| Loida V. Guevarra, M.d., Inc. | |
|
12760 Hesperia Rd Suite A Victorville CA 92395-5806 | |
| (760) 955-1166 | |
| (760) 955-1499 |
| Full Name | Loida V. Guevarra, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12760 Hesperia Rd, Victorville, California |
| Authorized Official Name and Position | Loida V Guevarra (PRESIDENT) |
| Authorized Official Contact | 7609551166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loida V. Guevarra, M.d., Inc. 12760 Hesperia Rd Suite A Victorville CA 92395-5806 Ph: (760) 955-1166 | Loida V. Guevarra, M.d., Inc. 12760 Hesperia Rd Suite A Victorville CA 92395-5806 Ph: (760) 955-1166 |
| NPI Number | 1932186913 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 07/14/2010 |
| Medicare PECOS PAC ID | 8628969227 |
|---|---|
| Medicare Enrollment ID | O20040323000977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932186913 | NPI | - | NPPES |
| 805219 | Other | CA | AETNA |
| 00A534080 | Medicaid | CA | |
| 046950 | Other | CA | HEALTHNET |
| A53408 | Other | CA | BLUE SHIELD |
| 01991-0023 | Other | CA | PACIFICARE |
| 05256000004 | Other | CA | IVHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A53408 (California) | Primary |
| Provider Name | Loida V Guevarra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346329331 PECOS PAC ID: 6002719010 Enrollment ID: I20040128000689 |
| Provider Name | Joanne M Lister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467407767 PECOS PAC ID: 1355300245 Enrollment ID: I20041006001053 |
Sunrise Gastro Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15366 11th St Ste D, Victorville, CA 92395 Phone: 760-268-2063 Fax: 760-268-2063 | |
Symba Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14049 Amargosa Rd, Victorville, CA 92392 Phone: 760-515-2464 | |
Bear Valley Clinica Medica Familiar A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15532 Bear Valley Rd, Victorville, CA 92395 Phone: 760-245-5959 | |
David J. Hart, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13010 Hesperia Rd, Suite 1, Victorville, CA 92395 Phone: 937-239-9834 | |
Om Sood Md A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12998 Hesperia Rd, Suite 101, Victorville, CA 92395 Phone: 760-955-2828 Fax: 760-955-2488 | |
Victorville Multidiagnosis Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12625 Hesperia Rd, Victorville, CA 92395 Phone: 909-382-3080 Fax: 909-382-3105 | |
Specialty Health Partners, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12984 Hesperia Rd Ste 101, Victorville, CA 92395 Phone: 760-243-4009 Fax: 760-513-9770 |