| Capitol Gastroenterology Consultants Medical Group, Inc. | |
|
4 Medical Plaza Dr Ste 205 Roseville CA 95661-2815 | |
| (916) 773-6200 | |
| (916) 782-4550 |
| Full Name | Capitol Gastroenterology Consultants Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 Medical Plaza Dr Ste 205, Roseville, California |
| Authorized Official Name and Position | Maurice S Barowitz (ACCOUNTANT) |
| Authorized Official Contact | 9169653702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Gastroenterology Consultants Medical Group, Inc. 4 Medical Plaza Dr Ste 205 Roseville CA 95661-2815 Ph: (916) 773-6200 | Capitol Gastroenterology Consultants Medical Group, Inc. 4 Medical Plaza Dr Ste 205 Roseville CA 95661-2815 Ph: (916) 773-6200 |
| NPI Number | 1013056779 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 2365429008 |
|---|---|
| Medicare Enrollment ID | O20040701000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013056779 | NPI | - | NPPES |
| ZZZ43589Z | Other | CA | MEDICARE SUBMITTER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (California) | Primary |
| Provider Name | Randell Vallero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669512687 PECOS PAC ID: 8729065396 Enrollment ID: I20040701000623 |
| Provider Name | John M Canio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598804346 PECOS PAC ID: 1355328006 Enrollment ID: I20041214000685 |
| Provider Name | Jasbir S Rangi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578699104 PECOS PAC ID: 4587613757 Enrollment ID: I20050808000906 |
| Provider Name | Anthony Rex Victorio |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659593606 PECOS PAC ID: 7618061243 Enrollment ID: I20070913000395 |
| Provider Name | Ronald K Hsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700912318 PECOS PAC ID: 8022095777 Enrollment ID: I20080818000662 |
| Provider Name | Rakesh K Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326052028 PECOS PAC ID: 7810992542 Enrollment ID: I20081223000383 |
| Provider Name | Anand Madan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366418006 PECOS PAC ID: 6709878960 Enrollment ID: I20090209000617 |
| Provider Name | Nazila Hejazi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538119292 PECOS PAC ID: 3072776871 Enrollment ID: I20120514000776 |
| Provider Name | Melissa M Rodgers-ohlau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659534535 PECOS PAC ID: 0840449757 Enrollment ID: I20121010000260 |
Richard B. D. Chun, M.d. Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Sunrise Ave, Ste 619, Roseville, CA 95661 Phone: 916-783-7118 | |
Veeone Medical Group Ii Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 Rocky Ridge Dr Ste 300, Roseville, CA 95661 Phone: 850-459-6238 | |
Wellspace Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1309, Roseville, CA 95661 Phone: 916-469-4698 | |
Trinity Health And Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 N Sunrise Ave, Suite 220, Roseville, CA 95661 Phone: 916-773-3444 Fax: 916-773-3474 | |
Manish Upadhyay, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Gibson Dr, Suite No 270, Roseville, CA 95678 Phone: 916-786-6727 Fax: 916-786-6748 | |
Uc Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 E Roseville Pkwy Ste 200, Roseville, CA 95661 Phone: 916-783-7109 |