| Paul Viscogliosi, PA | |
|
3883 Airway Dr Ste 165, Santa Rosa, CA 95403-1675 | |
| (707) 521-7799 | |
| (707) 573-5431 |
| Full Name | Paul Viscogliosi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 3883 Airway Dr Ste 165, Santa Rosa, 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 |
|---|---|---|---|
| 1538662937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 55373 (California) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 55373 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Sonoma Valley Hospital | Sonoma, CA | Hospital |
| Providence Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Novato Community Hospital | Novato, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3783 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Viscogliosi, PA 213 Chris St, Windsor, CA 95492-8631 Ph: (925) 381-3790 | Paul Viscogliosi, PA 3883 Airway Dr Ste 165, Santa Rosa, CA 95403-1675 Ph: (707) 521-7799 |
Brittany Nichole Sweeney, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4729a Hoen Ave, Santa Rosa, CA 95405 Phone: 707-577-7800 Fax: 707-573-5360 |
Natalie R Marks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 208 Concourse Blvd, Suite 1, Santa Rosa, CA 95403 Phone: 707-544-3400 Fax: 707-544-0137 |
Noelle Daly, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4545 |
Samantha Nicole Stefan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 Willowgreen Pl, Santa Rosa, CA 95403 Phone: 707-205-7989 |
Helen B Maldonado, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 144 Stony Point Road, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626 |
Samantha Ashley Stewart, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 949-381-4966 |
Ms. Nina Ya Lai, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Mendocino Ave, Santa Rosa, CA 95403 Phone: 707-545-4537 |