| Dr John Avery, DO | |
|
2100 Powell St Ste 400, Emeryville, CA 94608-1872 | |
| (510) 851-7501 | |
| (510) 851-7446 |
| Full Name | Dr John Avery |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 13 Years |
| Location | 2100 Powell St Ste 400, Emeryville, 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 |
|---|---|---|---|
| 1457694796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A13586 (California) | Secondary |
| 208M00000X | Hospitalist | 20A13586 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| French Hospital Medical Center | San luis obispo, CA | Hospital |
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| Adventist Health Sierra Vista | San luis obispo, CA | Hospital |
| Adventist Health Twin Cities | Templeton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 1045 |
| Central Coast In-patient Consultants Inc | 8325137714 | 33 |
| Vituity Hospitalists Pc | 2567714090 | 78 |
| Entity Name | Galen Inpatient Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
| Entity Name | Central Coast In-patient Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609096882 PECOS PAC ID: 8325137714 Enrollment ID: O20071207000854 |
| Entity Name | Vituity Hospitalists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730666108 PECOS PAC ID: 2567714090 Enrollment ID: O20181011001813 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Avery, DO 2100 Powell St Ste 400, Emeryville, CA 94608-1872 Ph: (510) 851-7501 | Dr John Avery, DO 2100 Powell St Ste 400, Emeryville, CA 94608-1872 Ph: (510) 851-7501 |