Luis B Salas Gorgoni, | |
1851 N Riverside Ave, Rialto, CA 92376 | |
(909) 421-2700 | |
Not Available |
Full Name | Luis B Salas Gorgoni |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1851 N Riverside Ave, Rialto, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750805669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 782313 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaver Medical Group Pc | 0547164295 | 259 |
Pinnacle Medical Group Inc | 4880667609 | 16 |
Entity Name | Beaver Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Entity Name | Pinnacle Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
Mailing Address | Practice Location Address |
---|---|
Luis B Salas Gorgoni, Po Box 12209, San Bernardino, CA 92423-2209 Ph: (909) 335-4188 | Luis B Salas Gorgoni, 1851 N Riverside Ave, Rialto, CA 92376 Ph: (909) 421-2700 |
Mr. Jesus Omar Valenzuela, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 436 S Riverside Ave, Rialto, CA 92376 Phone: 909-877-8868 | |
Susan Suen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 416 W Foothill Blvd, Rialto, CA 92376 Phone: 909-421-0493 | |
Terrye Annette Anderson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Glenwood Ave, Rialto, Rialto, CA 92376 Phone: 909-874-6899 | |
Ms. Li Watkins, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 N Riverside Avenue, Rialto, CA 92376 Phone: 909-421-2121 Fax: 909-421-0491 | |
Mrs. Roxanna Jacqueline Lucero, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6662 Yucca Ave, Rialto, CA 92376 Phone: 909-877-3746 Fax: 909-820-6465 | |
Amanda Vo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 E Foothill Blvd, Rialto, CA 92376 Phone: 909-546-1050 Fax: 909-546-1061 | |
Jeremy James Neuner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Riverside Ave, Rialto, CA 92376 Phone: 909-421-2700 |