Avita Md - Medicare Primary Care in Los Altos, CA

Avita Md is a medicare enrolled primary clinic (Internal Medicine) in Los Altos, California. The current practice location for Avita Md is 827 Altos Oaks Dr Ste 4, Los Altos, California. For appointments, you can reach them via phone at (408) 495-5770. The mailing address for Avita Md is 827 Altos Oaks Dr Ste 4, Los Altos, California and phone number is (408) 495-5770.

Avita Md is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265121669. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (408) 495-5770.

Contact Information

Avita Md
827 Altos Oaks Dr Ste 4
Los Altos
CA 94024-5490
(408) 495-5770
(650) 912-1129

Primary Care Clinic Profile

Full NameAvita Md
SpecialityInternal Medicine
Location827 Altos Oaks Dr Ste 4, Los Altos, California
Authorized Official Name and PositionPatricia Sitnitsky (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact4084955770
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avita Md
827 Altos Oaks Dr Ste 4
Los Altos
CA 94024-5490

Ph: (408) 495-5770
Avita Md
827 Altos Oaks Dr Ste 4
Los Altos
CA 94024-5490

Ph: (408) 495-5770

NPI Details:

NPI Number1265121669
Provider Enumeration Date05/02/2023
Last Update Date07/15/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0446619852
Medicare Enrollment IDO20230703001946

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Medical Identifiers

Medical identifiers for Avita Md such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265121669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Avita Md acts as a billing entity for following providers:
Provider NamePatricia Roukee Sitnitsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790896231
PECOS PAC ID: 3971547829
Enrollment ID: I20050613000617

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