| Dr Kenneth E Grubbs, DO | |
|
867 S Tustin St, Orange, CA 92866-3426 | |
| (714) 771-1420 | |
| (714) 771-6918 |
| Full Name | Dr Kenneth E Grubbs |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 867 S Tustin St, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588773295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6349 (California) | Primary |
| Entity Name | William H. Nuesse, Md And Mary-ann Nuesse,do A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508994088 PECOS PAC ID: 0143257659 Enrollment ID: O20050726000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth E Grubbs, DO 867 S Tustin St, Orange, CA 92866-3426 Ph: (714) 771-1420 | Dr Kenneth E Grubbs, DO 867 S Tustin St, Orange, CA 92866-3426 Ph: (714) 771-1420 |
Catherine Cummins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978 | |
Rolf D. Knapp, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2540 N Santiago Blvd, Orange, CA 92867 Phone: 714-921-1030 Fax: 714-921-1032 | |
Dr. Heather Dehaan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-740-7956 | |
Dr. Lawrence Roger Brownlee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2617 E. Chapman Ave., Suite 306, Orange, CA 92869 Phone: 714-669-4442 | |
Hal S Shimazu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 E Chapman Ave, Orange, CA 92866 Phone: 714-997-2899 Fax: 714-289-7062 | |
Shiho I Ito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888 | |
Basil O Ike Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 999-999-9999 |