| Elite Medical Group Of Southern California | |
|
8816 Foothill Blvd # 103-338 Rancho Cucamonga CA 91730-7199 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Elite Medical Group Of Southern California |
|---|---|
| Speciality | Internal Medicine |
| Location | 8816 Foothill Blvd # 103-338, Rancho Cucamonga, California |
| Authorized Official Name and Position | Baker Hillawy (OWNER) |
| Authorized Official Contact | 7744441004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Group Of Southern California 8816 Foothill Blvd # 103-338 Rancho Cucamonga CA 91730-7199 Ph: () - | Elite Medical Group Of Southern California 8816 Foothill Blvd # 103-338 Rancho Cucamonga CA 91730-7199 Ph: (000) 000-0000 |
| NPI Number | 1386424679 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 3779921952 |
|---|---|
| Medicare Enrollment ID | O20240408000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386424679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Baker Hillawy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427408749 PECOS PAC ID: 5193019701 Enrollment ID: I20200128001195 |
| Provider Name | Julie Anna Smithwick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609315613 PECOS PAC ID: 2264854801 Enrollment ID: I20200626001775 |
| Provider Name | Mohammed Al-khayyat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588195424 PECOS PAC ID: 5698048874 Enrollment ID: I20200729002496 |
| Provider Name | Sabhyata Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316441363 PECOS PAC ID: 2769887330 Enrollment ID: I20210819001405 |
| Provider Name | Mohmad S Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962031955 PECOS PAC ID: 0941654156 Enrollment ID: I20230921002607 |
| Provider Name | Ahmed Al-waisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871115709 PECOS PAC ID: 7214377803 Enrollment ID: I20240430001780 |
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 |