| Community Care Mobile Doctors | |
|
275 W Hospitality Ln Ste 314 San Bernardino CA 92408-3265 | |
| (956) 245-2275 | |
| Not Available |
| Full Name | Community Care Mobile Doctors |
|---|---|
| Speciality | Family Medicine |
| Location | 275 W Hospitality Ln Ste 314, San Bernardino, California |
| Authorized Official Name and Position | Joel Zamora (SECRETARY) |
| Authorized Official Contact | 9098100185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Mobile Doctors 275 W Hospitality Ln Ste 314 San Bernardino CA 92408-3265 Ph: (956) 245-2275 | Community Care Mobile Doctors 275 W Hospitality Ln Ste 314 San Bernardino CA 92408-3265 Ph: (956) 245-2275 |
| NPI Number | 1750029690 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 8325428857 |
|---|---|
| Medicare Enrollment ID | O20220630001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750029690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fernando T Enrile |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073671814 PECOS PAC ID: 2466445861 Enrollment ID: I20040402001490 |
| Provider Name | Kathleen B Mahony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023124294 PECOS PAC ID: 6901848563 Enrollment ID: I20050524001430 |
| Provider Name | Jhoette A Dumlao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104110105 PECOS PAC ID: 9537382965 Enrollment ID: I20161128002395 |
| Provider Name | Jenelyn Almonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194211151 PECOS PAC ID: 1557612793 Enrollment ID: I20210202002404 |
| Provider Name | Clyette Wilcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043966658 PECOS PAC ID: 3971984352 Enrollment ID: I20220715002179 |
| Provider Name | Charming Sana Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891411997 PECOS PAC ID: 1355718370 Enrollment ID: I20221104000563 |
| Provider Name | Dondae Cabreta Pangilinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861142028 PECOS PAC ID: 9638548621 Enrollment ID: I20230214002876 |
| Provider Name | Maria Samantha Layson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447916168 PECOS PAC ID: 3173996865 Enrollment ID: I20230228000905 |
| Provider Name | Armand Cito R Fabella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245938463 PECOS PAC ID: 5395108286 Enrollment ID: I20230824003296 |
| Provider Name | Hasan Yaseen Seede |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447993928 PECOS PAC ID: 4486032018 Enrollment ID: I20230925001703 |
| Provider Name | Estrella Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992315865 PECOS PAC ID: 6305294026 Enrollment ID: I20231118000363 |
| Provider Name | Deante J. Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982393716 PECOS PAC ID: 6901256569 Enrollment ID: I20231221003041 |
| Provider Name | Autumn M Cobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548923691 PECOS PAC ID: 1557753407 Enrollment ID: I20240321001003 |
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