| John F Gisla Jr, MD | |
|
1700 Prairie City Rd, Folsom, CA 95630-9594 | |
| (916) 351-4800 | |
| Not Available |
| Full Name | John F Gisla Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1700 Prairie City Rd, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922109560 | NPI | - | NPPES |
| 066818 | Other | CA | HEALTH NET |
| 1144565 | Other | CA | FIRST HEALTH |
| 00A613170 | Medicaid | CA | |
| 5506596 | Other | CA | AETNA |
| MCMG127600 | Other | CA | WESTERN HEALTH ADVANTAGE |
| 33015 | Other | CA | INTERPLAN |
| 5799756 | Other | CA | CIGNA |
| 000810343519 | Other | CA | PHCS |
| 90096783 | Other | CA | PACIFICARE |
| 00A613170 | Other | CA | BLUE SHIELD |
| 1089891 | Other | CA | GREAT WEST |
| 1788455 | Other | CA | UNITED HEALTHCARE |
| A61317 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A61317 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| John F Gisla Jr, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | John F Gisla Jr, MD 1700 Prairie City Rd, Folsom, CA 95630-9594 Ph: (916) 351-4800 |
Daniel A. Gonzalez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000 | |
Dr. Roksana Ali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Prairie City Rd, Folsom, CA 95630 Phone: 916-351-4800 Fax: 916-351-4899 | |
Joanna Hoang Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1641 Creekside Dr Ste 201, Folsom, CA 95630 Phone: 916-983-3069 Fax: 916-983-4569 | |
Dr. Henry William Sundermier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2370 E Bidwell St, Ste 100, Folsom, CA 95630 Phone: 916-735-6070 Fax: 916-983-8591 | |
Terry E. Raposa, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 | |
Lyris V. Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000 | |
Michael A. Shea, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2575 E Bidwell St Ste 160, Folsom, CA 95630 Phone: 916-817-3730 Fax: 916-817-3731 |