| Vasiliy Ovakimyan, | |
|
200 West Mercy Cir, General Surgery, Camp Pendleton, CA 92055 | |
| (760) 725-4357 | |
| Not Available |
| Full Name | Vasiliy Ovakimyan |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 200 West Mercy Cir, Camp Pendleton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962853788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | TRN23842 (Florida) | Secondary |
| 208600000X | Surgery | A172732 (California) | Primary |
| Entity Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Vasiliy Ovakimyan, 200 West Mercy Cir, General Surgery, Camp Pendleton, CA 92055 Ph: (760) 725-4357 | Vasiliy Ovakimyan, 200 West Mercy Cir, General Surgery, Camp Pendleton, CA 92055 Ph: (760) 725-4357 |
Thanh Tuyen Thi Huynh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: U.s. Naval Hospital, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Augustus Gleason, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Department Of Surgery, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Dr. William Jason Butler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Dept Of Surgery, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Dr. Victoria Shoko Divis Mcdonald, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, General Surgery Clinic, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Dr. Cody Garrett Clapp, MD Surgery Medicare: Medicare Enrolled Practice Location: Po Box 555191, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Dr. William Charles Brunner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Oleg A Ryabinin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1356 |