Ayodeji Gregorio Okusanya, MD | |
325 Hospitality Lane, San Bernardino, CA 92408 | |
(866) 205-3595 | |
Not Available |
Full Name | Ayodeji Gregorio Okusanya |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 9 Years |
Location | 325 Hospitality Lane, San Bernardino, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700230844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A159981 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Ayodeji Gregorio Okusanya, MD 325 Hospitality Lane, San Bernardino, CA 92408 Ph: (866) 205-3595 | Ayodeji Gregorio Okusanya, MD 325 Hospitality Lane, San Bernardino, CA 92408 Ph: (866) 205-3595 |
Antoinette Azar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 | |
Dr. Juan Lua Gonzalez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 W Hospitality Ln, Suite 312, San Bernardino, CA 92408 Phone: 866-205-3595 | |
Dr. Dennis Payne, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 | |
Gamil Fteeh, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 E Caroline St Ste J, San Bernardino, CA 92408 Phone: 909-835-1810 Fax: 909-835-1780 | |
Than Myint, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 | |
Dr. Lita S. Hedglin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-252-5149 Fax: 949-499-8695 | |
Ricardo Whyte, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 |