| Stephanie Mita, | |
|
975 Sereno Dr, Vallejo, CA 94589-2441 | |
| (707) 651-1000 | |
| Not Available |
| Full Name | Stephanie Mita |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 9 Years |
| Location | 975 Sereno Dr, Vallejo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669836763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5567 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Clara Valley Medical Center | San jose, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Santa Clara | 1254244973 | 824 |
| Provider Name | County Of Santa Clara |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588721500 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
| Provider Name | County Of Santa Clara |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
| Provider Name | County Of Santa Clara |
|---|---|
| Provider Type | Part B Supplier - Other Medical Care Group |
| Provider Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Mita, 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: () - | Stephanie Mita, 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Napa Solano Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 1460 N Camino Alto, Suite 101, Vallejo, CA 94589 Phone: 707-644-4049 Fax: 707-644-4687 | |
Ronald Delosreyes Paterno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Dr. Monica Jung, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Stephen Haynam, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3338 | |
Ninveh Omlin, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5033 Fax: 707-651-3685 | |
Lance Vanwoy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Nicholas Gan Tan, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 909-633-2881 |