| Family Care Medical Group | |
|
17615 Moro Rd Salinas CA 93907-8541 | |
| (831) 663-3926 | |
| (831) 663-0605 |
| Full Name | Family Care Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 17615 Moro Rd, Salinas, California |
| Authorized Official Name and Position | Steven Petronijevic (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 8316633926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Medical Group 17615 Moro Rd Salinas CA 93907-8541 Ph: (831) 663-3926 | Family Care Medical Group 17615 Moro Rd Salinas CA 93907-8541 Ph: (831) 663-3926 |
| NPI Number | 1326037193 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608852637 |
|---|---|
| Medicare Enrollment ID | O20081218000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326037193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven Petronijevic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790774560 PECOS PAC ID: 5092742569 Enrollment ID: I20050726001081 |
| Provider Name | Catherine Petronijevic |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1003804089 PECOS PAC ID: 2860554268 Enrollment ID: I20081218000574 |
| Provider Name | Adelheid Ebenhoech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285622258 PECOS PAC ID: 4688736010 Enrollment ID: I20081218000786 |
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