| Kevin Porciuncula, MD | |
|
33077 Alvarado Niles Rd, Union City, CA 94587-3109 | |
| (510) 248-1500 | |
| (510) 675-0846 |
| Full Name | Kevin Porciuncula |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 33077 Alvarado Niles Rd, Union City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629456520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT208466 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | A156667 (California) | Primary |
| Entity Name | Washington Township Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346557014 PECOS PAC ID: 2860687050 Enrollment ID: O20101112001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Porciuncula, MD 2500 Mowry Ave Ste 255, Fremont, CA 94538-1605 Ph: () - | Kevin Porciuncula, MD 33077 Alvarado Niles Rd, Union City, CA 94587-3109 Ph: (510) 248-1500 |
Dr. Son Lam Duc Nguyen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000 | |
Dr. Tam T Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33077 Alvarado Niles Rd, Union City, CA 94587 Phone: 510-248-1018 Fax: 510-605-6055 | |
May Y. Mar, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-675-4010 | |
Antonina Bondyasheva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000 | |
Abby Wang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd Bldg B, Union City, CA 94587 Phone: 510-602-1311 | |
Isabel Christina Tejeda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-675-4668 Fax: 510-675-2154 | |
Dr. Rudolph M Chang, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000 |