| Scct Medical Group, Pc | |
|
23845 Mcbean Pkwy Valencia CA 91355-2001 | |
| (661) 200-1122 | |
| (661) 200-1119 |
| Full Name | Scct Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23845 Mcbean Pkwy, Valencia, California |
| Authorized Official Name and Position | Kelly Walsma (OWNER) |
| Authorized Official Contact | 3146208573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scct Medical Group, Pc 23845 Mcbean Pkwy Valencia CA 91355-2001 Ph: (661) 200-1122 | Scct Medical Group, Pc 23845 Mcbean Pkwy Valencia CA 91355-2001 Ph: (661) 200-1122 |
| NPI Number | 1952878795 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 04/18/2024 |
| Medicare PECOS PAC ID | 4183978026 |
|---|---|
| Medicare Enrollment ID | O20181113002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952878795 | NPI | - | NPPES |
| Provider Name | Luis A Fiallo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407824600 PECOS PAC ID: 0547259905 Enrollment ID: I20040510001681 |
| Provider Name | Marina Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366498446 PECOS PAC ID: 3274587225 Enrollment ID: I20050311000591 |
| Provider Name | Dharmapalan V Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518034545 PECOS PAC ID: 6507955465 Enrollment ID: I20071130000295 |
| Provider Name | James Weagley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134200454 PECOS PAC ID: 8426110578 Enrollment ID: I20081223000671 |
| Provider Name | Murtaza Rizvi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205071073 PECOS PAC ID: 7911044201 Enrollment ID: I20091019000398 |
| Provider Name | Christopher Sangdahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700838109 PECOS PAC ID: 8325187800 Enrollment ID: I20091121000058 |
| Provider Name | Cecile Matip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811162787 PECOS PAC ID: 5294867412 Enrollment ID: I20101104001250 |
| Provider Name | Stephanie A Westerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437453297 PECOS PAC ID: 7810129798 Enrollment ID: I20140408000120 |
| Provider Name | Nisha Warikoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306164462 PECOS PAC ID: 4385957943 Enrollment ID: I20150724012429 |
| Provider Name | Darcy K Trenkle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114217619 PECOS PAC ID: 9638484769 Enrollment ID: I20150818004996 |
| Provider Name | Ifeoma Linda Ugochukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336524412 PECOS PAC ID: 6800104399 Enrollment ID: I20151002000868 |
| Provider Name | Rafayel Vahratyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245593458 PECOS PAC ID: 6305156910 Enrollment ID: I20151111002084 |
| Provider Name | Jordan Michelena |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396891057 PECOS PAC ID: 4082918750 Enrollment ID: I20160201002725 |
| Provider Name | Jung O Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215307095 PECOS PAC ID: 6507161932 Enrollment ID: I20160223002418 |
| Provider Name | Yehonatan Borenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386063089 PECOS PAC ID: 2769762178 Enrollment ID: I20161130002381 |
| Provider Name | Kelly L Walsma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215225321 PECOS PAC ID: 5193952117 Enrollment ID: I20170912001940 |
| Provider Name | George Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144293119 PECOS PAC ID: 1052482627 Enrollment ID: I20171024002425 |
| Provider Name | Eric Bossi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467729806 PECOS PAC ID: 2365747367 Enrollment ID: I20180424002707 |
| Provider Name | Rami Sami El-yousef |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861750846 PECOS PAC ID: 2062708274 Enrollment ID: I20180515001347 |
| Provider Name | Wojciech Zolcik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417060427 PECOS PAC ID: 2365422003 Enrollment ID: I20181119001359 |
| Provider Name | Carissa Bencito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205325750 PECOS PAC ID: 7719229749 Enrollment ID: I20190423002262 |
| Provider Name | Aaron M Glucksman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669817615 PECOS PAC ID: 9436478104 Enrollment ID: I20190510001699 |
| Provider Name | Sameer Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467591693 PECOS PAC ID: 8527165125 Enrollment ID: I20200512001061 |
| Provider Name | Michole Deesing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366806630 PECOS PAC ID: 2062704067 Enrollment ID: I20200512001384 |
| Provider Name | Jennifer Lynn Genova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588084586 PECOS PAC ID: 3375961659 Enrollment ID: I20200918000553 |
| Provider Name | Ijendu Peace Korie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568826410 PECOS PAC ID: 2668710815 Enrollment ID: I20201012002718 |
| Provider Name | Mahmood Hossain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447782321 PECOS PAC ID: 7315355476 Enrollment ID: I20211026000978 |
| Provider Name | Royce Molick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679936496 PECOS PAC ID: 0244657971 Enrollment ID: I20211029000788 |
| Provider Name | Veronica Lorenza Rosales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770168999 PECOS PAC ID: 7315336948 Enrollment ID: I20211119000664 |
| Provider Name | Jadran Dychioco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174094239 PECOS PAC ID: 2769877018 Enrollment ID: I20220323001217 |
| Provider Name | Anirudh Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679136865 PECOS PAC ID: 9931596095 Enrollment ID: I20220420002131 |
| Provider Name | Juan Manuel Galvis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295173417 PECOS PAC ID: 2961779681 Enrollment ID: I20220804003804 |
Joseph M. Lavi, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27420 Tourney Rd, Suite 200, Valencia, CA 91355 Phone: 661-254-9950 Fax: 661-254-9956 | |
Santa Clarita Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25751 Mcbean Pkwy, Ste 210, Valencia, CA 91355 Phone: 661-284-3100 Fax: 818-876-1516 | |
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Afc Urgent Care Of Santa Clarita Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27550 Newhall Ranch Rd Ste 203, Valencia, CA 91355 Phone: 661-251-6300 Fax: 661-251-6303 | |
Virtualdoc Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23838 Valencia Blvd Ste 304, Valencia, CA 91355 Phone: 310-954-7740 | |
Rms Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27420 Tourney Rd, Suite 200, Valencia, CA 91355 Phone: 702-419-6670 | |
Gian Hernandez D O, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23838 Valencia Blvd Ste 220, Valencia, CA 91355 Phone: 661-755-9488 |