
Dr. Mary Beth Hughes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15899 Los Gatos Almaden Rd, Suite 4, Los Gatos, CA 95032 Phone: 408-356-7770 Fax: 408-356-7774 | |
Neela Parekh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15000 Los Gatos Blvd, # 3, Los Gatos, CA 95032 Phone: 408-356-6167 Fax: 408-356-0478 | |
Iris Kaddis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-523-3640 | |
Ronald William Jimenez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-730-6200 | |
Robert Kwok, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 825 Pollard Rd, Suite 108, Los Gatos, CA 95032 Phone: 408-370-3774 Fax: 408-370-7011 | |
Dr. Mandana Neil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-730-6200 | |
David K Trager, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14880 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-371-7777 Fax: 408-371-7147 |