| Lucius K Upshaw, PA-C | |
|
50 S San Mateo Dr, Suite 440, San Mateo, CA 94401-3857 | |
| (650) 558-0504 | |
| (650) 558-0323 |
| Full Name | Lucius K Upshaw |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 50 S San Mateo Dr, San Mateo, 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 |
|---|---|---|---|
| 1932350790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19952 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Mateo Medical Center | San mateo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of San Mateo | 9032023171 | 316 |
| Entity Name | County of San Mateo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
| Entity Name | County of San Mateo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831268580 PECOS PAC ID: 9032023171 Enrollment ID: O20040123000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucius K Upshaw, PA-C 50 S San Mateo Dr, Suite 440, San Mateo, CA 94401-3857 Ph: (650) 558-0504 | Lucius K Upshaw, PA-C 50 S San Mateo Dr, Suite 440, San Mateo, CA 94401-3857 Ph: (650) 558-0504 |
Denise Mary Ros, Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-652-8788 |
Elena Nimon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 280 Baldwin Ave, San Mateo, CA 94401 Phone: 650-344-1121 |
Alyssa Sahu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 29 Baywood Ave, San Mateo, CA 94402 Phone: 650-235-7940 |
Maria De La Paz Guzman, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2671 |
Caitlin De Castro, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-652-8500 Fax: 650-652-8501 |
Jessica K Chu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 Fax: 650-573-2214 |
Rebecca Forrest, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 S Ellsworth Ave, Suite 806, San Mateo, CA 94401 Phone: 650-401-6060 |