| Michael D Maggioncalda, DO | |
|
5900 State Farm Dr, Rohnert Park, CA 94928-2149 | |
| (707) 206-3000 | |
| Not Available |
| Full Name | Michael D Maggioncalda |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 5900 State Farm Dr, Rohnert Park, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043394042 | NPI | - | NPPES |
| 00AX66280 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6628 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoma Valley Community Health Center | 6800708686 | 14 |
| Entity Name | Sonoma Valley Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770669715 PECOS PAC ID: 6800708686 Enrollment ID: O20091116000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Maggioncalda, DO 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Michael D Maggioncalda, DO 5900 State Farm Dr, Rohnert Park, CA 94928-2149 Ph: (707) 206-3000 |
Ashmi Ullal, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-577-7500 | |
Dr. Scott Dean Cutler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 E. Cotati Avenue, Rohnert Park, CA 95404 Phone: 707-664-2921 Fax: 707-664-2925 | |
Vanessa Elizabeth Ramirez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 State Farm Dr Fl 2, Rohnert Park, CA 94928 Phone: 707-559-7500 | |
Marissa Nicole Westerland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-206-3044 | |
Dr. Mary Elizabeth Frank, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928 Phone: 707-584-8588 Fax: 707-584-2869 | |
Ms. Laura Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 State Farm Dr Ste 200, Rohnert Park, CA 94928 Phone: 707-559-7500 |