| California Psychiatric Group | |
|
1161 E Covina Blvd Covina CA 91724-1523 | |
| (909) 279-1740 | |
| Not Available |
| Full Name | California Psychiatric Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1161 E Covina Blvd, Covina, California |
| Authorized Official Name and Position | Cyrus Nasserian (CFO) |
| Authorized Official Contact | 9092791740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Psychiatric Group Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 464-1165 | California Psychiatric Group 1161 E Covina Blvd Covina CA 91724-1523 Ph: (909) 279-1740 |
| NPI Number | 1326727074 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 3870956246 |
|---|---|
| Medicare Enrollment ID | O20230901000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326727074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cyrus Nasserian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154692556 PECOS PAC ID: 8325290943 Enrollment ID: I20121206000174 |
| Provider Name | Sambin Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861710469 PECOS PAC ID: 2264671486 Enrollment ID: I20130620000073 |
| Provider Name | Cesar Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861766099 PECOS PAC ID: 6204144850 Enrollment ID: I20150930002229 |
| Provider Name | Zaheib Idrees |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063837151 PECOS PAC ID: 9032412051 Enrollment ID: I20160126001608 |
| Provider Name | Jeromy C Asido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598233629 PECOS PAC ID: 9739412701 Enrollment ID: I20190605003217 |
| Provider Name | Arch Anthony Jungers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316626765 PECOS PAC ID: 5193178606 Enrollment ID: I20240131005009 |
| Provider Name | Chioma Ahaiwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578336483 PECOS PAC ID: 0941644785 Enrollment ID: I20240221003764 |
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