| Stewart Medical Group | |
|
1024 S Garfield Ave Alhambra CA 91801-4762 | |
| (626) 289-5181 | |
| Not Available |
| Full Name | Stewart Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1024 S Garfield Ave, Alhambra, California |
| Authorized Official Name and Position | John Thomas Stewart (OWNER VICE PRESIDENT) |
| Authorized Official Contact | 6262895181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Medical Group 1024 S Garfield Ave Alhambra CA 91801-4762 Ph: (626) 289-5181 | Stewart Medical Group 1024 S Garfield Ave Alhambra CA 91801-4762 Ph: (626) 289-5181 |
| NPI Number | 1306058565 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/26/2013 |
| Medicare PECOS PAC ID | 1557386901 |
|---|---|
| Medicare Enrollment ID | O20051013001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306058565 | NPI | - | NPPES |
| GR0001690 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Paul G Hovsepian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689616153 PECOS PAC ID: 7214012822 Enrollment ID: I20080306000557 |
| Provider Name | John T Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417031022 PECOS PAC ID: 8729003173 Enrollment ID: I20101115000357 |
| Provider Name | Anita L Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912089970 PECOS PAC ID: 1951597244 Enrollment ID: I20101129000780 |
| Provider Name | James R Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689758294 PECOS PAC ID: 7810912268 Enrollment ID: I20101202001262 |
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