| Innovative Treatment Associates Inc | |
|
3581 Palmer Dr Ste 601 Cameron Park CA 95682-8238 | |
| (530) 391-9196 | |
| Not Available |
| Full Name | Innovative Treatment Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3581 Palmer Dr Ste 601, Cameron Park, California |
| Authorized Official Name and Position | John Allen Rulison (PRESIDENT) |
| Authorized Official Contact | 5303919196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Treatment Associates Inc 3031 Cinsant Dr Unit 2 Cameron Park CA 95682-7004 Ph: (530) 391-9196 | Innovative Treatment Associates Inc 3581 Palmer Dr Ste 601 Cameron Park CA 95682-8238 Ph: (530) 391-9196 |
| NPI Number | 1003430299 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Medicare PECOS PAC ID | 2163842253 |
|---|---|
| Medicare Enrollment ID | O20201011000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003430299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | John A Rulison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952380446 PECOS PAC ID: 4880609338 Enrollment ID: I20060220000601 |
John Kelada M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Camerado Dr, Cameron Park, CA 95682 Phone: 530-677-3688 | |
Mark Blatt Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3175 Granada Dr, Cameron Park, CA 95682 Phone: 203-512-3152 | |
El Dorado Community Health Center Cameron Park Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3104 Ponte Morino Dr, Suite 110, Cameron Park, CA 95682 Phone: 530-621-7700 Fax: 530-621-7713 | |
Mercy Medical Group, A Service Of Chw Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3581 Palmer Dr, Suite 402, Cameron Park, CA 95682 Phone: 530-676-7337 Fax: 530-676-1141 | |
Center For Functional & Integrative Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3104 Ponte Morino Dr, Suite 110, Cameron Park, CA 95682 Phone: 530-626-8300 Fax: 530-626-7617 | |
Innovative Treatment Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3581 Palmer Dr Ste 601, Cameron Park, CA 95682 Phone: 530-556-5363 |