| Kenneth M Soda, | |
|
235 S Palisade Dr, Santa Maria, CA 93454 | |
| (805) 739-3561 | |
| Not Available |
| Full Name | Kenneth M Soda |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 235 S Palisade Dr, Santa Maria, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447387477 | NPI | - | NPPES |
| 76434354 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A72328 (California) | Primary |
| 207Q00000X | Family Medicine | 39948 (Colorado) | Secondary |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Borrego Community Health Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Other Medical Care Group |
| Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M Soda, 1414 E Main St Ste 201, Santa Maria, CA 93454-4890 Ph: () - | Kenneth M Soda, 235 S Palisade Dr, Santa Maria, CA 93454 Ph: (805) 739-3561 |
Jaime Acosta Berrios, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1745 N Broadway Ste 101, Santa Maria, CA 93454 Phone: 805-739-3890 Fax: 805-347-7697 | |
Sara Lien Huynh, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1745 N Broadway Ste 101, Santa Maria, CA 93454 Phone: 805-739-3890 Fax: 805-347-7697 | |
Dr. Richard L Zachrich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Church St Ste 202, Santa Maria, CA 93454 Phone: 805-346-3456 Fax: 805-346-3454 | |
Scott Patrick Piazza, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 S Palisade Dr, Santa Maria, CA 93454 Phone: 805-739-3561 | |
Matthew Edwards Potter, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2801 Santa Maria Way, Santa Maria, CA 93455 Phone: 805-934-5400 Fax: 805-938-9207 | |
Peter Krause, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 S College Dr Ste 203, Santa Maria, CA 93455 Phone: 805-623-5010 Fax: 805-623-8365 | |
Francisco Reyna Mendoza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 W Fesler St, Santa Maria, CA 93458 Phone: 805-928-7881 Fax: 805-928-1931 |