| Stellar Mobile Providers | |
|
438 Camino Del Rio S Ste 203 San Diego CA 92108-3546 | |
| (619) 955-8507 | |
| (855) 822-1484 |
| Full Name | Stellar Mobile Providers |
|---|---|
| Speciality | Internal Medicine |
| Location | 438 Camino Del Rio S Ste 203, San Diego, California |
| Authorized Official Name and Position | David I Kaufer (MD) |
| Authorized Official Contact | 6199558507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Mobile Providers 438 Camino Del Rio S Ste 203 San Diego CA 92108-3546 Ph: (619) 955-8507 | Stellar Mobile Providers 438 Camino Del Rio S Ste 203 San Diego CA 92108-3546 Ph: (619) 955-8507 |
| NPI Number | 1275020844 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 05/13/2021 |
| Medicare PECOS PAC ID | 0244595502 |
|---|---|
| Medicare Enrollment ID | O20180607002224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275020844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammed A Bari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679588370 PECOS PAC ID: 2365351558 Enrollment ID: I20040324000554 |
| Provider Name | David I Kaufer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710082789 PECOS PAC ID: 3072682244 Enrollment ID: I20100916000982 |
| Provider Name | Anna C Baston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649588005 PECOS PAC ID: 3577749076 Enrollment ID: I20110518000273 |
| Provider Name | Cesar A Haymes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801097340 PECOS PAC ID: 1254524929 Enrollment ID: I20121221000152 |
| Provider Name | Kathy A Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023459294 PECOS PAC ID: 3476815002 Enrollment ID: I20180320001327 |
| Provider Name | Michael Anthony Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881104354 PECOS PAC ID: 2668895723 Enrollment ID: I20200708000348 |
| Provider Name | Cynthia Caluza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730592981 PECOS PAC ID: 4183017957 Enrollment ID: I20220201000237 |
| Provider Name | Kenneth Baldemor Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083907547 PECOS PAC ID: 9133585185 Enrollment ID: I20230516003646 |
| Provider Name | Maricar Gador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437928736 PECOS PAC ID: 6608210422 Enrollment ID: I20240221000029 |
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