| Skyline Sports Medicine | |
|
2430 Samaritan Dr San Jose CA 95124-3907 | |
| (408) 559-3888 | |
| Not Available |
| Full Name | Skyline Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2430 Samaritan Dr, San Jose, California |
| Authorized Official Name and Position | Svetlana Dani (OWNER) |
| Authorized Official Contact | 4085593889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Sports Medicine 2430 Samaritan Dr San Jose CA 95124-3907 Ph: (408) 559-3889 | Skyline Sports Medicine 2430 Samaritan Dr San Jose CA 95124-3907 Ph: (408) 559-3888 |
| NPI Number | 1427676873 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 11/25/2020 |
| Medicare PECOS PAC ID | 0244656015 |
|---|---|
| Medicare Enrollment ID | O20200811004033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427676873 | NPI | - | NPPES |
| Provider Name | Svetlana Dani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669886206 PECOS PAC ID: 9931478211 Enrollment ID: I20190822003913 |
Chris Chung, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 | |
Tuan Le, M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Lexann Ave, Suite 122, San Jose, CA 95121 Phone: 408-531-1555 | |
Frank D. Shin, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 S De Anza Blvd, Suite A, San Jose, CA 95129 Phone: 408-366-0405 | |
Verity Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Jackson Ave, San Jose, CA 95116 Phone: 408-278-3000 | |
Leena Gupta Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Bridgeview Ln, San Jose, CA 95138 Phone: 408-666-0392 | |
Shen Medicine & Pediatrics Assc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Rosewood Ave, San Jose, CA 95117 Phone: 408-296-9800 Fax: 408-296-9805 | |
Terry C. Lin D.o.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 Samaritan Dr., #201, San Jose, CA 95124 Phone: 888-582-0814 |