Channel Medical Group Of California, P.c. is a
Internal Medicine - Rheumatology based in Petaluma, California. Channel Medical Group Of California, P.c. is licensed to practice in * (Not Available) (license number ) and their current practice location is
755 Baywood Dr Fl 2, Petaluma, California. It can be reached at their office (for appointments etc.) via phone at
(646) 389-3451.
NPI number for Channel Medical Group Of California, P.c. is 1366185118 and their current mailing address is 4 E 27th St Unit 20206, New York, New York. Channel Medical Group Of California, P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366185118.
Healthcare Provider's Profile
Full Name | Channel Medical Group Of California, P.c. |
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Type | Facility |
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Speciality | Internal Medicine - Rheumatology |
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Location | 755 Baywood Dr Fl 2, Petaluma, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366185118
- Provider Enumeration Date: 04/19/2022
- Last Update Date: 05/18/2022
Medical Identifiers
Medical identifiers for Channel Medical Group Of California, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366185118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Channel Medical Group Of California, P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Channel Medical Group Of California, P.c. 4 E 27th St Unit 20206, New York, NY 10001-9410 Ph: (646) 389-3451 | Channel Medical Group Of California, P.c. 755 Baywood Dr Fl 2, Petaluma, CA 94954-5510 Ph: (646) 389-3451 |
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