| Dr Clara Chae, MD | |
|
4646 Brockton Ave Ste 201, Riverside, CA 92506-0104 | |
| (951) 585-1800 | |
| (951) 585-1801 |
| Full Name | Dr Clara Chae |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 4646 Brockton Ave Ste 201, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861697427 | NPI | - | NPPES |
| 4304441 | Other | OH | MEDICARE ID |
| 1639274319 | Other | CA | SITE PTAN |
| ZZZ31887Z | Other | CA | GROUP PTAN |
| 3103368 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35095607 (Ohio) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 128817 (California) | Primary |
| Entity Name | Amg A Professional Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558306266 PECOS PAC ID: 9830092279 Enrollment ID: O20040131000300 |
| Entity Name | Altais Medical Group - Riverside, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518629575 PECOS PAC ID: 8628465424 Enrollment ID: O20220426001502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clara Chae, MD 6250 Clay St, Riverside, CA 92509-6005 Ph: (951) 360-5265 | Dr Clara Chae, MD 4646 Brockton Ave Ste 201, Riverside, CA 92506-0104 Ph: (951) 585-1800 |
Edward Anthony Matuga, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5500 Fax: 951-697-5508 | |
Dr. Walter M Marcus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8945 Magnolia Ave, #202, Riverside, CA 92503 Phone: 951-687-8945 Fax: 951-687-1042 | |
Dr. Diane Connelly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Rmc-3, Rm. 3207, Riverside, CA 92505 Phone: 951-353-4912 Fax: 951-353-5838 | |
Richard Timothy Chen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Department Of Ob-gyn, Riverside, CA 92505 Phone: 503-757-1195 | |
Dr. Nayeema Ahmed, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3975 Jackson St, Ste. #110, Riverside, CA 92503 Phone: 951-351-1071 Fax: 951-351-1207 | |
Bilal Rafic Kaaki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4646 Brockton Ave Ste 302-5, Riverside, CA 92506 Phone: 951-900-1201 | |
Sudha Moola, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3975 Jackson St, Suite #208, Riverside, CA 92503 Phone: 951-732-7834 Fax: 951-352-7758 |