Made Sutjita, MD | |
26520 Cactus Ave, Moreno Valley, CA 92555-3927 | |
(951) 486-5700 | |
(951) 486-5705 |
Full Name | Made Sutjita |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 44 Years |
Location | 26520 Cactus Ave, Moreno Valley, 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 |
---|---|---|---|
1053428334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | A77694 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside University Health System-medical Center | Moreno valley, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Riverside | 6507754488 | 84 |
Riverside Faculty Medical Group Inc | 9436253515 | 69 |
Entity Name | County Of Riverside |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Entity Name | Riverside Faculty Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124032461 PECOS PAC ID: 9436253515 Enrollment ID: O20070329000259 |
Mailing Address | Practice Location Address |
---|---|
Made Sutjita, MD Po Box 7270, Moreno Valley, CA 92552-7270 Ph: (951) 656-1500 | Made Sutjita, MD 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-5700 |
Mr. Roger Courtney Garrison, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Dr. Sharina Mary Mapleton, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 27200 Iris Ave, Mob2, Moreno Valley, CA 92555 Phone: 951-353-2000 | |
Eunwoo Park, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Gamal F Ghaly, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 14114 Business Center Dr. Ste. G, Moreno Valley, CA 92553 Phone: 951-656-5333 Fax: 951-656-6789 | |
Dr. John-vincent Arcilla, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. Zebayel Akele Baye, M.D Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Physician Services, Moreno Valley, CA 92555 Phone: 951-486-5750 |