| Steven P Fogel, MD | |
|
4301 Northstar Way, Modesto, CA 95356-9262 | |
| (209) 577-1200 | |
| (209) 577-6517 |
| Full Name | Steven P Fogel |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 4301 Northstar Way, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982663837 | NPI | - | NPPES |
| 00G675700 | Other | CA | DHS PPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | G67570 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G67570 (California) | Primary |
| Entity Name | Yosemite Pathology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598760985 PECOS PAC ID: 3072415751 Enrollment ID: O20040217000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven P Fogel, MD Po Box 576768, Modesto, CA 95357-6768 Ph: (209) 577-1200 | Steven P Fogel, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 577-1200 |
Christy L Perez-valles, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Dr. Scott Goodwin Silveira, M. D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Sara J Kwong, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Dr. Marnelli Aguilar Bautista-quach, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Curtis Roy Strong, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Diane Christine Sanders, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 | |
Donald Sayet, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 4301 Northstar Way, Modesto, CA 95356 Phone: 209-577-1200 Fax: 209-577-6517 |