| South Bay Sports And Preventive Medicine Associates, Inc. | |
|
900 Lafayette St Ste 105 Santa Clara CA 95050 | |
| (408) 293-7767 | |
| (408) 294-6595 |
| Full Name | South Bay Sports And Preventive Medicine Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Lafayette St Ste 105, Santa Clara, California |
| Authorized Official Name and Position | Anthony J Saglimbeni (PARTNER) |
| Authorized Official Contact | 4082937767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Sports And Preventive Medicine Associates, Inc. 900 Lafayette St Ste 105 Santa Clara CA 95050-4966 Ph: (408) 293-7677 | South Bay Sports And Preventive Medicine Associates, Inc. 900 Lafayette St Ste 105 Santa Clara CA 95050 Ph: (408) 293-7767 |
| NPI Number | 1861554099 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 07/22/2019 |
| Medicare PECOS PAC ID | 1254438724 |
|---|---|
| Medicare Enrollment ID | O20070517000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861554099 | NPI | - | NPPES |
| Provider Name | Anthony J Saglimbeni |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922053776 PECOS PAC ID: 1456250737 Enrollment ID: I20040106000310 |
| Provider Name | Robert S Nishime |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225087984 PECOS PAC ID: 7911807110 Enrollment ID: I20040113000317 |
| Provider Name | Chris Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528043403 PECOS PAC ID: 6406747286 Enrollment ID: I20040322001341 |
| Provider Name | John T Kao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790840858 PECOS PAC ID: 9638154578 Enrollment ID: I20040623000938 |
| Provider Name | Kenneth Hideo Akizuki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073569703 PECOS PAC ID: 0840257168 Enrollment ID: I20041217000351 |
| Provider Name | Sara L Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669589214 PECOS PAC ID: 1759388358 Enrollment ID: I20061024000365 |
| Provider Name | Dae-wook Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194741272 PECOS PAC ID: 7012098049 Enrollment ID: I20080116000418 |
| Provider Name | Richard L Muller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326078627 PECOS PAC ID: 8325117815 Enrollment ID: I20080523000466 |
| Provider Name | Elizabeth R Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376910646 PECOS PAC ID: 4183933955 Enrollment ID: I20151016001597 |
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