| Dr Ricardo A Indacochea, MD | |
| 1400 E Palomar St, Chula Vista, CA 91913-1800 | |
| (858) 499-2600 | |
| Not Available | 
| Full Name | Dr Ricardo A Indacochea | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1400 E Palomar St, Chula Vista, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033375563 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | A110199 (California) | Primary | 
| 207R00000X | Internal Medicine | A110199 (California) | Secondary | 
| Entity Name | Sharp Rees-stealy Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 | 
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ricardo A Indacochea, MD 1400 E Palomar St, Chula Vista, CA 91913-1800 Ph: (858) 499-2600 | Dr Ricardo A Indacochea, MD 1400 E Palomar St, Chula Vista, CA 91913-1800 Ph: (858) 499-2600 | 
| Marvin Leon Gale, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 280 E Street, Chula Vista, CA 91910 Phone: 619-425-3951 | |
| Mrs. Roxane M. Santiago, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, Suite 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337 | |
| Ernest Flores, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 | |
| Jonas Ludivero Bernal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 644 Naples St, Chula Vista, CA 91911 Phone: 619-744-5355 | |
| Dr. Miguel A Cordoba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-4953 | |
| Dr. Azar Hamedaninia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, #101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-4953 |