| Kenneth F Colina, MD | |
|
3020 Childrens Way, San Diego, CA 92123 | |
| (858) 966-5841 | |
| Not Available |
| Full Name | Kenneth F Colina |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3020 Childrens Way, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538273008 | NPI | - | NPPES |
| 110625102 | Other | TX | FIRSTCARE PIN |
| 125007806 | Medicaid | TX | |
| 140442852 | Medicaid | TX | |
| 1218867 | Other | TX | FIRSTHEALTH PIN |
| 124106 | Other | TX | SUPERIOR PIN |
| 88705G | Other | TX | BCBSTX IND PIN |
| 00U87Z | Other | TX | BCBSTX GRP PIN |
| 1750369203 | Other | GRP NPI NUMBER | |
| 2352398 | Other | TX | UHC PIN |
| 4536787 | Other | TX | AETNA PIN |
| 7097804 | Other | TX | CIGNA PIN |
| 137345810 | Medicaid | TX | |
| 10011558 | Other | TX | AMERIGROUP PIN |
| 125007805 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | J3298 (Texas) | Secondary |
| 208M00000X | Hospitalist | J3298 (Texas) | Secondary |
| 208000000X | Pediatrics | 153469 (California) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth F Colina, MD 3020 Childrens Way # Mc5064, San Diego, CA 92123-4223 Ph: (858) 966-5841 | Kenneth F Colina, MD 3020 Childrens Way, San Diego, CA 92123 Ph: (858) 966-5841 |
Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416 | |
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969 | |
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785 | |
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847 | |
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082 |