| Stephen Nnodim Jr, MD | |
|
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
| (510) 248-3572 | |
| (510) 248-3375 |
| Full Name | Stephen Nnodim Jr |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 9 Years |
| Location | 39400 Paseo Padre Pkwy, Fremont, 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 |
|---|---|---|---|
| 1396199105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A150305 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Keck Hospital Of Usc | Los angeles, CA | Hospital |
| Kaiser Foundation Hospital - San Leandro | San leandro, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10968 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Nnodim Jr, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3572 | Stephen Nnodim Jr, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3572 |
Calvin B. Wheeler, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Naureen Khan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Pradeep Kumar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 39159 Paseo Padre Parkawy #121, C, Fremont, CA 94538 Phone: 707-486-7442 Fax: 707-486-7442 | |
Paula X. Lee, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Kyle Eric Johnson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3000 | |
Rasheeda Kaghazwala, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3060 Fax: 510-248-6522 | |
Jina L. Janavs, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 |