| Florence Medical Group Of California Ii Pc | |
|
1046 Mangrove Ave Ste B Chico CA 95926-3548 | |
| (202) 893-7910 | |
| Not Available |
| Full Name | Florence Medical Group Of California Ii Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1046 Mangrove Ave Ste B, Chico, California |
| Authorized Official Name and Position | Jacob Halpert (CORPORATE SECRETARY) |
| Authorized Official Contact | 2028937910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Medical Group Of California Ii Pc 1802 Foundation Ln Ste 225 Chico CA 95928-9217 Ph: (202) 893-7910 | Florence Medical Group Of California Ii Pc 1046 Mangrove Ave Ste B Chico CA 95926-3548 Ph: (202) 893-7910 |
| NPI Number | 1740875145 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 0749681237 |
|---|---|
| Medicare Enrollment ID | O20210622000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740875145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sergio R Riffel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619018066 PECOS PAC ID: 9830175215 Enrollment ID: I20040625001161 |
| Provider Name | James E Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699838094 PECOS PAC ID: 7719998566 Enrollment ID: I20060509000301 |
| Provider Name | Jason R Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912938234 PECOS PAC ID: 6901813468 Enrollment ID: I20080520000918 |
| Provider Name | Richard B Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003847450 PECOS PAC ID: 5698660207 Enrollment ID: I20080521000394 |
| Provider Name | Jamaal D El-khal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912161324 PECOS PAC ID: 2264585132 Enrollment ID: I20090727000102 |
| Provider Name | Todd Goodenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427495167 PECOS PAC ID: 1557661642 Enrollment ID: I20151120001800 |
| Provider Name | Ryan Donlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023609401 PECOS PAC ID: 4486042124 Enrollment ID: I20211028002124 |
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