| Pure Healthcare Professional Medical Services | |
|
151 N Sunrise Ave Ste 1203 Roseville CA 95661-2932 | |
| (916) 850-2559 | |
| (916) 721-2456 |
| Full Name | Pure Healthcare Professional Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 151 N Sunrise Ave Ste 1203, Roseville, California |
| Authorized Official Name and Position | Jonathan M Baugh (OWNER/DIRECTOR) |
| Authorized Official Contact | 4359221217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Healthcare Professional Medical Services 4179 S Riverboat Rd Ste 220 Taylorsville UT 84123-2986 Ph: (801) 921-6276 | Pure Healthcare Professional Medical Services 151 N Sunrise Ave Ste 1203 Roseville CA 95661-2932 Ph: (916) 850-2559 |
| NPI Number | 1437861432 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 1456715614 |
|---|---|
| Medicare Enrollment ID | O20230907000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437861432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jonathan M Baugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578882759 PECOS PAC ID: 0244475333 Enrollment ID: I20141110001293 |
| Provider Name | Mohammadreza Jafarishourijeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306543970 PECOS PAC ID: 2264899277 Enrollment ID: I20230607001066 |
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