Sierra Madre Community Medical Group, Inc | |
147 W Sierra Madre Blvd Sierra Madre CA 91024-2492 | |
(626) 355-3443 | |
(626) 355-7843 |
Full Name | Sierra Madre Community Medical Group, Inc |
---|---|
Speciality | Internal Medicine |
Location | 147 W Sierra Madre Blvd, Sierra Madre, California |
Authorized Official Name and Position | Hani Sami (PRESIDENT/ PHYSICIAN) |
Authorized Official Contact | 6269211808 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sierra Madre Community Medical Group, Inc 147 W Sierra Madre Blvd Sierra Madre CA 91024-2492 Ph: (626) 355-3443 | Sierra Madre Community Medical Group, Inc 147 W Sierra Madre Blvd Sierra Madre CA 91024-2492 Ph: (626) 355-3443 |
NPI Number | 1902951825 |
---|---|
Provider Enumeration Date | 01/23/2007 |
Last Update Date | 02/17/2022 |
Medicare PECOS PAC ID | 8729049663 |
---|---|
Medicare Enrollment ID | O20041022001121 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902951825 | NPI | - | NPPES |
ZZZ606482 | Other | CA | BLUE SHIELD |
GR0087460 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Cindy H Chou |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821010745 PECOS PAC ID: 5698721330 Enrollment ID: I20050325000487 |
Provider Name | Shaun P Grady |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1477567345 PECOS PAC ID: 6507812245 Enrollment ID: I20050325000489 |
Provider Name | Dorothy C Hong |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1548411713 PECOS PAC ID: 2264579861 Enrollment ID: I20091031000049 |
Provider Name | Jossalyn T Emslie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013913508 PECOS PAC ID: 6507909181 Enrollment ID: I20100204000311 |
Provider Name | Hani Sami |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306891957 PECOS PAC ID: 2769580174 Enrollment ID: I20110111000690 |
Provider Name | Hani Sami |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306891957 PECOS PAC ID: 2769580174 Enrollment ID: I20110412000903 |
Provider Name | Mirna P Elias |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295045532 PECOS PAC ID: 0749466357 Enrollment ID: I20110517000094 |
Provider Name | Yi-ping Wen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093947616 PECOS PAC ID: 6507018793 Enrollment ID: I20121217000098 |
Provider Name | Phuong Tinh Nguyen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336609908 PECOS PAC ID: 6901289289 Enrollment ID: I20220906002462 |
Edward P. Laurance, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 460 W Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 626-836-6900 | |
Wound Care Partners, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 888-794-2362 | |
Palliative Care Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 W Sierra Madre Blvd, Suite 352, Sierra Madre, CA 91024 Phone: 877-830-7328 |