| Mr Phong Thanh Dargon, MD | |
|
15030 7th St, Victorville, CA 92395-3811 | |
| (760) 951-0065 | |
| (760) 951-5382 |
| Full Name | Mr Phong Thanh Dargon |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 18 Years |
| Location | 15030 7th St, Victorville, 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 |
|---|---|---|---|
| 1679733927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 236799 (Massachusetts) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | A128212 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernardine Medical Center | San bernardino, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Bariatric A Medical Corporation | 3476607052 | 9 |
| Entity Name | Western Bariatric A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184821373 PECOS PAC ID: 3476607052 Enrollment ID: O20090817000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Phong Thanh Dargon, MD 15030 7th St, Victorville, CA 92395-3811 Ph: (760) 951-0065 | Mr Phong Thanh Dargon, MD 15030 7th St, Victorville, CA 92395-3811 Ph: (760) 951-0065 |
Stephen Kolakowski Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Dr. Mitesh Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 400, Victorville, CA 92395 Phone: 760-242-9355 | |
Julius A Cruz, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 15203 11th St, Ste C, Victorville, CA 92395 Phone: 760-245-9714 Fax: 760-245-2539 | |
Dr. Jason Todd Chiriano, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15030 7th St, Victorville, CA 92395 Phone: 609-510-0657 Fax: 760-951-5382 | |
Ferdinand Perez - Rodriguez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
Dr. Franklin Allen Rutledge Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12637 Hesperia Rd, Ste B, Victorville, CA 92395 Phone: 760-646-8540 Fax: 887-304-0588 |