| Dr Geron F Sheppard, MD | |
|
11234 Anderson St, A108, Loma Linda, CA 92354-2804 | |
| (909) 558-7171 | |
| (909) 558-0121 |
| Full Name | Dr Geron F Sheppard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 11234 Anderson St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063452159 | NPI | - | NPPES |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G064395 (California) | Primary |
| 207P00000X | Emergency Medicine | 2011001502 (Missouri) | Secondary |
| 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 | Santa Ana Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592187 PECOS PAC ID: 9234455015 Enrollment ID: O20150313001997 |
| Entity Name | Nes Western Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487125019 PECOS PAC ID: 4587902952 Enrollment ID: O20190208002821 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Geron F Sheppard, MD Po Box 20130, Riverside, CA 92516-0130 Ph: (323) 908-7615 | Dr Geron F Sheppard, MD 11234 Anderson St, A108, Loma Linda, CA 92354-2804 Ph: (909) 558-7171 |
Dr. Kristina Kyle, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Street, Loma Linda University Health - Emergency Medicine, Loma Linda, CA 92354 Phone: 909-558-4085 | |
Andrew Simmons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11210 Benton St, Loma Linda, CA 92354 Phone: 023-500-8542 | |
Eric Theodore Teacher, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, House Staff Office Cp 21005, Loma Linda, CA 92354 Phone: 909-558-8131 | |
Carol Conceicao, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Grace J Kim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4344 | |
Lynda Daniel-underwood, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4344 |