| Pravir R Vatsa, MD | |
|
1023 Nipomo St # 110, San Luis Obispo, CA 93401-3882 | |
| (805) 439-2998 | |
| (805) 439-2997 |
| Full Name | Pravir R Vatsa |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 29 Years |
| Location | 1023 Nipomo St # 110, San Luis Obispo, 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 |
|---|---|---|---|
| 1003912239 | NPI | - | NPPES |
| 00A958110 | Medicaid | CA | |
| 00A958110 | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A95811 (California) | Secondary |
| 208M00000X | Hospitalist | A95811 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Coast In-patient Consultants Inc | 8325137714 | 32 |
| Entity Name | Central Coast In-patient Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609096882 PECOS PAC ID: 8325137714 Enrollment ID: O20071207000854 |
| Entity Name | Hospital Medicine Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770037236 PECOS PAC ID: 4688952906 Enrollment ID: O20161020001556 |
| Mailing Address | Practice Location Address |
|---|---|
| Pravir R Vatsa, MD 1023 Nipomo St # 110, San Luis Obispo, CA 93401-3882 Ph: (805) 439-2998 | Pravir R Vatsa, MD 1023 Nipomo St # 110, San Luis Obispo, CA 93401-3882 Ph: (805) 439-2998 |
Dr. Ashlynn Nicole Gordon, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7600 | |
Cindy Hsiang Su, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7600 | |
Christopher Walheim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7600 | |
Samer S. Othman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10 Santa Rosa St Ste 201, San Luis Obispo, CA 93405 Phone: 805-544-7246 Fax: 805-782-8097 |