| Sterling Hospitalist Medical Group Inc | |
|
12566 Valley View St Garden Grove CA 92845-2006 | |
| (714) 897-1071 | |
| (714) 373-4696 |
| Full Name | Sterling Hospitalist Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12566 Valley View St, Garden Grove, California |
| Authorized Official Name and Position | Gray William Miller (CEO) |
| Authorized Official Contact | 8323686461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sterling Hospitalist Medical Group Inc 2943 Cuesta Way Carmel CA 93923-9710 Ph: (832) 368-6461 | Sterling Hospitalist Medical Group Inc 12566 Valley View St Garden Grove CA 92845-2006 Ph: (714) 897-1071 |
| NPI Number | 1043751035 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 0749559565 |
|---|---|
| Medicare Enrollment ID | O20170710002109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043751035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shirish Bavajibhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487765376 PECOS PAC ID: 6305003229 Enrollment ID: I20120206000108 |
| Provider Name | Talin N Nemri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891138269 PECOS PAC ID: 4284937459 Enrollment ID: I20170816001447 |
| Provider Name | Nicole M Sallee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323227 PECOS PAC ID: 1355609488 Enrollment ID: I20171219003431 |
| Provider Name | Pedram Kohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710392840 PECOS PAC ID: 4587997309 Enrollment ID: I20190611001642 |
| Provider Name | Joseph G Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841776432 PECOS PAC ID: 9931532330 Enrollment ID: I20191125001826 |
| Provider Name | Anna Marie Benjamins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578172268 PECOS PAC ID: 3779988878 Enrollment ID: I20210827002243 |
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