Dr Son Ngoc Nguyen, MD | |
2150 N Waterman Ave, Ste 202, San Bernardino, CA 92404-4811 | |
(909) 383-9385 | |
(909) 882-2463 |
Full Name | Dr Son Ngoc Nguyen |
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Gender | Male |
Speciality | Family Medicine |
Location | 2150 N Waterman 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 |
---|---|---|---|
1376593889 | NPI | - | NPPES |
ZZZ43246Z | Other | CA | BLUE SHIELD OF CA |
1376593889 | Medicaid | CA | |
1235318445 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A49188 (California) | Primary |
Entity Name | Qazi Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548489271 PECOS PAC ID: 6608823729 Enrollment ID: O20050331001060 |
Entity Name | 365 Mdcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164869780 PECOS PAC ID: 8224271887 Enrollment ID: O20130829000269 |
Mailing Address | Practice Location Address |
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Dr Son Ngoc Nguyen, MD 3400 Data Dr, Physician Support Services - 2nd Fl, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Son Ngoc Nguyen, MD 2150 N Waterman Ave, Ste 202, San Bernardino, CA 92404-4811 Ph: (909) 383-9385 |
Robert William Watrous, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Dr. Jesse R. Devera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 Fax: 909-890-2081 | |
Dr. Donna Ruth Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 North Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-886-1798 | |
Dr. Kelsey Louaine Cherepuschak, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Sachin Kumar Chatta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 W Highland Ave, San Bernardino, CA 92405 Phone: 909-881-7320 Fax: 909-881-7330 | |
Dr. Uzair Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158 | |
Hugo A. Leon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7101 |