| Dr Amrita Ghumman, MD | |
|
13350 Big Basin Way, Boulder Creek, CA 95006-9237 | |
| (831) 338-6491 | |
| (831) 338-2767 |
| Full Name | Dr Amrita Ghumman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 13350 Big Basin Way, Boulder Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831292994 | NPI | - | NPPES |
| GR0028553 | Other | CA | MEDI-CAL ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A89319 (California) | Primary |
| Entity Name | Silicon Valley Medical Development Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amrita Ghumman, MD 1595 Soquel Dr, Ste 330, Santa Cruz, CA 95065-1719 Ph: (831) 465-7761 | Dr Amrita Ghumman, MD 13350 Big Basin Way, Boulder Creek, CA 95006-9237 Ph: (831) 338-6491 |
Dr. Adam Yarme, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13350 Big Basin Way, Boulder Creek, CA 95006 Phone: 831-338-6491 Fax: 831-338-2767 | |
Steven Magee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13350 Big Basin Way, Boulder Creek, CA 95006 Phone: 831-338-6491 | |
Dr. Arthur M. Liu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 288 E. Lomond St., Boulder Creek, CA 95006 Phone: 831-338-8172 |