| Southern California Medical Center, Inc. | |
|
12100 Valley Blvd Ste 109a El Monte CA 91732-3161 | |
| (626) 575-7500 | |
| (626) 575-1956 |
| Full Name | Southern California Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12100 Valley Blvd Ste 109a, El Monte, California |
| Authorized Official Name and Position | Ellie Zare (SR. PROGRAM MANAGER) |
| Authorized Official Contact | 8186506700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Medical Center, Inc. Po Box 436 Van Nuys CA 91408-0436 Ph: (818) 421-0809 | Southern California Medical Center, Inc. 12100 Valley Blvd Ste 109a El Monte CA 91732-3161 Ph: (626) 575-7500 |
| NPI Number | 1225357114 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 2769666817 |
|---|---|
| Medicare Enrollment ID | O20110607000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225357114 | NPI | - | NPPES |
| Provider Name | Antero Velez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962588129 PECOS PAC ID: 9436042561 Enrollment ID: I20040203001113 |
| Provider Name | John C Petitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497992432 PECOS PAC ID: 7416925466 Enrollment ID: I20040917001072 |
| Provider Name | Renan C Ruaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326427394 PECOS PAC ID: 8820054075 Enrollment ID: I20041208001123 |
| Provider Name | Parvaneh Namiri Kalantari |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891979985 PECOS PAC ID: 8628015385 Enrollment ID: I20050413001205 |
| Provider Name | Aram Bonni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104859164 PECOS PAC ID: 5294754768 Enrollment ID: I20060621000370 |
| Provider Name | Ronna Jurow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366498917 PECOS PAC ID: 5698787067 Enrollment ID: I20060629000273 |
| Provider Name | Daniel J Linares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956360 PECOS PAC ID: 3870599640 Enrollment ID: I20061018000650 |
| Provider Name | Soumitra Sarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578573010 PECOS PAC ID: 6103978432 Enrollment ID: I20090717000457 |
| Provider Name | Sally W Matter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780984880 PECOS PAC ID: 6103014170 Enrollment ID: I20101217000810 |
| Provider Name | Stanley K Mathis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871516922 PECOS PAC ID: 9234023961 Enrollment ID: I20110202000120 |
| Provider Name | Kuan-i Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154471662 PECOS PAC ID: 3072795756 Enrollment ID: I20110317000172 |
| Provider Name | Mohammad Rasekhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043361546 PECOS PAC ID: 2466599824 Enrollment ID: I20110408000543 |
| Provider Name | Nazanin Parsaei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417104282 PECOS PAC ID: 7315121670 Enrollment ID: I20110411000579 |
| Provider Name | Marta I Atalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457687204 PECOS PAC ID: 5890822084 Enrollment ID: I20130620000603 |
| Provider Name | Victor J Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215131008 PECOS PAC ID: 7315178142 Enrollment ID: I20150127001838 |
| Provider Name | Nona Ahankoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790078228 PECOS PAC ID: 3375860018 Enrollment ID: I20150318000545 |
| Provider Name | Damian Robledo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376831289 PECOS PAC ID: 3577879873 Enrollment ID: I20150901002596 |
| Provider Name | Aldrine A Adraneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417197831 PECOS PAC ID: 9335058676 Enrollment ID: I20160219001553 |
| Provider Name | Aena D Han |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679612212 PECOS PAC ID: 5698803690 Enrollment ID: I20180323001483 |
| Provider Name | Teodik H Grigorian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326443649 PECOS PAC ID: 2860726676 Enrollment ID: I20190627003551 |
| Provider Name | Allen Hassen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659604023 PECOS PAC ID: 6800186669 Enrollment ID: I20190716001886 |
| Provider Name | Nahid Karimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407491871 PECOS PAC ID: 8921434028 Enrollment ID: I20200210001172 |
| Provider Name | Edward Manuel Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023484557 PECOS PAC ID: 3577990845 Enrollment ID: I20200226001218 |
