| Navneet K Boddu, MD | |
|
3626 Ruffin Rd, San Diego, CA 92123-1810 | |
| (858) 565-9666 | |
| (858) 565-9441 |
| Full Name | Navneet K Boddu |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 3626 Ruffin Rd, San Diego, 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 |
|---|---|---|---|
| 1811917396 | NPI | - | NPPES |
| 00A541880 | Other | CA | BLUE SHIELD ID # |
| 00A541880385 | Other | CA | CALOPTIMA ID # |
| 00A541880 | Medicaid | CA | |
| 050084493 | Other | CA | RAILROAD MEDICARE ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A54188 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A54188 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Memorial Hospital - Encinitas | Encinitas, CA | Hospital |
| Entity Name | Anesthesia Service Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053354233 PECOS PAC ID: 1153223219 Enrollment ID: O20040121000450 |
| Entity Name | Southern California Pain Consultants, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013268069 PECOS PAC ID: 8729238662 Enrollment ID: O20121030000335 |
| Entity Name | Navneet K Boddu Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548851280 PECOS PAC ID: 4688082183 Enrollment ID: O20210422000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Navneet K Boddu, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666 | Navneet K Boddu, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666 |
John Mitchell King, PHYSICIAN ASSISTANT Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 2100 5th Ave Ste 200, San Diego, CA 92101 Phone: 619-948-8464 | |
Dr. Eric T Stedje-larsen, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, Naval Medical Center San Diego, San Diego, CA 92134 Phone: 619-435-9679 | |
Jeffrey A. Cullen, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 6973 Linda Vista Road, San Diego, CA 92111 Phone: 858-279-9676 Fax: 858-279-0377 | |
Dr. Susan A Burke, L.A.C, O.M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4141 Mississippi St, San Diego, CA 92104 Phone: 760-880-1896 | |
Dr. Zachary Carl Cohen, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5395 Ruffin Rd Ste 204, San Diego, CA 92123 Phone: 858-571-3630 Fax: 858-295-3948 | |
Dr. Michael Moon, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121 Phone: 858-202-1546 Fax: 858-202-1548 |