| Edward J Caccioppo, PA | |
|
27400 Hesperian Blvd, Hayward, CA 94545-4235 | |
| (510) 784-4070 | |
| (510) 184-2014 |
| Full Name | Edward J Caccioppo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 27400 Hesperian Blvd, Hayward, 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 |
|---|---|---|---|
| 1992782635 | NPI | - | NPPES |
| PA15340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA15340 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - San Marcos | San marcos, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J Caccioppo, PA 27400 Hesperian Blvd, Hayward, CA 94545-4235 Ph: (510) 784-4070 | Edward J Caccioppo, PA 27400 Hesperian Blvd, Hayward, CA 94545-4235 Ph: (510) 784-4070 |
Ms. Isabel Papp, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 27400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-784-4528 |
Janani Thiyagarajan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19 Ben Nevis Pl, Hayward, CA 94542 Phone: 510-316-5449 |
Manon A. Baze, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 27200 Calaroga Ave, Hayward, CA 94545 Phone: 510-264-4026 |
Neelima Akkinapalli, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27200 Calaroga Ave, Hayward, CA 94545 Phone: 510-264-4000 |
Ms. Tracy Ellen Fearnside, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 680 W. Tennyson Rd., Silva Clinic, Hayward, CA 94544 Phone: 510-782-4470 Fax: 510-782-4756 |
Vanessa Mendoza, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 27200 Calaroga Ave, Hayward, CA 94545 Phone: 510-264-4000 |
Muhammad Khurshid Khan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1090 La Playa Dr, Hayward, CA 94545 Phone: 510-785-5555 |