| Peter R Callaham, MD | |
|
280 Sierra College Dr Ste 205, Grass Valley, CA 95945-5763 | |
| (530) 273-8452 | |
| (530) 477-5182 |
| Full Name | Peter R Callaham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 280 Sierra College Dr Ste 205, Grass Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750305025 | NPI | - | NPPES |
| 00G547360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G54736 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Entity Name | Grass Valley Extended Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765218 PECOS PAC ID: 7416262589 Enrollment ID: O20150818006193 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter R Callaham, MD 280 Sierra College Dr Ste 205, Grass Valley, CA 95945-5763 Ph: (530) 273-8452 | Peter R Callaham, MD 280 Sierra College Dr Ste 205, Grass Valley, CA 95945-5763 Ph: (530) 273-8452 |
Jackson Wang, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10058 Wolf Rd, Grass Valley, CA 95949 Phone: 530-268-7708 | |
Robert N Lowe, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 Margaret Ln, Suite B, Grass Valley, CA 95945 Phone: 530-273-2221 Fax: 530-273-3550 | |
Andrew Samuel Ing, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 155 Glasson Way, Grass Valley, CA 95945 Phone: 530-263-3770 | |
Mr. Rajpreet Singh Grewal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 155 Glasson Way, Grass Valley, CA 95945 Phone: 530-274-6761 | |
Dr. Simon Chi Yan Chan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 150 Catherine Ln, Suite F, Grass Valley, CA 95945 Phone: 530-477-9100 Fax: 530-477-2033 | |
Jacob Sloan Kopp, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 155 Glasson Way, Grass Valley, CA 95945 Phone: 530-274-6761 | |
Dr. Richard Lynn Roehrkasse, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 18025 Alexandra Way, Grass Valley, CA 95949 Phone: 530-272-6218 |