| Clifford P Masom, MD | |
|
200 W Arbor Dr, San Diego, CA 92103-9000 | |
| (619) 543-6222 | |
| (619) 543-3115 |
| Full Name | Clifford P Masom |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 200 W Arbor Dr, San Diego, 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 |
|---|---|---|---|
| 1942649470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A149080 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore University Hospital | Manhasset, NY | Hospital |
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Massac Memorial Hospital | Metropolis, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Meeting House Lane Medical Practice Pc | 6800972589 | 117 |
| Statera Health Care Llc | 0244565729 | 34 |
| Entity Name | Meeting House Lane Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford P Masom, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Clifford P Masom, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (619) 543-6222 |
Sarah Wilkinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr # 8819, San Diego, CA 92103 Phone: 956-458-9885 | |
Dr. Ramandeep Singh Dhillon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 El Cajon Blvd, San Diego, CA 92115 Phone: 619-515-2400 | |
Phillip Edward Fry Jr., DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Mina Kyrollus Ghobrial, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Timothy Stuart Hinman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 4th Ave, San Diego, CA 92101 Phone: 858-499-2600 | |
Dr. Peter D. Aldrich, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15025 Innovation Dr, San Diego, CA 92128 Phone: 858-554-8638 | |
Dr. Matthew J. Perl, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7171 |