| Christi Lynn Wiley, MD | |
|
17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | |
| (909) 428-2040 | |
| (909) 428-2191 |
| Full Name | Christi Lynn Wiley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 17051 Sierra Lakes Pkwy, Fontana, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629231147 | NPI | - | NPPES |
| 1629231147 | Medicaid | CA | |
| A98378 | Other | CA | CA MED LIC LICENSE |
| 1174760953 | Medicaid | CA | |
| 1518136787 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A98378 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital Fontana/ontario | Fontana, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sac Health System | 4385533579 | 170 |
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| 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 | Sac Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Christi Lynn Wiley, MD Po Box 10488, San Bernardino, CA 92423-0488 Ph: (888) 344-9111 | Christi Lynn Wiley, MD 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 Ph: (909) 428-2040 |
Robert M. Theal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Todd A. Westra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Pushkar Chand, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Huy Phan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
William J. Delo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
John R. Sharpe Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Miguel Angel Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16854 Ivy Ave Ste A, Fontana, CA 92335 Phone: 909-791-1000 Fax: 909-781-6000 |