| Homecare Physicians Medical Group, Inc. | |
|
1670 S Amphlett Blvd Suite 300 San Mateo CA 94402-2510 | |
| (650) 554-1000 | |
| Not Available |
| Full Name | Homecare Physicians Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1670 S Amphlett Blvd, San Mateo, California |
| Authorized Official Name and Position | Shelley Ruth Salpeter (PRESIDENT) |
| Authorized Official Contact | 6505541000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homecare Physicians Medical Group, Inc. 1670 S Amphlett Blvd Suite 300 San Mateo CA 94402-2510 Ph: (650) 554-1000 | Homecare Physicians Medical Group, Inc. 1670 S Amphlett Blvd Suite 300 San Mateo CA 94402-2510 Ph: (650) 554-1000 |
| NPI Number | 1578931903 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Medicare PECOS PAC ID | 5597074609 |
|---|---|
| Medicare Enrollment ID | O20151012000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578931903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary A Pasternak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194820688 PECOS PAC ID: 1951465558 Enrollment ID: I20090127000188 |
| Provider Name | Shelley R Salpeter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1770688848 PECOS PAC ID: 8123183506 Enrollment ID: I20090218000566 |
| Provider Name | Linda H Klieman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457445793 PECOS PAC ID: 5092038562 Enrollment ID: I20150108002091 |
| Provider Name | Maureen Dudgeon |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699976134 PECOS PAC ID: 1557271558 Enrollment ID: I20150324002381 |
| Provider Name | Anna Boyko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790173326 PECOS PAC ID: 6901106640 Enrollment ID: I20180206002025 |
| Provider Name | Melody R Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205285137 PECOS PAC ID: 6800146432 Enrollment ID: I20180831002284 |
| Provider Name | Nicholas A Buckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942738679 PECOS PAC ID: 3971924465 Enrollment ID: I20200609003071 |
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