| Justin Ririe Leach, DO | |
|
1800 N California St, Stockton, CA 95204-6019 | |
| (209) 547-7146 | |
| (209) 547-7197 |
| Full Name | Justin Ririe Leach |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 1800 N California St, Stockton, 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 |
|---|---|---|---|
| 1124580527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A009672 (Arizona) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Southwest Pc | 2264538529 | 75 |
| Entity Name | Emergency Physicians Southwest Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Ririe Leach, DO 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 547-7146 | Justin Ririe Leach, DO 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 547-7146 |
Ellison H Cordray, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 No California Street, Stockton, CA 95204 Phone: 209-473-6555 Fax: 209-473-6544 | |
Dr. Bahare Kazemi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-547-7146 | |
James Andrew Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-547-7146 | |
Dr. Louis John Marquet Iii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 | |
Michael A Herrera, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 No California Street, Stockton, CA 95204 Phone: 209-473-6555 Fax: 209-473-6544 | |
Mr. Gilbert E Greene, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1307 N Commerce St, Stockton, CA 95202 Phone: 209-464-7757 Fax: 209-464-7761 |