| Concertocare Medical Group Of California, P.c. | |
|
7677 Center Ave Ste 214 Huntington Beach CA 92647-9102 | |
| (877) 597-1440 | |
| (877) 471-0433 |
| Full Name | Concertocare Medical Group Of California, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7677 Center Ave Ste 214, Huntington Beach, California |
| Authorized Official Name and Position | Tim Puri (PRESIDENT) |
| Authorized Official Contact | 6507229591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concertocare Medical Group Of California, P.c. Po Box 801280 Kansas City MO 64180-1280 Ph: (470) 553-3591 | Concertocare Medical Group Of California, P.c. 7677 Center Ave Ste 214 Huntington Beach CA 92647-9102 Ph: (877) 597-1440 |
| NPI Number | 1922777259 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 12/22/2023 |
| Medicare PECOS PAC ID | 1850782186 |
|---|---|
| Medicare Enrollment ID | O20211221002909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922777259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda E Aoyama |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760458533 PECOS PAC ID: 4385673094 Enrollment ID: I20050811000892 |
| Provider Name | Samantha B Cherin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417350307 PECOS PAC ID: 9537464334 Enrollment ID: I20160216001090 |
| Provider Name | Timothy K Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235458092 PECOS PAC ID: 8729261557 Enrollment ID: I20170925001934 |
| Provider Name | Daniel W Weir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770081655 PECOS PAC ID: 3375808918 Enrollment ID: I20180531001019 |
| Provider Name | Sylvia L Sevilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265969497 PECOS PAC ID: 6406100858 Enrollment ID: I20181121001408 |
| Provider Name | Marilyn T Pudol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720573439 PECOS PAC ID: 2062754856 Enrollment ID: I20190426000746 |
| Provider Name | Francis A Demichele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205374527 PECOS PAC ID: 1355606021 Enrollment ID: I20191018002071 |
| Provider Name | Falishia Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154740082 PECOS PAC ID: 7113227612 Enrollment ID: I20210709002081 |
| Provider Name | Nikkelle Gallegos-knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518524107 PECOS PAC ID: 5698177624 Enrollment ID: I20210713001526 |
| Provider Name | Jeniffer M Won |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740810613 PECOS PAC ID: 0042633612 Enrollment ID: I20231201002717 |
| Provider Name | Praveen Dandamudi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386820413 PECOS PAC ID: 0446311591 Enrollment ID: I20240124001211 |
| Provider Name | Cristofina Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689449506 PECOS PAC ID: 6406209048 Enrollment ID: I20240130002623 |
| Provider Name | Maddison Joelle Podos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235858960 PECOS PAC ID: 9234582644 Enrollment ID: I20240201000048 |
| Provider Name | Cherrise L Elijah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457879744 PECOS PAC ID: 8426491390 Enrollment ID: I20240207002718 |
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Procare Work Injury Center & Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18582 Beach Blvd Ste 23a, Huntington Beach, CA 92648 Phone: 714-964-4442 Fax: 714-963-3780 | |
Cryocareusa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18600 Main St, Huntington Beach, CA 92648 Phone: 714-369-8155 | |
Landmark Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7755 Center Ave Ste 700, Huntington Beach, CA 92647 Phone: 657-400-5180 | |
Careconnectmd Georgia Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16162 Beach Blvd Ste 100, Huntington Beach, CA 92647 Phone: 888-789-9585 Fax: 562-803-4500 | |
Newport Huntington Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19582 Beach Blvd, Ste 205, Huntington Beach, CA 92648 Phone: 714-378-2401 |