| Vijay Mirmira, MD | |
|
1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | |
| (209) 334-8540 | |
| (209) 368-2885 |
| Full Name | Vijay Mirmira |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 1901 W Kettleman Ln, Lodi, 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 |
|---|---|---|---|
| 1851577241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A106428 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanford Health Care | Stanford, CA | Hospital |
| Alameda Hospital | Alameda, CA | Hospital |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Stanford Health Care - Valleycare | Pleasanton, CA | Hospital |
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Healthcare Alliance | 6305748799 | 320 |
| Entity Name | University Healthcare Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Mirmira, MD Po Box 241011, Lodi, CA 95241-9511 Ph: (209) 339-7825 | Vijay Mirmira, MD 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 Ph: (209) 334-8540 |
Frank Silvio Alvarado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 830 S Ham Lane, Suite 30, Lodi, CA 95240 Phone: 209-333-7540 Fax: 209-333-7444 | |
Michael Jay Boling, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-373-2859 | |
Richard Wyman Yee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Sutie P, Lodi, CA 95242 Phone: 209-366-1990 | |
Dr. Cha Choukao Thao, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Susan V Areeckal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Lodi Ave Ste P, Lodi, CA 95242 Phone: 209-366-1990 Fax: 209-366-2169 | |
Robert J Kellar Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 | |
Norman Dagobert Schmidt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 |