Diane Leslie Thompson, PA | |
12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | |
(760) 241-6666 | |
(760) 241-7575 |
Full Name | Diane Leslie Thompson |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 18 Years |
Location | 12550 Hesperia Road, Victorville, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114156171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA19605 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Diane Leslie Thompson, PA 17095 Main St, Hesperia, CA 92345-0000 Ph: (760) 241-6666 | Diane Leslie Thompson, PA 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 Ph: (760) 241-6666 |
Mr. Jose Roberto Esquetini, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13777 Air Expressway Blvd, Victorville, CA 92394 Phone: 760-530-5000 Fax: 760-530-5177 | |
Sara Baghaei, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-962-8021 | |
Miss Cynthia Rojas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12611 Hesperia Rd Ste A, Victorville, CA 92395 Phone: 760-951-7762 Fax: 760-951-7134 | |
Mr. Brent Arthur North, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12408 Hesperia Rd, Suite 2, Victorville, CA 92395 Phone: 760-553-7000 Fax: 760-269-1282 | |
Victoria S. Krafft, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 15403 Park Ave E, Victorville, CA 92392 Phone: 909-890-5511 | |
Charles Keith Mccord, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-962-8021 |