Mr Phong Thanh Dargon, MD | |
15030 7th St, Victorville, CA 92395-3811 | |
(760) 951-0065 | |
(760) 951-5382 |
Full Name | Mr Phong Thanh Dargon |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 16 Years |
Location | 15030 7th St, Victorville, 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 |
---|---|---|---|
1679733927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 236799 (Massachusetts) | Secondary |
2086S0129X | Surgery - Vascular Surgery | A128212 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Apple valley, CA | Hospital |
St Bernardine Medical Center | San bernardino, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vascular Associates Of Southern California, Inc. | 9335285543 | 11 |
Entity Name | Vascular Associates Of Southern California, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689835563 PECOS PAC ID: 9335285543 Enrollment ID: O20091001000241 |
Mailing Address | Practice Location Address |
---|---|
Mr Phong Thanh Dargon, MD 15030 7th St, Victorville, CA 92395-3811 Ph: (760) 951-0065 | Mr Phong Thanh Dargon, MD 15030 7th St, Victorville, CA 92395-3811 Ph: (760) 951-0065 |
Stephen Kolakowski Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Dr. Mitesh Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Dr. Chris Okwuosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 310-850-6804 | |
Omar Zahoor Tahir, MD Surgery Medicare: Medicare Enrolled Practice Location: 15095 Amargosa Rd, Victorville, CA 92394 Phone: 760-596-3363 Fax: 760-596-3366 | |
Julius A Cruz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15203 11th St, Ste C, Victorville, CA 92395 Phone: 760-245-9714 Fax: 760-245-2539 | |
Dr. Jason Todd Chiriano, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 609-510-0657 Fax: 760-951-5382 | |
Dr. Franklin Allen Rutledge Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12637 Hesperia Rd, Ste B, Victorville, CA 92395 Phone: 760-646-8540 Fax: 887-304-0588 |