| Dr Michael Holmes Secrist, MD | |
|
3751 Katella Ave, Los Alamitos, CA 90720-3113 | |
| (562) 598-1311 | |
| (562) 598-0355 |
| Full Name | Dr Michael Holmes Secrist |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 3751 Katella Ave, Los Alamitos, 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 |
|---|---|---|---|
| 1184988669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | A149495 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shasta Regional Medical Center | Redding, CA | Hospital |
| Desert Valley Hospital | Victorville, CA | Hospital |
| Mad River Community Hospital | Arcata, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sol Radiology Inc | 1850796681 | 84 |
| Entity Name | Los Alamitos Radiology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005024 PECOS PAC ID: 5092718882 Enrollment ID: O20060816000607 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
| Entity Name | Sol Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457928111 PECOS PAC ID: 1850796681 Enrollment ID: O20210817002978 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Holmes Secrist, MD 3751 Katella Ave, Los Alamitos, CA 90720-3113 Ph: (562) 598-1311 | Dr Michael Holmes Secrist, MD 3751 Katella Ave, Los Alamitos, CA 90720-3113 Ph: (562) 598-1311 |
Vincent S Polek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90702 Phone: 562-799-3294 | |
George Morrison, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 949-263-8620 Fax: 949-263-1639 | |
Milan Andrus, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11293 Rochelle St, Los Alamitos, CA 90720 Phone: 562-430-7675 | |
Richard C Shin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 714-826-6400 | |
Kenneth P Brown, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90702 Phone: 714-826-6400 | |
Richard T Pederson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3761 Katella Ave, Los Alamitos Medical Center, Los Alamitos, CA 90720 Phone: 562-799-3294 |