| Stephen Michael Kubaska Iii, MD | |
|
1211 W. La Palma Avenue, Suite 505, Anaheim, CA 92801-2812 | |
| (714) 778-1032 | |
| (714) 780-0053 |
| Full Name | Stephen Michael Kubaska Iii |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 1211 W. La Palma Avenue, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952481160 | NPI | - | NPPES |
| 00G865450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 000000G86545 (California) | Primary |
| 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 | 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 | San Fernando Valley Interventional Radiology And Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Michael Kubaska Iii, MD 1211 W. La Palma Avenue, Suite 505, Anaheim, CA 92801-2812 Ph: (714) 778-1032 | Stephen Michael Kubaska Iii, MD 1211 W. La Palma Avenue, Suite 505, Anaheim, CA 92801-2812 Ph: (714) 778-1032 |
Bakthan Savarirayan, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 3356 W Ball Rd, Suite 205, Anaheim, CA 92804 Phone: 714-761-0332 Fax: 714-761-8792 | |
Larissa R. Tan, MD Surgery Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Gail F. Mattson-gates, MD Surgery Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Leo Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 949-469-7221 | |
Leslie B. Rand-luby, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Dr. Umer Iqbal Chaudhry, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3430 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-3359 | |
Dr. Felix Roa Gaw, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave, Suite 209, Anaheim, CA 92801 Phone: 714-533-8885 Fax: 714-533-8884 |