| The Village Doctor | |
|
2979 Woodside Rd Woodside CA 94062-2443 | |
| (650) 851-4747 | |
| Not Available |
| Full Name | The Village Doctor |
|---|---|
| Speciality | Clinic/Center |
| Location | 2979 Woodside Rd, Woodside, California |
| Authorized Official Name and Position | Eric Leonard Weiss (CEO) |
| Authorized Official Contact | 6508514747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Doctor 2979 Woodside Rd Woodside CA 94062-2443 Ph: (650) 851-4747 | The Village Doctor 2979 Woodside Rd Woodside CA 94062-2443 Ph: (650) 851-4747 |
| NPI Number | 1568819522 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 02/26/2025 |
| Medicare PECOS PAC ID | 2163706854 |
|---|---|
| Medicare Enrollment ID | O20170223002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568819522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Eric L Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154457026 PECOS PAC ID: 0042371163 Enrollment ID: I20081208000770 |
| Provider Name | Jennifer Abrams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750672010 PECOS PAC ID: 3678897634 Enrollment ID: I20170127002264 |
| Provider Name | Prerana Sangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216862 PECOS PAC ID: 5092771006 Enrollment ID: I20181204003682 |
| Provider Name | Milton Bird Mccoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720402977 PECOS PAC ID: 8628304607 Enrollment ID: I20190729003236 |
| Provider Name | Maia Alexandra Mosse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154940187 PECOS PAC ID: 9739540782 Enrollment ID: I20230807002913 |
Joseph A Zammuto Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Crest Rd, Woodside, CA 94062 Phone: 650-996-8584 | |
Navvisa, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3372 Woodside Rd, Woodside, CA 94062 Phone: 844-628-8472 |