| Dwight A David, MD | |
| 
					15111 Whittier Blvd, Ste 102, Whittier, CA 90603-2136  | |
| (562) 945-6440 | |
| (562) 945-9121 | 
| Full Name | Dwight A David | 
|---|---|
| Gender | Male | 
| Speciality | General Practice | 
| Location | 15111 Whittier Blvd, Whittier, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487653531 | NPI | - | NPPES | 
| 00A407640 | Other | CA | BLUE SHIELD | 
| A40764 | Other | CA | BCBS | 
| B010 | Other | CA | CHAMPUS | 
| 00A407640 | Medicaid | CA | |
| 110232328 | Other | CA | MEDICARE RAIL ROAD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | A40764 (California) | Primary | 
| Entity Name | Bergman Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639177520 PECOS PAC ID: 2264468883 Enrollment ID: O20050714000272  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dwight A David, MD 15111 Whittier Blvd, Ste 102, Whittier, CA 90603-2136 Ph: (562) 945-6440  | Dwight A David, MD 15111 Whittier Blvd, Ste 102, Whittier, CA 90603-2136 Ph: (562) 945-6440  | 
Sandra Garcia Madrid, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12462 Washington Blvd, Whittier, CA 90602 Phone: 562-693-0725 Fax: 562-693-2468  | |
Dr. Sean William Welsh, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 7624 Painter Ave Ste 100, Whittier, CA 90602 Phone: 562-945-9333  | |
Geetha V. Gabbita, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 14568 Whittier Blvd, Whittier, CA 90605 Phone: 562-698-8263 Fax: 562-698-1001  | |
Payal Shah,  General Practice Medicare: Medicare Enrolled Practice Location: 12522 Lambert Rd, Whittier, CA 90606 Phone: 562-789-5420  | |
Shokouh Tamadon, MD General Practice Medicare: Medicare Enrolled Practice Location: 15111 Whittier Blvd, Suite 102, Whittier, CA 90603 Phone: 562-945-6440 Fax: 562-945-9121  |