| Acacia Family Medical Group | |
|
400 E Romie Ln Salinas CA 93901-4017 | |
| (831) 770-0123 | |
| (831) 770-1599 |
| Full Name | Acacia Family Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 400 E Romie Ln, Salinas, California |
| Authorized Official Name and Position | Sumana Reddy (PRESIDENT) |
| Authorized Official Contact | 8317700123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Family Medical Group 400 E Romie Ln Salinas CA 93901-4017 Ph: (831) 770-0123 | Acacia Family Medical Group 400 E Romie Ln Salinas CA 93901-4017 Ph: (831) 770-0123 |
| NPI Number | 1871603258 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/09/2010 |
| Medicare PECOS PAC ID | 6507840394 |
|---|---|
| Medicare Enrollment ID | O20040617001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871603258 | NPI | - | NPPES |
| GR0083010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Sumana Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336259738 PECOS PAC ID: 5597749200 Enrollment ID: I20040617001578 |
| Provider Name | Rafael Orson Siqueiros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043320468 PECOS PAC ID: 9436133238 Enrollment ID: I20040617001685 |
| Provider Name | Danielle O Acton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073623492 PECOS PAC ID: 8426174459 Enrollment ID: I20100928000731 |
| Provider Name | Lyn M Treais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124141049 PECOS PAC ID: 9931130515 Enrollment ID: I20190405001006 |
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