| Neta Duvdevany, | |
|
5168 Honpie Rd, Placerville, CA 95667-8682 | |
| (530) 387-4975 | |
| Not Available |
| Full Name | Neta Duvdevany |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5168 Honpie Rd, Placerville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598180341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 16474 (New Hampshire) | Secondary |
| 208000000X | Pediatrics | C137556 (California) | Primary |
| Entity Name | Shingle Springs Rancheria |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245356674 PECOS PAC ID: 6002863271 Enrollment ID: O20050331000617 |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
| Entity Name | Community Health Centers Of America |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891207684 PECOS PAC ID: 3476813460 Enrollment ID: O20180213001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Neta Duvdevany, 2800 N California St Ste 14, Stockton, CA 95204-3759 Ph: (209) 464-2605 | Neta Duvdevany, 5168 Honpie Rd, Placerville, CA 95667-8682 Ph: (530) 387-4975 |
Nancy Warden, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5168 Honpie Rd, Placerville, CA 95667 Phone: 530-387-4321 Fax: 530-672-1507 | |
Sudhakar Rendla, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4341 Golden Center Dr, Placerville, CA 95667 Phone: 530-626-1144 Fax: 505-609-6701 | |
Suzanne Jane Higgins Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4341 Golden Center Dr Bldg A, Placerville, CA 95667 Phone: 530-626-1144 | |
Laura Halliday, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4641 Missouri Flat Rd, Placerville, CA 95667 Phone: 530-626-1144 Fax: 530-626-7146 | |
Ulrich B Hacker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4341 Golden Center Dr, Suite A, Placerville, CA 95667 Phone: 530-626-1144 Fax: 530-626-7146 | |
Karl Nushir Dalal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5168 Honpie Rd, Placerville, CA 95667 Phone: 530-387-4975 |