| Darlene M Rae, MD | |
|
16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242 | |
| (909) 823-8000 | |
| (909) 823-8088 |
| Full Name | Darlene M Rae |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 16465 Sierra Lakes Pkwy Ste 115, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881640373 | NPI | - | NPPES |
| 00A553580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A55358 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Darlene M Rae, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Darlene M Rae, MD 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336-1242 Ph: (909) 823-8000 |
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 | |
Juan Manuel Oliva, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17284 Slover Ave, Fontana, CA 92337 Phone: 909-609-3000 | |
William J. Delo, DO Family Medicine Medicare: Medicare Enrolled 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 |