| Live Well Medical Center Inc. | |
|
515 Michigan Blvd West Sacramento CA 95691-2705 | |
| (916) 368-0816 | |
| Not Available |
| Full Name | Live Well Medical Center Inc. |
|---|---|
| Speciality | General Practice |
| Location | 515 Michigan Blvd, West Sacramento, California |
| Authorized Official Name and Position | Michael P Bass (OWNER) |
| Authorized Official Contact | 9163680816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Medical Center Inc. 515 Michigan Blvd West Sacramento CA 95691-2705 Ph: (916) 368-0816 | Live Well Medical Center Inc. 515 Michigan Blvd West Sacramento CA 95691-2705 Ph: (916) 368-0816 |
| NPI Number | 1285975060 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 1254572027 |
|---|---|
| Medicare Enrollment ID | O20130722000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285975060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C32503 (California) | Primary |
| Provider Name | Mikhail Palatnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558312629 PECOS PAC ID: 8224922398 Enrollment ID: I20040225000549 |
| Provider Name | John S Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467441527 PECOS PAC ID: 3678523289 Enrollment ID: I20050131000752 |
| Provider Name | Hoi K Trinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093763484 PECOS PAC ID: 6103959861 Enrollment ID: I20100802000264 |
| Provider Name | Kalpana A Phadnis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689802027 PECOS PAC ID: 0143472282 Enrollment ID: I20121218000325 |
| Provider Name | William C Ta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790955300 PECOS PAC ID: 5597902106 Enrollment ID: I20130517000485 |
| Provider Name | David J Kyle |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1952531758 PECOS PAC ID: 9638472194 Enrollment ID: I20160118000764 |
| Provider Name | Marichu Garcia David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457964504 PECOS PAC ID: 4880001452 Enrollment ID: I20210326000264 |
| Provider Name | Jessica G Layug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366026841 PECOS PAC ID: 5294134474 Enrollment ID: I20210519002665 |
| Provider Name | Mariya Sergeyevna Azarov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636891 PECOS PAC ID: 8325434053 Enrollment ID: I20220406001464 |
| Provider Name | Samer Nuhaily |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780879213 PECOS PAC ID: 2961584024 Enrollment ID: I20220504000006 |
| Provider Name | Divya Nalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235866773 PECOS PAC ID: 6800271412 Enrollment ID: I20220919001481 |
Salud Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605 Phone: 916-403-2900 | |
Communicare Ole Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3680 Industrial Blvd Ste 100, West Sacramento, CA 95691 Phone: 916-228-3378 | |
West Sacramentopediatric Medical Group,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Jefferson Blvd, West Sacramento, CA 95691 Phone: 916-371-3787 Fax: 916-371-3790 | |
Salud Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605 Phone: 916-403-2900 | |
Wellspace Health West Capitol Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 W Capitol Ave, West Sacramento, CA 95691 Phone: 916-371-2275 Fax: 916-371-8649 | |
Sacramento Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 W Capitol Ave, West Sacramento, CA 95691 Phone: 916-371-2275 Fax: 916-371-8649 |