| Jay Applebaum, MD | |
|
17601 17th St Ste 110, Tustin, CA 92780-1946 | |
| (714) 790-0005 | |
| (714) 699-2444 |
| Full Name | Jay Applebaum |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 45 Years |
| Location | 17601 17th St Ste 110, Tustin, 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 |
|---|---|---|---|
| 1740214618 | NPI | - | NPPES |
| G54219 | Other | CA | MEDICAL LICENSE |
| 00G542191 | Medicaid | CA | |
| 05D0896423 | Other | CA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | G054219 (California) | Primary |
| Entity Name | Jay Applebaum, M.d.,inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871709030 PECOS PAC ID: 6204020282 Enrollment ID: O20101103001010 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Applebaum, MD 17601 17th St Ste 110, Tustin, CA 92780-1946 Ph: (714) 790-0005 | Jay Applebaum, MD 17601 17th St Ste 110, Tustin, CA 92780-1946 Ph: (714) 790-0005 |
Dr. Anjali Butani, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2620 Walnut Ave Ste D, Tustin, CA 92780 Phone: 714-646-6444 | |
Wieke H Liem, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St # 10, Tustin, CA 92780 Phone: 714-790-0005 Fax: 714-699-2444 | |
Dr. Divya Shokeen, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13420 Newport Ave Ste G, Tustin, CA 92780 Phone: 714-538-8556 Fax: 714-538-1082 | |
Dr. Christina Nicole Kraus, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8408 | |
Dr. Anh-dao Vu Le, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13420 Newport Ave Ste G, Tustin, CA 92780 Phone: 714-659-6504 Fax: 714-908-7596 | |
Dr. Patrick Kevin Lee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13420 Newport Ave, Suite G, Tustin, CA 92780 Phone: 714-731-0061 Fax: 714-731-0164 | |
Dr. Vince Ferhad Afsahi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2552 Walnut Ave, Suite 120, Tustin, CA 92780 Phone: 714-508-0754 Fax: 174-508-5754 |