Jose I Arciniega, DO | |
17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | |
(909) 428-2040 | |
(909) 428-2191 |
Full Name | Jose I Arciniega |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 17051 Sierra Lakes Pkwy, Fontana, 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 |
---|---|---|---|
1265642052 | NPI | - | NPPES |
1174760953 | Medicaid | CA | |
P00613389 | Other | CA | RR MCR |
20A10123 | Other | CA | BS/TRIWEST |
1265642052 | Medicaid | CA | |
CQ2267 | Other | CA | RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A10123 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dignity Health Medical Foundation | 7810800661 | 1199 |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Mailing Address | Practice Location Address |
---|---|
Jose I Arciniega, DO 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: (916) 379-2915 | Jose I Arciniega, DO 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 Ph: (909) 428-2040 |
Robert M. Theal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Todd A. Westra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Pushkar Chand, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Huy Phan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Dr. Yolandie Mccoskey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-2049 | |
William J. Delo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
John R. Sharpe Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |