| Cricket Health Medical Practice Pc | |
|
548 Market Street Ste 39516 San Francisco CA 94104-4534 | |
| (833) 644-8244 | |
| Not Available |
| Full Name | Cricket Health Medical Practice Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 548 Market Street, San Francisco, California |
| Authorized Official Name and Position | Julie Dominguez (PRESIDENT) |
| Authorized Official Contact | 8336448244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cricket Health Medical Practice Pc 548 Market Street Pmb 39516 San Francisco CA 94104-4534 Ph: (833) 644-8244 | Cricket Health Medical Practice Pc 548 Market Street Ste 39516 San Francisco CA 94104-4534 Ph: (833) 644-8244 |
| NPI Number | 1255961355 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/27/2025 |
| Medicare PECOS PAC ID | 7113453176 |
|---|---|
| Medicare Enrollment ID | O20241213001239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255961355 | NPI | - | NPPES |
| Provider Name | Kathleen Marie Guerrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326597105 PECOS PAC ID: 9931483633 Enrollment ID: I20180110003440 |
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