| Cal Sport Physical Medicine | |
|
157 S Sierra Ave Ste B Oakdale CA 95361-4049 | |
| (209) 322-2636 | |
| Not Available |
| Full Name | Cal Sport Physical Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 157 S Sierra Ave Ste B, Oakdale, California |
| Authorized Official Name and Position | Yolanda M Julian (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5306826140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cal Sport Physical Medicine 157 S Sierra Ave Ste B Oakdale CA 95361-4049 Ph: (209) 322-2636 | Cal Sport Physical Medicine 157 S Sierra Ave Ste B Oakdale CA 95361-4049 Ph: (209) 322-2636 |
| NPI Number | 1952868218 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 03/28/2019 |
| Medicare PECOS PAC ID | 0840531406 |
|---|---|
| Medicare Enrollment ID | O20190408002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952868218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yolanda M Julian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497707699 PECOS PAC ID: 6305832429 Enrollment ID: I20040423000502 |
| Provider Name | Dave Joie Dy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588040299 PECOS PAC ID: 4880973437 Enrollment ID: I20161122001845 |
Olson & Madayag-capuno,mds Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 W F St, Oakdale, CA 95361 Phone: 209-848-2273 Fax: 209-848-0242 | |
Oakdale Physical Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1449 E F St, Ste. 105-a, Oakdale, CA 95361 Phone: 209-847-3071 | |
Chaitanya N. Mahida M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1425 W H St, Suite 380, Oakdale, CA 95361 Phone: 209-847-0314 | |
Mark D Cook, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1425 W H St, Ste 200, Oakdale, CA 95361 Phone: 209-848-1005 Fax: 209-845-8918 | |
Elaine Madayag-capuno, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 W F St, Oakdale, CA 95361 Phone: 209-847-2920 Fax: 209-847-2892 | |
Oakdale Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 W H St, Oakdale, CA 95361 Phone: 209-847-3011 Fax: 209-848-4110 |