Thomas David Walbolt, DO | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-6222 | |
(909) 580-1363 |
Full Name | Thomas David Walbolt |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | 400 N Pepper Ave, Colton, 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 |
---|---|---|---|
1992966105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 20A10110 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Roseville | Roseville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Thomas David Walbolt, DO 7828 Day Creek Blvd, #1337, Rancho Cucamonga, CA 91739-8569 Ph: (707) 344-1735 | Thomas David Walbolt, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-6222 |
Amir Ali Rahnemai Azar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Keith James Glover, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 877-873-2762 | |
Paul John Wisniewski, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Dr. Farabi M. Hussain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Ave., Surgery - Mob 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Appannagari Gnanadev, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Armc Modular # 3, Colton, CA 92324 Phone: 909-580-6210 Fax: 909-580-1363 | |
Victor Joe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Armc, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Milton Retamozo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Surgery Modular # 3, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 |