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Widchanun Praserthdam, MD

Cardiovascular Disease (Cardiology) · San Jose

NPI 1457333478

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1

Offices

1 location · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Hospitals listed: Kaiser Foundation Hospital-San Jose. That is not proof they admit you there this week.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Praserthdam’s office at (408) 972-3000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Kaiser Foundation Hospital-San JoseSan Jose, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital-San Jose
Clostridium Difficile (C.Diff)Infections0.258BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.3 (0.22 to 2.37) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.43 to 1.34)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths14.2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 271 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 2,952 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.04 to 0.5) · 894 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 908 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.19 (0.67 to 5.72) · 176 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.34) · 61 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.23 (0.53 to 3.92) · 168 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.11 (0 to 17.58) · 68 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.85 (0.67 to 9.03) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.26) · 51 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.53) · 630 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 48 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.843No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.88No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.611No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15 · 171 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 571 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits147.1 · 28 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21 · 639 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 48 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 157 casesNoneJul 2023 – Jun 2025

What patients said (1,294 patients answered, 21% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-San Jose
Cleanliness4
Nurse communication2
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Kaiser Foundation Hospital-San Jose
Room was "always" clean71%
Nurses "always" communicated well70%
Doctors "always" communicated well79%
Staff "always" explained54%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)61%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms85%

Original Medicare doctor bills

$3,538

Medicare paid this office $3,538 for 96 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function12$614$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only68$494$6

Who their Medicare patients are

96 Original Medicare patients in 2024. Average age 73 · Under 65 20% · 85 and older 16% · Women 45% · Also on Medicaid 55% · Health risk score 2.09. Above the middle of the specialty; the typical cardiology clinician is at 1.71.

Conditions among them: High blood pressure 75% · Diabetes 40% · Heart failure 39% · Atrial fibrillation 36% · Coronary heart disease 30% · Chronic kidney disease 29% · Dementia 23% · Stroke 23% · COPD 19% · Depression 18%.

The office billed $15,341, Medicare allowed $4,745 and paid $3,538; for 130 services of 16 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202496130732.09$15,341$3,538
2023109166702.14$21,195$4,594
202295129702.67$24,748$4,652
202180119703.16$12,375$2,719
202088126692.96$14,599$3,758
201992146682.92$21,122$5,358
2018129201702.48$17,173$4,000
2017140208692.34$17,081$4,284
2016113169712.23$16,072$3,986
2015130200732.62$19,144$3,777
201491122702.36$13,018$3,198
2013109153722.27$9,504$2,328

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function16$793$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only81$716$7

2022: 2 services

Original Medicare services billed in 2022
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function14$832$59
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only61$486$7

2021: 2 services

Original Medicare services billed in 2021
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function14$849$61
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only69$572$7

2020: 2 services

Original Medicare services billed in 2020
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function16$988$62
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only62$559$7

2019: 2 services

Original Medicare services billed in 2019
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function18$1,035$57
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only66$615$7

2018: 2 services

Original Medicare services billed in 2018
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function22$1,280$58
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only103$964$7

2017: 1 service

Original Medicare services billed in 2017
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only110$851$6

2016: 2 services

Original Medicare services billed in 2016
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function16$838$52
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only91$779$7

2015: 2 services

Original Medicare services billed in 2015
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function27$1,231$46
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only103$917$7

2014: 1 service

Original Medicare services billed in 2014
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only71$606$7

2013: 1 service

Original Medicare services billed in 2013
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only98$836$7

Medicaid work

$8,489 in 2024

Medicaid paid $8,489 for 530 billed services this clinician did in 2024, up to 73 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only518$4,807
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography12$3,682
Medicaid work by year
2024530273$8,489
20237493162$1,374
2022442163$1,061
2021350152$869
2020294142$481
2019296145$567
2018368159$1,028
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only690$1,131
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography47$243
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report12$0

2022

Largest Medicaid services in 2022
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only442$1,061

2021

Largest Medicaid services in 2021
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only350$869

2020

Largest Medicaid services in 2020
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only294$481

2019

Largest Medicaid services in 2019
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only296$567

2018

Largest Medicaid services in 2018
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only368$1,028

Drugs they prescribed that Part D paid

$556,220

Pharmacies billed $556,220 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 1,199) in 2024. At or below the middle of the specialty; the typical cardiology clinician is at 0%.

