| Dr Gagan Deep Mall, MD | |
|
2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | |
| (707) 253-5434 | |
| (707) 254-2423 |
| Full Name | Dr Gagan Deep Mall |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 29 Years |
| Location | 2100 Napa Vallejo Hwy, Napa, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083714919 | NPI | - | NPPES |
| 200091340A | Medicaid | OK | |
| 1122370 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22370 (Oklahoma) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 22370 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Tarzana Medical Center | Tarzana, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoma Valley Community Health Center | 6800708686 | 14 |
| Department Of State Hospitals | 9638174238 | 222 |
| Alliance For Wellness Inc | 9931355617 | 57 |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Entity Name | Alliance For Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124329131 PECOS PAC ID: 9931355617 Enrollment ID: O20120813000228 |
| Entity Name | Health Alliance Socal Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184343055 PECOS PAC ID: 4082082250 Enrollment ID: O20221118000753 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gagan Deep Mall, MD 596 Edenderry Dr, Vacaville, CA 95688-8560 Ph: (707) 392-5086 | Dr Gagan Deep Mall, MD 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 Ph: (707) 253-5434 |
Javed Iqbal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 Napa-vallejo Highway, Napa, CA 94558 Phone: 707-253-5000 Fax: 707-253-5513 | |
Dr. Richard James Forde, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2261 Elm St, Building D, Napa, CA 94559 Phone: 707-253-4727 Fax: 707-253-4815 | |
Mr. Laurentiu Dumitrescu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 Napa Vallejo Hwy, Napa, CA 94558 Phone: 774-826-1570 | |
Joel Steven Mostow, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 Napa Vallejo Hwy., Napa, CA 94558 Phone: 707-253-5654 Fax: 707-253-5097 | |
Dr. Margaret A Schlatter, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3421 Valle Verde Dr, Napa, CA 94558 Phone: 707-252-6546 Fax: 707-252-0942 | |
Dr. Domingo Ordillas Laguitan Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 Napa Vallejo Hwy, Napa, CA 94558 Phone: 707-253-5764 Fax: 707-253-5513 | |
Dr. Siva Yoganathan, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2100 Napa Vallejo Hwy, Napa, CA 94558 Phone: 707-253-5000 Fax: 707-253-5513 |