| Hassan Sheikh Moghaddas, MD | |
|
15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | |
| (707) 461-7986 | |
| Not Available |
| Full Name | Hassan Sheikh Moghaddas |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 15332 Lakeshore Dr Ste 101, Clearlake, 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 |
|---|---|---|---|
| 1124469838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MT207360 (Pennsylvania) | Secondary |
| 208600000X | Surgery | A142083 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Clearlake Hospital Inc. | 3072421197 | 87 |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Hassan Sheikh Moghaddas, MD 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422-9761 Ph: () - | Hassan Sheikh Moghaddas, MD 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 Ph: (707) 461-7986 |
Arthur William Bikangaga, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4519 Fax: 707-995-1407 |