| Dr Jalla Tarak Mustafa, DO | |
|
7901 Frost St, San Diego, CA 92123-2701 | |
| (858) 939-3400 | |
| (858) 939-3527 |
| Full Name | Dr Jalla Tarak Mustafa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 6 Years |
| Location | 7901 Frost St, San Diego, 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 |
|---|---|---|---|
| 1609437219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OT019576 (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | 009516 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tucson Medical Center | Tucson, AZ | Hospital |
| Catalina Post Acute And Rehabilitation | Tucson, AZ | Nursing home |
| Brookdale Santa Catalina | Tucson, AZ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Inpatient Medicine Associates Llc | 4183688344 | 65 |
| Entity Name | Arizona Inpatient Medicine Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083647754 PECOS PAC ID: 4183688344 Enrollment ID: O20041117000307 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jalla Tarak Mustafa, DO 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 Ph: (858) 798-9083 | Dr Jalla Tarak Mustafa, DO 7901 Frost St, San Diego, CA 92123-2701 Ph: (858) 939-3400 |
Dr. Ramin Motarjemi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069 | |
Dr. Shweta Warner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012 | |
Dr. Matthew James Roosevelt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091 | |
Marin Nishimura-kaminski, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Belicia Kuang-chieh Ding, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Jedidiah Daniel Bell, Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434 | |
Dr. Umber Dube, MD PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |