| John W. Scivally, D.p.m Inc | |
|
2227 Olympic Blvd, Walnut Creek, CA 94595-1623 | |
| (925) 937-2860 | |
| (925) 937-5565 |
| Full Name | John W. Scivally, D.p.m Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2227 Olympic Blvd, Walnut Creek, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639355381 | NPI | - | NPPES |
| 000E43190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4319 (California) | Primary |
| Provider Name | Robin K Lie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689785131 PECOS PAC ID: 0840189064 Enrollment ID: I20040315000246 |
| Provider Name | John W Scivally |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518951722 PECOS PAC ID: 2163502956 Enrollment ID: I20101122001082 |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Scivally, D.p.m Inc 2227 Olympic Blvd, Walnut Creek, CA 94595-1623 Ph: (925) 937-2860 | John W. Scivally, D.p.m Inc 2227 Olympic Blvd, Walnut Creek, CA 94595-1623 Ph: (925) 937-2860 |
Dr. Jennifer Kim, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Cheryl J. Hanson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Dr. Ali Khavari, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2637 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-464-1982 | |
Eman Elmi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2637 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-464-1982 Fax: 925-464-2042 | |
Shayan Essapoor, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2637 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-464-1982 Fax: 925-464-2042 | |
Cecile Shepard Adobe Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 106 La Casa Via Ste 270, Walnut Creek, CA 94598 Phone: 925-988-7550 Fax: 925-686-5807 | |
John Ebisui, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2227 Olympic Blvd, Walnut Creek, CA 94595 Phone: 925-634-9704 |