| Upward Health Of California, Pc | |
|
400 Concar Dr San Mateo CA 94402-2681 | |
| (888) 985-5455 | |
| Not Available |
| Full Name | Upward Health Of California, Pc |
|---|---|
| Speciality | General Practice |
| Location | 400 Concar Dr, San Mateo, California |
| Authorized Official Name and Position | Anubhav Kaul (OWNER) |
| Authorized Official Contact | 8889855455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upward Health Of California, Pc 80 Arkay Dr Ste 230 Hauppauge NY 11788-3705 Ph: (888) 985-5455 | Upward Health Of California, Pc 400 Concar Dr San Mateo CA 94402-2681 Ph: (888) 985-5455 |
| NPI Number | 1407518780 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 0941693444 |
|---|---|
| Medicare Enrollment ID | O20230517002590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407518780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Marie G Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528505377 PECOS PAC ID: 0547539330 Enrollment ID: I20170711001542 |
| Provider Name | Mudit M Gilotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902122567 PECOS PAC ID: 6901024090 Enrollment ID: I20180326002014 |
| Provider Name | Melissa C Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700444205 PECOS PAC ID: 7517362494 Enrollment ID: I20210817000414 |
| Provider Name | Kirandeep Kaur Sran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326783887 PECOS PAC ID: 6406232669 Enrollment ID: I20220926003232 |
| Provider Name | Anubhav Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023457975 PECOS PAC ID: 8729368618 Enrollment ID: I20230511003555 |
| Provider Name | Alexandria P Nicolai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093003287 PECOS PAC ID: 3072973742 Enrollment ID: I20230713002359 |
| Provider Name | April K Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811318181 PECOS PAC ID: 8123258175 Enrollment ID: I20230713002977 |
| Provider Name | Syeda Jaffery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083166094 PECOS PAC ID: 8729448907 Enrollment ID: I20230719003063 |
| Provider Name | Alicia A Van Ihinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924986 PECOS PAC ID: 3274695531 Enrollment ID: I20230719003931 |
| Provider Name | Delise M Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912517848 PECOS PAC ID: 8123448560 Enrollment ID: I20230720004109 |
| Provider Name | Benjamin M Lowenburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770872285 PECOS PAC ID: 1557654084 Enrollment ID: I20230721001392 |
| Provider Name | Kristin F Cadieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770884462 PECOS PAC ID: 6103005806 Enrollment ID: I20230724001942 |
| Provider Name | Christopher Hamann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508840265 PECOS PAC ID: 1254466261 Enrollment ID: I20231011003087 |
| Provider Name | Hilda M Defoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235470402 PECOS PAC ID: 0446493191 Enrollment ID: I20240418003184 |
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