David D Tito, MD | |
2101 N Waterman Ave, San Bernardino, CA 92404-4836 | |
(909) 883-8711 | |
Not Available |
Full Name | David D Tito |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2101 N Waterman Ave, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023021839 | NPI | - | NPPES |
00G747730 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G74773 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
---|---|
David D Tito, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | David D Tito, MD 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: (909) 883-8711 |
Judy Charyln Patterson, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4357 | |
Allyson Entwistle, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Micah Leigh Wittler, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-806-1529 | |
Brian Jeffrey Bearie, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4357 | |
Sabina Berkeley Moore-cohen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Medical Center Dr, Medical Staff Office, San Bernardino, CA 92411 Phone: 909-806-1598 | |
Willard Gilbert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 |