Dr Ali Khazaei Nezhad, MD | |
742 W Highland Ave, San Marcos Medical Group Inc., San Bernardino, CA 92405-3839 | |
(312) 953-9909 | |
(909) 881-7330 |
Full Name | Dr Ali Khazaei Nezhad |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 742 W Highland 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 |
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1669677837 | NPI | - | NPPES |
110093581A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
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207VG0400X | Obstetrics & Gynecology - Gynecology | 250973 (Massachusetts) | Secondary |
207V00000X | Obstetrics & Gynecology | A108351 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Ali Khazaei Nezhad, MD 27652 Homestead Rd, Laguna Niguel, CA 92677-6603 Ph: (312) 953-9909 | Dr Ali Khazaei Nezhad, MD 742 W Highland Ave, San Marcos Medical Group Inc., San Bernardino, CA 92405-3839 Ph: (312) 953-9909 |
Joe Mawad, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 204, San Bernardino, CA 92411 Phone: 909-474-9952 Fax: 909-474-9951 | |
Jeanne M. Rorabeck, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 172 W 3rd St, San Bernardino, CA 92415 Phone: 909-387-6462 Fax: 909-387-6444 | |
Dr. Elizabeth Felix-trunnelle, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 249 E Highland Ave, San Bernardino, CA 92404 Phone: 909-881-1683 Fax: 909-881-4215 | |
Dr. Peter T Yang, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 516, San Bernardino, CA 92404 Phone: 909-881-1722 Fax: 909-883-6011 | |
Anas Elias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1800 Western Ave Ste 204, San Bernardino, CA 92411 Phone: 909-474-9952 Fax: 909-474-9951 | |
Morton Paul Hibbert, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8149 | |
Dr. George H Small, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1800 Western Ave Ste 101, San Bernardino, CA 92411 Phone: 909-885-1542 Fax: 909-327-2756 |