- Medicare Primary Care in Bloomington, CA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bloomington, California. The current practice location for is 18601 Valley Blvd, Bloomington, California. For appointments, you can reach them via phone at (909) 877-1818. The mailing address for is 18601 Valley Blvd, Bloomington, California and phone number is (909) 877-1818.

is licensed to practice in California (license number ). The clinic also participates in the medicare program and its NPI number is 1952308009. 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 (909) 877-1818.

Contact Information

18601 Valley Blvd
Bloomington
CA 92316-1831
(909) 877-1818
(909) 746-0400

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location18601 Valley Blvd, Bloomington, California
Authorized Official Name and PositionBobby Vascovich (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact9098771818
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

18601 Valley Blvd
Bloomington
CA 92316-1831

Ph: (909) 877-1818
18601 Valley Blvd
Bloomington
CA 92316-1831

Ph: (909) 877-1818

NPI Details:

NPI Number1952308009
Provider Enumeration Date07/05/2005
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7012824717
Medicare Enrollment IDO20051117000822

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952308009NPI-NPPES
G98054-01OtherCADELTA DENTAL
G98054-03OtherCADELTA DENTAL
HAP70865FOtherCAFAMILY PACT
HAP70324FOtherCAFAMILY PACT
FHC70275GMedicaidCA
FHC70324FMedicaidCA
FHC71040FMedicaidCA
G98054-02OtherCADELTA DENTAL
HAP70275GOtherCAFAMILY PACT
FHC70865FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (California)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (California)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (California)Primary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (California)Secondary

