| Crescent Post Acute Consultants Inc | |
|
400 E Orangeburg Ave Ste 5 Modesto CA 95350-5365 | |
| (858) 967-3070 | |
| Not Available |
| Full Name | Crescent Post Acute Consultants Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 E Orangeburg Ave Ste 5, Modesto, California |
| Authorized Official Name and Position | Mohamed Kadry-hassanein (OWNER) |
| Authorized Official Contact | 8589673070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Post Acute Consultants Inc 5580 La Jolla Blvd Ste 622 La Jolla CA 92037-7651 Ph: (858) 967-3070 | Crescent Post Acute Consultants Inc 400 E Orangeburg Ave Ste 5 Modesto CA 95350-5365 Ph: (858) 967-3070 |
| NPI Number | 1598651374 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Medicare PECOS PAC ID | 7810403631 |
|---|---|
| Medicare Enrollment ID | O20250718003675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598651374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Daniel Dean Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033267166 PECOS PAC ID: 8022909860 Enrollment ID: I20040823000722 |
| Provider Name | Syed H Jafar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164437521 PECOS PAC ID: 5193785756 Enrollment ID: I20081120000567 |
| Provider Name | Iosif Kelesidis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1013154111 PECOS PAC ID: 7911212436 Enrollment ID: I20150812009107 |
| Provider Name | Mohamed Kadry-hassanein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164794673 PECOS PAC ID: 3173812112 Enrollment ID: I20160516000949 |
| Provider Name | Vincent Covelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354347 PECOS PAC ID: 4385911924 Enrollment ID: I20170601002153 |
| Provider Name | Andrew Kelada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417488123 PECOS PAC ID: 0042569170 Enrollment ID: I20211015000775 |
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