| Dr Erick Jordan Imbertson, MD | |
|
11234 Anderson St, Loma Linda, CA 92354-2804 | |
| (909) 558-4000 | |
| Not Available |
| Full Name | Dr Erick Jordan Imbertson |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 15 Years |
| Location | 11234 Anderson St, Loma Linda, 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 |
|---|---|---|---|
| 1346541380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | LL33165 (South Carolina) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | A125264 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John F Kennedy Memorial Hospital | Indio, CA | Hospital |
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1153 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Emergency Associates Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003866120 PECOS PAC ID: 8022196518 Enrollment ID: O20080424000144 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erick Jordan Imbertson, MD 11130 Anderson St, Department Of Gastroenterology, Loma Linda, CA 92350-1729 Ph: (909) 558-4811 | Dr Erick Jordan Imbertson, MD 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 |
Petru Papacostea, Gastroenterology Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Moosa Azadian, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4085 | |
Douglas Wang, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Shahab Sean Shahangian, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 818-532-8211 | |
Golda Marcell Harvatin, D.O. Gastroenterology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Mst Nurjahan Khatun, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # C, Loma Linda, CA 92354 Phone: 408-355-8650 | |
Snorri Olafsson, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3150, Loma Linda, CA 92354 Phone: 909-558-2191 |