| Kourosh Moazemi, MD | |
|
3901 Lone Tree Way, Antioch, CA 94509-6200 | |
| (925) 432-3318 | |
| Not Available |
| Full Name | Kourosh Moazemi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 3901 Lone Tree Way, Antioch, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184774374 | NPI | - | NPPES |
| A78865 | Other | CA | CA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036105401 (Illinois) | Secondary |
| 208M00000X | Hospitalist | A78865 (California) | Secondary |
| 207R00000X | Internal Medicine | A78865 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Delta Medical Center | Antioch, CA | Hospital |
| John Muir Medical Center - Concord Campus | Concord, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Pittsburg Antioch Medical Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619922911 PECOS PAC ID: 3173535846 Enrollment ID: O20060620000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourosh Moazemi, MD Po Box 276950, Sacramento, CA 95827-6950 Ph: (925) 432-3318 | Kourosh Moazemi, MD 3901 Lone Tree Way, Antioch, CA 94509-6200 Ph: (925) 432-3318 |
Dr. Kausalya Chennapragada Bhaskarabhatla, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6500 Fax: 973-200-0120 | |
Chung M. Kung, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531 Phone: 925-813-6500 | |
Prasad Pillai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4721 Dallas Ranch Rd, Antioch, CA 94531 Phone: 925-778-0679 Fax: 925-778-3567 | |
Dr. Doris Sofia Galina-da Silva, DORIS GALINADA SILVA Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2370 Country Hills Dr Ste 101, Antioch, CA 94509 Phone: 925-779-9635 Fax: 925-779-9672 | |
Dr. Patricia Anne Yabut Haro, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 916-854-6975 Fax: 916-854-6844 | |
Al G. Sumaquial, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Veenu Goel Gupta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-756-1192 |