Prema Sai Medical, P.c. | |
250 Prospect Pl Ste 220 Coronado CA 92118-1943 | |
(559) 593-6450 | |
(619) 297-4490 |
Full Name | Prema Sai Medical, P.c. |
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Speciality | Internal Medicine |
Location | 250 Prospect Pl Ste 220, Coronado, California |
Authorized Official Name and Position | Sanjay Rajpara (PRESIDENT) |
Authorized Official Contact | 5595936450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prema Sai Medical, P.c. Po Box 500225 San Diego CA 92150-0225 Ph: (559) 593-6450 | Prema Sai Medical, P.c. 250 Prospect Pl Ste 220 Coronado CA 92118-1943 Ph: (559) 593-6450 |
NPI Number | 1497029615 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 03/25/2020 |
Medicare PECOS PAC ID | 0143485946 |
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Medicare Enrollment ID | O20120628000629 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497029615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A92588 (California) | Primary |
Provider Name | Sanjay M Rajpara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225116130 PECOS PAC ID: 0941223275 Enrollment ID: I20060112000338 |
Provider Name | Jeremy R Flowers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013913045 PECOS PAC ID: 0840236212 Enrollment ID: I20070827000442 |
Provider Name | Zhike Pruett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295086262 PECOS PAC ID: 6406139229 Enrollment ID: I20170201002015 |
Provider Name | Kirk Anthony Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710406848 PECOS PAC ID: 8820334824 Enrollment ID: I20190111002541 |
Provider Name | Linda Lobbestael |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932853819 PECOS PAC ID: 4981099264 Enrollment ID: I20220323002455 |
Sharpcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 | |
Laura Norton Petrovich Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1224 10th St, Suite 200, Coronado, CA 92118 Phone: 619-435-2234 Fax: 619-435-1784 | |
Parmela Sawhney Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1222 1st St, Suite 6, Coronado, CA 92118 Phone: 619-435-4488 Fax: 619-435-4489 | |
Patrick R Yassini M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Orange Ave, #100, Coronado, CA 92118 Phone: 619-522-4005 Fax: 619-522-4014 | |
Crown Island Family Practice A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Prospect Pl, Suite 350, Coronado, CA 92118 Phone: 619-537-6910 Fax: 619-537-6905 | |
Coronado Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 |