| West Coast Medical Care Professional Corporation | |
|
5350 Madison Ave Sacramento CA 95841-3169 | |
| (916) 677-0008 | |
| (916) 515-9994 |
| Full Name | West Coast Medical Care Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 5350 Madison Ave, Sacramento, California |
| Authorized Official Name and Position | Aleksander Usorov (OWNER/PROVIDER) |
| Authorized Official Contact | 9166770008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Medical Care Professional Corporation 5350 Madison Ave Sacramento CA 95841-3169 Ph: (916) 677-0008 | West Coast Medical Care Professional Corporation 5350 Madison Ave Sacramento CA 95841-3169 Ph: (916) 677-0008 |
| NPI Number | 1861888331 |
|---|---|
| Provider Enumeration Date | 04/12/2015 |
| Last Update Date | 01/12/2016 |
| Medicare PECOS PAC ID | 9133430069 |
|---|---|
| Medicare Enrollment ID | O20150618003096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861888331 | NPI | - | NPPES |
| A93634 | Other | CA | CALIFORNIA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A93634 (California) | Primary |
| Provider Name | Kizhake C Kurian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427082486 PECOS PAC ID: 1254303704 Enrollment ID: I20040806000441 |
| Provider Name | Vikram Khanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821071986 PECOS PAC ID: 7113987090 Enrollment ID: I20041014000898 |
| Provider Name | Wayne Charles Rash |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861568826 PECOS PAC ID: 3476596198 Enrollment ID: I20050603000568 |
| Provider Name | Walter Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659325538 PECOS PAC ID: 6305858713 Enrollment ID: I20060630000140 |
| Provider Name | Paul Nerz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467549030 PECOS PAC ID: 9234235086 Enrollment ID: I20070510000642 |
| Provider Name | Sarah Teuila Alailima - Utu -hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841343068 PECOS PAC ID: 1557418399 Enrollment ID: I20090413000383 |
| Provider Name | Richard Hubbard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912121799 PECOS PAC ID: 2860666039 Enrollment ID: I20111128000521 |
| Provider Name | Polina Volodarskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700851896 PECOS PAC ID: 0648293308 Enrollment ID: I20150401000702 |
| Provider Name | Sreechandra Donepudi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578686242 PECOS PAC ID: 0941354195 Enrollment ID: I20150805008627 |
| Provider Name | David J Kyle |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1952531758 PECOS PAC ID: 9638472194 Enrollment ID: I20160118000764 |
| Provider Name | Stephen H Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770566580 PECOS PAC ID: 9133016686 Enrollment ID: I20160502002051 |
| Provider Name | Frederick B Kraft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831419902 PECOS PAC ID: 1153611405 Enrollment ID: I20160527001829 |
| Provider Name | Sadegh Saki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063671717 PECOS PAC ID: 4486943461 Enrollment ID: I20160722001913 |
| Provider Name | Sue E Castleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528260429 PECOS PAC ID: 1052440179 Enrollment ID: I20170306001683 |
| Provider Name | Scott W Judd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972000263 PECOS PAC ID: 4981969037 Enrollment ID: I20180522000624 |
| Provider Name | Harikrishnan Damodaran-nair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871608125 PECOS PAC ID: 3870675945 Enrollment ID: I20190808000886 |
| Provider Name | Kaveh Karandish |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346485919 PECOS PAC ID: 2769528702 Enrollment ID: I20201009000221 |
| Provider Name | Dimitry Hikin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457619017 PECOS PAC ID: 7315101508 Enrollment ID: I20230829001919 |
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