| Health Service Alliance | |
|
13193 Central Ave Chino CA 91710-4179 | |
| (909) 464-9675 | |
| (909) 590-3898 |
| Full Name | Health Service Alliance |
|---|---|
| Speciality | Family Medicine |
| Location | 13193 Central Ave, Chino, California |
| Authorized Official Name and Position | James Lally (PRESIDENT) |
| Authorized Official Contact | 9092815800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Service Alliance 5050 San Bernardino St Montclair CA 91763-2326 Ph: (909) 281-5800 | Health Service Alliance 13193 Central Ave Chino CA 91710-4179 Ph: (909) 464-9675 |
| NPI Number | 1801307368 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 4587642467 |
|---|---|
| Medicare Enrollment ID | O20040708000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801307368 | NPI | - | NPPES |
| 1407306772 | Medicaid | CA | |
| 1720120744 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James M Lally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285633867 PECOS PAC ID: 6305740648 Enrollment ID: I20040106000245 |
| Provider Name | Rajini R Iyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689669962 PECOS PAC ID: 5991869679 Enrollment ID: I20090123000452 |
| Provider Name | John M Finley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922042076 PECOS PAC ID: 8729142385 Enrollment ID: I20090126000574 |
| Provider Name | Michelle L Oneil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629361688 PECOS PAC ID: 9830347764 Enrollment ID: I20120918000333 |
| Provider Name | Sunday Adeyeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649754292 PECOS PAC ID: 3678819034 Enrollment ID: I20190107002498 |
| Provider Name | Susan D Montoya-bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144790890 PECOS PAC ID: 2163768177 Enrollment ID: I20190112000077 |
| Provider Name | Laura J Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932577848 PECOS PAC ID: 1254748361 Enrollment ID: I20210407000896 |
| Provider Name | Hye Kyung J Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043834658 PECOS PAC ID: 0547662496 Enrollment ID: I20210714002316 |
| Provider Name | Dezy Mani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235704750 PECOS PAC ID: 5193193167 Enrollment ID: I20221122002766 |
| Provider Name | Jason N Kukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437876760 PECOS PAC ID: 6608246426 Enrollment ID: I20230111002711 |
| Provider Name | Chloe Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750895934 PECOS PAC ID: 9436511805 Enrollment ID: I20230816003768 |
| Provider Name | Shanshan Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841998242 PECOS PAC ID: 6608221114 Enrollment ID: I20231018000700 |
| Provider Name | Martha N Boochie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083463996 PECOS PAC ID: 5698213031 Enrollment ID: I20240815002772 |
| Provider Name | Alan P Ung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467036012 PECOS PAC ID: 5193256642 Enrollment ID: I20241008001991 |
| Provider Name | Joan Nicole Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306615836 PECOS PAC ID: 8224562335 Enrollment ID: I20241112003855 |
Ebmd, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5353 G St, Chino, CA 91710 Phone: 909-590-3700 | |
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Wholistic Family Therapy & Wellness Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11780 Central Ave Ste 115, Chino, CA 91710 Phone: 909-364-1104 | |
Mainline Family Counseling Service Prof Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14726 Ramona Ave # E10, Chino, CA 91710 Phone: 909-334-2824 |