Simpledeep Banipal, MD | |
355 E 21st St Ste C, San Bernardino, CA 92404-4851 | |
(877) 772-8366 | |
Not Available |
Full Name | Simpledeep Banipal |
---|---|
Gender | Female |
Speciality | Vascular Surgery |
Experience | 14 Years |
Location | 355 E 21st St Ste C, San Bernardino, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306181375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125057681 (Illinois) | Secondary |
2086S0129X | Surgery - Vascular Surgery | A154251 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Vascular Associates Of Southern California, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689835563 PECOS PAC ID: 9335285543 Enrollment ID: O20091001000241 |
Mailing Address | Practice Location Address |
---|---|
Simpledeep Banipal, MD 19400 Turtle Ridge Ln, Porter Ranch, CA 91326-3803 Ph: () - | Simpledeep Banipal, MD 355 E 21st St Ste C, San Bernardino, CA 92404-4851 Ph: (877) 772-8366 |
Ruben Osorio, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 399 E Highland Ave Ste 319, San Bernardino, CA 92404 Phone: 909-881-7200 Fax: 909-881-7289 | |
Shaheen Zakaria, MBBS Surgery Medicare: Medicare Enrolled Practice Location: 599 Inland Center Dr Ste 105, San Bernardino, CA 92408 Phone: 507-284-2511 | |
Lonnie Warren Frei, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-7605 Fax: 760-656-1199 | |
John P Kearney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 E 21st St Ste C, San Bernardino, CA 92404 Phone: 909-883-6811 Fax: 909-883-2494 | |
Alvaro Bolivar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530 | |
Ifeanyi Ugochuku, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1881 Commercenter E, Ste 118, San Bernardino, CA 92408 Phone: 909-890-1880 |