Smija Jayaprakash, MD | |
7210 Murray Drive, Stockton, CA 95201 | |
(209) 373-2800 | |
Not Available |
Full Name | Smija Jayaprakash |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 7210 Murray Drive, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710290648 | NPI | - | NPPES |
AI25663 | Other | CA | CALIFORNIA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | A125663 (California) | Primary |
Entity Name | Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
Mailing Address | Practice Location Address |
---|---|
Smija Jayaprakash, MD 2460 Canyon Lakes Drive, San Ramon, CA 94582 Ph: (408) 329-0505 | Smija Jayaprakash, MD 7210 Murray Drive, Stockton, CA 95201 Ph: (209) 373-2800 |
Dr. Erica R Waters, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Ste 1, Stockton, CA 95207 Phone: 209-478-2622 | |
Amparo Romero-hirahara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Davina Elvina Lopes De Menezes, Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-373-2859 Fax: 209-373-2873 | |
John Arnel T. Macapinlac, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Daksha V. Vaid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Nedaa N Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2349 N California St, Stockton, CA 95204 Phone: 209-469-2229 Fax: 209-466-2436 | |
Ange Mouttapa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907 |