| Platinum Providers Medical Group, Inc. | |
|
6900 Brockton Ave Ste 100 Riverside CA 92506-3817 | |
| (951) 781-3800 | |
| (951) 781-1973 |
| Full Name | Platinum Providers Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6900 Brockton Ave Ste 100, Riverside, California |
| Authorized Official Name and Position | Robert G Nelson (PRESIDENT) |
| Authorized Official Contact | 9517813800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Providers Medical Group, Inc. 1901 Town And Country Dr Ste 104 Norco CA 92860-3611 Ph: (951) 808-6235 | Platinum Providers Medical Group, Inc. 6900 Brockton Ave Ste 100 Riverside CA 92506-3817 Ph: (951) 781-3800 |
| NPI Number | 1275018392 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 06/06/2019 |
| Medicare PECOS PAC ID | 0941634927 |
|---|---|
| Medicare Enrollment ID | O20191227002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275018392 | NPI | - | NPPES |
| Provider Name | Peter Mattar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417005422 PECOS PAC ID: 8426147398 Enrollment ID: I20071129000341 |
| Provider Name | Renanda Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366687113 PECOS PAC ID: 0648595181 Enrollment ID: I20150204001860 |
| Provider Name | John Gaspar Agtuca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306200183 PECOS PAC ID: 8729410634 Enrollment ID: I20191114002512 |
Pulmonary Partners Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5790 Magnolia Ave, Suite 201, Riverside, CA 92506 Phone: 951-368-0427 Fax: 951-368-0429 | |
The Smooth Skin Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 205, Riverside, CA 92506 Phone: 909-717-6069 | |
Lyn M Pintelon D.o. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8990 Garfield St, Ste.6, Riverside, CA 92503 Phone: 951-358-0784 Fax: 951-354-7583 | |
Precision Spinal Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4224 Cedar Pine Ct, Riverside, CA 92505 Phone: 909-648-0377 | |
Parkview Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3722 Tibbetts St, Riverside, CA 92506 Phone: 951-784-3770 | |
Orangecrest Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4646 Brockton Ave Ste 203, Riverside, CA 92506 Phone: 951-774-2881 Fax: 951-774-2846 | |
Harmony Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5750 Division St Ste 208, Riverside, CA 92506 Phone: 310-560-9292 |