Dr Menouchehr Bazyani, MD | |
2497 Herndon Ave, Clovis, CA 93611-8976 | |
(800) 492-4227 | |
Not Available |
Full Name | Dr Menouchehr Bazyani |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2497 Herndon Ave, Clovis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154461051 | NPI | - | NPPES |
00A875820 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | A87582 (California) | Secondary |
208000000X | Pediatrics | A87582 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Menouchehr Bazyani, MD 30195 Fraser Dr, Lake Elsinore, CA 92530-7006 Ph: (951) 252-2720 | Dr Menouchehr Bazyani, MD 2497 Herndon Ave, Clovis, CA 93611-8976 Ph: (800) 492-4227 |
Dr. Dianne Hubbard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Elizabeth Ashley Black, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5656 Fax: 559-325-5568 | |
Dr. Merle Martin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 W Herndon Ave, Clovis, CA 93612 Phone: 559-324-6200 Fax: 559-324-6280 | |
Manish Babaji Malkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5568 Fax: 559-325-5656 | |
Norma E. Figueroa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2071 Herndon Ave, Clovis, CA 93611 Phone: 559-324-5100 | |
John Moua, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611 Phone: 559-325-5656 Fax: 559-325-5568 |