| Dr Wanda Ann Brady, MD | |
|
1330 W Covina Blvd, Suite 201, San Dimas, CA 91773 | |
| (909) 592-9712 | |
| (909) 592-7264 |
| Full Name | Dr Wanda Ann Brady |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 31 Years |
| Location | 1330 W Covina Blvd, San Dimas, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033186010 | NPI | - | NPPES |
| WA62753A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A62753 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emanate Health Inter-community Hospital | Covina, CA | Hospital |
| Emanate Health Foothill Presbyterian Hospital | Glendora, CA | Hospital |
| San Antonio Regional Hospital | Upland, CA | Hospital |
| Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emanate Health Medical Care Foundation | 9830544980 | 71 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Emanate Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326582743 PECOS PAC ID: 4981986866 Enrollment ID: O20170130001647 |
| Entity Name | Emanate Health Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467195073 PECOS PAC ID: 9830544980 Enrollment ID: O20231011003976 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wanda Ann Brady, MD 1330 W Covina Blvd, Suite 201, San Dimas, CA 91773-3200 Ph: (909) 592-9712 | Dr Wanda Ann Brady, MD 1330 W Covina Blvd, Suite 201, San Dimas, CA 91773 Ph: (909) 592-9712 |
Dr. Karen Anne Westermoe, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1119 Via Verde, San Dimas, CA 91773 Phone: 909-592-9846 Fax: 909-592-2837 | |
Victor Morales, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1330 W Covina Blvd, Suite 201, San Dimas, CA 91773 Phone: 626-331-6411 Fax: 626-251-1560 |