| El Proyecto Del Barrio Azusa Health Center | |
|
150 N Azusa Ave Azusa CA 91702-3521 | |
| (626) 969-7885 | |
| (818) 969-9686 |
| Full Name | El Proyecto Del Barrio Azusa Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 N Azusa Ave, Azusa, California |
| Authorized Official Name and Position | Corinne Sanchez (PRESIDENT/CEO) |
| Authorized Official Contact | 8188307133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Proyecto Del Barrio Azusa Health Center 8902 Woodman Ave Arleta CA 91331-6401 Ph: (818) 830-7033 | El Proyecto Del Barrio Azusa Health Center 150 N Azusa Ave Azusa CA 91702-3521 Ph: (626) 969-7885 |
| NPI Number | 1770696023 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/20/2008 |
| Medicare PECOS PAC ID | 3476546227 |
|---|---|
| Medicare Enrollment ID | O20040406001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770696023 | NPI | - | NPPES |
| FHC70468F | Medicaid | CA | |
| EAP70468F | Other | CA | EAPC |
| FHC71129F | Medicaid | CA |
| Provider Name | Abdulrahman K Khaledy Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679682652 PECOS PAC ID: 7618872391 Enrollment ID: I20031204001241 |
| Provider Name | Razan F Ammari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538104518 PECOS PAC ID: 4082604897 Enrollment ID: I20040513001586 |
| Provider Name | Aruna U Shah |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629130661 PECOS PAC ID: 0547230401 Enrollment ID: I20040728000703 |
| Provider Name | Stephen M Puentes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336295997 PECOS PAC ID: 6901841899 Enrollment ID: I20050621001309 |
| Provider Name | Michael P Soles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073604898 PECOS PAC ID: 4688694276 Enrollment ID: I20051128000711 |
| Provider Name | Mariano Panes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841390739 PECOS PAC ID: 2466451810 Enrollment ID: I20061212000403 |
| Provider Name | Mauricio J Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508996000 PECOS PAC ID: 4486730181 Enrollment ID: I20080320000455 |
| Provider Name | Karmen S Tatulian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851561807 PECOS PAC ID: 3971672049 Enrollment ID: I20080514000899 |
| Provider Name | Betty J Bogar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134337470 PECOS PAC ID: 1951596097 Enrollment ID: I20101115000476 |
| Provider Name | Leander E Manzano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215040084 PECOS PAC ID: 9739347824 Enrollment ID: I20120221000361 |
| Provider Name | Elenita L Wheeler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104100197 PECOS PAC ID: 8729238639 Enrollment ID: I20121030000114 |
| Provider Name | Genny Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790116804 PECOS PAC ID: 3779702337 Enrollment ID: I20140912000708 |
| Provider Name | Debbie Harkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811165392 PECOS PAC ID: 9436378429 Enrollment ID: I20140924002099 |
| Provider Name | Katan Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811216989 PECOS PAC ID: 3870714322 Enrollment ID: I20141027000001 |
| Provider Name | Araciel Barba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619307154 PECOS PAC ID: 8224250931 Enrollment ID: I20141113001114 |
| Provider Name | Ayra M Omnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396169629 PECOS PAC ID: 2264756931 Enrollment ID: I20150129000628 |
| Provider Name | Rose Reyes-moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457431520 PECOS PAC ID: 8022100098 Enrollment ID: I20151008002656 |
| Provider Name | Leslie P Paredes-plaza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295112613 PECOS PAC ID: 0749580918 Enrollment ID: I20151120000906 |
| Provider Name | Ambujam Panchanathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730223330 PECOS PAC ID: 9830490267 Enrollment ID: I20151209000570 |
| Provider Name | Jalie A Heslop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811365521 PECOS PAC ID: 4789985060 Enrollment ID: I20151209002901 |
| Provider Name | Tina Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376934174 PECOS PAC ID: 7416255633 Enrollment ID: I20160420002271 |
| Provider Name | Proscovia N Mayanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184023830 PECOS PAC ID: 8325328966 Enrollment ID: I20161216001803 |
| Provider Name | Mehran R Moarefi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693572 PECOS PAC ID: 4385600618 Enrollment ID: I20170104001716 |
| Provider Name | Lilia D Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164804167 PECOS PAC ID: 5395026132 Enrollment ID: I20170110001076 |
| Provider Name | Jan D Brink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326227992 PECOS PAC ID: 1658657192 Enrollment ID: I20170417001461 |
| Provider Name | Bethany A Stutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639613847 PECOS PAC ID: 1355614397 Enrollment ID: I20170913001718 |
| Provider Name | Veronika Johana Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013451194 PECOS PAC ID: 0143589689 Enrollment ID: I20180109001669 |
| Provider Name | Key Won Ahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568909901 PECOS PAC ID: 9537422092 Enrollment ID: I20180413002185 |
| Provider Name | Ethel De Jesus Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306359294 PECOS PAC ID: 3375807324 Enrollment ID: I20180430000457 |
| Provider Name | Rolando Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528581519 PECOS PAC ID: 9830453299 Enrollment ID: I20180510002115 |
| Provider Name | Luz A Ornelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114260601 PECOS PAC ID: 1153638457 Enrollment ID: I20190523002449 |
| Provider Name | Oscar A Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043980980 PECOS PAC ID: 3476951856 Enrollment ID: I20211015001074 |
| Provider Name | Katherine H Guardado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821516535 PECOS PAC ID: 9739621202 Enrollment ID: I20240612001150 |
Alas Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 545 N San Gabriel Ave, Azusa, CA 91702 Phone: 626-815-1511 Fax: 626-815-1504 | |
Pueblo Medical Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 N Azusa Ave, Azusa, CA 91702 Phone: 626-334-4061 Fax: 626-334-6828 | |
Bina A Kamdar Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 W Foothill Blvd, Azusa, CA 91702 Phone: 626-334-1611 Fax: 626-334-1677 | |
Santa Adelina Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 E Alosta Ave, Suite 209, Azusa, CA 91702 Phone: 626-812-9733 Fax: 626-981-2974 | |
Health-eu, Integrative Medicine, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 E Tenth St, Azusa, CA 91702 Phone: 626-347-5214 Fax: 626-633-3877 | |
Azusa Medical And Mental Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 474 S Citrus Ave, Azusa, CA 91702 Phone: 310-678-7917 | |
Family Medicine Headquarters, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 521 N Azusa Ave, Azusa, CA 91702 Phone: 626-334-4061 Fax: 626-334-6828 |