| Foothill Family Practice | |
|
440 W Foothill Blvd Glendora CA 91741-3361 | |
| (626) 963-9402 | |
| (626) 623-7244 |
| Full Name | Foothill Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 440 W Foothill Blvd, Glendora, California |
| Authorized Official Name and Position | Christine H Haddad (ASSISTANT DIRECTOR OF AMBULATORY BU) |
| Authorized Official Contact | 6267323159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Family Practice 1325 N Grand Ave Suite 300 Covina CA 91724-4044 Ph: (626) 732-3159 | Foothill Family Practice 440 W Foothill Blvd Glendora CA 91741-3361 Ph: (626) 963-9402 |
| NPI Number | 1326582743 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 09/06/2019 |
| Medicare PECOS PAC ID | 4981986866 |
|---|---|
| Medicare Enrollment ID | O20170130001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326582743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Najib Bouz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265434591 PECOS PAC ID: 1052211612 Enrollment ID: I20040109001126 |
| Provider Name | Anne Marie Riate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811063951 PECOS PAC ID: 6507759644 Enrollment ID: I20040203001138 |
| Provider Name | Abdul Waliany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003846254 PECOS PAC ID: 1658362736 Enrollment ID: I20040518001582 |
| Provider Name | David J Michelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043233737 PECOS PAC ID: 5597730846 Enrollment ID: I20040830000925 |
| Provider Name | Vic Arthur Osborne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659317733 PECOS PAC ID: 9537155841 Enrollment ID: I20040908001023 |
| Provider Name | John C Koumas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134111958 PECOS PAC ID: 4981665379 Enrollment ID: I20041020001393 |
| Provider Name | Thomas O. Bryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801851670 PECOS PAC ID: 4385630714 Enrollment ID: I20041026001184 |
| Provider Name | Carlos Lugo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740226828 PECOS PAC ID: 8921070764 Enrollment ID: I20041026001201 |
| Provider Name | Naim S Kassar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417959628 PECOS PAC ID: 4385611342 Enrollment ID: I20050408001112 |
| Provider Name | Steven E Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154300978 PECOS PAC ID: 4082642301 Enrollment ID: I20050728000725 |
| Provider Name | Maili Velez-dalla Tor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992763619 PECOS PAC ID: 0345261368 Enrollment ID: I20051216000750 |
| Provider Name | James Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255423489 PECOS PAC ID: 9931113990 Enrollment ID: I20060131000580 |
| Provider Name | Radmila Runic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952521544 PECOS PAC ID: 2365458577 Enrollment ID: I20060224000679 |
| Provider Name | Jason S Begley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093887747 PECOS PAC ID: 7315969227 Enrollment ID: I20070209000596 |
| Provider Name | Humberto A Galleno |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760410757 PECOS PAC ID: 0143306050 Enrollment ID: I20080318000428 |
| Provider Name | Glenda J Fuentes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427076066 PECOS PAC ID: 1052489648 Enrollment ID: I20081009000511 |
| Provider Name | Cynthia Ann Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952343121 PECOS PAC ID: 7810024809 Enrollment ID: I20100422001002 |
| Provider Name | Wanda A Brady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033186010 PECOS PAC ID: 8426182460 Enrollment ID: I20100812001123 |
| Provider Name | Michael M Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588623045 PECOS PAC ID: 3375456825 Enrollment ID: I20100824000653 |
| Provider Name | Heather E Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003142886 PECOS PAC ID: 9739373978 Enrollment ID: I20101101001183 |
| Provider Name | Vahid Javaherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609836972 PECOS PAC ID: 9931396850 Enrollment ID: I20101203001183 |
| Provider Name | Vijay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538250980 PECOS PAC ID: 6709797657 Enrollment ID: I20110318000385 |
| Provider Name | Steven Alvarez-mott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659373850 PECOS PAC ID: 1052586468 Enrollment ID: I20111214000268 |
| Provider Name | Lisa L Thomsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174586960 PECOS PAC ID: 0840451985 Enrollment ID: I20120417000148 |
| Provider Name | Bill W Tang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447216510 PECOS PAC ID: 3678660875 Enrollment ID: I20120904000432 |
| Provider Name | Shanmuga Sundaram Pudunagar Subbiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699968503 PECOS PAC ID: 5193876373 Enrollment ID: I20130325000311 |
| Provider Name | Ann T Terai Escamillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992799639 PECOS PAC ID: 1759341258 Enrollment ID: I20131231000099 |
| Provider Name | Arthur Escamillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437247400 PECOS PAC ID: 8224004460 Enrollment ID: I20140124000850 |
| Provider Name | Ower C Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588950216 PECOS PAC ID: 2062641970 Enrollment ID: I20141013001087 |
| Provider Name | Fu-cheng Chuang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063779544 PECOS PAC ID: 7911215751 Enrollment ID: I20150929000884 |
| Provider Name | Renee N Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972984839 PECOS PAC ID: 1951605468 Enrollment ID: I20160203001997 |
| Provider Name | Samuel Naim Kassar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205151032 PECOS PAC ID: 5698068351 Enrollment ID: I20160719000973 |
| Provider Name | Stevanus Ibrahim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285865832 PECOS PAC ID: 3678854684 Enrollment ID: I20170106000442 |
| Provider Name | Ankur Dilip Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255697686 PECOS PAC ID: 4486923331 Enrollment ID: I20170707002663 |
| Provider Name | Kevin Liao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144534876 PECOS PAC ID: 4183862378 Enrollment ID: I20170801000943 |
| Provider Name | Anna Maria M Tan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154741858 PECOS PAC ID: 5698040806 Enrollment ID: I20171013000329 |
| Provider Name | Raymond Anthony Barajas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831271378 PECOS PAC ID: 0941562060 Enrollment ID: I20180329000386 |
