| Kathleen Chak, | |
|
877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | |
| (805) 474-8450 | |
| (805) 474-8454 |
| Full Name | Kathleen Chak |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 877 Oak Park Blvd, Pismo Beach, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356754659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 20A14324 (California) | Secondary |
| 207R00000X | Internal Medicine | 20A14324 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Health Home Health | Santa maria, CA | Home health agency |
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| French Hospital Medical Center | San luis obispo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Central Coast Health Centers | 9739091364 | 226 |
| Entity Name | Pacific Central Coast Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Chak, 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 Ph: (805) 474-8450 | Kathleen Chak, 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 Ph: (805) 474-8450 |
Mary A Lowery, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
K. George Sachariah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449 Phone: 805-489-2205 Fax: 805-489-2206 | |
Alice Wallack, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Dr. Cu Q Nguyen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
David A. Bernhardt, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Wallace Jack Schwam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 210 Indio Dr, Pismo Beach, CA 93449 Phone: 805-231-8699 |