| Dr George A Ponce Sr, MD | |
|
12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | |
| (951) 601-2363 | |
| (951) 601-2316 |
| Full Name | Dr George A Ponce Sr |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 36 Years |
| Location | 12810 Heacock St, Moreno Valley, 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 |
|---|---|---|---|
| 1174554935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51194 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A51194 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Equanimity Hospice And Pallative Care Inc | Grand terrace, CA | Hospice |
| Desert Valley Hospital | Victorville, CA | Hospital |
| Barstow Community Hospital | Barstow, CA | Hospital |
| Bear Valley Community Hospital | Big bear lake, CA | Hospital |
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choice Healthcare Associates, Inc. | 3678759206 | 12 |
| Desert Valley Medical Group Inc | 4880595875 | 70 |
| Entity Name | Desert Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803 |
| Entity Name | Sach Physician Billing Trust |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194129 PECOS PAC ID: 8729057229 Enrollment ID: O20040930001115 |
| Entity Name | High Desert Heart Institute Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437173804 PECOS PAC ID: 3779525548 Enrollment ID: O20050523001069 |
| Entity Name | Choice Healthcare Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194964361 PECOS PAC ID: 3678759206 Enrollment ID: O20110517000271 |
| Entity Name | Desert Vascular Center A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073224085 PECOS PAC ID: 8628442712 Enrollment ID: O20230311000382 |
| Entity Name | Ignite Emergency Physicians A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437918307 PECOS PAC ID: 2365988326 Enrollment ID: O20240725003848 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George A Ponce Sr, MD 1947 Century Ave, Riverside, CA 92506-4662 Ph: (951) 789-9102 | Dr George A Ponce Sr, MD 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 Ph: (951) 601-2363 |
Mr. Roger Courtney Garrison, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Dr. Lynnetta E Skoretz, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4640 Fax: 951-571-8938 | |
Dr. Sharina Mary Mapleton, D.O. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 27200 Iris Ave, Mob2, Moreno Valley, CA 92555 Phone: 951-353-2000 | |
Made Sutjita, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Eunwoo Park, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Gamal F Ghaly, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14114 Business Center Dr. Ste. G, Moreno Valley, CA 92553 Phone: 951-656-5333 Fax: 951-656-6789 | |
Dr. John-vincent Arcilla, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 |