Tanya N Gentry, | |
25845 Barton Rd, Loma Linda, CA 92354-3899 | |
(909) 558-2828 | |
Not Available |
Full Name | Tanya N Gentry |
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Gender | Female |
Speciality | Pediatrics |
Location | 25845 Barton Rd, 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 |
---|---|---|---|
1881197200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20A20574 (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 | Sac Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
Mailing Address | Practice Location Address |
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Tanya N Gentry, 11175 Campus St Ste A1121b, Loma Linda, CA 92350-1700 Ph: () - | Tanya N Gentry, 25845 Barton Rd, Loma Linda, CA 92354-3899 Ph: (909) 558-2828 |
Rita Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-8242 Fax: 909-558-0479 | |
Rachel Elizabeth Gelfond Davidge, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Loma Linda University Health, General Pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Medha Shukla, Pediatrics Medicare: Medicare Enrolled Practice Location: 25845 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-3904 | |
Barbara K Ariue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2848 | |
Dr. Adrian P Lavery, M.D, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 11175 Campus Street, Coleman Pavilion Suite 11121 Department Of Neonatology, Loma Linda, CA 92354 Phone: 909-651-5746 Fax: 909-558-0298 | |
Eugenia Zhang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda University Medical Center-pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Aliyah A Khan-serrano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 |