MEDICARE: SUBACUTECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28243	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHA369330	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1710014832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUBACUTECARE

Provider Business Mailing Address
First Line	:	1848 SARATOGA AVE
Second Line	:	SUITE 1
City	:	SARATOGA
State	:	CA
Zip	:	95070-6612
Country	:	US
Telephone Number	:	408-340-1545
Fax Number	:	408-340-1546

Provider Business Practice Location Address
First Line	:	1848 SARATOGA AVE
Second Line	:	SUITE 1
City	:	SARATOGA
State	:	CA
Zip	:	95070-6612
Country	:	US
Telephone Number	:	408-340-1545
Fax Number	:	408-340-1546

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL ZARCONE
Credential	:
Telephone Number	:	408-340-1545

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “SUBACUTECARE ” Practice Location

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