| Campbell Family Practice | |
|
1600 W Campbell Ave Suite 202 Campbell CA 95008-1526 | |
| (408) 375-3300 | |
| (408) 378-6822 |
| Full Name | Campbell Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 W Campbell Ave, Campbell, California |
| Authorized Official Name and Position | Tatyana V Borodulin (DOCTOR) |
| Authorized Official Contact | 4083783330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Family Practice 1600 W Campbell Ave Suite 202 Campbell CA 95008-1526 Ph: (408) 375-3300 | Campbell Family Practice 1600 W Campbell Ave Suite 202 Campbell CA 95008-1526 Ph: (408) 375-3300 |
| NPI Number | 1629153697 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 6800832759 |
|---|---|
| Medicare Enrollment ID | O20050630001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629153697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tatyana Borodulin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912940628 PECOS PAC ID: 9537252705 Enrollment ID: I20070904000351 |
| Provider Name | Michael Ponedelnikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952488819 PECOS PAC ID: 2567650856 Enrollment ID: I20101230001059 |
Bay Area Pain Rehab Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 429 Llewellyn Ave, Campbell, CA 95008 Phone: 408-364-1616 | |
Amerimed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 White Oaks Rd, Suite 206, Campbell, CA 95008 Phone: 866-355-4732 Fax: 866-387-0342 | |
Mb Photomedicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3185 S Bascom Ave, Campbell, CA 95008 Phone: 408-429-8181 | |
Bass Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 E Hacienda Ave Ste C, Campbell, CA 95008 Phone: 408-404-4700 | |
Trilogy Medical, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 280 W Hamilton Ave, Campbell, CA 95008 Phone: 408-796-7017 | |
New Element Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E Campbell Ave Ste 10b, Campbell, CA 95008 Phone: 408-915-0012 |