| Channell Family Medical Group, Inc | |
|
8008 Haven Ave Suite 100 Rancho Cucamonga CA 91730-3070 | |
| (909) 483-1236 | |
| (909) 483-1463 |
| Full Name | Channell Family Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8008 Haven Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Patricia Guevara-channell (OWNER) |
| Authorized Official Contact | 9094837836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Channell Family Medical Group, Inc 8008 Haven Ave Suite 100 Rancho Cucamonga CA 91730-3070 Ph: (909) 483-1236 | Channell Family Medical Group, Inc 8008 Haven Ave Suite 100 Rancho Cucamonga CA 91730-3070 Ph: (909) 483-1236 |
| NPI Number | 1699722744 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 04/26/2011 |
| Medicare PECOS PAC ID | 1658563549 |
|---|---|
| Medicare Enrollment ID | O20101011000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699722744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Patricia Guevara Channell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841266392 PECOS PAC ID: 4183601065 Enrollment ID: I20040630000250 |
| Provider Name | Daniel B Channell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699749044 PECOS PAC ID: 1355357088 Enrollment ID: I20060303000458 |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 | |
California Foothills Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8211 Rochester Ave, Suite 101, Rancho Cucamonga, CA 91730 Phone: 909-945-2425 Fax: 909-948-6971 | |
Andrea Tieng, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10801 Foothill Blvd Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 | |
Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598 | |
Deepak Thiagarajan, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave Ste 210, Rancho Cucamonga, CA 91730 Phone: 909-881-5994 |