| Side Xi, MD | |
|
2611 N Dinuba Blvd, Visalia, CA 93291-9003 | |
| (559) 733-6342 | |
| Not Available |
| Full Name | Side Xi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2611 N Dinuba Blvd, Visalia, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679643688 | NPI | - | NPPES |
| 00A857910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A85791 (California) | Primary |
| Entity Name | County Of Tulare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407304678 PECOS PAC ID: 1456264555 Enrollment ID: O20031105000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Side Xi, MD 5957 S Mooney Blvd, Visalia, CA 93277-9394 Ph: (559) 737-4669 | Side Xi, MD 2611 N Dinuba Blvd, Visalia, CA 93291-9003 Ph: (559) 733-6342 |
Dr. Kathryn Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 559-738-7500 Fax: 559-738-7560 | |
Lance Toshio Tomooka, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 559-738-7500 Fax: 559-738-7560 | |
Dr. Kimberley Berg, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2732 | |
Dr. Rupa Varma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 North Bridge Street, Visalia, CA 93291 Phone: 559-734-1939 Fax: 559-734-4384 | |
Diana Belen Bermudez Chicango, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 E School Ave, Visalia, CA 93291 Phone: 877-960-3426 | |
Dr. Saba Halim Khalid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 595-738-7505 Fax: 559-738-7560 | |
Dr. Wilson S Chen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Bridge St, Visalia, CA 93291 Phone: 559-734-1939 Fax: 559-734-4384 |