| Trident Medical Group Inc. | |
|
18564 Us Highway 18 Ste 103&104 Apple Valley CA 92307-2312 | |
| (760) 242-9262 | |
| Not Available |
| Full Name | Trident Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18564 Us Highway 18 Ste 103&104, Apple Valley, California |
| Authorized Official Name and Position | Nyra Khetarpal (PRESIDENT) |
| Authorized Official Contact | 4845579511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Medical Group Inc. 14050 Riverside Dr Apple Valley CA 92307-5335 Ph: () - | Trident Medical Group Inc. 18564 Us Highway 18 Ste 103&104 Apple Valley CA 92307-2312 Ph: (760) 242-9262 |
| NPI Number | 1093498230 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 6608212899 |
|---|---|
| Medicare Enrollment ID | O20240311001296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093498230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nyra Khetarpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982999116 PECOS PAC ID: 2860617370 Enrollment ID: I20191115002274 |
High Desert Osteopathic Medical Care A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16017 Tuscola Rd, Suite E, Apple Valley, CA 92307 Phone: 760-946-1776 Fax: 760-946-1668 | |
Southern California Primary Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 Phone: 760-810-7778 Fax: 760-810-7780 | |
Modele Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15982 Quantico Rd Ste E, Apple Valley, CA 92307 Phone: 760-906-9362 Fax: 760-503-0064 | |
Hisham Abukamleh Md. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18144 Us Highway 18 Ste 140, Apple Valley, CA 92307 Phone: 760-515-4003 Fax: 760-515-4503 | |
Khoi N Nguyen, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15982 Quantico Rd, Suite F, Apple Valley, CA 92307 Phone: 760-242-3768 Fax: 760-242-5601 | |
Apple Valley Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Tuscola Rd, Suite H, Apple Valley, CA 92307 Phone: 760-242-8400 Fax: 760-242-8859 | |
Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15863 Kasota Rd, Apple Valley, CA 92307 Phone: 760-256-3864 Fax: 760-256-7378 |