Shelley Santos Canlas, MD | |
2212 E 4th St, Santa Ana, CA 92705-3870 | |
(714) 571-7700 | |
(714) 571-7702 |
Full Name | Shelley Santos Canlas |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 17 Years |
Location | 2212 E 4th St, Santa Ana, 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 |
---|---|---|---|
1700022894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A106335 (California) | Secondary |
208000000X | Pediatrics | A106335 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Shelley Santos Canlas, MD 2212 E 4th St Ste 103, Santa Ana, CA 92705-3871 Ph: (714) 571-7700 | Shelley Santos Canlas, MD 2212 E 4th St, Santa Ana, CA 92705-3870 Ph: (714) 571-7700 |
Dr. Kasin Ekmaha Chai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 S Bristol St, Suite 16, Santa Ana, CA 92704 Phone: 714-966-0646 Fax: 714-966-2438 | |
Scott R. Harrison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 N Tustin Ave, Santa Ana, CA 92705 Phone: 714-953-9100 | |
Jose Raymundo Lopez-lizarraga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Redhill Ave Ste 100, Santa Ana, CA 92705 Phone: 888-962-5437 | |
Dr. Peter J. Chung, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2500 Redhill Ave Ste 100, Santa Ana, CA 92705 Phone: 949-267-0400 Fax: 949-221-0004 | |
John L Winkelman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 E 4th St, Santa Ana, CA 92705 Phone: 714-288-3230 | |
Mr. Alberto Gedissman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 S Broadway, Suite A, Santa Ana, CA 92707 Phone: 714-919-0280 Fax: 714-288-8970 | |
Dr. Naho Taguchi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2212 E 4th St Ste 201, Santa Ana, CA 92705 Phone: 714-288-3230 |