941 generic and 258 brand-name prescriptions · $556,220 in drug cost · 38 antibiotic prescriptions to 26 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Vyndamax13$316,670$24,359
Entresto98$123,606$1,261
Jardiance70$39,494$564
Repatha Sureclick29$20,351$702
Eliquis14$15,805$1,129
See all 27 drugs
Every Part D drug this clinician prescribed
Vyndamax13$316,670$24,359
Entresto98$123,606$1,261
Jardiance70$39,494$564
Repatha Sureclick29$20,351$702
Eliquis14$15,805$1,129
Brilinta15$15,414$1,028
Pradaxa18$5,340$297
Flecainide Acetate71$2,446$34
Sotalol50$1,171$23
Metoprolol95$1,053$11
Furosemide53$754$14
Nitroglycerin47$696$15
Clopidogrel33$603$18
Atorvastatin51$599$12
Isosorbide Mononitrate Er48$599$12
Metoprolol49$598$12
Bumetanide16$591$37
Carvedilol48$574$12
Amiodarone19$543$29
Spironolactone53$508$10
Losartan37$444$12
Lisinopril33$396$12
Amlodipine Besylate35$376$11
Hydralazine34$373$11
Potassium Chloride13$285$22
Amoxicillin23$144$6
Cephalexin11$82$7

Year by year

Part D prescribing by year
20241,1993000% (0)22%$556,220
20231,2963170% (0)None$175,219
20221,1783220% (0)18%$121,345
20211,103256None18%$115,848
20201,0042460% (0)13%$78,272
20198912380% (0)15%$74,876
20189512320% (0)26%$84,187
20171,1202360% (0)22%$77,979
20161,0572250% (0)21%$61,972
20159812370% (0)None$50,573
20149122180% (0)None$42,345
2013796196NoneNone$33,041

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 27 drugs

Part D drugs prescribed in 2023
Entresto79$68,960$873
Jardiance59$38,515$653
Eliquis24$17,488$729
Repatha Sureclick15$10,949$730
Pradaxa21$5,789$276
Flecainide Acetate50$1,764$35
Metoprolol90$1,300$14
Amiodarone39$1,108$28
Metoprolol94$1,087$12
Ranolazine Er13$935$72
Atorvastatin58$917$16
Furosemide71$910$13
Sotalol43$816$19
Amlodipine Besylate65$760$12
Isosorbide Mononitrate Er61$750$12
Hydralazine48$724$15
Losartan52$678$13
Nitroglycerin42$663$16
Carvedilol58$660$11
Lisinopril45$582$13
Clopidogrel31$573$18
Spironolactone49$493$10
Bumetanide11$410$37
Potassium Chloride15$322$21
Digoxin11$280$25
Rosuvastatin12$130$11
Amoxicillin19$111$6

2022: 29 drugs

Part D drugs prescribed in 2022
Entresto51$46,001$902
Eliquis25$19,684$787
Pradaxa29$14,060$485
Jardiance16$9,750$609
Repatha Sureclick13$7,025$540
Flecainide Acetate53$2,035$38
Metoprolol80$1,358$17
Metoprolol122$1,299$11
Amiodarone39$1,219$31
Propafenone16$1,205$75
Hydralazine48$1,136$24
Atorvastatin70$982$14
Lisinopril68$874$13
Amlodipine Besylate60$730$12
Ranolazine Er15$728$49
Isosorbide Mononitrate Er49$725$15
Carvedilol65$716$11
Furosemide43$674$16
Sotalol24$627$26
Losartan48$580$12
Nitroglycerin27$509$19
Potassium Chloride12$438$37
Digoxin12$374$31
Clopidogrel21$346$16
Spironolactone28$273$10
Rosuvastatin15$175$12
Atenolol14$147$11
Cephalexin15$113$8
Amoxicillin11$62$6

