| Anooshirvan Bozorgmehr, DO | |
|
1700 N Waterman Ave, San Bernardino, CA 92404-5115 | |
| (702) 579-3203 | |
| Not Available |
| Full Name | Anooshirvan Bozorgmehr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1700 N Waterman Ave, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689019200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A12364 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A12364 (California) | Primary |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Entity Name | Redlands Family Practice Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942482021 PECOS PAC ID: 7214249127 Enrollment ID: O20150707001603 |
| Entity Name | Tyson Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376053843 PECOS PAC ID: 3072870112 Enrollment ID: O20171128003449 |
| Mailing Address | Practice Location Address |
|---|---|
| Anooshirvan Bozorgmehr, DO Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Anooshirvan Bozorgmehr, DO 1700 N Waterman Ave, San Bernardino, CA 92404-5115 Ph: (702) 579-3203 |
Robert William Watrous, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 | |
Dr. Jesse R. Devera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 Fax: 909-890-2081 | |
Dr. Donna Ruth Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 North Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-886-1798 | |
Sachin Kumar Chatta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 W Highland Ave, San Bernardino, CA 92405 Phone: 909-881-7320 Fax: 909-881-7330 | |
Dr. Uzair Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158 | |
Rian James Blackwood, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-1700 | |
Hugo A. Leon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7101 |