| Dina Sverdlov Md A Professional Corporation | |
|
100 S Ellsworth Ave Ste 208 San Mateo CA 94401-3932 | |
| (650) 343-8512 | |
| (650) 343-8412 |
| Full Name | Dina Sverdlov Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 S Ellsworth Ave Ste 208, San Mateo, California |
| Authorized Official Name and Position | Dina Sverdlov (PRESIDENT) |
| Authorized Official Contact | 6503438512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dina Sverdlov Md A Professional Corporation 1 Baywood Ave Ste 4 San Mateo CA 94402-1537 Ph: (650) 343-8512 | Dina Sverdlov Md A Professional Corporation 100 S Ellsworth Ave Ste 208 San Mateo CA 94401-3932 Ph: (650) 343-8512 |
| NPI Number | 1790846657 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 10/09/2018 |
| Medicare PECOS PAC ID | 6406926518 |
|---|---|
| Medicare Enrollment ID | O20080602000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790846657 | NPI | - | NPPES |
| 05D0974111 | Other | CA | CLIA SAN MATEO |
| 00A702831 | Medicaid | CA | |
| 00A702830 | Medicaid | CA | |
| 05D0971734 | Other | CA | CLIA SAN FRANCISCO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70283 (California) | Primary |
| Provider Name | Dina Sverdlov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164697728 PECOS PAC ID: 0143390252 Enrollment ID: I20080602000404 |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 | |
Pradeepa Selvakumar Md Inc, A California Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-435-8211 Fax: 844-965-9436 | |
Home Based Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-360-9309 | |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3962 | |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3602 | |
Shu Chiropractic And Associates Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N San Mateo Dr, Suite 5, San Mateo, CA 94401 Phone: 415-509-6632 | |
San Mateo Medical Centerr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 |