Charles Emmet Stout Jr, MD, PHD | |
4445 Magnolia Ave, Riverside, CA 92501-4135 | |
(951) 338-4910 | |
(833) 996-0004 |
Full Name | Charles Emmet Stout Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 4445 Magnolia Ave, Riverside, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679770994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | A100577 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Community Hospital | Riverside, CA | Hospital |
Riverside University Health System-medical Center | Moreno valley, CA | Hospital |
Corona Regional Medical Center | Corona, CA | Hospital |
Parkview Community Hospital Medical Center | Riverside, CA | Hospital |
Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Neurointerventional Surgeons, Inc | 2668717125 | 7 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811255060 PECOS PAC ID: 8527223304 Enrollment ID: O20120628000360 |
Entity Name | California Neurointerventional Surgeons, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417315300 PECOS PAC ID: 2668717125 Enrollment ID: O20190103000009 |
Mailing Address | Practice Location Address |
---|---|
Charles Emmet Stout Jr, MD, PHD 700 E Redlands Blvd # 714, Redlands, CA 92373-6109 Ph: (951) 338-4910 | Charles Emmet Stout Jr, MD, PHD 4445 Magnolia Ave, Riverside, CA 92501-4135 Ph: (951) 338-4910 |
Danh Tien Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4334 Central Ave, Riverside, CA 92506 Phone: 951-682-7580 Fax: 951-682-1580 | |
Dr. Nikhil C Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4361 Latham St, Riverside, CA 92501 Phone: 585-755-0523 | |
Johnny Suh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-1000 | |
Ardavan M Afshar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-755-3400 Fax: 951-788-3194 | |
Gilbert H. Zimmerman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3400 Fax: 851-788-3194 | |
Allison S. Yee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Dr. Pouyan Golshani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000 |