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 NameChinye Ogbuchiekwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316162381
PECOS PAC ID: 0749295608
Enrollment ID: I20060214000225
Provider NamePatricia L Christie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881625531
PECOS PAC ID: 4981619434
Enrollment ID: I20060220000597
Provider NameTim T Le
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366480188
PECOS PAC ID: 1355348772
Enrollment ID: I20061027000292
Provider NameRobert A Mcauley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194881888
PECOS PAC ID: 0042316531
Enrollment ID: I20070430000290
Provider NameRobert Scott
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1518986173
PECOS PAC ID: 3577641760
Enrollment ID: I20080809000129
Provider NameAnthony John Bullum
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992773956
PECOS PAC ID: 3678634078
Enrollment ID: I20081203000815
Provider NameMelissa A Staricka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134270713
PECOS PAC ID: 6608939772
Enrollment ID: I20090115000475
Provider NameLawrence Franklin Pearson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1538234190
PECOS PAC ID: 7810051596
Enrollment ID: I20090123000449
Provider NameRamesh Karody
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952327355
PECOS PAC ID: 5395895502
Enrollment ID: I20090610000144
Provider NameJenny Le
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588998512
PECOS PAC ID: 0648311704
Enrollment ID: I20100112000058
Provider NameWayne T Larsen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972685089
PECOS PAC ID: 2961545710
Enrollment ID: I20100202000902
Provider NameSai H Wong
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750583928
PECOS PAC ID: 8123200284
Enrollment ID: I20110310000435
Provider NameMuhammad Umer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154632636
PECOS PAC ID: 1355581851
Enrollment ID: I20130705000109
Provider NameMurtaza Merali
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972944189
PECOS PAC ID: 9133353089
Enrollment ID: I20131008000401
Provider NameSuzan J Shakhshir
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275875759
PECOS PAC ID: 6608009667
Enrollment ID: I20140429001215
Provider NameMeenu Sood
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841588928
PECOS PAC ID: 1456572700
Enrollment ID: I20141029002817
Provider NameSheimeka D Vaughan Magee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912293556
PECOS PAC ID: 1254653066
Enrollment ID: I20141205001842
Provider NameHerman A Carstens
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1386611242
PECOS PAC ID: 5799000931
Enrollment ID: I20150211001221
Provider NameJanna E Larson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1821227554
PECOS PAC ID: 3971828898
Enrollment ID: I20150217000002
Provider NameGeorge Y Soliman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730193368
PECOS PAC ID: 9830179803
Enrollment ID: I20150619001931
Provider NameCalvin E Lambert Hall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427483254
PECOS PAC ID: 1456667138
Enrollment ID: I20150825005615
Provider NameRyan O Macavinta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518311190
PECOS PAC ID: 9335439793
Enrollment ID: I20160526001692
Provider NameSarah A Papalia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336572676
PECOS PAC ID: 1759515307
Enrollment ID: I20161116000481
Provider NameLaura L Gilroy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437427978
PECOS PAC ID: 6800179664
Enrollment ID: I20170202000593
Provider NameMamit K Anand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124563366
PECOS PAC ID: 1850674326
Enrollment ID: I20170207001330
Provider NameRashida Michelle Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740698430
PECOS PAC ID: 1355633322
Enrollment ID: I20170522000289
Provider NameReem Ali Abu Libdeh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972985158
PECOS PAC ID: 6507131778
Enrollment ID: I20171013002980
Provider NameDiana A Plucker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568877629
PECOS PAC ID: 9133345119
Enrollment ID: I20171030001698
Provider NameRenee S Miles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053763623
PECOS PAC ID: 0547528564
Enrollment ID: I20171221001275
Provider NameManja Perilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568981413
PECOS PAC ID: 9032477971
Enrollment ID: I20171221002476
Provider NameSandra W Edpao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689190431
PECOS PAC ID: 7416215066
Enrollment ID: I20180103001694
Provider NameSanjeev Puri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730420399
PECOS PAC ID: 0547570871
Enrollment ID: I20180307001366
Provider NameDimas Giovanni Calvachi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386143881
PECOS PAC ID: 3375804305
Enrollment ID: I20180307001660
Provider NameGraziano Mauriz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962654327
PECOS PAC ID: 7911260161
Enrollment ID: I20180420002193
Provider NameMunira M Rahman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639597578
PECOS PAC ID: 0143447391
Enrollment ID: I20180827000185
Provider NameGaniat Gbadebo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770002990
PECOS PAC ID: 7416209127
Enrollment ID: I20181008003049
Provider NamePatricia Gutierrez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396885588
PECOS PAC ID: 6800136664
Enrollment ID: I20190314001892
Provider NameIan William Kirby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639633084
PECOS PAC ID: 1052652617
Enrollment ID: I20190408002390
Provider NameLouis Lennart Qui
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992280531
PECOS PAC ID: 2769716257
Enrollment ID: I20190703001666
Provider NameRaymond G Rojas
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1487933602
PECOS PAC ID: 5799110664
Enrollment ID: I20200123000303
Provider NameJoseph Bermudez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659670271
PECOS PAC ID: 0042646929
Enrollment ID: I20200213000256
Provider NameKeena Harrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790334696
PECOS PAC ID: 1254747728
Enrollment ID: I20210308001627
Provider NameBonnie Jean Campbell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891964342
PECOS PAC ID: 9739583758
Enrollment ID: I20210812000799
Provider NamePhillip P Farmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104493980
PECOS PAC ID: 9739585522
Enrollment ID: I20210901004265
Provider NameTere-monique Oresa Carrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376006544
PECOS PAC ID: 0648668533
Enrollment ID: I20211026001892
Provider NameJasvir Ajit Uppal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811056575
PECOS PAC ID: 8820160716
Enrollment ID: I20240409001064
Provider NameDilpreet Singh
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1063194793
PECOS PAC ID: 5193163244
Enrollment ID: I20240409001201
Provider NameAnna Marie Magee
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194234609
PECOS PAC ID: 1153860101
Enrollment ID: I20240822001960
Provider NameGabriella Odudu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104491752
PECOS PAC ID: 3971044355
Enrollment ID: I20240925003300
Provider NameJacqueline Aparicio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760248207
PECOS PAC ID: 8325579568
Enrollment ID: I20240930001322
Provider NameKarol M Englebrecht
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336432277
PECOS PAC ID: 5092246801
Enrollment ID: I20241003003971
Provider NameMegan Marie Clapp
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699399337
PECOS PAC ID: 1355765967
Enrollment ID: I20241004002668
Provider NameGisela Jessica Barajas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295443927
PECOS PAC ID: 8527405729
Enrollment ID: I20241007003450
Provider NameEunice Akuinotsokan Pinnick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346950748
PECOS PAC ID: 6406295419
Enrollment ID: I20241008002777
Provider NameSteven Fleek
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1629422670
PECOS PAC ID: 1254770373
Enrollment ID: I20241014002019
Provider NameKenyada Marie Wagoner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760172688
PECOS PAC ID: 2567801574
Enrollment ID: I20241015002370
Provider NameJovana Stojanovska
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215638499
PECOS PAC ID: 7618316639
Enrollment ID: I20241015003041
Provider NameGenevieve Elon Monge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073165650
PECOS PAC ID: 7416489190
Enrollment ID: I20241018002990
Provider NameAdriana Cornejo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790201283
PECOS PAC ID: 0042550071
Enrollment ID: I20241018003513
Provider NameFaiza Iram
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063773141
PECOS PAC ID: 9638391535
Enrollment ID: I20241021002589
Provider NameSminu D Patel
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1780255745
PECOS PAC ID: 9931548047
Enrollment ID: I20241021002825
Provider NameVivian Louise Nnana
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730636960
PECOS PAC ID: 3870934151
Enrollment ID: I20241022005537
Provider NameJorge De Leon
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1679720189
PECOS PAC ID: 3779519426
Enrollment ID: I20241023001236
Provider NameJaspriya Singh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548032600
PECOS PAC ID: 1951847011
Enrollment ID: I20241024003288
Provider NameNeville Lambourne
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1982146502
PECOS PAC ID: 8022380831
Enrollment ID: I20241024003562
Provider NameRoya Amjadi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962138545
PECOS PAC ID: 2668819772
Enrollment ID: I20241031002868
Provider NameMichael L Hetsko
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1639166978
PECOS PAC ID: 6800195223
Enrollment ID: I20241101002826
Provider NameBrett Longacre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295089332
PECOS PAC ID: 1557650397
Enrollment ID: I20241119004797
Provider NameGoran Cvijanovic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427393941
PECOS PAC ID: 9931348794
Enrollment ID: I20241210001751

Reviews and Comments


Clinic/Center in Bloomington, CA


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 18651 Valley Blvd Unit A, Bloomington, CA 92316
Phone: 951-571-2300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.