| Foothills Infectious Disease Medical Group, Inc. | |
|
935 W Foothill Blvd Claremont CA 91711-3304 | |
| (626) 851-8880 | |
| (626) 851-8001 |
| Full Name | Foothills Infectious Disease Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 935 W Foothill Blvd, Claremont, California |
| Authorized Official Name and Position | Kathy Lugo (PRACTICE MANAGER) |
| Authorized Official Contact | 6268518880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Infectious Disease Medical Group, Inc. 935 W Foothill Blvd Claremont CA 91711-3304 Ph: (626) 851-8880 | Foothills Infectious Disease Medical Group, Inc. 935 W Foothill Blvd Claremont CA 91711-3304 Ph: (626) 851-8880 |
| NPI Number | 1891879532 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 0345390738 |
|---|---|
| Medicare Enrollment ID | O20101109000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891879532 | NPI | - | NPPES |
| BT289A | Other | CA | NO. CA. M'CAR |
| GR0059520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (California) | Primary |
| Provider Name | Sohanjeet S Bassi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609850635 PECOS PAC ID: 3072663467 Enrollment ID: I20090605000042 |
| Provider Name | Deepthi Jayasekara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366426306 PECOS PAC ID: 9638225808 Enrollment ID: I20090914000646 |
| Provider Name | Hua Jiang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821072844 PECOS PAC ID: 4789724006 Enrollment ID: I20091217000528 |
| Provider Name | Nasima Begum |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578547519 PECOS PAC ID: 6608061296 Enrollment ID: I20110208000097 |
| Provider Name | Karen Michelle Guiang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871738344 PECOS PAC ID: 2365693850 Enrollment ID: I20121109000205 |
| Provider Name | Atia A Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710155676 PECOS PAC ID: 6002068822 Enrollment ID: I20121130000228 |
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