| Kara Percival, MD, MPH | |
|
150 Harbour Way, Richmond, CA 94801-3554 | |
| (510) 981-4100 | |
| Not Available |
| Full Name | Kara Percival |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 150 Harbour Way, Richmond, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598262701 | NPI | - | NPPES |
| 1598262701 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A163487 (California) | Primary |
| Entity Name | Lifelong Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Kara Percival, MD, MPH 2344 6th St, Berkeley, CA 94710-2412 Ph: (510) 981-4125 | Kara Percival, MD, MPH 150 Harbour Way, Richmond, CA 94801-3554 Ph: (510) 981-4100 |
Edward Eugene Mahl, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Haylene Anesoir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Broadway, Suite 4, Richmond, CA 94804 Phone: 510-237-9537 | |
Anjana Ray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Sarah Horner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Jennifer An, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Harbour Way N, Richmond, CA 94804 Phone: 510-237-9537 | |
Susan Elizabeth Stephens Dierauf, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Kaiser Richmond Campus, Richmond, CA 94801 Phone: 510-307-1500 | |
Mankaah Acho, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1543 Fax: 510-307-2500 |