2021: 24 drugs

Part D drugs prescribed in 2021
Entresto53$36,946$697
Eliquis24$17,725$739
Pradaxa22$15,692$713
Repatha Sureclick14$7,481$534
Flecainide Acetate53$2,437$46
Propafenone24$1,304$54
Atorvastatin85$1,265$15
Metoprolol110$1,164$11
Metoprolol55$1,123$20
Lisinopril90$1,101$12
Hydralazine34$1,085$32
Ranolazine Er20$1,037$52
Amiodarone29$941$32
Carvedilol69$794$12
Nitroglycerin29$643$22
Furosemide50$643$13
Isosorbide Mononitrate Er42$611$15
Sotalol18$539$30
Losartan37$531$14
Amlodipine Besylate34$417$12
Clopidogrel20$379$19
Spironolactone27$275$10
Atenolol15$157$10
Rosuvastatin13$152$12

2020: 25 drugs

Part D drugs prescribed in 2020
Pradaxa35$23,912$683
Entresto15$12,541$836
Flecainide Acetate53$2,651$50
Atorvastatin96$1,611$17
Propafenone15$1,315$88
Amiodarone37$1,273$34
Metoprolol113$1,220$11
Lisinopril86$1,117$13
Ranolazine Er14$933$67
Carvedilol72$869$12
Hydralazine24$866$36
Nitroglycerin25$814$33
Losartan58$796$14
Isosorbide Mononitrate Er44$704$16
Furosemide43$549$13
Metoprolol24$505$21
Digoxin15$429$29
Sotalol12$381$32
Amlodipine Besylate18$230$13
Spironolactone16$205$13
Atenolol20$191$10
Hydrochlorothiazide16$180$11
Simvastatin16$179$11
Rosuvastatin12$145$12
Cephalexin13$96$7

2019: 22 drugs

Part D drugs prescribed in 2019
Eliquis18$15,555$864
Pradaxa22$14,046$638
Entresto13$7,562$582
Flecainide Acetate63$3,664$58
Atorvastatin75$1,943$26
Isosorbide Dinitrate11$1,906$173
Metoprolol110$1,168$11
Nitroglycerin23$1,117$49
Isosorbide Mononitrate Er46$927$20
Amiodarone26$892$34
Lisinopril62$798$13
Sotalol18$771$43
Carvedilol57$695$12
Losartan46$608$13
Metoprolol20$608$30
Furosemide33$462$14
Clopidogrel14$353$25
Hydralazine24$313$13
Hydrochlorothiazide22$247$11
Simvastatin18$199$11
Amlodipine Besylate17$175$10
Spironolactone13$171$13

2018: 24 drugs

Part D drugs prescribed in 2018
Eliquis24$15,523$647
Pradaxa28$14,426$515
Entresto14$9,987$713
Flecainide Acetate65$3,843$59
Atorvastatin65$1,970$30
Metoprolol118$1,315$11
Propafenone11$1,175$107
Hydralazine31$902$29
Losartan45$841$19
Lisinopril67$791$12
K-Tab Er15$761$51
Furosemide48$760$16
Carvedilol62$741$12
Nitroglycerin16$705$44
Clopidogrel17$493$29
Isosorbide Mononitrate Er34$491$14
Digoxin18$476$26
Amiodarone18$397$22
Spironolactone25$256$10
Hydrochlorothiazide16$187$12
Warfarin14$163$12
Amlodipine Besylate22$153$7
Simvastatin15$152$10
Cephalexin12$124$10

2017: 25 drugs

Part D drugs prescribed in 2017
Pradaxa26$13,870$533
Entresto15$7,788$519
Flecainide Acetate73$4,149$57
Atorvastatin75$2,405$32
Digoxin24$2,093$87
Isosorbide Dinitrate11$1,668$152
Metoprolol128$1,373$11
Losartan46$1,292$28
Hydralazine44$1,218$28
Lisinopril86$1,054$12
Amiodarone34$1,025$30
Carvedilol78$997$13
Furosemide61$881$14
Propafenone13$804$62
Clopidogrel25$786$31
Nitroglycerin15$666$44
K-Tab Er14$643$46
Isosorbide Mononitrate Er43$530$12
Hydrochlorothiazide32$359$11
Sotalol15$264$18
Amlodipine Besylate32$246$8
Spironolactone23$228$10
Atenolol17$199$12
Simvastatin17$191$11
Warfarin16$187$12

