| Wahid Medical Corporation | |
|
1108 Ward Ave Bldg A Suite 1 Patterson CA 95363-8529 | |
| (209) 349-3968 | |
| Not Available |
| Full Name | Wahid Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1108 Ward Ave Bldg A, Patterson, California |
| Authorized Official Name and Position | Ali A Abdul Wahid (FP) |
| Authorized Official Contact | 2099880873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wahid Medical Corporation Po Box 547 Patterson CA 95363-0547 Ph: (209) 349-3968 | Wahid Medical Corporation 1108 Ward Ave Bldg A Suite 1 Patterson CA 95363-8529 Ph: (209) 349-3968 |
| NPI Number | 1710254313 |
|---|---|
| Provider Enumeration Date | 11/27/2011 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 0042473423 |
|---|---|
| Medicare Enrollment ID | O20120522001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710254313 | NPI | - | NPPES |
| 05-8977 | Other | CA | CMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A106703 (California) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Ali Abdul Wahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679767925 PECOS PAC ID: 0244316552 Enrollment ID: I20101015000764 |
Del Puerto Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 Keystone Pacific Pkwy, Unit B, Patterson, CA 95363 Phone: 209-892-9100 Fax: 209-892-9102 | |
Emanuel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 W Las Palmas Ave, Ste E, Patterson, CA 95363 Phone: 209-895-7100 | |
Patterson Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E St, Patterson, CA 95363 Phone: 209-892-5978 | |
Las Palmas Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 W Las Palmas Ave Ste E, Patterson, CA 95363 Phone: 209-394-7913 Fax: 209-394-9093 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 C St, Patterson, CA 95363 Phone: 209-892-8441 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 C St, Patterson, CA 95363 Phone: 209-892-8441 Fax: 209-384-3966 | |
Patterson 1st Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N 3rd St, Patterson, CA 95363 Phone: 209-892-1400 Fax: 209-892-7993 |