Venugopal Bellum, MD | |
10725 International Dr, Rancho Cordova, CA 95670-7967 | |
(916) 631-3010 | |
Not Available |
Full Name | Venugopal Bellum |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10725 International Dr, Rancho Cordova, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225131105 | NPI | - | NPPES |
29874 | Other | GROUP HEALTH | |
911019392 | Other | COMMERCIAL | |
219903 | Other | WA | L & I |
8456337 | Other | WA | CHPW |
8456337 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00046361 (Washington) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Elica Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548425853 PECOS PAC ID: 4385706845 Enrollment ID: O20090818000598 |
Mailing Address | Practice Location Address |
---|---|
Venugopal Bellum, MD 10725 International Dr, Rancho Cordova, CA 95670-7967 Ph: (916) 631-3010 | Venugopal Bellum, MD 10725 International Dr, Rancho Cordova, CA 95670-7967 Ph: (916) 631-3010 |
Lynette C. Francis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3000 | |
Ernest Joseph Vasti, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10089 Folsom Blvd, Suites A & C, Rancho Cordova, CA 95670 Phone: 916-366-6531 | |
Quang L. Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3000 | |
Christine S Humphrey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3201 Data Dr, Rancho Cordova, CA 95670 Phone: 916-851-1440 Fax: 530-387-8006 | |
Edna Taniegra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-3040 | |
John C. Luke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3201 Data Drive, Rancho Cordova, CA 95670 Phone: 916-851-1440 Fax: 916-635-7491 |