Barstow Primary Care Clinic | |
805 Mountain View Barstow CA 92311-3033 | |
(760) 256-7161 | |
Not Available |
Full Name | Barstow Primary Care Clinic |
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Speciality | Internal Medicine |
Location | 805 Mountain View, Barstow, California |
Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REVENUE CYCL) |
Authorized Official Contact | 6152213641 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Barstow Primary Care Clinic 805 Mountain View Barstow CA 92311-3033 Ph: (760) 256-7161 | Barstow Primary Care Clinic 805 Mountain View Barstow CA 92311-3033 Ph: (760) 256-7161 |
NPI Number | 1871904656 |
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Provider Enumeration Date | 05/14/2014 |
Last Update Date | 02/07/2023 |
Medicare PECOS PAC ID | 7719105774 |
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Medicare Enrollment ID | O20140904001517 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871904656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Wanda A Wilburn |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639245806 PECOS PAC ID: 0941287387 Enrollment ID: I20040706000313 |
Provider Name | Eloise Skelton |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285774661 PECOS PAC ID: 6002885522 Enrollment ID: I20040930000546 |
Provider Name | Jerome Davis Booker |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447472857 PECOS PAC ID: 6103902572 Enrollment ID: I20080325000712 |
Provider Name | Sam H Alexander |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902984867 PECOS PAC ID: 9638232044 Enrollment ID: I20110719000214 |
Provider Name | John D Husted |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1396873493 PECOS PAC ID: 8921176991 Enrollment ID: I20110815000619 |
Provider Name | S. Mohammad Marashi |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1659415024 PECOS PAC ID: 2466776117 Enrollment ID: I20160926000579 |
Provider Name | Vardan Papoian |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1336567908 PECOS PAC ID: 7012330749 Enrollment ID: I20200714000328 |
Provider Name | Paul Lanier |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982969846 PECOS PAC ID: 8022441773 Enrollment ID: I20231004003347 |
Windy City Medical Clinic A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Melissa Ave Ste A, Barstow, CA 92311 Phone: 760-255-2400 Fax: 760-957-7517 | |
Eminence Centers For Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 S 7th Ave, Barstow, CA 92311 Phone: 760-581-5600 | |