<unavail> in King City, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in King City, California. The current practice location for is 400 Canal St, Ste B, King City, California. For appointments, you can reach them via phone at (831) 386-7401. The mailing address for is 400 Canal St, Ste B, King City, California and phone number is (831) 386-7401.

is licensed to practice in California (license number 070000047). The clinic also participates in the medicare program and its NPI number is 1386955433. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (831) 386-7401.

Contact Information


	400 Canal St Ste B King City CA 93930-3461
	(831) 386-7401
	(831) 386-7402

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	400 Canal St, King City, California
Authorized Official Name and Position	Susan Childers (CFO)
Authorized Official Contact	8313857160
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
400 Canal St Ste B King City CA 93930-3461 Ph: (831) 386-7401	400 Canal St Ste B King City CA 93930-3461 Ph: (831) 386-7401

NPI Details:

NPI Number	1386955433
Provider Enumeration Date	06/23/2010
Last Update Date	12/17/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	7719883461
Medicare Enrollment ID	O20110329000913

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386955433	NPI	-	NPPES
ZZZ54850Y	Other	CA	BLUE SHIELD PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	070000047 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Gilbert E Flores
Provider Type	Practitioner - General Surgery
Provider Identifiers	NPI Number: 1760516314 PECOS PAC ID: 5890737746 Enrollment ID: I20070524000274

Provider Name	Fateh Entabi
Provider Type	Practitioner - General Surgery
Provider Identifiers	NPI Number: 1881859981 PECOS PAC ID: 2769621358 Enrollment ID: I20130611000506

Provider Name	Andrew S Mccague
Provider Type	Practitioner - Critical Care (intensivists)
Provider Identifiers	NPI Number: 1992903207 PECOS PAC ID: 1153643366 Enrollment ID: I20141125000741

Reviews and Comments

Clinic/Center in King City, CA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Canal St, King City, CA 93930 Phone: 831-385-6000
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Canal St, King City, CA 93930 Phone: 831-385-5471 Fax: 831-385-5940
Surf Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Canal St, King City, CA 93930 Phone: 909-289-1060
M Shehata Iatrocare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Canal St, King City, CA 93930 Phone: 702-453-3799 Fax: 702-453-5741
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Canal St, King City, CA 93930 Phone: 831-385-5471 Fax: 831-385-5940
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Canal St, Ste A, King City, CA 93930 Phone: 831-385-1280 Fax: 831-385-1285
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Broadway St, Ste. D, King City, CA 93930 Phone: 831-386-7437 Fax: 831-385-7188

- Medicare Primary Care in King City, CA