| Vila Phoulavan, PA-C | |
|
2500 Milvia St, Berkeley, CA 94704-2636 | |
| (510) 204-5514 | |
| Not Available |
| Full Name | Vila Phoulavan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 2500 Milvia St, Berkeley, 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 |
|---|---|---|---|
| 1184705212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 17855 (California) | Primary |
| 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 |
| Entity Name | American Current Care of California a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
| Entity Name | City Health a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477940187 PECOS PAC ID: 5890003024 Enrollment ID: O20151007002146 |
| Entity Name | Brett V Curtis MD a Professional Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346372661 PECOS PAC ID: 6507194297 Enrollment ID: O20190819003338 |
| Mailing Address | Practice Location Address |
|---|---|
| Vila Phoulavan, PA-C 6220 Fairlane Dr Unit B, Oakland, CA 94611-1810 Ph: (510) 735-1891 | Vila Phoulavan, PA-C 2500 Milvia St, Berkeley, CA 94704-2636 Ph: (510) 204-5514 |
Ms. Miriam Mona Gaffer Ferreira, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2828 Telegraph Ave, Berkeley, CA 94705 Phone: 510-848-8404 Fax: 510-848-6312 |
Diana Kuderna, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2223 Mckinley Ave, Berkeley, CA 94703 Phone: 510-541-0226 |
Lucas Fogarty, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2222 Prince St, Berkeley, CA 94705 Phone: 510-982-9006 |
Sabra Daly, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2915 Telegraph Ave, Suite 101, Berkeley, CA 94705 Phone: 510-843-4544 Fax: 510-843-3871 |
Ms. Cecilia E. Brown, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2636 Telegraph Ave., Berkeley, CA 94704 Phone: 510-841-1647 Fax: 510-848-4924 |
Felicia Ma, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2344 Sixth Street, Berkeley, CA 94710 Phone: 415-265-1178 |
Nathaniel Peter Houston, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 837 Addison St, Berkeley, CA 94710 Phone: 510-981-4100 |