| Savant Care | |
|
4966 El Camino Real Ste 224 Los Altos CA 94022-1458 | |
| (650) 690-2362 | |
| Not Available |
| Full Name | Savant Care |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4966 El Camino Real Ste 224, Los Altos, California |
| Authorized Official Name and Position | Joann Mundin (CEO) |
| Authorized Official Contact | 7755748106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Savant Care 4966 El Camino Real Ste 224 Los Altos CA 94022-1458 Ph: (650) 690-2362 | Savant Care 4966 El Camino Real Ste 224 Los Altos CA 94022-1458 Ph: (650) 690-2362 |
| NPI Number | 1932511243 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Medicare PECOS PAC ID | 8325363989 |
|---|---|
| Medicare Enrollment ID | O20150203000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932511243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Saad A Shakir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245367374 PECOS PAC ID: 6507833159 Enrollment ID: I20040913001239 |
| Provider Name | Phacharawut Kanchananakhin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114031721 PECOS PAC ID: 0941208664 Enrollment ID: I20061113000411 |
| Provider Name | Bessy M Martirosyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790849883 PECOS PAC ID: 2668657735 Enrollment ID: I20110505000210 |
| Provider Name | Barbara Huynh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407048002 PECOS PAC ID: 9032351697 Enrollment ID: I20130809000569 |
| Provider Name | Anita Mukherjee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972031144 PECOS PAC ID: 2668741141 Enrollment ID: I20170627003101 |
| Provider Name | Alexander Darius Ghobadimanesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043699929 PECOS PAC ID: 1254693237 Enrollment ID: I20190703000636 |
| Provider Name | Srikanth Challagundla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902186737 PECOS PAC ID: 0446572796 Enrollment ID: I20221129001378 |
| Provider Name | Joann Mundin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407357114 PECOS PAC ID: 3274895719 Enrollment ID: I20221229000645 |
| Provider Name | Shebna Nwayobuije Osanmoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376183442 PECOS PAC ID: 5597178293 Enrollment ID: I20230327001101 |
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