Brainiac Medical Corporation | |
1007 E Cooley Dr Ste 111 Colton CA 92324-3901 | |
(909) 429-3244 | |
(909) 981-0821 |
Full Name | Brainiac Medical Corporation |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1007 E Cooley Dr Ste 111, Colton, California |
Authorized Official Name and Position | Chelsea Aguilar (OFFICE MANAGER) |
Authorized Official Contact | 9094293244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brainiac Medical Corporation 1007 E Cooley Dr Ste 111 Colton CA 92324-3901 Ph: (909) 429-3244 | Brainiac Medical Corporation 1007 E Cooley Dr Ste 111 Colton CA 92324-3901 Ph: (909) 429-3244 |
NPI Number | 1699472183 |
---|---|
Provider Enumeration Date | 02/14/2023 |
Last Update Date | 02/14/2023 |
Certification Date | 02/14/2023 |
Medicare PECOS PAC ID | 7517405806 |
---|---|
Medicare Enrollment ID | O20240819000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699472183 | NPI | - | NPPES |
Provider Name | Khadija H Hamisi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225360498 PECOS PAC ID: 4385874460 Enrollment ID: I20140312000229 |
Dev Partnerships, Inc (dba Tomorrows World) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1334 N Northstar Ave, Colton, CA 92324 Phone: 951-255-5828 | |
Making A Difference Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 E Cooley Drive, Ste 111, Colton, CA 92324 Phone: 909-420-0413 Fax: 909-510-0410 | |
Beverly Hanes, Lmft Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Cooley Dr, Suite 200 S, Colton, CA 92324 Phone: 951-334-3177 Fax: 909-424-0222 | |
Kerry A. Hannifin, Psy.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 E Washington St, Colton, CA 92324 Phone: 844-374-6336 | |
Central Valley Regional Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1076 Santo Antonio Dr, Colton, CA 92324 Phone: 909-433-9824 Fax: 909-433-9830 | |
Cornerstone Behavioral Health Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 E Cooley Dr, Ste. 111, Colton, CA 92324 Phone: 909-825-5128 Fax: 909-825-8568 | |