| Personalized Care MD | |
|
3010 Beard Rd Napa CA 94558-3442 | |
| (707) 255-8825 | |
| (707) 252-9325 |
| Full Name | Personalized Care MD |
|---|---|
| Speciality | Family Medicine |
| Location | 3010 Beard Rd, Napa, California |
| Authorized Official Name and Position | Alexandre Antonio De Moraes (PRESIDENT) |
| Authorized Official Contact | 7072558825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Care MD 3010 Beard Rd Napa CA 94558-3442 Ph: (707) 255-8825 | Personalized Care MD 3010 Beard Rd Napa CA 94558-3442 Ph: (707) 255-8825 |
| NPI Number | 1891232484 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 11/27/2018 |
| Medicare PECOS PAC ID | 8527391911 |
|---|---|
| Medicare Enrollment ID | O20190618001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891232484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A66851 (California) | Primary |
| Provider Name | Alexandre Demoraes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942284831 PECOS PAC ID: 1153300959 Enrollment ID: I20091211000524 |
| Provider Name | Holly Rochelle Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689348963 PECOS PAC ID: 0840683132 Enrollment ID: I20220209001386 |
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