| Dr Luther Mangoba, MD | |
|
9041 Magnolia Ave, Suite 008, Riverside, CA 92503-3900 | |
| (951) 687-0004 | |
| (951) 687-0080 |
| Full Name | Dr Luther Mangoba |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 9041 Magnolia Ave, Riverside, 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 |
|---|---|---|---|
| 1528041894 | NPI | - | NPPES |
| 00A775740 | Medicaid | CA | |
| A77574 | Other | CA | STATE LICENCSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A77574 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Equanimity Hospice And Pallative Care Inc | Grand terrace, CA | Hospice |
| St. Mary's Hospice, Inc | Covina, CA | Hospice |
| Jurupa Hills Post Acute | Riverside, CA | Nursing home |
| Riverside Heights Healthcare Center, Llc | Riverside, CA | Nursing home |
| Riverside Postacute Care | Riverside, CA | Nursing home |
| Windsor Cypress Gardens | Riverside, CA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Care Medical Inc | 7517385792 | 2 |
| Family Choice Aco Inc | 7719379395 | 61 |
| Luther Mangoba, Md Inc. | 9537292594 | 5 |
| Entity Name | Luther Mangoba, Md Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558387209 PECOS PAC ID: 9537292594 Enrollment ID: O20100728000860 |
| Entity Name | Advanced Care Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821607789 PECOS PAC ID: 7517385792 Enrollment ID: O20200921001888 |
| Entity Name | Family Choice Aco Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396416863 PECOS PAC ID: 7719379395 Enrollment ID: O20220111000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luther Mangoba, MD 9041 Magnolia Ave, Suite 008, Riverside, CA 92503-3900 Ph: (951) 687-0004 | Dr Luther Mangoba, MD 9041 Magnolia Ave, Suite 008, Riverside, CA 92503-3900 Ph: (951) 687-0004 |
Miriam Cho, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3616 Fax: 951-784-3268 | |
Sung Jin John, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Dr. Denise A Martinez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3390 University Ave Ste 100, Riverside, CA 92501 Phone: 844-827-8000 | |
Nathan Hao Hsin Yen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5427 Fax: 951-697-5516 | |
Dr. Janis Neuman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000 Fax: 951-358-6044 | |
Wayne Dysinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4368 Central Ave, Riverside, CA 92506 Phone: 951-742-7324 Fax: 951-394-7267 | |
Ana Karla Aguilera, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4510 Brockton Ave Ste 225, Riverside, CA 92501 Phone: 951-529-5147 |