| Siavash Bolourani, | |
|
782 N Medical Center Dr E Ste 101, Clovis, CA 93611-6890 | |
| (559) 256-4111 | |
| (559) 256-4113 |
| Full Name | Siavash Bolourani |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 782 N Medical Center Dr E Ste 101, Clovis, 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 |
|---|---|---|---|
| 1497119960 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint John's Health Center | Santa monica, CA | Hospital |
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Saint Johns Medical Foundation | 0840548624 | 282 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Siavash Bolourani, Po Box 889442, Los Angeles, CA 90088-9442 Ph: (559) 603-7372 | Siavash Bolourani, 782 N Medical Center Dr E Ste 101, Clovis, CA 93611-6890 Ph: (559) 256-4111 |
Dr. Wesley Gordon Jackson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2441 Sample Ave, Clovis, CA 93611 Phone: 559-323-9330 |
Dr. Farah Baig Karipineni, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 729 N Medical Center Dr W Ste 111, Clovis, CA 93611 Phone: 559-435-6600 Fax: 559-435-6622 |
Leo L. Fong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3120 Willow Ave Ste 101, Clovis, CA 93612 Phone: 559-721-4910 Fax: 559-721-4920 |
Dr. James B Roth, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 2755 Herndon Ave, Clovis, CA 93611 Phone: 559-935-5491 Fax: 559-935-5719 |
Dr. Mohammad F Shaikh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 782 Med Center Dr E Ste 101, Clovis, CA 93611 Phone: 559-256-4111 Fax: 559-256-4113 |
Airi Katoh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 782 Medical Center Dr E Ste 101, Clovis, CA 93611 Phone: 559-256-4111 |
Dr. Jonathan William Holmes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 782 Medical Center Dr E Ste 101, Clovis, CA 93611 Phone: 559-256-4111 |