Prajakta Deshpande, MD | |
1140 W. La Veta Ave., Suite 700, Orange, CA 92868-4229 | |
(714) 547-5404 | |
(714) 547-0935 |
Full Name | Prajakta Deshpande |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1140 W. La Veta Ave., Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760576094 | NPI | - | NPPES |
0224597 | Other | WA | LABOR AND INDUSTRIES |
8386849 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00042638 (Washington) | Secondary |
207Q00000X | Family Medicine | C133444 (California) | Primary |
Entity Name | Perry T Mansfield |
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Entity Type | Practitioner - Otolaryngology |
Entity Identifiers | NPI Number: 1265463194 PECOS PAC ID: 4981663259 Enrollment ID: I20041004000875 |
Entity Name | University Of California Irvine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Entity Name | Regents Of The University Of |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366590762 PECOS PAC ID: 3779689518 Enrollment ID: O20070510000532 |
Mailing Address | Practice Location Address |
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Prajakta Deshpande, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 573-5261 | Prajakta Deshpande, MD 1140 W. La Veta Ave., Suite 700, Orange, CA 92868-4229 Ph: (714) 547-5404 |
Catherine Cummins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978 | |
Rolf D. Knapp, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2540n Santiago Blvd, Orange, CA 92867 Phone: 714-921-1030 Fax: 714-921-1032 | |
Dr. John Mark Geiss, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 714-577-2271 Fax: 949-981-5550 | |
Dr. Heather Dehaan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-740-7956 | |
Dr. Lawrence Roger Brownlee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2617 E. Chapman Ave., Suite 306, Orange, CA 92869 Phone: 714-669-4442 | |
Hal S Shimazu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 E Chapman Ave, Orange, CA 92866 Phone: 714-997-2899 Fax: 714-289-7062 | |
Shiho I Ito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888 |