| Mesa Pulmonary Group, Inc. | |
|
136 Broadway Costa Mesa CA 92627-2818 | |
| (949) 873-5537 | |
| (949) 837-5647 |
| Full Name | Mesa Pulmonary Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 136 Broadway, Costa Mesa, California |
| Authorized Official Name and Position | Jacob Sweidan (PRESIDENT/CEO/OWNER) |
| Authorized Official Contact | 7149154656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Pulmonary Group, Inc. P.o. Box 8500 Newport Beach CA 92658-8500 Ph: (949) 873-5537 | Mesa Pulmonary Group, Inc. 136 Broadway Costa Mesa CA 92627-2818 Ph: (949) 873-5537 |
| NPI Number | 1821610874 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 3476975087 |
|---|---|
| Medicare Enrollment ID | O20200626000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821610874 | NPI | - | NPPES |
| 1265494835 | Other | CA | INDIVIDUAL NPI |
| 1790181311 | Other | CA | INDIVIDUAL NPI |
| Provider Name | Lakshmi S Shukla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407043243 PECOS PAC ID: 2668505496 Enrollment ID: I20100730000734 |
| Provider Name | Robert B Moricca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902815822 PECOS PAC ID: 4688869993 Enrollment ID: I20120106000691 |
| Provider Name | Alexander Jacob Sweidan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689070161 PECOS PAC ID: 4183981293 Enrollment ID: I20171128001795 |
| Provider Name | Navneet Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790181311 PECOS PAC ID: 9436418886 Enrollment ID: I20180111000506 |
Nazli Ahmed, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, # 2m, Costa Mesa, CA 92627 Phone: 949-642-5390 Fax: 949-642-1224 | |
Roberto N Valenton Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Baker St, Costa Mesa, CA 92626 Phone: 714-557-6300 Fax: 714-966-9567 | |
Shahrestani Chiropractic Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2328 Newport Blvd, Costa Mesa, CA 92627 Phone: 949-631-3139 Fax: 949-631-0747 | |
Md24 San Diego, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Ste 1100, Costa Mesa, CA 92626 Phone: 623-374-7774 | |
Coastal Mesa Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 W 19th St Ste J, Costa Mesa, CA 92627 Phone: 657-203-2133 | |
Newport Mesa Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Victoria St, Ste 1e, Costa Mesa, CA 92627 Phone: 949-574-3615 |