Mazin Elhadary, MD | |
8110 Mango Ave, Fontana, CA 92335-3603 | |
(909) 854-0430 | |
Not Available |
Full Name | Mazin Elhadary |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 8110 Mango Ave, 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 |
---|---|---|---|
1538554548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A151384 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Pinnacle Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
Mailing Address | Practice Location Address |
---|---|
Mazin Elhadary, MD Po Box 12209, San Bernardino, CA 92423-2209 Ph: (909) 335-4188 | Mazin Elhadary, MD 8110 Mango Ave, Fontana, CA 92335-3603 Ph: (909) 854-0430 |
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 |