Jonathan Dell Pangelinan Pena, MD | |
60 Mdg/sgoe, 101 Bodin Circle, Travis Afb, CA 94535-1800 | |
(707) 423-3825 | |
Not Available |
Full Name | Jonathan Dell Pangelinan Pena |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 60 Mdg/sgoe, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821442609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A146279 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Newport Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922061779 PECOS PAC ID: 9537147897 Enrollment ID: O20041026001111 |
Entity Name | Tele911 Norcal Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720670268 PECOS PAC ID: 7214339498 Enrollment ID: O20210709002574 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Dell Pangelinan Pena, MD 60 Mdg/sgoe, 101 Bodin Circle, Travis Afb, CA 94535-1800 Ph: (707) 423-3825 | Jonathan Dell Pangelinan Pena, MD 60 Mdg/sgoe, 101 Bodin Circle, Travis Afb, CA 94535-1800 Ph: (707) 423-3825 |
Dr. Andrew James Amack, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Shea Boles, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Douglas Alfar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Dr. Jay Rathod, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 60th Mdg / Sgge, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Alexa Marie Gingras, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Roderick W Fontenette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Carol Knight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 954-682-3481 |