| John R Pedrotty Jr Md | |
|
1222 First St Suite 1 Coronado CA 92118-1414 | |
| (619) 435-7100 | |
| (619) 435-7115 |
| Full Name | John R Pedrotty Jr Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1222 First St, Coronado, California |
| Authorized Official Name and Position | John Richard Pedrotty (PRESIDENT OWNER) |
| Authorized Official Contact | 6194357100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John R Pedrotty Jr Md 1222 First St Suite 1 Coronado CA 92118-1414 Ph: (619) 435-7100 | John R Pedrotty Jr Md 1222 First St Suite 1 Coronado CA 92118-1414 Ph: (619) 435-7100 |
| NPI Number | 1831125277 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 11/21/2017 |
| Medicare PECOS PAC ID | 7416967500 |
|---|---|
| Medicare Enrollment ID | O20060503000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831125277 | NPI | - | NPPES |
| 00G802340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G080234 (California) | Primary |
| Provider Name | John R Pedrotty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992861629 PECOS PAC ID: 3779570635 Enrollment ID: I20040430000659 |
Sharpcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 | |
Laura Norton Petrovich Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1224 10th St, Suite 200, Coronado, CA 92118 Phone: 619-435-2234 Fax: 619-435-1784 | |
Parmela Sawhney Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1222 1st St, Suite 6, Coronado, CA 92118 Phone: 619-435-4488 Fax: 619-435-4489 | |
Patrick R Yassini M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Orange Ave, #100, Coronado, CA 92118 Phone: 619-522-4005 Fax: 619-522-4014 | |
Crown Island Family Practice A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Prospect Pl, Suite 350, Coronado, CA 92118 Phone: 619-537-6910 Fax: 619-537-6905 | |
Prema Sai Medical, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl Ste 220, Coronado, CA 92118 Phone: 559-593-6450 Fax: 619-297-4490 | |
Coronado Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 |