| Newcare Medical Group | |
|
898 N Fair Oaks Ave Ste G Pasadena CA 91103-3068 | |
| (310) 201-0757 | |
| Not Available |
| Full Name | Newcare Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 898 N Fair Oaks Ave Ste G, Pasadena, California |
| Authorized Official Name and Position | Alan Markie (DIRECTOR) |
| Authorized Official Contact | 3102010757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newcare Medical Group 466 Foothill Blvd #391 La Canada CA 91011-3518 Ph: (310) 201-0757 | Newcare Medical Group 898 N Fair Oaks Ave Ste G Pasadena CA 91103-3068 Ph: (310) 201-0757 |
| NPI Number | 1194039826 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 6800070905 |
|---|---|
| Medicare Enrollment ID | O20110414000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194039826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alan Markie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861475337 PECOS PAC ID: 8123086857 Enrollment ID: I20041228000990 |
| Provider Name | Ethel U Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386778967 PECOS PAC ID: 5294074860 Enrollment ID: I20190226000465 |
| Provider Name | Amelle Joseph Baptiste Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946956 PECOS PAC ID: 9032545439 Enrollment ID: I20200203002389 |
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