| Indrajit Sengupta, PA-C | |
|
4520 Executive Dr, San Diego, CA 92121-3018 | |
| (800) 926-8273 | |
| Not Available |
| Full Name | Indrajit Sengupta |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 4520 Executive Dr, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093423311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 61826 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA61826 (California) | Primary |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386762300 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001307 |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235232778 PECOS PAC ID: 3577476761 Enrollment ID: O20040920001143 |
| Entity Name | Lpch Medical Group Div of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Entity Name | Rady Children's Hospital San Diego |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669617197 PECOS PAC ID: 3971677493 Enrollment ID: O20091015000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Indrajit Sengupta, PA-C File 57326, Los Angeles, CA 90074-7326 Ph: (800) 926-8273 | Indrajit Sengupta, PA-C 4520 Executive Dr, San Diego, CA 92121-3018 Ph: (800) 926-8273 |
Jennifer Lee Hanley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6655 Alvarado Rd, San Diego, CA 92120 Phone: 949-632-5442 |
Ginger R Lucero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121 Phone: 858-859-1188 |
Dr. Jennifer Anne Freimund, M.D. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7475 |
Vanessa Wang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7830 Clairemont Mesa Blvd, Suite 203, San Diego, CA 92111 Phone: 858-300-2626 |
James Hamilton Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-657-8200 Fax: 858-657-8235 |
Shanna Michael Miller-nabas, RDN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-576-1700 |
Carter Donald Copeland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7625 Mesa College Dr Ste 200a, San Diego, CA 92111 Phone: 858-223-2172 |