| Palm Valley Multi-specialty Medical Group Pc | |
|
18400 Us Highway 18 Ste A Apple Valley CA 92307-2306 | |
| (760) 242-3939 | |
| (949) 863-8505 |
| Full Name | Palm Valley Multi-specialty Medical Group Pc |
|---|---|
| Speciality | Urology |
| Location | 18400 Us Highway 18 Ste A, Apple Valley, California |
| Authorized Official Name and Position | Pedram Ilbeigi (PRESIDENT) |
| Authorized Official Contact | 7277760251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Valley Multi-specialty Medical Group Pc 18092 Wika Rd Ste 220 Apple Valley CA 92307-2132 Ph: (760) 810-0999 | Palm Valley Multi-specialty Medical Group Pc 18400 Us Highway 18 Ste A Apple Valley CA 92307-2306 Ph: (760) 242-3939 |
| NPI Number | 1770344186 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 8628412418 |
|---|---|
| Medicare Enrollment ID | O20240220003822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770344186 | NPI | - | NPPES |
| Provider Name | Herman R Mcdaniel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063524130 PECOS PAC ID: 9335185180 Enrollment ID: I20050630001170 |
| Provider Name | Lisa M Bodon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063619013 PECOS PAC ID: 2668567009 Enrollment ID: I20071011000202 |
| Provider Name | Pedram Ilbeigi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609827336 PECOS PAC ID: 2062424674 Enrollment ID: I20081205000510 |
| Provider Name | Samuel S Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194772418 PECOS PAC ID: 5496828485 Enrollment ID: I20100910000977 |
| Provider Name | Glenn Arthur Cooperman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679821979 PECOS PAC ID: 7214176403 Enrollment ID: I20130619000361 |
| Provider Name | Farshid Mirzaee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194969436 PECOS PAC ID: 8820214208 Enrollment ID: I20140721000790 |
| Provider Name | Cesar A Mora-esteves |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588857460 PECOS PAC ID: 2264758325 Enrollment ID: I20150307000194 |
| Provider Name | Bobby S Alexander |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235575903 PECOS PAC ID: 9638485220 Enrollment ID: I20150827000490 |
| Provider Name | Vladislav Bargman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508951997 PECOS PAC ID: 3072584317 Enrollment ID: I20190711001991 |
| Provider Name | Saman Shafaat Talab |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598185100 PECOS PAC ID: 5395070361 Enrollment ID: I20190712001524 |
| Provider Name | Sloan Gordon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700881257 PECOS PAC ID: 9335119247 Enrollment ID: I20210521001411 |
High Desert Osteopathic Medical Care A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16017 Tuscola Rd, Suite E, Apple Valley, CA 92307 Phone: 760-946-1776 Fax: 760-946-1668 | |
Southern California Primary Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 Phone: 760-810-7778 Fax: 760-810-7780 | |
Modele Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15982 Quantico Rd Ste E, Apple Valley, CA 92307 Phone: 760-906-9362 Fax: 760-503-0064 | |
Hisham Abukamleh Md. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18144 Us Highway 18 Ste 140, Apple Valley, CA 92307 Phone: 760-515-4003 Fax: 760-515-4503 | |
Khoi N Nguyen, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15982 Quantico Rd, Suite F, Apple Valley, CA 92307 Phone: 760-242-3768 Fax: 760-242-5601 | |
Apple Valley Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Tuscola Rd, Suite H, Apple Valley, CA 92307 Phone: 760-242-8400 Fax: 760-242-8859 | |
Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15863 Kasota Rd, Apple Valley, CA 92307 Phone: 760-256-3864 Fax: 760-256-7378 |