| Dr Patrick Chad Shepherd, MD | |
|
1600 W Avenue J, Lancaster, CA 93534-2814 | |
| (661) 949-5355 | |
| (661) 949-5196 |
| Full Name | Dr Patrick Chad Shepherd |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1600 W Avenue J, Lancaster, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972896157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | A130659 (California) | Secondary |
| 208000000X | Pediatrics | A130659 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Community Foundation Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
| Entity Name | Community Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952912420 PECOS PAC ID: 6608280268 Enrollment ID: O20210122001714 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Chad Shepherd, MD 1600 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 949-5355 | Dr Patrick Chad Shepherd, MD 1600 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 949-5355 |
Dr. David Evan Bronstein, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 43112 15th St W, Lancaster, CA 93534 Phone: 661-726-2224 | |
Dr. Shish Ali Mohammad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 45124 10th St W, Lancaster, CA 93534 Phone: 562-867-7999 | |
Dr. John Edward Sasaki, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 43112 15th St W, Lancaster, CA 93534 Phone: 661-726-2279 Fax: 661-726-2272 | |
Dr. Suraj Rajesh Batish, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Dr. Lynne Susanne Ticson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44900 N. 60th St. West, High Desert Health System, Lancaster, CA 93536 Phone: 661-945-8303 Fax: 661-945-8470 | |
Mr. Suresh Kumar Singla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 43112 15th St W, Lancaster, CA 93534 Phone: 661-726-2222 | |
Dr. Mariya Babyna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 45104 10th St W, Lancaster, CA 93534 Phone: 661-942-2391 |