White Feather Physicians Pc | |
6601 White Feather Rd Joshua Tree CA 92252-6607 | |
(760) 366-3711 | |
Not Available |
Full Name | White Feather Physicians Pc |
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Speciality | Internal Medicine |
Location | 6601 White Feather Rd, Joshua Tree, California |
Authorized Official Name and Position | Kim Larsen (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 7708745468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Feather Physicians Pc 5665 New Northside Dr Ste 320 Atlanta GA 30328-5834 Ph: (770) 874-5400 | White Feather Physicians Pc 6601 White Feather Rd Joshua Tree CA 92252-6607 Ph: (760) 366-3711 |
NPI Number | 1710595392 |
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Provider Enumeration Date | 07/20/2020 |
Last Update Date | 08/19/2020 |
Medicare PECOS PAC ID | 8628496171 |
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Medicare Enrollment ID | O20200915001737 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710595392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Emad D Bishay |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821087511 PECOS PAC ID: 9830187889 Enrollment ID: I20040712000735 |
Provider Name | Chinyere I Amadi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639284003 PECOS PAC ID: 1850486663 Enrollment ID: I20071008000593 |
Provider Name | Waraporn Denjalearn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669760310 PECOS PAC ID: 2769654714 Enrollment ID: I20121101000294 |
Provider Name | Kambiz Farbakhsh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20151109001197 |
Provider Name | Gholam Reza Zadeii |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407844608 PECOS PAC ID: 0941237796 Enrollment ID: I20160226001228 |
Provider Name | Charles J Hu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699038042 PECOS PAC ID: 6305163379 Enrollment ID: I20180202001927 |
Provider Name | Russell L Simon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659624948 PECOS PAC ID: 8224390380 Enrollment ID: I20180329002126 |
Provider Name | Meelad Mohammadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215303482 PECOS PAC ID: 6507166576 Enrollment ID: I20180618002603 |
Provider Name | Wali Abawi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104362268 PECOS PAC ID: 7911230925 Enrollment ID: I20190606001069 |
Provider Name | Tina M Huff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073778767 PECOS PAC ID: 6305179912 Enrollment ID: I20190613003102 |
Provider Name | Jaydeep Raval |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104277953 PECOS PAC ID: 3678835949 Enrollment ID: I20190614001153 |
Provider Name | Martin Duclos |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1063475192 PECOS PAC ID: 4082694047 Enrollment ID: I20190808002507 |
Provider Name | Wanda K. Long |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003456609 PECOS PAC ID: 9537597976 Enrollment ID: I20200317001775 |
Provider Name | John-john L Loreto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235791674 PECOS PAC ID: 5496186082 Enrollment ID: I20200514002779 |
Provider Name | Veronica Ledvin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467462507 PECOS PAC ID: 0648279703 Enrollment ID: I20210315002640 |
Provider Name | Sergii Khodakivskyi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609368935 PECOS PAC ID: 4688062680 Enrollment ID: I20211025001498 |
Family Health Center Of Joshua Tree Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 63532 29 Palms Hwy, Ste C, Joshua Tree, CA 92252 Phone: 760-366-7555 Fax: 760-366-0529 | |
Desert Group Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 White Feather Rd, Joshua Tree, CA 92252 Phone: 706-366-1500 |