| Namita Mohideen Md Inc | |
|
16465 Sierra Lakes Pkwy Ste 115 Fontana CA 92336-1242 | |
| (909) 823-8000 | |
| (909) 823-8088 |
| Full Name | Namita Mohideen Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16465 Sierra Lakes Pkwy Ste 115, Fontana, California |
| Authorized Official Name and Position | Namita Pandiri Mohideen (DOCTOR) |
| Authorized Official Contact | 9098238000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Namita Mohideen Md Inc 16465 Sierra Lakes Pkwy Ste 115 Fontana CA 92336-1242 Ph: (909) 823-8000 | Namita Mohideen Md Inc 16465 Sierra Lakes Pkwy Ste 115 Fontana CA 92336-1242 Ph: (909) 823-8000 |
| NPI Number | 1649546144 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 08/26/2024 |
| Medicare PECOS PAC ID | 1759785934 |
|---|---|
| Medicare Enrollment ID | O20210810002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649546144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A55769 (California) | Primary |
| Provider Name | Namita P Mohideen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871543850 PECOS PAC ID: 0840248845 Enrollment ID: I20050106000380 |
| Provider Name | Peter S Hein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497803282 PECOS PAC ID: 6507815677 Enrollment ID: I20050114000695 |
| Provider Name | Rubin Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679678916 PECOS PAC ID: 5597840025 Enrollment ID: I20080307000635 |
| Provider Name | Avneet Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568955680 PECOS PAC ID: 1254738651 Enrollment ID: I20210928002712 |
| Provider Name | Butool Saba Abdullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285130708 PECOS PAC ID: 2567718562 Enrollment ID: I20221031002105 |
| Provider Name | Jay Chae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275237422 PECOS PAC ID: 8022475383 Enrollment ID: I20230601002444 |
| Provider Name | Nicole Mcfarland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942654587 PECOS PAC ID: 8123350188 Enrollment ID: I20231127000075 |
| Provider Name | Isabella Possagnoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231637 PECOS PAC ID: 7315388568 Enrollment ID: I20240518000380 |
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Alav Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16465 Sierra Lakes Pkwy, Ste 220, Fontana, CA 92336 Phone: 909-434-1123 Fax: 909-261-8082 | |
Vituity Physician Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16888 Baseline Ave, Fontana, CA 92336 Phone: 855-422-8029 | |
Internal Medicine Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Parkway, Internal Medicine Medical Group Suite, Fontana, CA 92336 Phone: 909-770-8640 Fax: 909-770-8650 |