Dr Sam J Shields, MD | |
1401 Garces Highway, Delano, CA 93215-3690 | |
(661) 721-5262 | |
(661) 721-5254 |
Full Name | Dr Sam J Shields |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1401 Garces Highway, Delano, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700821790 | NPI | - | NPPES |
00C289970 | Other | CA | CALOPTIMA |
C28997 | Other | CA | BLUE CROSS |
00C289970 | Medicaid | CA | |
00C289970 | Other | CA | BLUE SHIELD |
050608CA33806 | Other | CA | DELANO TRAILBLAZER |
P00282262 | Other | CA | DELANO RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C28997 (California) | Primary |
Entity Name | Team Physicians Of California Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
Mailing Address | Practice Location Address |
---|---|
Dr Sam J Shields, MD 2550 North Hollywood Way, Suite 209, Burbank, CA 91505-5019 Ph: (818) 557-0135 | Dr Sam J Shields, MD 1401 Garces Highway, Delano, CA 93215-3690 Ph: (661) 721-5262 |
Milton Kamansky, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1401 Garces Hwy, Delano, CA 93215 Phone: 661-721-5252 | |
Ramana V Kumar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1401 Garces Highway, Delano, CA 93215 Phone: 661-721-5262 Fax: 661-721-5254 | |
Gulshanjit Kaur Dhaliwal, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Garces Hwy, Delano, CA 93215 Phone: 661-725-4800 | |
Dr. Marcus F. Lee, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 Garces Highway, Delano, CA 93215 Phone: 661-721-5262 Fax: 661-721-5254 | |
Malcolm Bruce Parker Iii, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1401 Garces Hwy, Delano, CA 93215 Phone: 661-725-4800 |