Sharonya Shrivastava, | |
4004 Beyer Blvd, San Ysidro, CA 92173-2007 | |
(619) 662-4100 | |
Not Available |
Full Name | Sharonya Shrivastava |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 4004 Beyer Blvd, San Ysidro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023646213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A186258 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Mailing Address | Practice Location Address |
---|---|
Sharonya Shrivastava, 1601 Precision Park Ln, San Ysidro, CA 92173-1345 Ph: () - | Sharonya Shrivastava, 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100 |
Michele A. Lamantia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro Health Center, San Ysidro, CA 92173 Phone: 619-917-7122 Fax: 619-474-3722 | |
Dr. Chitra Fernando, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Ivy C. Issa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3364 Beyer Blvd Ste 102, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Dr. Ramon Sy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 Fax: 619-428-2625 | |
Dr. Elena Maria Bautista Sacamay, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 |