| The Neuron Clinic Gp | |
|
44045 Margarita Rd Ste 106 Temecula CA 92592-2729 | |
| (951) 462-4624 | |
| (951) 462-4625 |
| Full Name | The Neuron Clinic Gp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 44045 Margarita Rd Ste 106, Temecula, California |
| Authorized Official Name and Position | Branko N. Huisa-garate (PARTNER) |
| Authorized Official Contact | 9514624624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuron Clinic Gp 44045 Margarita Rd Ste 106 Temecula CA 92592-2729 Ph: (951) 462-4624 | The Neuron Clinic Gp 44045 Margarita Rd Ste 106 Temecula CA 92592-2729 Ph: (951) 462-4624 |
| NPI Number | 1124582424 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 2961744586 |
|---|---|
| Medicare Enrollment ID | O20190501001951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124582424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Roberto Gratianne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568460624 PECOS PAC ID: 0042283244 Enrollment ID: I20040817000708 |
| Provider Name | Monika A Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922243401 PECOS PAC ID: 1759438039 Enrollment ID: I20090403000137 |
| Provider Name | Ross Mandeville |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205084183 PECOS PAC ID: 7012146269 Enrollment ID: I20140210001289 |
| Provider Name | Branko N Huisa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063551000 PECOS PAC ID: 5698955250 Enrollment ID: I20150210001202 |
| Provider Name | Jose Angel Soria-lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225474034 PECOS PAC ID: 9830315803 Enrollment ID: I20180809006264 |
| Provider Name | Aleksandrya Cherish Bracey-asiedu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336625524 PECOS PAC ID: 7214289792 Enrollment ID: I20181010003911 |
| Provider Name | Kevin Michael Mcgehrin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972913101 PECOS PAC ID: 7113210774 Enrollment ID: I20190926000063 |
| Provider Name | Melanie Lee Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215357223 PECOS PAC ID: 0648502005 Enrollment ID: I20191104003306 |
| Provider Name | Alise K Pham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184011363 PECOS PAC ID: 8628315017 Enrollment ID: I20200727002000 |
| Provider Name | Hussaina Saria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942349956 PECOS PAC ID: 8628236494 Enrollment ID: I20200908002175 |
| Provider Name | Lindsey Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841851375 PECOS PAC ID: 2365843380 Enrollment ID: I20210629001089 |
| Provider Name | Ana Hossein Zadeh Maleki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316471485 PECOS PAC ID: 3072915131 Enrollment ID: I20210712002846 |
| Provider Name | Klari Olenski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700265832 PECOS PAC ID: 1355762717 Enrollment ID: I20211107000004 |
| Provider Name | Fariba Farhidvash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831277946 PECOS PAC ID: 6608877022 Enrollment ID: I20220412002214 |
| Provider Name | Maksym Stanislaw Marek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881182079 PECOS PAC ID: 8224386875 Enrollment ID: I20220506001931 |
| Provider Name | Brent Andrew Silver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992246243 PECOS PAC ID: 8729347208 Enrollment ID: I20220903000398 |
| Provider Name | Vanessa Tiffany Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376219246 PECOS PAC ID: 2860883154 Enrollment ID: I20230919000469 |
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