| Dr David J Stone, MD | |
|
100 Mission Blvd, Suite 2600, Jackson, CA 95642-2536 | |
| (209) 257-1722 | |
| (209) 257-1726 |
| Full Name | Dr David J Stone |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 100 Mission Blvd, Jackson, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871566323 | NPI | - | NPPES |
| 135128009 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | C33855 (California) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | J8382 (Texas) | Secondary |
| 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 |
|---|---|
| Dr David J Stone, MD 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Dr David J Stone, MD 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2536 Ph: (209) 257-1722 |
Dr. Amy A. Appleton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642 Phone: 209-257-1722 | |
Jayasree Vasudevan Nair, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mission Blvd Ste 2600, Jackson, CA 95642 Phone: 209-257-1722 Fax: 209-257-1726 | |
Dr. Alisa A Roda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12140 New York Ranch Rd, Jackson Rancheria Health Complex, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403 | |
Dr. Vikram Ramkumar Kumar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mission Blvd, Suite 2600, Jackson, CA 95642 Phone: 209-257-1722 Fax: 209-257-1726 | |
Rachel Alayne Williams, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mission Blvd, Jackson, CA 95642 Phone: 209-257-1722 |