| Michael Johl, | |
|
34 Mark West Springs Rd, Santa Rosa, CA 95403-1766 | |
| (707) 573-5200 | |
| (707) 573-5417 |
| Full Name | Michael Johl |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 11 Years |
| Location | 34 Mark West Springs Rd, Santa Rosa, 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 |
|---|---|---|---|
| 1922428119 | NPI | - | NPPES |
| A140871 | Other | CA | STATE MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| California Pacific Medical Center- Van Ness Campus | San francisco, CA | Hospital |
| Mendocino Coast District Hospital | Fort bragg, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Johl, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 573-5200 | Michael Johl, 34 Mark West Springs Rd, Santa Rosa, CA 95403-1766 Ph: (707) 573-5200 |
Rajveer Sangera, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100 | |
Dr. Yulia Rivelis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458 | |
Soheila Benrazavi, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616 | |
Suhana Elamsenthil, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 | |
Jarrod Paul Holmes, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874 | |
Dr. James Andrew Driscoll, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599 | |
Dominic Joseph Picetti, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 |