| Mobile Care Medical Group, Inc | |
|
3850 Smith St Unit 3 Union City CA 94587-2614 | |
| (213) 261-4978 | |
| (818) 471-4287 |
| Full Name | Mobile Care Medical Group, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3850 Smith St Unit 3, Union City, California |
| Authorized Official Name and Position | Marlon C Salamat (CFO) |
| Authorized Official Contact | 6264976500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Care Medical Group, Inc 1200 E Route 66 Ste 102 Glendora CA 91740-6360 Ph: (213) 567-4520 | Mobile Care Medical Group, Inc 3850 Smith St Unit 3 Union City CA 94587-2614 Ph: (213) 261-4978 |
| NPI Number | 1629642921 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 7315330859 |
|---|---|
| Medicare Enrollment ID | O20220207000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629642921 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Richard Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174718134 PECOS PAC ID: 5698964906 Enrollment ID: I20110118000516 |
| Provider Name | Shiva Shabnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679802037 PECOS PAC ID: 5092991992 Enrollment ID: I20110510000583 |
| Provider Name | Christine Lori Rongey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033403647 PECOS PAC ID: 9739472721 Enrollment ID: I20170928003344 |
| Provider Name | Priyanka B Tulshian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881987063 PECOS PAC ID: 6901038728 Enrollment ID: I20191204002423 |
| Provider Name | Heidi Regenass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225258965 PECOS PAC ID: 3274704176 Enrollment ID: I20200427000698 |
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