| Cabrillo Center For Rheumatic Disease Apc | |
|
5030 Camino De La Siesta Ste 106 San Diego CA 92108-3117 | |
| (619) 334-4869 | |
| (619) 334-4940 |
| Full Name | Cabrillo Center For Rheumatic Disease Apc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5030 Camino De La Siesta Ste 106, San Diego, California |
| Authorized Official Name and Position | Arthur Ray Mabaquiao (PRESIDENT/OWNER) |
| Authorized Official Contact | 8662842771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabrillo Center For Rheumatic Disease Apc 5030 Camino De La Siesta Ste 106 San Diego CA 92108-3117 Ph: (866) 284-2771 | Cabrillo Center For Rheumatic Disease Apc 5030 Camino De La Siesta Ste 106 San Diego CA 92108-3117 Ph: (619) 334-4869 |
| NPI Number | 1689006363 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 9739315037 |
|---|---|
| Medicare Enrollment ID | O20131114001490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689006363 | NPI | - | NPPES |
| Provider Name | Ara H Dikranian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609962026 PECOS PAC ID: 0345143897 Enrollment ID: I20040130000858 |
| Provider Name | Martin L Kabongo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033168810 PECOS PAC ID: 0941237721 Enrollment ID: I20050722000835 |
| Provider Name | Timothy Lazarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891881215 PECOS PAC ID: 8022047364 Enrollment ID: I20050808000551 |
| Provider Name | Arthur R Mabaquiao |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730271933 PECOS PAC ID: 1052330453 Enrollment ID: I20051115000708 |
| Provider Name | Jose A Zepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407218936 PECOS PAC ID: 5193083517 Enrollment ID: I20210426000771 |
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