<unavail> in Hesperia, CA - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Hesperia, California. The current practice location for is 12765 Main St Ste 630, Hesperia, California. For appointments, you can reach them via phone at (760) 995-2099. The mailing address for is 11133 Martingale Way, Rancho Cucamonga, California and phone number is (805) 813-6851.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851141139. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 995-2099.

Contact Information


	12765 Main St Ste 630 Hesperia CA 92345-9134
	(760) 995-2099
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	12765 Main St Ste 630, Hesperia, California
Authorized Official Name and Position	Ruby Jhaj (PRESIDENT)
Authorized Official Contact	8058136851
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
11133 Martingale Way Rancho Cucamonga CA 91737-1818 Ph: (805) 813-6851	12765 Main St Ste 630 Hesperia CA 92345-9134 Ph: (760) 995-2099

NPI Details:

NPI Number	1851141139
Provider Enumeration Date	03/27/2024
Last Update Date	09/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	9739611955
Medicare Enrollment ID	O20241014001027

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851141139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Ruby Jhaj
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1962841940 PECOS PAC ID: 3870883820 Enrollment ID: I20200504001166

Reviews and Comments

Internal Medicine in Hesperia, CA

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17450 Main St, Hesperia, CA 92345 Phone: 760-241-8000
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- Medicare Primary Care in Hesperia, CA