| Philip Pattarelli, MD | |
|
2105 Forest Ave, San Jose, CA 95128 | |
| (408) 947-2992 | |
| (408) 947-3470 |
| Full Name | Philip Pattarelli |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 2105 Forest Ave, San Jose, 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 |
|---|---|---|---|
| 1568558948 | NPI | - | NPPES |
| 00G726610 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G72661 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fresno Imaging Center | 2466553128 | 68 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20031106000784 |
| Entity Name | Bay Imaging Consultants Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356597637 PECOS PAC ID: 9537069125 Enrollment ID: O20040110000189 |
| Entity Name | County Of Santa Clara |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20040202001145 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20050622001415 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
| Entity Name | Fresno Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20070724000813 |
| Entity Name | Omnirad Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649596792 PECOS PAC ID: 6507049350 Enrollment ID: O20110331000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Pattarelli, MD Po Box 45072, San Francisco, CA 94145-5072 Ph: (408) 947-2992 | Philip Pattarelli, MD 2105 Forest Ave, San Jose, CA 95128 Ph: (408) 947-2992 |
Dr. Christopher John Govea, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 2365 Quimby Rd Ste 100, San Jose, CA 95122 Phone: 669-888-0001 Fax: 669-888-0551 | |
Andrea L. Baron, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Dienhong Tran, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-6370 | |
Rajeev Lal Tandon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2410 Samaritan Dr, Suite 102, San Jose, CA 95124 Phone: 408-371-0728 Fax: 408-371-1164 | |
Dr. Niv E Decalo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-259-5000 | |
Dr. Cam Tran, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-6370 Fax: 408-885-6360 | |
Dr. Monica Anna Zaucha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 751 S Bascom Ave, Di Dept, San Jose, CA 95128 Phone: 408-885-5000 |