| Tooba Khan, MD | |
|
528 Capitola Ave, Capitola, CA 95010-2750 | |
| (831) 475-1630 | |
| Not Available |
| Full Name | Tooba Khan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 528 Capitola Ave, Capitola, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215565791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A186836 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Tooba Khan, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Tooba Khan, MD 528 Capitola Ave, Capitola, CA 95010-2750 Ph: (831) 475-1630 |
Mr. Robert P. Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Mr. Kevin J Hasenauer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Tyler Wellman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 41st Ave Ste C, Capitola, CA 95010 Phone: 831-684-7611 Fax: 831-477-2009 | |
Daniel E Temple, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Filomena Fatima Trindade, M.D., M.P.H. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Capitola Ave Ste A, Capitola, CA 95010 Phone: 831-462-4441 Fax: 831-426-4494 | |
Mr. Gael F Decleve, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 |