Mark T Taira, MD | |
10800 Magnolia Ave, Riverside, CA 92505-3043 | |
(909) 353-2000 | |
Not Available |
Full Name | Mark T Taira |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 31 Years |
Location | 10800 Magnolia Ave, Riverside, 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 |
---|---|---|---|
1073680880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G80956 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital-moreno Valley | Moreno valley, CA | Hospital |
Kaiser Foundation Hospital, Riverside | Riverside, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mark T Taira, MD 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 | Mark T Taira, MD 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 |
Catherine Odell, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3865 Jackson St, Dept Of Pathology, Riverside, CA 92503 Phone: 951-688-2111 Fax: 951-352-5340 | |
Dr. Joseph Ira Cohen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5982 Via Loma, Riverside, CA 92506 Phone: 951-369-0540 Fax: 951-346-3245 | |
Dr. Michelle Lori Meyer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3243 Fax: 951-788-3633 | |
Dr. Darren Okada, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Dept Of Pathology, Riverside Community Hospital, Riverside, CA 92501 Phone: 951-788-3243 Fax: 951-788-3633 | |
Dong A. Quach, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Dr. Simona De Michele, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3243 |