Community Wellness Medical Associates A Pc | |
1999 S Bascom Ave Ste 1020 Campbell CA 95008-2206 | |
(650) 722-2611 | |
Not Available |
Full Name | Community Wellness Medical Associates A Pc |
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Speciality | Internal Medicine |
Location | 1999 S Bascom Ave Ste 1020, Campbell, California |
Authorized Official Name and Position | Michael Tinamisan Catausan (MD) |
Authorized Official Contact | 9138277273 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Wellness Medical Associates A Pc 1999 S Bascom Ave Ste 1020 Campbell CA 95008-2206 Ph: (888) 690-3696 | Community Wellness Medical Associates A Pc 1999 S Bascom Ave Ste 1020 Campbell CA 95008-2206 Ph: (650) 722-2611 |
NPI Number | 1952995615 |
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Provider Enumeration Date | 02/23/2021 |
Last Update Date | 06/20/2024 |
Medicare PECOS PAC ID | 0042697088 |
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Medicare Enrollment ID | O20220513000682 |
Identifier | Type | State | Issuer |
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1952995615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Brian M Grimm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871540815 PECOS PAC ID: 2264423003 Enrollment ID: I20051123000496 |
Provider Name | Michael Phillips |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013927771 PECOS PAC ID: 8426093741 Enrollment ID: I20081229000260 |
Provider Name | Edward A Delos Trino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346773306 PECOS PAC ID: 2163793951 Enrollment ID: I20170814001035 |
Provider Name | Michael Catausan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932326071 PECOS PAC ID: 0143312694 Enrollment ID: I20200423003630 |
Provider Name | Elizabeth M Simon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942217153 PECOS PAC ID: 3779532569 Enrollment ID: I20201228001446 |
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