Canyon Medical Center Corporation - Medicare Primary Care in Calabasas, CA

Canyon Medical Center Corporation is a medicare enrolled primary clinic (Family Medicine - Adult Medicine) in Calabasas, California. The current practice location for Canyon Medical Center Corporation is 4937 Las Virgenes Rd, Suite 104, Calabasas, California. For appointments, you can reach them via phone at (818) 880-0799. The mailing address for Canyon Medical Center Corporation is 4937 Las Virgenes Rd, Suite 104, Calabasas, California and phone number is (818) 880-0799.

Canyon Medical Center Corporation is licensed to practice in California (license number 43384A). The clinic also participates in the medicare program and its NPI number is 1164679718. 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 (818) 880-0799.

Contact Information

Canyon Medical Center Corporation
4937 Las Virgenes Rd
Suite 104
Calabasas
CA 91302-2949
(818) 880-0799
(818) 880-6689

Primary Care Clinic Profile

Full NameCanyon Medical Center Corporation
SpecialityFamily Medicine
Location4937 Las Virgenes Rd, Calabasas, California
Authorized Official Name and PositionDavid Vesco (OWNER)
Authorized Official Contact8188800799
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Canyon Medical Center Corporation
4937 Las Virgenes Rd
Suite 104
Calabasas
CA 91302-2949

Ph: (818) 880-0799
Canyon Medical Center Corporation
4937 Las Virgenes Rd
Suite 104
Calabasas
CA 91302-2949

Ph: (818) 880-0799

NPI Details:

NPI Number1164679718
Provider Enumeration Date08/26/2008
Last Update Date11/14/2014

Medicare PECOS Information:

Medicare PECOS PAC ID2466582689
Medicare Enrollment IDO20100615000756

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Medical Identifiers

Medical identifiers for Canyon Medical Center Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164679718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 43384A (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Canyon Medical Center Corporation acts as a billing entity for following providers:
Provider NameDavid Md Vesco
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629084074
PECOS PAC ID: 0244361871
Enrollment ID: I20100626000071

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