| Inpatient Consultants Of California, Inc. | |
|
1510 4th Street Suite 1 Berkely CA 94710 | |
| (510) 525-8980 | |
| (510) 525-8982 |
| Full Name | Inpatient Consultants Of California, Inc. |
|---|---|
| Speciality | Hospitalist |
| Location | 1510 4th Street, Berkely, California |
| Authorized Official Name and Position | Adam Singer (CEO) |
| Authorized Official Contact | 5107536480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Consultants Of California, Inc. 1510 4th Street Suite 1 Berkely CA 94710 Ph: (510) 525-8980 | Inpatient Consultants Of California, Inc. 1510 4th Street Suite 1 Berkely CA 94710 Ph: (510) 525-8980 |
| NPI Number | 1831134253 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 01/19/2009 |
| Medicare PECOS PAC ID | 7618861501 |
|---|---|
| Medicare Enrollment ID | O20040211000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831134253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Geraldine G Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699744086 PECOS PAC ID: 8628060431 Enrollment ID: I20040928000701 |
| Provider Name | Ray Yeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780653220 PECOS PAC ID: 3274579511 Enrollment ID: I20050707001095 |
| Provider Name | Dawn M Groten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407880693 PECOS PAC ID: 8628088200 Enrollment ID: I20060426000721 |
| Provider Name | Hiep D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588612881 PECOS PAC ID: 1456526516 Enrollment ID: I20111219000804 |