| Elevate Health Center | |
|
8426 Sunland Blvd Sun Valley CA 91352-3436 | |
| (818) 504-4514 | |
| (747) 245-1096 |
| Full Name | Elevate Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 8426 Sunland Blvd, Sun Valley, California |
| Authorized Official Name and Position | Terri Kishiyama (CEO) |
| Authorized Official Contact | 8189354452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Health Center 8426 Sunland Blvd Sun Valley CA 91352-3436 Ph: (818) 935-4452 | Elevate Health Center 8426 Sunland Blvd Sun Valley CA 91352-3436 Ph: (818) 504-4514 |
| NPI Number | 1487298477 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 2264838796 |
|---|---|
| Medicare Enrollment ID | O20210909001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487298477 | NPI | - | NPPES |
| 116651 | Medicaid | CA |
| Provider Name | Vinaya Vr Keesara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033150933 PECOS PAC ID: 8426011891 Enrollment ID: I20041105001059 |
| Provider Name | Teresita B Oro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356384192 PECOS PAC ID: 0143283325 Enrollment ID: I20041109000361 |
| Provider Name | Gerardo Cabanillas Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629482864 PECOS PAC ID: 6002174497 Enrollment ID: I20171212001928 |
| Provider Name | Ralph Vincent Aguinaldo Fontejon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477101624 PECOS PAC ID: 1052744315 Enrollment ID: I20191127002291 |
| Provider Name | Leslie A Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255779120 PECOS PAC ID: 9638487952 Enrollment ID: I20201005002033 |
| Provider Name | Manuel D Manrique Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679063614 PECOS PAC ID: 6103175955 Enrollment ID: I20211209003018 |
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Family Care Md Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8730 Glenoaks Blvd, Sun Valley, CA 91352 Phone: 818-960-7171 Fax: 818-960-7177 | |
Medlink Prestige Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8730 Glenoaks Blvd # 4, Sun Valley, CA 91352 Phone: 818-960-7171 Fax: 818-960-7177 | |
Joon Choi Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8100 Sunland Blvd, Sun Valley, CA 91352 Phone: 818-242-6811 |