| Mr John Simon Sagun Pangilinan, MSW | |
|
18300 Us Highway 18, Apple Valley, CA 92307-2206 | |
| (760) 242-2311 | |
| (760) 242-0218 |
| Full Name | Mr John Simon Sagun Pangilinan |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 18300 Us Highway 18, Apple Valley, 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 |
|---|---|---|---|
| 1922552884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 109949 (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mood Clinical, P. C. | 4981080769 | 60 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Mood Clinical, P. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922675644 PECOS PAC ID: 4981080769 Enrollment ID: O20220930002640 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Simon Sagun Pangilinan, MSW 18300 Us Highway 18, Apple Valley, CA 92307-2206 Ph: (760) 242-2311 | Mr John Simon Sagun Pangilinan, MSW 18300 Us Highway 18, Apple Valley, CA 92307-2206 Ph: (760) 242-2311 |
Mrs. Kathleen Patrice James, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-6336 | |
Ms. Alyse Brooke Yancy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13564 Delaware Rd, Apple Valley, CA 92308 Phone: 760-954-0277 | |
Lovejit Bahia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16778 Kasson Rd, Apple Valley, CA 92307 Phone: 559-779-0916 | |
Gaiane Nazarian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-552-6700 | |
Angela Natalee Akins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-552-6700 | |
Mr. Alejandro Ornelas, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-552-6700 Fax: 760-946-5040 | |
Rose Kathleen Andrade, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-246-6336 Fax: 760-946-0819 |