| Dr Faisal M Mirza, MD, FRCSC | |
|
1820 Main St, Watsonville, CA 95076-3092 | |
| (831) 728-4227 | |
| (831) 728-0410 |
| Full Name | Dr Faisal M Mirza |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 1820 Main St, Watsonville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528087178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A85343 (California) | Primary |
| Entity Name | University Of California Sfgh Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760457816 PECOS PAC ID: 5496668410 Enrollment ID: O20031229000429 |
| Entity Name | City & County Of San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 |
| Entity Name | Mark Twain Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
| Entity Name | Surgical Affiliates Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Faisal M Mirza, MD, FRCSC 65 Neilson St Ste 102, Watsonville, CA 95076-2491 Ph: (831) 728-4227 | Dr Faisal M Mirza, MD, FRCSC 1820 Main St, Watsonville, CA 95076-3092 Ph: (831) 728-4227 |
Jennifer Irene Etcheson, MD, MS Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1820 Main St, Watsonville, CA 95076 Phone: 831-768-6292 | |
Dr. Mathias Wayne Daniels, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 65 Neilson St, Watsonville, CA 95076 Phone: 831-763-6049 Fax: 831-768-6289 | |
Dr. Kris Okumu, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1820 Main St, Watsonville, CA 95076 Phone: 831-728-4227 Fax: 831-728-0410 |