Evon Ghatas Ebraham, MD | |
25455 Barton Rd, Suite A, Loma Linda, CA 92354-3128 | |
(909) 558-4000 | |
Not Available |
Full Name | Evon Ghatas Ebraham |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 30 Years |
Location | 25455 Barton Rd, Loma Linda, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629285465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A97683 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital Fontana/ontario | Fontana, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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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 |
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Evon Ghatas Ebraham, MD 25455 Barton Rd, Suite A, Loma Linda, CA 92354-3128 Ph: (909) 558-4000 | Evon Ghatas Ebraham, MD 25455 Barton Rd, Suite A, Loma Linda, CA 92354-3128 Ph: (909) 558-4000 |
Ecler Ercole Jaqua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Mark S Sutton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Lauren Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Barbara Orr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25455 Barton Rd, Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Victoria V Teppone, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Dr. Prashanth Gowda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Va Loma Linda Health Care System, 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Roger D. Woodruff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 206a, Loma Linda, CA 92354 Phone: 909-558-6505 Fax: 909-558-6701 |