| Provider Name | Eliana Ruelas-perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003219452 PECOS PAC ID: 2163859182 Enrollment ID: I20200303001366 |
| Provider Name | Leyna Phuong Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851953335 PECOS PAC ID: 5991133191 Enrollment ID: I20200323001771 |
| Provider Name | Reina Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518507698 PECOS PAC ID: 5799114799 Enrollment ID: I20200326000556 |
| Provider Name | Elmer Ivan Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891830014 PECOS PAC ID: 8527480227 Enrollment ID: I20200625003152 |
| Provider Name | Tracey S Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922614056 PECOS PAC ID: 4587075809 Enrollment ID: I20201117003497 |
| Provider Name | George Madera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811904873 PECOS PAC ID: 3779574439 Enrollment ID: I20201125000513 |
| Provider Name | Alessa Giovanna Alarcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740822873 PECOS PAC ID: 1355752882 Enrollment ID: I20201204000550 |
| Provider Name | Amanda M Mancilla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619567948 PECOS PAC ID: 5496160756 Enrollment ID: I20210218001193 |
| Provider Name | Joy Afidela Ekwueme |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861734006 PECOS PAC ID: 2567862485 Enrollment ID: I20210615002038 |
| Provider Name | Banafsheh Beheshti |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851981716 PECOS PAC ID: 1355744863 Enrollment ID: I20210721002654 |
| Provider Name | Chase Gregson Dahl |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053809160 PECOS PAC ID: 6406259530 Enrollment ID: I20210727000644 |
| Provider Name | Edna Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376069740 PECOS PAC ID: 3476950775 Enrollment ID: I20210929003276 |
| Provider Name | Behrooz Tohidi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700853801 PECOS PAC ID: 8325065683 Enrollment ID: I20221215001811 |
| Provider Name | Brenda L Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467705624 PECOS PAC ID: 1456718618 Enrollment ID: I20230601003112 |
| Provider Name | Maria Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720569833 PECOS PAC ID: 2961869813 Enrollment ID: I20230607002995 |
| Provider Name | Anamaria Lopez-chavelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740409614 PECOS PAC ID: 3870952112 Enrollment ID: I20230705003357 |
| Provider Name | Clemrose Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831664085 PECOS PAC ID: 5799147682 Enrollment ID: I20230809001153 |
| Provider Name | Patrick Dominic Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780316794 PECOS PAC ID: 9133582141 Enrollment ID: I20230823004060 |
| Provider Name | Souna Mohseni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205415254 PECOS PAC ID: 0244693687 Enrollment ID: I20230831003508 |
| Provider Name | Ivan Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467212357 PECOS PAC ID: 7315386406 Enrollment ID: I20240423000993 |
| Provider Name | Samieh Askari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629467386 PECOS PAC ID: 6204100910 Enrollment ID: I20240503002988 |
Priority Care Medical Group-el Monte Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3229 Santa Anita Ave Fl 2, El Monte, CA 91733 Phone: 626-575-4584 Fax: 626-575-0882 | |
Evermost Health Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10530 Lower Azusa Rd, El Monte, CA 91731 Phone: 626-350-3886 Fax: 626-444-2747 | |
Huntington Park Clinica Medica General, Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11026 Valley Mall, El Monte, CA 91731 Phone: 626-443-4300 Fax: 626-443-9646 | |
Allmed Of Los Angeles, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11001 Main St Ste 301, El Monte, CA 91731 Phone: 626-443-4300 | |
Emil Levin Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3131 Santa Anita Ave Ste 107, El Monte, CA 91733 Phone: 626-455-0999 Fax: 626-455-0900 | |
Aurora Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11245 Lower Azusa Rd, El Monte, CA 91731 Phone: 626-579-9541 Fax: 626-579-9604 | |
El Monte Comprehensive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10953 Ramona Blvd, Rm#: 1293, 1295a, 1160, El Monte, CA 91731 Phone: 626-434-2500 |