| Sprinter Medical West Pc | |
|
4600 Bohannon Dr Ste 100 Menlo Park CA 94025-1037 | |
| (209) 677-7468 | |
| Not Available |
| Full Name | Sprinter Medical West Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4600 Bohannon Dr Ste 100, Menlo Park, California |
| Authorized Official Name and Position | Arun Villivalam (PRESIDENT) |
| Authorized Official Contact | 2096777468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprinter Medical West Pc 4600 Bohannon Dr Ste 1000 Menlo Park CA 94025-1034 Ph: (209) 677-7468 | Sprinter Medical West Pc 4600 Bohannon Dr Ste 100 Menlo Park CA 94025-1037 Ph: (209) 677-7468 |
| NPI Number | 1790368702 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 10/22/2024 |
| Medicare PECOS PAC ID | 1951799527 |
|---|---|
| Medicare Enrollment ID | O20211101002241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790368702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Arun Villivalam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639355944 PECOS PAC ID: 3971558727 Enrollment ID: I20131017000361 |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Bldg 334, Menlo Park, CA 94025 Phone: 650-599-3890 | |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd Bldg 344, Menlo Park, CA 94025 Phone: 650-599-3890 | |
Ravenswood Family Health Center At Belle Haven Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Terminal Ave, Menlo Park, CA 94025 Phone: 650-321-0980 Fax: 650-321-0988 | |
Watson And Matles, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 El Camino Real Ste 200, Menlo Park, CA 94027 Phone: 650-391-0500 Fax: 650-391-0503 | |
Soft Reboot Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Oak Grove Ave Ste A101, Menlo Park, CA 94025 Phone: 650-419-3330 | |
Li-ren Wen Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 University Dr, Suite 204, Menlo Park, CA 94025 Phone: 650-380-9996 | |
Care For Hearts Medical Nj, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Middlefield Rd Ste 260, Menlo Park, CA 94025 Phone: 512-779-7276 |