Vituity Healthcare Services Pc | |
400 N Pepper Ave Colton CA 92324-1801 | |
(909) 580-1000 | |
Not Available |
Full Name | Vituity Healthcare Services Pc |
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Speciality | Family Medicine |
Location | 400 N Pepper Ave, Colton, California |
Authorized Official Name and Position | David Andrew Birdsall (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 5103502600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vituity Healthcare Services Pc 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 350-2600 | Vituity Healthcare Services Pc 400 N Pepper Ave Colton CA 92324-1801 Ph: (909) 580-1000 |
NPI Number | 1700642758 |
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Provider Enumeration Date | 02/27/2024 |
Last Update Date | 02/27/2024 |
Medicare PECOS PAC ID | 2668812710 |
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Medicare Enrollment ID | O20240506004466 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700642758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ruben R Avagimov |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558376947 PECOS PAC ID: 4385540574 Enrollment ID: I20031209000592 |
Provider Name | Pooja Gupta |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497762355 PECOS PAC ID: 7416927710 Enrollment ID: I20040726001110 |
Provider Name | James Timothy Evans |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104858059 PECOS PAC ID: 7416916507 Enrollment ID: I20041005000705 |
Provider Name | Luis M Chaname |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992712830 PECOS PAC ID: 1355398157 Enrollment ID: I20050404001075 |
Provider Name | Deborah E Small |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437166295 PECOS PAC ID: 6608951033 Enrollment ID: I20080310000634 |
Provider Name | Aimee M Vercio |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720298672 PECOS PAC ID: 4880760263 Enrollment ID: I20080909000353 |
Provider Name | Rosa M Cortes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154338010 PECOS PAC ID: 4082774310 Enrollment ID: I20081117000647 |
Provider Name | Edward M Keiderling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457366841 PECOS PAC ID: 6507926839 Enrollment ID: I20081117000673 |
Provider Name | Nancy C Moore |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1538361464 PECOS PAC ID: 2961595327 Enrollment ID: I20101006000946 |
Provider Name | Joachim M Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366677197 PECOS PAC ID: 4385839315 Enrollment ID: I20101116000443 |
Provider Name | Juan Velasquez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770585192 PECOS PAC ID: 7719167428 Enrollment ID: I20110214000383 |
Provider Name | Nguyen-phuong D Pham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558516823 PECOS PAC ID: 3779764105 Enrollment ID: I20110218000143 |
Provider Name | Siraj M Mowjood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588988588 PECOS PAC ID: 0042481368 Enrollment ID: I20110919000167 |
Provider Name | Michael A Tomkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386914778 PECOS PAC ID: 6709049307 Enrollment ID: I20120517000649 |
Provider Name | Heather H Bohn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043504004 PECOS PAC ID: 1759517493 Enrollment ID: I20131202000866 |
Provider Name | Zeenath Masood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881963130 PECOS PAC ID: 2365660370 Enrollment ID: I20140903001983 |
Provider Name | Eugene Ho |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407129273 PECOS PAC ID: 4284956590 Enrollment ID: I20141121002163 |
Provider Name | Emily J Robison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417227141 PECOS PAC ID: 3870816812 Enrollment ID: I20141227000034 |
Provider Name | Anushree Gupta |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043574403 PECOS PAC ID: 5092022814 Enrollment ID: I20150910002985 |
Provider Name | Maria G Rodriguez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780947499 PECOS PAC ID: 5890005433 Enrollment ID: I20151110002182 |
Provider Name | Tracy A Preston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255630398 PECOS PAC ID: 4789987785 Enrollment ID: I20160126000835 |
Provider Name | David Ahamba |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669885885 PECOS PAC ID: 3678863941 Enrollment ID: I20170807002761 |
Provider Name | Frances Mcintyre Krel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871932723 PECOS PAC ID: 7517239817 Enrollment ID: I20170822001433 |
Provider Name | Jennifer L Jackson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255745980 PECOS PAC ID: 5991071839 Enrollment ID: I20171020002938 |
Provider Name | Jennifer Luong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548640899 PECOS PAC ID: 5991084253 Enrollment ID: I20180629001844 |
Provider Name | Leala B Lettice |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386023604 PECOS PAC ID: 8527319136 Enrollment ID: I20180920002433 |
Provider Name | Vivian Khanh Ngo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982125969 PECOS PAC ID: 7416389465 Enrollment ID: I20191113003045 |
Provider Name | Nancy Chung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275053688 PECOS PAC ID: 2365867389 Enrollment ID: I20200729000530 |
Provider Name | Nehemiah S Chang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821519182 PECOS PAC ID: 7810313780 Enrollment ID: I20200819002165 |
Provider Name | Narges Moaddel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770004012 PECOS PAC ID: 1153733571 Enrollment ID: I20201209000591 |
Provider Name | Ashley N Molina |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780181289 PECOS PAC ID: 0648674713 Enrollment ID: I20210811002599 |
Provider Name | Nehal N Gandhi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679070098 PECOS PAC ID: 2668861782 Enrollment ID: I20211111000889 |
Provider Name | Christina S Sugirtharaj |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073135570 PECOS PAC ID: 2163877440 Enrollment ID: I20231005002015 |
Provider Name | Bradley Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447993530 PECOS PAC ID: 5890237176 Enrollment ID: I20240603002614 |
John F. Randolph,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue, Colton, CA 92324 Phone: 909-580-1675 Fax: 909-580-1916 | |
Molina Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr Ste 106, Colton, CA 92324 Phone: 909-825-8373 Fax: 909-825-3276 | |
Colton Clinica Medica Familiar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S La Cadena Dr, Colton, CA 92324 Phone: 909-219-5093 Fax: 909-219-5260 | |
Lizarraga Medical Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 W Valley Blvd, Colton, CA 92324 Phone: 909-824-3389 | |
Mt. Vernon Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-422-8015 Fax: 909-422-0625 | |
Inland Empire Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E Washington St # 101, Colton, CA 92324 Phone: 800-418-0850 | |
Arrowhead Family Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6230 Fax: 909-580-6308 |