| Michael T Ricciardi, DO | |
|
1224 Tenth St, # 200, Coronado, CA 92118 | |
| (619) 435-6902 | |
| (619) 435-6996 |
| Full Name | Michael T Ricciardi |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1224 Tenth St, Coronado, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205840618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A6018 (California) | Primary |
| Entity Name | County Of Colusa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902929052 PECOS PAC ID: 3173656402 Enrollment ID: O20120405000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Ricciardi, DO 1224 Tenth St, # 200, Coronado, CA 92118 Ph: (619) 435-6902 | Michael T Ricciardi, DO 1224 Tenth St, # 200, Coronado, CA 92118 Ph: (619) 435-6902 |
Dr. Fred Baker, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 469 C Avenue, Coronado, CA 92118 Phone: 619-437-1430 | |
Anne L Cox, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 158 C Ave, Coronado, CA 92118 Phone: 619-435-5400 Fax: 619-435-5401 | |
Tara Pundiak Toohey, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 641 Coronado Ave, Coronado, CA 92118 Phone: 808-352-3979 | |
Dr. Barbara Ann Smith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 138 B Ave, Coronado, CA 92118 Phone: 619-857-8346 Fax: 619-435-1952 | |
Dr. Jorge Porras, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 158 C Ave, Coronado, CA 92118 Phone: 619-435-5400 | |
Dr. Mark Melden, D.O. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 158 C Ave, Coronado, CA 92118 Phone: 619-435-5400 |