Mission Trail Clinica Medica Familiar | |
31946 Mission Trl Ste A Lake Elsinore CA 92530-4539 | |
(855) 505-7467 | |
(888) 975-8926 |
Full Name | Mission Trail Clinica Medica Familiar |
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Speciality | Family Medicine |
Location | 31946 Mission Trl Ste A, Lake Elsinore, California |
Authorized Official Name and Position | Javier R Rios (MEDICAL DIRECTOR) |
Authorized Official Contact | 9513543221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mission Trail Clinica Medica Familiar 495 E Rincon St Ste 215 Corona CA 92879-1378 Ph: (951) 523-0117 | Mission Trail Clinica Medica Familiar 31946 Mission Trl Ste A Lake Elsinore CA 92530-4539 Ph: (855) 505-7467 |
NPI Number | 1598291015 |
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Provider Enumeration Date | 05/03/2017 |
Last Update Date | 06/06/2022 |
Medicare PECOS PAC ID | 4183892508 |
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Medicare Enrollment ID | O20150107002576 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598291015 | NPI | - | NPPES |
Provider Name | Thuy D Pham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558362723 PECOS PAC ID: 7911893052 Enrollment ID: I20040225000525 |
Provider Name | Kajal Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154461010 PECOS PAC ID: 7517047160 Enrollment ID: I20080428000699 |
Provider Name | Javier R Rios |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639246176 PECOS PAC ID: 3173518156 Enrollment ID: I20081119000392 |
Provider Name | Dalia A Corleone |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649443599 PECOS PAC ID: 4587842570 Enrollment ID: I20110622000039 |
Provider Name | Rodolfo Rey |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891062998 PECOS PAC ID: 0042442816 Enrollment ID: I20140409001031 |
Provider Name | Rodolfo Rojas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053686865 PECOS PAC ID: 7517283922 Enrollment ID: I20150302002473 |
Provider Name | Janet Vadaparampil |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1770888505 PECOS PAC ID: 2062717705 Enrollment ID: I20160218000508 |
Provider Name | Gabriel Colon Caballero |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114220886 PECOS PAC ID: 3375814080 Enrollment ID: I20170728002539 |
Provider Name | Andy K Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326551219 PECOS PAC ID: 2769744184 Enrollment ID: I20180323001323 |
Provider Name | Zainab Ather Ali |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437449048 PECOS PAC ID: 7719202696 Enrollment ID: I20180522003197 |
Provider Name | Greta E Rios-steed |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649708397 PECOS PAC ID: 3476824871 Enrollment ID: I20200706000849 |
Provider Name | Guillermo A Gomez |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659894673 PECOS PAC ID: 5496178287 Enrollment ID: I20200713002038 |
Provider Name | Christie To-trinh Hua |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578067484 PECOS PAC ID: 2062818727 Enrollment ID: I20210902003314 |
Provider Name | Farnoosh Qadri |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215467717 PECOS PAC ID: 8224436514 Enrollment ID: I20211018002939 |
Provider Name | Joanne Delgado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821683806 PECOS PAC ID: 8426432741 Enrollment ID: I20230103001273 |
Provider Name | Reyna Montoya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508531302 PECOS PAC ID: 8527439421 Enrollment ID: I20230131001684 |
Provider Name | Rashid Altafi |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1285948943 PECOS PAC ID: 1951522317 Enrollment ID: I20230131003016 |
Provider Name | Shivani Sharma |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649989591 PECOS PAC ID: 6305219965 Enrollment ID: I20230301001028 |
Provider Name | Candace Valenzuela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174238356 PECOS PAC ID: 4880068451 Enrollment ID: I20230817003823 |
Provider Name | Rosy Stephanie Montalvo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790551471 PECOS PAC ID: 1456790815 Enrollment ID: I20240417003523 |
Provider Name | Rigoberto Tejeda Acevedo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306469739 PECOS PAC ID: 0840632360 Enrollment ID: I20240529001470 |
Family Health Care Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532 Phone: 951-674-7811 | |
Lake Elsinore Clinica Medica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Lake Elsinore, CA 92530 Phone: 855-505-7467 Fax: 888-975-8926 | |
J M Asprec Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31571 Canyon Estates Dr, Ste 132, Lake Elsinore, CA 92532 Phone: 951-674-7811 Fax: 951-674-7812 | |
County Of Riverside-community Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2499 E Lakeshore Dr, Lake Elsinore, CA 92530 Phone: 951-674-3250 Fax: 951-245-4502 | |
Lakeshore Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16770 Lakeshore Dr Ste G, Lake Elsinore, CA 92530 Phone: 951-674-6876 Fax: 951-674-6876 | |
Hofmeister Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530 Phone: 951-245-2333 | |
Lakeshore Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16770 Lakeshore Dr, Suite G, Lake Elsinore, CA 92530 Phone: 951-674-6876 Fax: 951-674-6876 |