| Nikita Roy, MD | |
|
470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | |
| (707) 419-8989 | |
| Not Available |
| Full Name | Nikita Roy |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 470 Chadbourne Rd Ste A, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558723759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C201006 (California) | Primary |
| 208000000X | Pediatrics | 313713 (New York) | Secondary |
| 208000000X | Pediatrics | MD467730 (Pennsylvania) | Secondary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikita Roy, MD 1141 Pear Tree Ln, Napa, CA 94558-6484 Ph: (707) 254-1170 | Nikita Roy, MD 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 Ph: (707) 419-8989 |
Imelda Maria C. Tandinco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2012 | |
Megan Connick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 470 Chadbourne Rd Ste A, Fairfield, CA 94534 Phone: 707-419-8988 Fax: 707-254-1779 | |
Maika Manalastas, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1860 Pennsylvania Ave Ste 145, Fairfield, CA 94533 Phone: 707-646-4051 | |
Christi Klimisch Lombre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4048 Fax: 707-427-4385 | |
Dr. Alok K. Bose, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5030 Business Center Dr, Suite 230, Fairfield, CA 94534 Phone: 707-863-8190 Fax: 707-863-8193 | |
Daniel A. Schleske, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 Gateway Blvd, Fairfield, CA 94533 Phone: 707-427-4000 | |
Mr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Northbay Medical Center, 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5000 |