| Timothy J Ferguson Md Inc. | |
|
210 S Grand Ave Suite 400 Glendora CA 91741-4205 | |
| (626) 335-3527 | |
| (626) 963-7972 |
| Full Name | Timothy J Ferguson Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 210 S Grand Ave, Glendora, California |
| Authorized Official Name and Position | Timothy J. Ferguson (PRESIDENT) |
| Authorized Official Contact | 6263353527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Ferguson Md Inc. 210 S Grand Ave Suite 400 Glendora CA 91741-4205 Ph: (626) 335-3527 | Timothy J Ferguson Md Inc. 210 S Grand Ave Suite 400 Glendora CA 91741-4205 Ph: (626) 335-3527 |
| NPI Number | 1831346592 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 11/25/2008 |
| Medicare PECOS PAC ID | 3678620366 |
|---|---|
| Medicare Enrollment ID | O20090415000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831346592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A036813 (California) | Primary |
| Provider Name | Timothy Jay Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205878451 PECOS PAC ID: 9133276819 Enrollment ID: I20090415000512 |
| Provider Name | Raquel Marie Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770597809 PECOS PAC ID: 8921222134 Enrollment ID: I20140609002271 |
| Provider Name | Christopher E Kassar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346659174 PECOS PAC ID: 1658656145 Enrollment ID: I20170324000217 |
Burrows Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1377 S Grand Ave, Glendora, CA 91740 Phone: 626-483-3348 Fax: 626-623-7258 | |
Valley Gastoenterology Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Carroll Ave, Suite 201, Glendora, CA 91741 Phone: 626-963-2490 Fax: 626-963-2495 | |
Marc Gutin M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Grand Ave, Suite 224, Glendora, CA 91741 Phone: 626-335-8094 Fax: 626-335-1874 | |
Nalini Singh Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 W Carroll Ave Ste 106, Glendora, CA 91741 Phone: 626-244-8170 | |
Devesh N Patel,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66, Suite 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 | |
Krunal J Mehta Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Route 66 Ste 214, Glendora, CA 91740 Phone: 626-335-4129 Fax: 626-335-6177 | |
Nilesh N. Patel Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Route 66 Ste 302, Glendora, CA 91740 Phone: 626-914-1514 Fax: 626-914-1505 |