Phillip Grigsby, | |
11370 Havstad Dr, Loma Linda, CA 92354-4149 | |
(541) 761-9596 | |
Not Available |
Full Name | Phillip Grigsby |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 11370 Havstad Dr, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740716539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A157441 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Riverside Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880 |
Entity Name | Health Diagnostics Of California A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000005 |
Entity Name | Health Diagnostics Of California A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000084 |
Entity Name | Universal Radiology Partners Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467225235 PECOS PAC ID: 7214372986 Enrollment ID: O20240304003247 |
Mailing Address | Practice Location Address |
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Phillip Grigsby, 11370 Havstad Dr, Loma Linda, CA 92354-4149 Ph: () - | Phillip Grigsby, 11370 Havstad Dr, Loma Linda, CA 92354-4149 Ph: (541) 761-9596 |
Dr. Arthur Chung-liung Chang, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Va Loma Linda Healthcare System - Dept Of Radiology, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Joseph Unis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8311 | |
Donald Tellfair Barnes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Imaging Service (radoiology Department), Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Kristen Darden, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Suite C, Loma Linda, CA 92354 Phone: 909-558-7814 | |
Raymond Torres Scott, Radiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St Ste Mc-b622, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Jason Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8311 | |
Thu Tang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8311 |