Dr Chakradhar Penta, MD, BS | |
9961 Sierra Ave, Mob 2 - Physical Medicine, Fontana, CA 92335-6720 | |
(909) 427-3945 | |
(909) 427-5282 |
Full Name | Dr Chakradhar Penta |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 19 Years |
Location | 9961 Sierra Ave, Fontana, 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 |
---|---|---|---|
1689881039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A98881 (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 |
---|---|
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 |
---|---|
Dr Chakradhar Penta, MD, BS 9961 Sierra Ave, Mob 2 - Physical Medicine, Fontana, CA 92335-6720 Ph: (909) 427-3945 | Dr Chakradhar Penta, MD, BS 9961 Sierra Ave, Mob 2 - Physical Medicine, Fontana, CA 92335-6720 Ph: (909) 427-3945 |
Douglas K. Mack, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Adrianne C. Beck, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Dr. Christine Torralba Diaz, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Kaiser Permanente Department Of Pm&r, Fontana, CA 92335 Phone: 909-558-6202 | |
John Luen Shen, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Gerald R. Goodlow, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Herbert Lee, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |