| Discover Health Medical Group 2, Inc. | |
|
990 Columbus Ave San Francisco CA 94133-2310 | |
| (707) 255-8825 | |
| (707) 252-9325 |
| Full Name | Discover Health Medical Group 2, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 990 Columbus Ave, San Francisco, California |
| Authorized Official Name and Position | Oded Herbsman (PRESIDENT) |
| Authorized Official Contact | 7072558825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discover Health Medical Group 2, Inc. 3010 Beard Rd Napa CA 94558-3442 Ph: (707) 255-8825 | Discover Health Medical Group 2, Inc. 990 Columbus Ave San Francisco CA 94133-2310 Ph: (707) 255-8825 |
| NPI Number | 1124668660 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/13/2020 |
| Medicare PECOS PAC ID | 1759709843 |
|---|---|
| Medicare Enrollment ID | O20200922003152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124668660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Paul Sweigert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730107731 PECOS PAC ID: 4880601772 Enrollment ID: I20060317000417 |
| Provider Name | Rony Y Kako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699709881 PECOS PAC ID: 6608883509 Enrollment ID: I20060317000429 |
| Provider Name | Scott M Wigginton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548295769 PECOS PAC ID: 2668473026 Enrollment ID: I20070126000652 |
| Provider Name | Lou Nishimura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831207315 PECOS PAC ID: 5597815373 Enrollment ID: I20090617000173 |
| Provider Name | Alexandre Demoraes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942284831 PECOS PAC ID: 1153300959 Enrollment ID: I20091211000524 |
| Provider Name | Angelika Deloa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548490964 PECOS PAC ID: 1951567973 Enrollment ID: I20120719000276 |
| Provider Name | Sanjay Raisoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891937785 PECOS PAC ID: 5092990234 Enrollment ID: I20140520000860 |
| Provider Name | Keith A Hopkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083778765 PECOS PAC ID: 3577752781 Enrollment ID: I20180319001164 |
| Provider Name | Jason L Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992182141 PECOS PAC ID: 6709140015 Enrollment ID: I20180511002195 |
| Provider Name | Khalilah Dann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558522300 PECOS PAC ID: 2860662541 Enrollment ID: I20201201003028 |
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