2016: 23 drugs

Part D drugs prescribed in 2016
Pradaxa27$11,555$428
Flecainide Acetate56$5,745$103
Digoxin25$2,763$111
Atorvastatin68$2,345$34
Nitrostat24$1,771$74
Losartan52$1,770$34
Metoprolol161$1,755$11
Klor-Con M2012$1,615$135
Hydralazine43$1,484$35
Lisinopril79$972$12
Clopidogrel24$910$38
Carvedilol66$844$13
Furosemide47$715$15
Amiodarone21$708$34
Isosorbide Mononitrate Er50$610$12
K-Tab Er13$524$40
Amlodipine Besylate33$467$14
Hydrochlorothiazide32$353$11
Spironolactone28$303$11
Simvastatin17$282$17
Sotalol12$247$21
Atenolol13$174$13
Warfarin14$163$12

2015: 23 drugs

Part D drugs prescribed in 2015
Flecainide Acetate37$5,151$139
Pradaxa12$4,110$343
Digoxin19$2,099$110
Atorvastatin53$1,898$36
Clopidogrel33$1,560$47
Metoprolol125$1,376$11
Hydralazine38$1,259$33
Losartan38$1,220$32
Amiodarone33$1,166$35
Lisinopril76$971$13
Carvedilol60$798$13
Furosemide52$791$15
Amlodipine Besylate32$765$24
Nitrostat21$740$35
Isosorbide Mononitrate Er55$699$13
K-Tab Er15$533$36
Simvastatin27$494$18
Spironolactone36$377$10
Sotalol16$300$19
Hydrochlorothiazide23$265$12
Warfarin21$245$12
Cephalexin18$175$10
Atenolol11$137$12

2014: 20 drugs

Part D drugs prescribed in 2014
Flecainide Acetate41$5,834$142
Xarelto11$3,577$325
Atorvastatin57$2,305$40
Clopidogrel37$1,490$40
Amiodarone32$1,350$42
Losartan45$1,336$30
Digox17$1,309$77
Hydralazine25$1,260$50
Metoprolol110$1,202$11
Simvastatin49$919$19
Furosemide51$799$16
Lisinopril56$753$13
Carvedilol57$703$12
Amlodipine Besylate28$629$22
Isosorbide Mononitrate Er48$595$12
Nitrostat14$442$32
Sotalol16$294$18
Hydrochlorothiazide24$273$11
Warfarin21$245$12
Spironolactone21$225$11

2013: 21 drugs

Part D drugs prescribed in 2013
Flecainide Acetate48$6,990$146
Clopidogrel33$2,312$70
Amiodarone34$1,597$47
Atorvastatin41$1,393$34
Losartan37$1,146$31
Simvastatin48$1,092$23
Metoprolol103$1,059$10
Dilt-Xr13$961$74
Nitrostat24$776$32
Hydralazine21$733$35
Amlodipine Besylate30$721$24
Lisinopril45$555$12
Furosemide35$518$15
Isosorbide Mononitrate Er40$496$12
Carvedilol29$400$14
Sotalol15$229$15
Warfarin17$198$12
Digox15$175$12
Hydrochlorothiazide14$163$12
Digoxin12$133$11
Spironolactone11$125$11

Money from drug and device companies

$42 in 2025

A payment is not proof that care is biased.

Payments by company
BiotronikAmvia Edge$42
1 payment
  • Meals for Amvia Edge · 2025-11-07 · $42
See the published payment
Every published payment
BiotronikMeals · 2025-11-07Amvia Edge$42

Professional record

NPI
1457333478
Licence
CA A072984
Trained
University of South Florida College of Medicine, 1999
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Cardiology (207RC0000X)
Mailing address
4860 Y St, Suite 2820, Sacramento, CA, 95817
NPI first listed
2005-11-16
NPI last updated
2021-12-09

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.