| Strawberry Creek Medical | |
|
54910 Pine Crest Avenue Idyllwild CA 92549-0786 | |
| (917) 225-6302 | |
| Not Available |
| Full Name | Strawberry Creek Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 54910 Pine Crest Avenue, Idyllwild, California |
| Authorized Official Name and Position | Natalya Ptashinsky (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9172256302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strawberry Creek Medical Po Box 786 Idyllwild CA 92549-0786 Ph: (917) 225-6302 | Strawberry Creek Medical 54910 Pine Crest Avenue Idyllwild CA 92549-0786 Ph: (917) 225-6302 |
| NPI Number | 1891424644 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 07/13/2022 |
| Medicare PECOS PAC ID | 0042656514 |
|---|---|
| Medicare Enrollment ID | O20240307001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891424644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Natalya Ptashinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336517457 PECOS PAC ID: 0244537710 Enrollment ID: I20190107002354 |
| Provider Name | Alexander J Charmoz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427403195 PECOS PAC ID: 0749574150 Enrollment ID: I20190606001025 |
Regenerative Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54910, Pine Crest Avenue, Idyllwild, CA 92549 Phone: 951-659-9912 | |
Idyllwild Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54910 Pinecrest Ave, Idyllwild, CA 92549 Phone: 951-659-4908 Fax: 951-659-2984 |