| Provider Name | Claudia Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821462516 PECOS PAC ID: 1658626122 Enrollment ID: I20180625002100 |
| Provider Name | Michael Yeranosian |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932441094 PECOS PAC ID: 8022369552 Enrollment ID: I20180924000599 |
| Provider Name | Steve S Youssefian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043698707 PECOS PAC ID: 9931492691 Enrollment ID: I20181206002674 |
| Provider Name | Emily R Berry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700295425 PECOS PAC ID: 1355634544 Enrollment ID: I20190219000193 |
| Provider Name | Ruby R Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306226915 PECOS PAC ID: 4385918473 Enrollment ID: I20190220002025 |
| Provider Name | Jessica Lee Guevara-galan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558728717 PECOS PAC ID: 9436412673 Enrollment ID: I20190412001467 |
| Provider Name | Naveed Abas Khan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417111766 PECOS PAC ID: 9032389713 Enrollment ID: I20190426001054 |
| Provider Name | Paul Yang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245658772 PECOS PAC ID: 6305142118 Enrollment ID: I20190730002631 |
| Provider Name | Gregory Vincent Gomez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437594223 PECOS PAC ID: 2567753734 Enrollment ID: I20190814003486 |
| Provider Name | Sheila S De Jesus-maranan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336631407 PECOS PAC ID: 4183051667 Enrollment ID: I20200221001558 |
| Provider Name | Cynthia S Chen-joea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033573043 PECOS PAC ID: 0648535872 Enrollment ID: I20200313001896 |
| Provider Name | Manuel Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629429568 PECOS PAC ID: 9537597034 Enrollment ID: I20200316002687 |
| Provider Name | Mohammed Yousuf Zaveri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013395805 PECOS PAC ID: 0840628962 Enrollment ID: I20200323003136 |
| Provider Name | Daniel Barajas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316029317 PECOS PAC ID: 3274963152 Enrollment ID: I20200416000635 |
| Provider Name | Luis Genaro Garcia Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750867255 PECOS PAC ID: 7911329602 Enrollment ID: I20200625002637 |
| Provider Name | Julie S Navarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306208392 PECOS PAC ID: 4587919568 Enrollment ID: I20200706002788 |
| Provider Name | Rosemary Yi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871804880 PECOS PAC ID: 9739453218 Enrollment ID: I20200730002605 |
| Provider Name | Christopher J Siplon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124415468 PECOS PAC ID: 9335568088 Enrollment ID: I20200929002112 |
| Provider Name | Kevin Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386140333 PECOS PAC ID: 2860741022 Enrollment ID: I20210831003396 |
| Provider Name | John Quiamas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023545712 PECOS PAC ID: 4981020575 Enrollment ID: I20210916001394 |
| Provider Name | Brittany Everson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891349932 PECOS PAC ID: 5092102566 Enrollment ID: I20220502001303 |
| Provider Name | Jung Hsuan (marisa) Lin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154077683 PECOS PAC ID: 0244617686 Enrollment ID: I20220524002126 |
| Provider Name | Mariana Munatones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083292114 PECOS PAC ID: 3577941970 Enrollment ID: I20220525001663 |
| Provider Name | Priscilla Chan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588310056 PECOS PAC ID: 1254710924 Enrollment ID: I20220627002128 |
| Provider Name | Parvane Barati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851958052 PECOS PAC ID: 0941680987 Enrollment ID: I20220707002791 |
| Provider Name | Oriel Nissim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447606694 PECOS PAC ID: 3971881293 Enrollment ID: I20220805001422 |
| Provider Name | Maria Christina Maldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225695216 PECOS PAC ID: 1850776543 Enrollment ID: I20220915004016 |
| Provider Name | Dezy Mani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235704750 PECOS PAC ID: 5193193167 Enrollment ID: I20221122002766 |
| Provider Name | Nichole Rene Yamashiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366084253 PECOS PAC ID: 0547638413 Enrollment ID: I20221128000111 |
| Provider Name | Anam Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568999100 PECOS PAC ID: 8426329491 Enrollment ID: I20230109001139 |
| Provider Name | Nathan Abdelsayed |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295230142 PECOS PAC ID: 1153658513 Enrollment ID: I20230807000690 |
| Provider Name | Alex Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710544077 PECOS PAC ID: 7416319504 Enrollment ID: I20230822002228 |
| Provider Name | Jettele Joy D Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043931629 PECOS PAC ID: 9436512407 Enrollment ID: I20230824001722 |
| Provider Name | Vivere Jabonillo Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154087641 PECOS PAC ID: 2466816368 Enrollment ID: I20230911003708 |
| Provider Name | Aurora Robledo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376002626 PECOS PAC ID: 8426435041 Enrollment ID: I20230919002327 |
| Provider Name | Victor Sameer Mniarji |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629593470 PECOS PAC ID: 7315394871 Enrollment ID: I20231106002763 |
Burrows Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1377 S Grand Ave, Glendora, CA 91740 Phone: 626-483-3348 Fax: 626-623-7258 | |
Valley Gastoenterology Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Carroll Ave, Suite 201, Glendora, CA 91741 Phone: 626-963-2490 Fax: 626-963-2495 | |
Marc Gutin M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Grand Ave, Suite 224, Glendora, CA 91741 Phone: 626-335-8094 Fax: 626-335-1874 | |
Nalini Singh Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 W Carroll Ave Ste 106, Glendora, CA 91741 Phone: 626-244-8170 | |
Devesh N Patel,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66, Suite 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 | |
Krunal J Mehta Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66 Ste 214, Glendora, CA 91740 Phone: 626-335-4129 Fax: 626-335-6177 | |
Nilesh N. Patel Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Route 66 Ste 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 |