| Optum | |
|
1520 Barton Rd Redlands CA 92373-5467 | |
| (909) 793-3208 | |
| Not Available |
| Full Name | Optum |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 Barton Rd, Redlands, California |
| Authorized Official Name and Position | Ashley Grim (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9097933208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum 1520 Barton Rd Redlands CA 92373-5467 Ph: (909) 793-3208 | Optum 1520 Barton Rd Redlands CA 92373-5467 Ph: (909) 793-3208 |
| NPI Number | 1942482021 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 7214249127 |
|---|---|
| Medicare Enrollment ID | O20150707001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942482021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Glenn P Wedeen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275577504 PECOS PAC ID: 6608825492 Enrollment ID: I20050119000612 |
| Provider Name | Suzanne Ellen Enloe Whitaker |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720058415 PECOS PAC ID: 2062440662 Enrollment ID: I20050803000512 |
| Provider Name | Hai N Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033312202 PECOS PAC ID: 2163512252 Enrollment ID: I20071212000750 |
| Provider Name | Ann-renee Desrochers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932135076 PECOS PAC ID: 9638269632 Enrollment ID: I20071213000862 |
| Provider Name | Bryan L Sowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306896691 PECOS PAC ID: 6608956875 Enrollment ID: I20071231000465 |
| Provider Name | Aaron Scott Jordan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972573756 PECOS PAC ID: 6901979574 Enrollment ID: I20080716000267 |
| Provider Name | Magdi S Elsaadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902876683 PECOS PAC ID: 4082787551 Enrollment ID: I20080716000293 |
| Provider Name | Faith Lee-jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699745471 PECOS PAC ID: 2264505734 Enrollment ID: I20080716000301 |
| Provider Name | Jason Y Lin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588634059 PECOS PAC ID: 8426121997 Enrollment ID: I20080716000322 |
| Provider Name | Nesib Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497725261 PECOS PAC ID: 7911070412 Enrollment ID: I20080716000558 |
| Provider Name | Donna Ruth Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033189568 PECOS PAC ID: 6709959216 Enrollment ID: I20080716000702 |
| Provider Name | Mariclem Lao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487624169 PECOS PAC ID: 2163595570 Enrollment ID: I20080717000818 |
| Provider Name | Wilfredo M Tupas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533253 PECOS PAC ID: 3577636398 Enrollment ID: I20080725000712 |
| Provider Name | Ellen Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225029804 PECOS PAC ID: 0345308375 Enrollment ID: I20081021000273 |
| Provider Name | Henry M Chai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548299928 PECOS PAC ID: 1153489836 Enrollment ID: I20081024000156 |
| Provider Name | Myra Luntok Aguirre Carlos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669575874 PECOS PAC ID: 4880753672 Enrollment ID: I20081107000754 |
| Provider Name | Thomas Michael Hellwig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275503963 PECOS PAC ID: 7810940848 Enrollment ID: I20081204000202 |
| Provider Name | Emmanuel Kwame Baidoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831319516 PECOS PAC ID: 8527120377 Enrollment ID: I20090103000021 |
| Provider Name | Alexander Terrazas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558472464 PECOS PAC ID: 5799841631 Enrollment ID: I20090302000529 |
| Provider Name | Stephen Estes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619947306 PECOS PAC ID: 5294843231 Enrollment ID: I20110523000805 |
| Provider Name | Anooshirvan Bozorgmehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689019200 PECOS PAC ID: 9739321209 Enrollment ID: I20130813000212 |
| Provider Name | Haidy Samuel Guirguis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651995 PECOS PAC ID: 6507296779 Enrollment ID: I20200501000255 |
| Provider Name | Scott Ditch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447787171 PECOS PAC ID: 1355767013 Enrollment ID: I20200812003299 |
| Provider Name | Sam H Hessami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831167162 PECOS PAC ID: 5890781645 Enrollment ID: I20201123002875 |
| Provider Name | Christopher Zoolkoski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275544892 PECOS PAC ID: 0648166736 Enrollment ID: I20210818002050 |
| Provider Name | Susan Aminzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619471091 PECOS PAC ID: 6709281363 Enrollment ID: I20210819000780 |
| Provider Name | Jennifer Marina Muniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568005833 PECOS PAC ID: 2062818149 Enrollment ID: I20210915002183 |
| Provider Name | Jamie Danielle Zingler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538819347 PECOS PAC ID: 3577946474 Enrollment ID: I20220810000399 |
| Provider Name | Amanda Ardessi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336895580 PECOS PAC ID: 2668856618 Enrollment ID: I20220825001307 |
| Provider Name | Ramanpal Kaur Punia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750971271 PECOS PAC ID: 1658756010 Enrollment ID: I20220921001056 |
| Provider Name | Neomal Muthumala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619464682 PECOS PAC ID: 1658611348 Enrollment ID: I20230131001342 |
| Provider Name | Matthew Duff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558909226 PECOS PAC ID: 1052771227 Enrollment ID: I20230719002765 |
Redlands Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Barton Rd, Redlands, CA 92373 Phone: 909-793-3208 Fax: 909-732-8627 | |
Gary M. Wernick, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10408 Industrial Cir, Redlands, CA 92374 Phone: 909-796-7803 Fax: 909-255-7287 | |
Jun R. Chiong, Md, Mph, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 461 Tennessee St Ste C, Redlands, CA 92373 Phone: 909-475-7371 | |
Arellano Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Brookside Ave Ste 1, Redlands, CA 92373 Phone: 626-862-3344 | |
Dr Shanna R Newbold M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-556-7694 | |
Brian L Anderson Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 980 Sunset Hills Ln, Redlands, CA 92373 Phone: 909-747-4134 | |
Javed N. Sadiq, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26021 Business Center Dr, Redlands, CA 92374 Phone: 909-796-0363 Fax: 909-255-7294 |