| Andrew Stanitsas, DO | |
|
3121 Mainway Dr, Rossmoor, CA 90720-4815 | |
| (562) 397-3811 | |
| (562) 493-3971 |
| Full Name | Andrew Stanitsas |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 3121 Mainway Dr, Rossmoor, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912087024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6873 (California) | Secondary |
| 207P00000X | Emergency Medicine | 20A6873 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Bakersfield | Bakersfield, CA | Hospital |
| Victor Valley Global Medical Center | Victorville, CA | Hospital |
| Paradise Valley Hospital | National city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunshine Physician Services Pc | 3072893460 | 11 |
| Pacific Paradise Emergency Physicians Medical Group Inc | 8628383544 | 11 |
| Entity Name | Apex Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265711089 PECOS PAC ID: 4688844277 Enrollment ID: O20110909002790 |
| Entity Name | Orange County Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508114711 PECOS PAC ID: 8123279056 Enrollment ID: O20121127000164 |
| Entity Name | Pacific Paradise Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780066076 PECOS PAC ID: 8628383544 Enrollment ID: O20150820010904 |
| Entity Name | Can Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
| Entity Name | Sunshine Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649725466 PECOS PAC ID: 3072893460 Enrollment ID: O20161130001458 |
| Entity Name | Seven Star Hospital Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Stanitsas, DO 3121 Mainway Dr, Rossmoor, CA 90720-4815 Ph: (562) 397-3811 | Andrew Stanitsas, DO 3121 Mainway Dr, Rossmoor, CA 90720-4815 Ph: (562) 397-3811 |