| Meena Medical Group, Inc | |
|
1600 Creekside Dr Ste 2100 Folsom CA 95630-3447 | |
| (916) 542-7467 | |
| (916) 932-4879 |
| Full Name | Meena Medical Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Creekside Dr Ste 2100, Folsom, California |
| Authorized Official Name and Position | Qais M Wahidi (CEO) |
| Authorized Official Contact | 9165427467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meena Medical Group, Inc 1600 Creekside Dr Ste 2100 Folsom CA 95630-3447 Ph: (916) 542-7467 | Meena Medical Group, Inc 1600 Creekside Dr Ste 2100 Folsom CA 95630-3447 Ph: (916) 542-7467 |
| NPI Number | 1710348321 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 1658679873 |
|---|---|
| Medicare Enrollment ID | O20160420002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710348321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A111390 (California) | Primary |
| Provider Name | Richard L Bowling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114007085 PECOS PAC ID: 7416961255 Enrollment ID: I20060131000632 |
| Provider Name | Qais M Wahidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699931097 PECOS PAC ID: 1658403753 Enrollment ID: I20100723000839 |
| Provider Name | Christian G Reyna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669727046 PECOS PAC ID: 8628305653 Enrollment ID: I20190813002565 |
| Provider Name | Diana Kai Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174250195 PECOS PAC ID: 3274985114 Enrollment ID: I20240117000528 |
| Provider Name | Aarati Sarikonda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285512913 PECOS PAC ID: 6608351648 Enrollment ID: I20260327003001 |
| Provider Name | Megan Macomber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821593062 PECOS PAC ID: 9537416797 Enrollment ID: I20260617002890 |
UC Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9350 |
Folsom Lake Primary Care PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2575 E Bidwell St Ste 210, Folsom, CA 95630 Phone: 916-984-7850 |
Thrive Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2390 E Bidwell St Ste 300, Folsom, CA 95630 Phone: 916-316-6469 |
Roy a Greenberg MD a PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Creekside Dr, Suite 2100, Folsom, CA 95630 Phone: 916-983-2663 Fax: 916-983-0602 |
Healthy Living Primary Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 Fax: 916-983-8891 |
UC Davis Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Turn Pike Dr, Folsom, CA 95630 Phone: 916-985-9300 |