| Alicia Y Pugh, MD | |
|
2720 Low Ct, Fairfield, CA 94534-9771 | |
| (707) 427-4900 | |
| Not Available |
| Full Name | Alicia Y Pugh |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2720 Low Ct, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982227757 | NPI | - | NPPES |
| 289623 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 289623 (Massachusetts) | Secondary |
| 208000000X | Pediatrics | A199092 (California) | Primary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Y Pugh, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Alicia Y Pugh, MD 2720 Low Ct, Fairfield, CA 94534-9771 Ph: (707) 427-4900 |
Imelda Maria C. Tandinco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2012 | |
Megan Connick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 470 Chadbourne Rd Ste A, Fairfield, CA 94534 Phone: 707-419-8988 Fax: 707-254-1779 | |
Maika Manalastas, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-646-4051 | |
Christi Klimisch Lombre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4048 Fax: 707-427-4385 | |
Dr. Alok K. Bose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5030 Business Center Dr, Suite 230, Fairfield, CA 94534 Phone: 707-863-8190 Fax: 707-863-8193 | |
Daniel A. Schleske, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Dr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-423-5323 |