| Suttatip Vechvitvarakul, MD | |
|
15030 7th St, Victorville, CA 92395-3811 | |
| (760) 951-0065 | |
| Not Available |
| Full Name | Suttatip Vechvitvarakul |
|---|---|
| Gender | Female |
| Speciality | Surgery - Vascular Surgery |
| Location | 15030 7th St, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902061716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | A135920 (California) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 036125829 (Illinois) | Secondary |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1982845186 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000247 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1104067115 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000456 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497996524 PECOS PAC ID: 4284538778 Enrollment ID: O20090506000097 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1568851327 PECOS PAC ID: 4284538778 Enrollment ID: O20170927001545 |
| Mailing Address | Practice Location Address |
|---|---|
| Suttatip Vechvitvarakul, MD 15030 7th St, Victorville, CA 92395-3811 Ph: (760) 951-0065 | Suttatip Vechvitvarakul, MD 15030 7th St, Victorville, CA 92395-3811 Ph: (760) 951-0065 |
Stephen Kolakowski Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Dr. Mitesh Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Omar Zahoor Tahir, MD Surgery Medicare: Medicare Enrolled Practice Location: 15095 Amargosa Rd, Victorville, CA 92394 Phone: 760-596-3363 Fax: 760-596-3366 | |
Julius A Cruz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15203 11th St, Ste C, Victorville, CA 92395 Phone: 760-245-9714 Fax: 760-245-2539 | |
Dr. Jason Todd Chiriano, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 609-510-0657 Fax: 760-951-5382 | |
Dr. Franklin Allen Rutledge Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12637 Hesperia Rd, Ste B, Victorville, CA 92395 Phone: 760-646-8540 Fax: 887-304-0588 | |
Mr. Phong Thanh Dargon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 760-951-0065 Fax: 760-951-5382 |