| Sachin Kapoor, DO | |
|
3400 Delta Fair Blvd, Antioch, CA 94509-4004 | |
| (925) 779-5000 | |
| Not Available |
| Full Name | Sachin Kapoor |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 3400 Delta Fair Blvd, Antioch, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780762864 | NPI | - | NPPES |
| 00AX91390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 20A9139 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Sachin Kapoor, DO 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Sachin Kapoor, DO 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5000 |
Jaspal S. Sidhu, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Patricia G. Jones, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Ms. Elizabeth A Phelps, NP Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4501 Sand Creek Rd, Employee Health 3rd Fl, Antioch, CA 94531 Phone: 925-813-6468 |