Vivek J Puppala, MD | |
975 Sereno Dr, Kaiser Vallejo, Department Of Emergency Medicine, Vallejo, CA 94589-2441 | |
(707) 651-3785 | |
Not Available |
Full Name | Vivek J Puppala |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972772275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 101984 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Vivek J Puppala, MD Kaiser Vallejo, 975 Sereno Drive, Department Of Emergency Medicine, Vallejo, CA 94589 Ph: (707) 651-3785 | Vivek J Puppala, MD 975 Sereno Dr, Kaiser Vallejo, Department Of Emergency Medicine, Vallejo, CA 94589-2441 Ph: (707) 651-3785 |
Jason Willis-shore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Timothy Charles Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Steven P. Whiteley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Judith E Peck, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3373 Fax: 707-651-2478 | |
Peter P. Chau, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Neil L. Markus, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Thomas Welch Gross, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4910 |