| Medamerica Physician Solutions Pc | |
|
112 La Casa Via Ste 135 Walnut Creek CA 94598-3023 | |
| (925) 471-4291 | |
| Not Available |
| Full Name | Medamerica Physician Solutions Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 La Casa Via Ste 135, Walnut Creek, California |
| Authorized Official Name and Position | David Andrew Birdsall (COO) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medamerica Physician Solutions Pc 2100 Powell St Ste 400 Emeryville CA 94608-1826 Ph: (510) 350-2600 | Medamerica Physician Solutions Pc 112 La Casa Via Ste 135 Walnut Creek CA 94598-3023 Ph: (925) 471-4291 |
| NPI Number | 1487237111 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 10/02/2025 |
| Medicare PECOS PAC ID | 8729221809 |
|---|---|
| Medicare Enrollment ID | O20130821001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487237111 | NPI | - | NPPES |
| Provider Name | Wisam J Khoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356381966 PECOS PAC ID: 2264336437 Enrollment ID: I20031125000747 |
| Provider Name | Timothy G Mcnaughton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124062039 PECOS PAC ID: 1759334014 Enrollment ID: I20050225000830 |
| Provider Name | Bill J Khoury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003868027 PECOS PAC ID: 7810927399 Enrollment ID: I20050815000528 |
| Provider Name | Phong K Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770699506 PECOS PAC ID: 0244135879 Enrollment ID: I20080512000190 |
| Provider Name | Evan Houck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467652834 PECOS PAC ID: 2365594710 Enrollment ID: I20090715000415 |
| Provider Name | Steven M Beutler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184630121 PECOS PAC ID: 5991836876 Enrollment ID: I20100622000697 |
| Provider Name | Kenneth D Kushner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518967702 PECOS PAC ID: 3870618598 Enrollment ID: I20100917000167 |
| Provider Name | Shanna R Newbold |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932407632 PECOS PAC ID: 1254516891 Enrollment ID: I20110426000598 |
| Provider Name | Yong Hwan Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265819163 PECOS PAC ID: 9931467909 Enrollment ID: I20171220002486 |
| Provider Name | Dania A Youssef |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780069021 PECOS PAC ID: 3971854472 Enrollment ID: I20180921002952 |
| Provider Name | Veralyn Rosanne Vanderkraan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093160194 PECOS PAC ID: 4486076361 Enrollment ID: I20200623000780 |
| Provider Name | Ali Ghassan Darwish |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679079958 PECOS PAC ID: 6901209428 Enrollment ID: I20210721003007 |
| Provider Name | Denise Armijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912751595 PECOS PAC ID: 3375081896 Enrollment ID: I20240815001683 |
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