| Advanced Medical And Urgent Care Center | |
|
974 W Foothill Blvd Upland CA 91786-3728 | |
| (909) 981-2273 | |
| (909) 985-2329 |
| Full Name | Advanced Medical And Urgent Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 974 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Morris Kokhab (DIRECTOR) |
| Authorized Official Contact | 3109456070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical And Urgent Care Center 974 W Foothill Blvd Upland CA 91786-3728 Ph: (909) 981-2273 | Advanced Medical And Urgent Care Center 974 W Foothill Blvd Upland CA 91786-3728 Ph: (909) 981-2273 |
| NPI Number | 1922339092 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 5294927851 |
|---|---|
| Medicare Enrollment ID | O20101014000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922339092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A75850 (California) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Louis M Dibernardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528045358 PECOS PAC ID: 1052206331 Enrollment ID: I20040216001314 |
| Provider Name | Morris Kokhab |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245248681 PECOS PAC ID: 4385628767 Enrollment ID: I20040614001686 |
| Provider Name | Fabiola O Sianturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033313663 PECOS PAC ID: 1355431354 Enrollment ID: I20071213000875 |
| Provider Name | Marc H Shomer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457457483 PECOS PAC ID: 3072674803 Enrollment ID: I20081211000279 |
| Provider Name | Basem R Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457441974 PECOS PAC ID: 9537394598 Enrollment ID: I20131028001735 |
| Provider Name | Christopher Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306258058 PECOS PAC ID: 0941518104 Enrollment ID: I20151007003060 |
| Provider Name | Viviana E Partida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902967 PECOS PAC ID: 9931408978 Enrollment ID: I20160426001747 |
| Provider Name | Betty Jo Tronaas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548784457 PECOS PAC ID: 8921362500 Enrollment ID: I20180915000130 |
| Provider Name | Sharon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073649 PECOS PAC ID: 4688903172 Enrollment ID: I20190909002732 |
| Provider Name | Ashley Brigette Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194208744 PECOS PAC ID: 0244564128 Enrollment ID: I20200409002423 |
| Provider Name | Rose Jionna Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346885738 PECOS PAC ID: 9335561786 Enrollment ID: I20200612001391 |
| Provider Name | Jessica M Talbot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407492283 PECOS PAC ID: 8628489804 Enrollment ID: I20201118002606 |
| Provider Name | Gabrielle Chasen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811513021 PECOS PAC ID: 1557773033 Enrollment ID: I20201208001763 |
| Provider Name | Erica Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790279081 PECOS PAC ID: 2668889494 Enrollment ID: I20210323002428 |
| Provider Name | Alana Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447594965 PECOS PAC ID: 3971756594 Enrollment ID: I20210607001118 |
John J Kim Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 N 13th Ave, Upland, CA 91786 Phone: 909-981-8905 Fax: 909-982-8051 | |
Upland Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N 2nd Ave, Upland, CA 91786 Phone: 909-920-9193 Fax: 909-920-6019 | |
Inland Empire Medical Network,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 N Mountain Ave, Suite C, Upland, CA 91786 Phone: 909-981-8599 Fax: 909-981-5441 | |
Basim Z. Abdelkarim, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1310 San Bernardino Rd Ste 103, Upland, CA 91786 Phone: 909-920-0444 Fax: 909-920-5044 | |
Edge Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 440 N Mountain Ave Ste 110, Upland, CA 91786 Phone: 909-870-5200 Fax: 909-870-5188 | |
Karnavy Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 7th St, Ste. 2e, Upland, CA 91786 Phone: 909-982-8976 Fax: 909-920-3176 | |
Generoso S Nery M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1183 E Foothill Blvd, Suite 135, Upland, CA 91786 Phone: 909-931-1368 Fax: 909-931-1372 |