| Kyle Grgich, | |
|
11234 Anderson St, Loma Linda, CA 92354-2804 | |
| (909) 558-4000 | |
| Not Available |
| Full Name | Kyle Grgich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 11234 Anderson St, Loma Linda, 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 |
|---|---|---|---|
| 1972018745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 55189 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1293 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Grgich, 2690 Associated Rd Apt B84, Fullerton, CA 92835-3239 Ph: () - | Kyle Grgich, 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 |
Mr. Randal Keith Gilman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 Fax: 909-558-4143 | |
Ms. Jocelyn Isabel Castaneda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24785 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7294 | |
Elaine Marie Legaspi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10859 Heirloom Way, Loma Linda, CA 92354 Phone: 626-347-5904 | |
Mr. Kenrick Carlyle Bourne, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Loma Linda University, Loma Linda, CA 92350 Phone: 909-558-7295 | |
Liming Bu, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25333 Barton Rd, Loma Linda, CA 92350 Phone: 909-558-6641 | |
Minh-anh Nguyen Luong, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Marque R Dietzler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4444 |