| Oc Geropsychiatric Medical Group | |
|
6000 Camino Real Suite B Jurupa Valley CA 92509 | |
| (714) 487-9724 | |
| Not Available |
| Full Name | Oc Geropsychiatric Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6000 Camino Real, Jurupa Valley, California |
| Authorized Official Name and Position | Thu Phan (DIRECTOR, SECRETARY, AND TREASURER) |
| Authorized Official Contact | 7144879724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Geropsychiatric Medical Group 16478 Beach Blvd Westminster CA 92683-7860 Ph: (714) 487-9724 | Oc Geropsychiatric Medical Group 6000 Camino Real Suite B Jurupa Valley CA 92509 Ph: (714) 487-9724 |
| NPI Number | 1548003015 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 0648711168 |
|---|---|
| Medicare Enrollment ID | O20240924001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548003015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Charles Tuan-tu S Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942380118 PECOS PAC ID: 4688607906 Enrollment ID: I20050915001194 |
| Provider Name | Thu Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245779016 PECOS PAC ID: 8426394099 Enrollment ID: I20190118001392 |
| Provider Name | Regina Bacani Dizon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609538040 PECOS PAC ID: 5193112183 Enrollment ID: I20220421000332 |
Monica Nunez Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10941 50th St, Jurupa Valley, CA 91752 Phone: 951-373-9797 | |
Alma Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3924 Riverview Dr, Jurupa Valley, CA 92509 Phone: 951-222-7840 Fax: 951-360-4195 | |
Communication A To Z Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11090 Sky Country Dr, Jurupa Valley, CA 91752 Phone: 909-437-8145 | |
Improve U Family Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8175 Limonite Ave Ste A, Jurupa Valley, CA 92509 Phone: 866-222-2930 | |
Jurupa Unified School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3924 Riverview Dr, Jurupa Valley, CA 92509 Phone: 951-416-1572 | |