| Medical Doctor | |
|
7777 Milliken Ave Ste 350 Rancho Cucamonga CA 91730-6782 | |
| (909) 484-9182 | |
| (909) 476-0050 |
| Full Name | Medical Doctor |
|---|---|
| Speciality | Family Medicine |
| Location | 7777 Milliken Ave Ste 350, Rancho Cucamonga, California |
| Authorized Official Name and Position | Teresa Tirado (OFFICE MANAGER) |
| Authorized Official Contact | 9094846623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Doctor 7777 Milliken Ave Ste 350 Rancho Cucamonga CA 91730-6782 Ph: (909) 484-9182 | Medical Doctor 7777 Milliken Ave Ste 350 Rancho Cucamonga CA 91730-6782 Ph: (909) 484-9182 |
| NPI Number | 1255525937 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 7214993146 |
|---|---|
| Medicare Enrollment ID | O20041202000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255525937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G066813 (California) | Primary |
| Provider Name | Corliss R Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487702205 PECOS PAC ID: 5597668061 Enrollment ID: I20040130000976 |
| Provider Name | Sandra K Force-obrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023034873 PECOS PAC ID: 9931165867 Enrollment ID: I20110518000356 |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 | |
California Foothills Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8211 Rochester Ave, Suite 101, Rancho Cucamonga, CA 91730 Phone: 909-945-2425 Fax: 909-948-6971 | |
Andrea Tieng, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10801 Foothill Blvd Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 | |
Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598 | |
Deepak Thiagarajan, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave Ste 210, Rancho Cucamonga, CA 91730 Phone: 909-881-5994 |