Rashida Petrovich, | |
2222 East St # 305, Concord, CA 94520-2066 | |
(925) 686-1230 | |
Not Available |
Full Name | Rashida Petrovich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 2222 East St # 305, Concord, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982990560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN #733395 (California) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | RN #733395 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Coast Kidney | 1759700149 | 49 |
Entity Name | Diablo Nephrology Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194734731 PECOS PAC ID: 2365420965 Enrollment ID: O20040709001347 |
Entity Name | West Coast Kidney |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952914681 PECOS PAC ID: 1759700149 Enrollment ID: O20201005001363 |
Mailing Address | Practice Location Address |
---|---|
Rashida Petrovich, 2222 East St Ste 305, Concord, CA 94520-2066 Ph: (925) 686-1230 | Rashida Petrovich, 2222 East St # 305, Concord, CA 94520-2066 Ph: (925) 686-1230 |
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