| Lively Virtual Care Organization Pc | |
|
108 Ben Ezra Ave Roseville CA 95678-2702 | |
| (916) 235-8617 | |
| (916) 846-9463 |
| Full Name | Lively Virtual Care Organization Pc |
|---|---|
| Speciality | Point of Service |
| Location | 108 Ben Ezra Ave, Roseville, California |
| Authorized Official Name and Position | Sandra Kocsis (CEO) |
| Authorized Official Contact | 9166223609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lively Virtual Care Organization Pc Po Box 604 Roseville CA 95661-0604 Ph: (916) 622-3609 | Lively Virtual Care Organization Pc 108 Ben Ezra Ave Roseville CA 95678-2702 Ph: (916) 235-8617 |
| NPI Number | 1447938683 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7911354766 |
|---|---|
| Medicare Enrollment ID | O20231115003359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447938683 | NPI | - | NPPES |
| Provider Name | Roderick G.s. Sanden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952361412 PECOS PAC ID: 8325184963 Enrollment ID: I20091012000474 |
| Provider Name | Ali Anari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912252743 PECOS PAC ID: 0345548780 Enrollment ID: I20160418002010 |
| Provider Name | Haywood Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851385496 PECOS PAC ID: 3072596030 Enrollment ID: I20221201001047 |
Richard B. D. Chun, M.d. Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Sunrise Ave, Ste 619, Roseville, CA 95661 Phone: 916-783-7118 | |
Capitol Gastroenterology Consultants Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Medical Plaza Dr Ste 205, Roseville, CA 95661 Phone: 916-773-6200 Fax: 916-782-4550 | |
Veeone Medical Group Ii Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 Rocky Ridge Dr Ste 300, Roseville, CA 95661 Phone: 850-459-6238 | |
Wellspace Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1309, Roseville, CA 95661 Phone: 916-469-4698 | |
Trinity Health And Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 N Sunrise Ave, Suite 220, Roseville, CA 95661 Phone: 916-773-3444 Fax: 916-773-3474 | |
Manish Upadhyay, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Gibson Dr, Suite No 270, Roseville, CA 95678 Phone: 916-786-6727 Fax: 916-786-6748 | |
Uc Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 E Roseville Pkwy Ste 200, Roseville, CA 95661 Phone: 916-783-7109 |