| Michael D Krak, MD | |
|
2067 W Vista Way Ste 280, Vista, CA 92083-6034 | |
| (760) 941-3630 | |
| (760) 941-1214 |
| Full Name | Michael D Krak |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2067 W Vista Way Ste 280, Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003989419 | NPI | - | NPPES |
| 00G412290 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G41229 (California) | Primary |
| Entity Name | Centers For Family Medicine Gp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Krak, MD 145 Thunder Dr, Vista, CA 92083-6010 Ph: (760) 941-3630 | Michael D Krak, MD 2067 W Vista Way Ste 280, Vista, CA 92083-6034 Ph: (760) 941-3630 |
Lynette M Asselin, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214 | |
Nassrin Rahimi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892 | |
Dr. Robert E Fredricks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 | |
Dr. Veronica L Naudin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, Suite 180, Vista, CA 92083 Phone: 760-945-3434 Fax: 760-945-6761 | |
Yves B. Terrazas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Dr. Valerie Marie Michelotti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 |