| Eric Tepper, MD | |
|
5030 J St Sacramento CA 95819-3751 | |
| (916) 455-1155 | |
| Not Available |
| Full Name | Eric Tepper, MD |
|---|---|
| Speciality | Family Medicine |
| Location | 5030 J St, Sacramento, California |
| Authorized Official Name and Position | Eric Glen Tepper (OWNER/ PROVIDER) |
| Authorized Official Contact | 9164551155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Tepper, MD 5030 J St Sacramento CA 95819-3751 Ph: (916) 455-1155 | Eric Tepper, MD 5030 J St Sacramento CA 95819-3751 Ph: (916) 455-1155 |
| NPI Number | 1154038420 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Medicare PECOS PAC ID | 7618037714 |
|---|---|
| Medicare Enrollment ID | O20230505001144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154038420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Reed Huy Vuong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295715126 PECOS PAC ID: 3375582737 Enrollment ID: I20050426001070 |
| Provider Name | Eric G Tepper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891798146 PECOS PAC ID: 6103921333 Enrollment ID: I20070417000676 |
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