| Self | |
|
101 S San Mateo Dr Ste 102 San Mateo CA 94401-3840 | |
| (650) 435-8211 | |
| (844) 965-9436 |
| Full Name | Self |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 S San Mateo Dr Ste 102, San Mateo, California |
| Authorized Official Name and Position | Seema Sangwan (OWNER) |
| Authorized Official Contact | 6507992957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self 11126 Linda Vista Dr Cupertino CA 95014-4770 Ph: (650) 799-2957 | Self 101 S San Mateo Dr Ste 102 San Mateo CA 94401-3840 Ph: (650) 435-8211 |
| NPI Number | 1306499280 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 03/22/2021 |
| Medicare PECOS PAC ID | 7315355245 |
|---|---|
| Medicare Enrollment ID | O20210414001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306499280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gurpreet K Padam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932125135 PECOS PAC ID: 6709984222 Enrollment ID: I20070607000235 |
| Provider Name | Gayathri Thirumalaiselvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013120260 PECOS PAC ID: 1850457847 Enrollment ID: I20090226000413 |
| Provider Name | Anne E Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922188945 PECOS PAC ID: 7315063419 Enrollment ID: I20100927000603 |
| Provider Name | Seema Sangwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952370900 PECOS PAC ID: 6608958715 Enrollment ID: I20131017000117 |
| Provider Name | Rinky Walia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093042491 PECOS PAC ID: 4688829922 Enrollment ID: I20200904000498 |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 | |
Pradeepa Selvakumar Md Inc, A California Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-435-8211 Fax: 844-965-9436 | |
Home Based Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-360-9309 | |
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