| Prime Health Assessment Medical Group Inc | |
|
4050 Airport Center Dr Ste B1 Palm Springs CA 92264-1216 | |
| (916) 897-7321 | |
| Not Available |
| Full Name | Prime Health Assessment Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4050 Airport Center Dr Ste B1, Palm Springs, California |
| Authorized Official Name and Position | Lee Bella Mandap (OWNER) |
| Authorized Official Contact | 9168977321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health Assessment Medical Group Inc 4050 Airport Center Dr Ste B1 Palm Springs CA 92264-1216 Ph: (916) 897-7321 | Prime Health Assessment Medical Group Inc 4050 Airport Center Dr Ste B1 Palm Springs CA 92264-1216 Ph: (916) 897-7321 |
| NPI Number | 1164100061 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 8325497803 |
|---|---|
| Medicare Enrollment ID | O20231208002111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164100061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Annalissa L Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740626100 PECOS PAC ID: 5890936363 Enrollment ID: I20130725000385 |
| Provider Name | Lee Bella A Mandap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629477344 PECOS PAC ID: 7810210457 Enrollment ID: I20150106001556 |
| Provider Name | Russell L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659624948 PECOS PAC ID: 8224390380 Enrollment ID: I20180329002126 |
| Provider Name | Karen Yesenia Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326556382 PECOS PAC ID: 1254694763 Enrollment ID: I20180416002371 |
| Provider Name | Karen Asuncion Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730701863 PECOS PAC ID: 2466860390 Enrollment ID: I20240404001541 |
Desert Hospitalist Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 619-471-4372 Fax: 888-307-8495 | |
Gastrointestinal Assoc A Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 E Tachevah Dr, Suite #1e-104, Palm Springs, CA 92262 Phone: 760-325-7601 Fax: 760-325-4281 | |
Cali Solutions, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Sunrise Way Ste A901, Palm Springs, CA 92262 Phone: 760-835-4041 Fax: 760-406-8515 | |
Oasis Advanced Gastroenterology, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 N Palm Canyon Dr Ste 214, Palm Springs, CA 92262 Phone: 760-699-7607 | |
Dave Patel, M.d., A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262 Phone: 760-323-6830 | |
James W Shaner M D A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 S Civic Dr, Ste 4, Palm Springs, CA 92262 Phone: 760-864-6688 Fax: 760-864-6686 | |
Edmund Ayoub, Jr., M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3655 E Ramon Rd, Palm Springs, CA 92264 Phone: 760-835-4229 |