Tye R Depena (NPI# 1467459735, PAC ID# 0244335511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1467459735 |
| PAC ID by PECOS | 0244335511 |
| Professional Enrollment ID | I20070414000092 |
| Full Name | Tye R Depena |
| Organization Legal Name | DOCTORS ON DUTY MEDICAL GROUP, INC |
| Address |
1505 Main St Watsonville CA 95076-3761 |
| Phone Number | 8317221444 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2466366703 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1505 Main St, Watsonville, CA 95076-3761 | 8317221444 | DOCTORS ON DUTY MEDICAL GROUP, INC |
| Organization Legal Name | DOCTORS ON DUTY MEDICAL GROUP, INC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Joel Hallas | Family Medicine | Doctors On Duty Medical Group, Inc | 615 Ocean St, Santa Cruz, CA 95060-4005 |
| Melissa Eileen Conroy | Physician Assistant | Doctors On Duty Medical Group, Inc | 1756 N Main St, Salinas, CA 93906-5103 |
| Denise Doronila | Physician Assistant | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Eric Hohn | Orthopedic Surgery | Doctors On Duty Medical Group, Inc | 1505 Main St, Watsonville, CA 95076-3761 |
| Jessica Zackel | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1513 Fremont Blvd, E1, Seaside, CA 93955-4319 |
| Steven C Schumann | Family Medicine | Doctors On Duty Medical Group, Inc | 558 Abbott St, Suite A, Salinas, CA 93901-4326 |
| Timothy K Wilken | Family Medicine | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| Miki R Joy | Family Medicine | Doctors On Duty Medical Group, Inc | 3130 Del Monte Blvd, Marina, CA 93933-3047 |
| Asja Serdarevic | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1505 Main St, Watsonville, CA 95076-3761 |
| Lynne Domhoff | Physician Assistant | Doctors On Duty Medical Group, Inc | 1756 N Main St, Salinas, CA 93906-5103 |
| Street Address |
1505 MAIN ST |
| City | WATSONVILLE |
| State | CA |
| Zip | 95076-3761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Hohn | Orthopedic Surgery | Doctors On Duty Medical Group, Inc | 1505 Main St, Watsonville, CA 95076-3761 |
| Asja Serdarevic | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1505 Main St, Watsonville, CA 95076-3761 |
| Steven Thomas Tortorice | Family Practice | Doctors On Duty Medical Group, Inc | 1505 Main St, Watsonville, CA 95076-3761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Martin | Physical Medicine and Rehabilitation | 265 Camino Al Barranco, La Selva Beach, CA 95076-1505 | |
| Elizabeth Gonzalez-jaskulak | Clinical Social Worker | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Alexander Tsavaler | Anesthesiology | Elite Anesthesia Medical Group Inc | 75 Neilson St, Watsonville, CA 95076-2468 |
| Patrick Worth Shepard Cary | Emergency Medicine | Cep America - California | 75 Neilson St, Watsonville, CA 95076-2468 |
| John Aleman | Family Medicine | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Cathleen Chandler-eckhardt | Physician Assistant | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Flavio A Cornejo | Family Medicine | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Cristina Gamboa | Obstetrics/gynecology | Salud Para La Gente | 45 Neilson St, Watsonville, CA 95076-2468 |
| Mark M Ahn | Anesthesiology | Elite Anesthesia Medical Group Inc | 75 Neilson St, Watsonville, CA 95076-2468 |
| Linda Truong | Emergency Medicine | Cep America - California | 75 Neilson St, Watsonville, CA 95076-2468 |
| Find all physicians in zip 95076 | |||
| City | WATSONVILLE |
| Zip Code | 95076 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WATSONVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Tye R Depena.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.