Kenneth Wayne Hart, MD | |
1454 E 2nd St, San Bernardino, CA 92408-0118 | |
(909) 382-7146 | |
(909) 382-7101 |
Full Name | Kenneth Wayne Hart |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
Location | 1454 E 2nd St, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689651671 | NPI | - | NPPES |
J891171 | Other | CA | INLAND EMPIRE HEALTH PLAN |
F141171 | Other | CA | INLAND EMPIRE HEALTH PLAN |
00G198940 | Other | CA | MEDI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | G019894 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Wayne Hart, MD 1454 E 2nd St, San Bernardino, CA 92408-0118 Ph: (909) 382-7146 | Kenneth Wayne Hart, MD 1454 E 2nd St, San Bernardino, CA 92408-0118 Ph: (909) 382-7146 |
John Neumann, Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1375 Camino Real Ste 130, San Bernardino, CA 92408 Phone: 909-884-1500 | |
Mr. Richard L. Neil, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1329 N H St, San Bernardino, CA 92405 Phone: 909-381-0803 Fax: 909-381-0823 | |
Roger Evan Fox, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1375 Camino Real Ste 130, San Bernardino, CA 92408 Phone: 909-884-1500 Fax: 909-383-0025 | |
Dr. Christian Olaf Christensen, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 799 E Rialto Ave, San Bernardino, CA 92415 Phone: 909-383-3287 Fax: 909-386-8325 | |
Dr. Bradley Paul Gilbert, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92408 Phone: 909-890-2000 Fax: 909-890-2019 | |
Dr. Carrie Chanson, M.D., DR.PH, MPM Preventive Medicine Medicare: Medicare Enrolled Practice Location: 328 Commercial Rd Ste 101, Loma Linda Occupational Medicine Clinic, San Bernardino, CA 92408 Phone: 909-558-6662 |