Tri City Primary Care Medical Group, Inc | |
1926 Via Centre Drive Ste A Vista CA 92081-6056 | |
(760) 940-7000 | |
(760) 940-0042 |
Full Name | Tri City Primary Care Medical Group, Inc |
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Speciality | Family Medicine |
Location | 1926 Via Centre Drive, Vista, California |
Authorized Official Name and Position | Deanine Dolphin (BILLING & COLLECTIONS MANAGER) |
Authorized Official Contact | 7604772101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri City Primary Care Medical Group, Inc 1926 Via Centre Drive Ste A Vista CA 92081-6056 Ph: (760) 940-7000 | Tri City Primary Care Medical Group, Inc 1926 Via Centre Drive Ste A Vista CA 92081-6056 Ph: (760) 940-7000 |
NPI Number | 1518364165 |
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Provider Enumeration Date | 11/25/2014 |
Last Update Date | 09/08/2023 |
Medicare PECOS PAC ID | 3870810823 |
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Medicare Enrollment ID | O20150331002699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518364165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
Provider Name | Sam Baroudi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316936933 PECOS PAC ID: 3678465465 Enrollment ID: I20040326000627 |
Provider Name | Loren S Novak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689601270 PECOS PAC ID: 7517908296 Enrollment ID: I20050512001071 |
Provider Name | Ole W Snyder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275557415 PECOS PAC ID: 3476602640 Enrollment ID: I20090518000427 |
Provider Name | Reyzan E Shali |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245245018 PECOS PAC ID: 1759430887 Enrollment ID: I20090520000582 |
Provider Name | Jeffrey M Ferber |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609890813 PECOS PAC ID: 9537210810 Enrollment ID: I20090626000079 |
Provider Name | Karanbir Brar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306191473 PECOS PAC ID: 0941425623 Enrollment ID: I20140714001742 |
Provider Name | John H Clancy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962506238 PECOS PAC ID: 4284729591 Enrollment ID: I20141118000661 |
Provider Name | Xiangli Li |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851657001 PECOS PAC ID: 0446569859 Enrollment ID: I20151027000823 |
Provider Name | Vanessa E Cordova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740735745 PECOS PAC ID: 2961769070 Enrollment ID: I20171128002038 |
Provider Name | Jamil B Alkhaddo |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1700966652 PECOS PAC ID: 0547269797 Enrollment ID: I20231218003546 |
Richard Colville Smith, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Escondido Ave, Suite 101, Vista, CA 92084 Phone: 760-806-9263 Fax: 760-806-9264 | |
Ross Webster Chiropractic Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 East Vista Way, Suite A, Vista, CA 92084 Phone: 760-630-0426 Fax: 760-630-0456 | |
Clancy Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2375 S Melrose Dr, Vista, CA 92081 Phone: 760-305-1900 Fax: 760-305-1910 | |
Cassidy Medical Group - Sw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2095 W Vista Way Ste 218, Vista, CA 92083 Phone: 760-630-3562 Fax: 760-630-2559 | |
Vista Community Clinic - Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace, Vista, CA 92084 Phone: 760-631-5000 | |
Centro De Salud De La Comunidad De San Ysidro, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1840 West Dr, Vista, CA 92083 Phone: 619-662-4100 | |
Amir Moradi, M.d., A. Prof. Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 W Vista Way Ste F, Vista, CA 92083 Phone: 760-726-6451 Fax: 760-726-4822 |