Palliative Care Medical Group | |
80 W Sierra Madre Blvd Suite 352 Sierra Madre CA 91024-2434 | |
(877) 830-7328 | |
Not Available |
Full Name | Palliative Care Medical Group |
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Speciality | Family Medicine |
Location | 80 W Sierra Madre Blvd, Sierra Madre, California |
Authorized Official Name and Position | Nicholas John Jauregui (OWNER) |
Authorized Official Contact | 8778307328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palliative Care Medical Group 80 W Sierra Madre Blvd # 352 Sierra Madre CA 91024-2434 Ph: (877) 830-7328 | Palliative Care Medical Group 80 W Sierra Madre Blvd Suite 352 Sierra Madre CA 91024-2434 Ph: (877) 830-7328 |
NPI Number | 1841473485 |
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Provider Enumeration Date | 12/05/2007 |
Last Update Date | 02/10/2010 |
Medicare PECOS PAC ID | 4880775071 |
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Medicare Enrollment ID | O20080114000465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841473485 | NPI | - | NPPES |
P00603516 | Other | CA | RAILROAD MEDICARE PIN |
00A627861 | Medicaid | CA | |
DN0861 | Other | CA | RAILROAD MEDICARE GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A62786 (California) | Primary |
Provider Name | Inderjit Singh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417025388 PECOS PAC ID: 0648183731 Enrollment ID: I20031106000397 |
Provider Name | Nicholas J Jauregui |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205869807 PECOS PAC ID: 7315995115 Enrollment ID: I20050107000930 |
Provider Name | Shiho I Ito |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114046414 PECOS PAC ID: 8022051077 Enrollment ID: I20050609001009 |
Provider Name | Liviu A Chindris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730156472 PECOS PAC ID: 4789585464 Enrollment ID: I20080716000423 |
Provider Name | Abilene A Enriquez |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1740474733 PECOS PAC ID: 6709931066 Enrollment ID: I20090910000193 |
Provider Name | Karen S Pabalan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487971404 PECOS PAC ID: 7810021995 Enrollment ID: I20100811000221 |
Provider Name | Jae Lee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912105297 PECOS PAC ID: 1355513326 Enrollment ID: I20111017000706 |
Provider Name | Edward Meltser |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1124536289 PECOS PAC ID: 7618226812 Enrollment ID: I20180821004170 |
Provider Name | Norr Rosario Santz |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1154731255 PECOS PAC ID: 1557695228 Enrollment ID: I20190628002849 |
Provider Name | Richard Rodriguez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588198352 PECOS PAC ID: 9436582541 Enrollment ID: I20191204000196 |
Provider Name | Annie Mali Hadfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265041651 PECOS PAC ID: 7911318365 Enrollment ID: I20201116002884 |
Provider Name | April Aloiau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811532047 PECOS PAC ID: 7315317559 Enrollment ID: I20230103002784 |
Provider Name | Christopher Michael Phillips |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629698733 PECOS PAC ID: 6901251636 Enrollment ID: I20231016001083 |
Provider Name | Connie Love |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407495351 PECOS PAC ID: 9638525165 Enrollment ID: I20231019002179 |
Provider Name | Jennilyn Tuazon Raynor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598356024 PECOS PAC ID: 0941646939 Enrollment ID: I20240313000636 |
Provider Name | Jennilyn Tuazon Raynor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598356024 PECOS PAC ID: 0941646939 Enrollment ID: I20240313004271 |
Edward P. Laurance, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 460 W Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 626-836-6900 | |
Wound Care Partners, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 888-794-2362 | |
Sierra Madre Community Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 147 W Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 626-355-3443 Fax: 626-355-7843 |