| Fernando Jose Avila, | |
|
2295 S Vineyard Ave, Ontario, CA 91761-7925 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Fernando Jose Avila |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2295 S Vineyard Ave, Ontario, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396364147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A182447 (California) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | A182447 (California) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Jose Avila, 9961 Sierra Avenue, Mob-1, Fontana, CA 92335-6720 Ph: (909) 427-5084 | Fernando Jose Avila, 2295 S Vineyard Ave, Ontario, CA 91761-7925 Ph: (833) 574-2273 |
Andrelee G. Taganas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave Ste A, Ontario, CA 91761 Phone: 909-427-7132 | |
William Craig Paley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555 Fax: 909-988-4447 | |
Dr. Luis A Lomeli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 527 N Palm Ave, Suite 101, Ontario, CA 91762 Phone: 909-983-6622 | |
Hemalatha Murugan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 W 6th St Ste 150, Ontario, CA 91762 Phone: 909-482-4462 | |
Ruth Chambi - Hernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1871 E 4th St, Ontario, CA 91764 Phone: 909-297-3337 Fax: 909-532-8171 | |
Dr. Vache Chakmakian, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555 | |
Naila Mubashar, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 437 N Euclid Ave, Ontario, CA 91762 Phone: 909-988-2555 |