Sumant Ponnala, | |
2734 El Camino Real, Santa Clara, CA 95051-3007 | |
(408) 241-3801 | |
Not Available |
Full Name | Sumant Ponnala |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 2734 El Camino Real, Santa Clara, 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 |
---|---|---|---|
1568877934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6891 (Georgia) | Secondary |
207Q00000X | Family Medicine | 20A15611 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 576 |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Sumant Ponnala, 2350 W El Camino Real Fl 2, Mountain View, CA 94040-6203 Ph: () - | Sumant Ponnala, 2734 El Camino Real, Santa Clara, CA 95051-3007 Ph: (408) 241-3801 |
Dr. Janani Sankaran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2295 | |
Melissa Huck Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801 | |
Qin Zhao, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Department 460 Family Medicine, Santa Clara, CA 95051 Phone: 626-636-5119 | |
Katrina Borja Ang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801 | |
Jennica Kahkejian, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2165 | |
Firozeh Rezvani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Anuradha Kottapalli, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801 |