| Michael A Famularo, MD, FACC | |
|
1941 Johnson Ave, # 101, San Luis Obispo, CA 93401-4154 | |
| (805) 782-8844 | |
| (805) 782-8859 |
| Full Name | Michael A Famularo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Interventional Cardiology |
| Location | 1941 Johnson Ave, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174501845 | NPI | - | NPPES |
| 110006126 | Other | CA | RAILROAD MEDICARE |
| ZZZ28458Z | Other | CA | BLUES SHIELD |
| GR0068680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G29696 (California) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | G29696 (California) | Primary |
| Entity Name | Straub Clinic & Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306508 PECOS PAC ID: 6305759754 Enrollment ID: O20031111000417 |
| Entity Name | Kau Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144304338 PECOS PAC ID: 7416945548 Enrollment ID: O20040601000398 |
| Entity Name | Hilo Benioff Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962584060 PECOS PAC ID: 1254422900 Enrollment ID: O20070809000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Famularo, MD, FACC 1941 Johnson Ave, # 101, San Luis Obispo, CA 93401-4154 Ph: (805) 782-8844 | Michael A Famularo, MD, FACC 1941 Johnson Ave, # 101, San Luis Obispo, CA 93401-4154 Ph: (805) 782-8844 |
Rabab Hajar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-595-1815 | |
Justin N Grammy, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 Phone: 805-543-4407 Fax: 805-543-4587 | |
Pravir R Vatsa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401 Phone: 805-439-2998 Fax: 805-439-2997 | |
Philippe Duhaime, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405 Phone: 805-546-7000 | |
Dr. Grace Crittenden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 | |
Christopher Vaughn Holland, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401 Phone: 805-540-0689 Fax: 805-541-4376 | |
Dr. Deborah A. Cherry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401 Phone: 805-439-1381 Fax: 805-439-0138 |