| Dr Alexandra Mazo, MD | |
|
250 E Caroline St Ste J, San Bernardino, CA 92408-3758 | |
| (909) 651-1904 | |
| Not Available |
| Full Name | Dr Alexandra Mazo |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 20 Years |
| Location | 250 E Caroline St Ste J, San Bernardino, 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 |
|---|---|---|---|
| 1194202283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0210X | Pediatrics - Pediatric Nephrology | A206585 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boston Children's Health Physicians Llp | 8325937014 | 80 |
| Entity Name | Boston Children's Health Physicians LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexandra Mazo, MD 11175 Campus St, Loma Linda, CA 92350-1700 Ph: (909) 558-8626 | Dr Alexandra Mazo, MD 250 E Caroline St Ste J, San Bernardino, CA 92408-3758 Ph: (909) 651-1904 |
Dr. Kofi Adade-boafo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404 Phone: 909-887-7951 Fax: 909-883-1634 |
Barbara K Ariue, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 250 E Caroline St Ste J, San Bernardino, CA 92408 Phone: 909-651-1900 |
Dr. Irene Styadi Tsai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408 Phone: 909-890-0407 |
Swapna S. Kudtarkar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 E Highland Ave Ste 450a, San Bernardino, CA 92404 Phone: 909-864-4700 Fax: 909-883-0459 |
Angie Bagheri Cook, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 |
Mrs. Amal Shoukry Ibrahim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mt. Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 Fax: 909-383-7013 |
Ms. Lanny Nizar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4315 Fax: 909-881-4474 |