| Dr Jagannath Sam Nayak, | |
|
400 N Pepper Ave, Colton, CA 92324-1819 | |
| (909) 580-2186 | |
| Not Available |
| Full Name | Dr Jagannath Sam Nayak |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 N Pepper Ave, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548764863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A166879 (California) | Primary |
| Entity Name | Asana Integrated Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396783379 PECOS PAC ID: 0042124778 Enrollment ID: O20031117000937 |
| Entity Name | Pacific Heritage Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467899450 PECOS PAC ID: 7517284029 Enrollment ID: O20150323000062 |
| Entity Name | Cep America - Psychiatry Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538757232 PECOS PAC ID: 0244522159 Enrollment ID: O20160713002860 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jagannath Sam Nayak, 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-2186 | Dr Jagannath Sam Nayak, 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-2186 |
Dr. Keith L Gordon Iii, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3830 Fax: 909-580-3814 | |
Sagarika Arogyaswamy, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Anh Tran, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 714-369-0483 | |
Swati Thacker, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3830 Fax: 909-580-3814 | |
Phuoc Quang Tran, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3828 Fax: 909-580-3814 | |
Dr. Ambarin Salma Faizi, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cooley Dr, Colton, CA 92324 Phone: 909-580-3705 Fax: 909-580-3747 | |
Sadiq Mirza, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1330 E Cooley Dr, Colton, CA 92324 Phone: 909-580-3705 |