| The Gastro Group, Inc. | |
|
12565 Hesperia Rd Suite 1 Victorville CA 92395-8318 | |
| (760) 881-3377 | |
| Not Available |
| Full Name | The Gastro Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12565 Hesperia Rd, Victorville, California |
| Authorized Official Name and Position | Arnab Biswas (OWNER, ASSOCIATE) |
| Authorized Official Contact | 7608813377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gastro Group, Inc. 12565 Hesperia Rd Suite 1 Victorville CA 92395-8318 Ph: (760) 881-3377 | The Gastro Group, Inc. 12565 Hesperia Rd Suite 1 Victorville CA 92395-8318 Ph: (760) 881-3377 |
| NPI Number | 1316247521 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2010 |
| Medicare PECOS PAC ID | 3173709185 |
|---|---|
| Medicare Enrollment ID | O20110509000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316247521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Thomas Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215126800 PECOS PAC ID: 6901967694 Enrollment ID: I20081213000181 |
| Provider Name | Arnab Biswas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134216930 PECOS PAC ID: 1355494667 Enrollment ID: I20090804000796 |
| Provider Name | Richard H Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124247861 PECOS PAC ID: 3375636970 Enrollment ID: I20100601000199 |
| Provider Name | Kelly L Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538413877 PECOS PAC ID: 5991958662 Enrollment ID: I20130104000421 |
| Provider Name | Regina I Deluna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821318106 PECOS PAC ID: 0941423461 Enrollment ID: I20140530000301 |
| Provider Name | Mark Joseph Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356992614 PECOS PAC ID: 0345572608 Enrollment ID: I20191106001058 |
| Provider Name | Denise Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164030706 PECOS PAC ID: 0547669285 Enrollment ID: I20210528000800 |
| Provider Name | Maria Cuevas-altamirano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700456738 PECOS PAC ID: 2264828482 Enrollment ID: I20220414002005 |
| Provider Name | Nikhil Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982058152 PECOS PAC ID: 7416334701 Enrollment ID: I20220505001993 |
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