| Padres Medical Imaging,inc. | |
|
311 W I St Los Banos CA 93635-3479 | |
| (209) 826-6444 | |
| (209) 826-6464 |
| Full Name | Padres Medical Imaging,inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 311 W I St, Los Banos, California |
| Authorized Official Name and Position | Karthikeya Devireddy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2098262222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Padres Medical Imaging,inc. 311 W I St Los Banos CA 93635-3479 Ph: (209) 826-6444 | Padres Medical Imaging,inc. 311 W I St Los Banos CA 93635-3479 Ph: (209) 826-6444 |
| NPI Number | 1457522567 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2860553468 |
|---|---|
| Medicare Enrollment ID | O20081201000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457522567 | NPI | - | NPPES |
| Provider Name | Karthikeya Devireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780615542 PECOS PAC ID: 3971556630 Enrollment ID: I20060324000652 |
| Provider Name | Stefan Elazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669753240 PECOS PAC ID: 1759554231 Enrollment ID: I20111027000910 |
| Provider Name | Swaranjit Singh Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669536421 PECOS PAC ID: 8628290574 Enrollment ID: I20141110002492 |
| Provider Name | Monif M Matouk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689627879 PECOS PAC ID: 9335138874 Enrollment ID: I20161215001193 |
| Provider Name | Ezzaddin Al Wahsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033525456 PECOS PAC ID: 6507156981 Enrollment ID: I20170824003749 |
| Provider Name | Sina Aghaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356760045 PECOS PAC ID: 5698041911 Enrollment ID: I20171031002738 |
| Provider Name | Sarah Ann S Matouk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992144430 PECOS PAC ID: 4385868926 Enrollment ID: I20180620002319 |
| Provider Name | Gopi Krishna Polasa Venkata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295154839 PECOS PAC ID: 0941502876 Enrollment ID: I20181112000704 |
| Provider Name | Arvindselvan Mohanaselvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316472400 PECOS PAC ID: 3072918606 Enrollment ID: I20210820000174 |
| Provider Name | Donald Kettyls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851887558 PECOS PAC ID: 2668878737 Enrollment ID: I20210915001716 |
| Provider Name | Shaheer Hamid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194382523 PECOS PAC ID: 2264761873 Enrollment ID: I20221004000738 |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-384-3966 | |
Memorial Hospital Los Banos Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 I St, Los Banos, CA 93635 Phone: 209-826-0591 | |
Apex Annex Health Center,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 West I Street, Suite A, Los Banos, CA 93635 Phone: 209-827-9999 Fax: 209-827-0011 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-384-3966 | |
Los Banos Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 5th St, Los Banos, CA 93635 Phone: 209-827-4747 | |
County Of Merced Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 F St, Los Banos, CA 93635 Phone: 209-826-1340 |