| Dr Lawrence J Spingola, MD | |
| 
					1668 Dominican Way, Santa Cruz, CA 95065-1522  | |
| (831) 464-9962 | |
| (831) 476-1433 | 
| Full Name | Dr Lawrence J Spingola | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 1668 Dominican Way, Santa Cruz, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063581098 | NPI | - | NPPES | 
| GR0100250 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | G16681 (California) | Primary | 
| 2086S0129X | Surgery - Vascular Surgery | G16681 (California) | Secondary | 
| Entity Name | Surgical Associates Of Monterey Bay Medical Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003985037 PECOS PAC ID: 4688577406 Enrollment ID: O20040129000614  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lawrence J Spingola, MD 1668 Dominican Way, Santa Cruz, CA 95065-1522 Ph: (831) 464-9962  | Dr Lawrence J Spingola, MD 1668 Dominican Way, Santa Cruz, CA 95065-1522 Ph: (831) 464-9962  | 
Dr. Jessica Santillano, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-476-1433  | |
Dr. Louis Choong Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-476-1433  | |
Mr. Larry David Resneck-sannes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1505 Soquel Dr Ste A, Santa Cruz, CA 95065 Phone: 831-438-5222 Fax: 831-438-5229  | |
Paul Nguyen, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-464-9933  | |
Dr. Brian Waddle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-464-9933  | |
Dr. Bilal Mobashar Shafi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1575 Soquel Ave, Suite C, Santa Cruz, CA 95065 Phone: 831-458-6240  |