Jamal Dawan Mustafa, MD | |
323 S Heliotrope Ave, Monrovia, CA 91016 | |
(626) 408-9800 | |
Not Available |
Full Name | Jamal Dawan Mustafa |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 37 Years |
Location | 323 S Heliotrope Ave, Monrovia, 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 |
---|---|---|---|
1366486854 | NPI | - | NPPES |
771635 | Medicaid | AZ | |
27400018 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD20030707 (New Mexico) | Secondary |
207P00000X | Emergency Medicine | C52342 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Victor Valley Global Medical Center | Victorville, CA | Hospital |
Desert Valley Hospital | Victorville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Seven Star Hospital Associates Inc | 4789083338 | 106 |
Southland Emergency Medical Associates Inc | 9830466796 | 19 |
Entity Name | Desert Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803 |
Entity Name | Pacific Valley Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
Entity Name | Chase Dennis Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033152350 PECOS PAC ID: 2264345172 Enrollment ID: O20040729000498 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
Entity Name | Apex Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265711089 PECOS PAC ID: 4688844277 Enrollment ID: O20110909002790 |
Entity Name | Coast Plaza Emergency Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912308446 PECOS PAC ID: 7113249947 Enrollment ID: O20141206000362 |
Entity Name | Southland Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932640935 PECOS PAC ID: 9830466796 Enrollment ID: O20170524001180 |
Entity Name | Seven Star Hospital Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
Entity Name | Southland Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932640935 PECOS PAC ID: 9830466796 Enrollment ID: O20220929003208 |
Mailing Address | Practice Location Address |
---|---|
Jamal Dawan Mustafa, MD 14120 Alondra Blvd, Suite C, Santa Fe Springs, CA 90670-5820 Ph: (562) 407-2080 | Jamal Dawan Mustafa, MD 323 S Heliotrope Ave, Monrovia, CA 91016 Ph: (626) 408-9800 |
Darryl J. Fisher, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Pomona Ave, Monrovia, CA 91016 Phone: 626-660-5678 |