| John M Riddle, MD | |
|
869 W Lacey Blvd, Hanford, CA 93230-4328 | |
| (559) 582-9313 | |
| (559) 582-2570 |
| Full Name | John M Riddle |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 869 W Lacey Blvd, Hanford, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003823550 | NPI | - | NPPES |
| 00A448380 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A44838 (California) | Secondary |
| 207Q00000X | Family Medicine | 14837 (Oklahoma) | Primary |
| Entity Name | Central Valley Comprehensive Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841348448 PECOS PAC ID: 6204825508 Enrollment ID: O20040511001124 |
| Mailing Address | Practice Location Address |
|---|---|
| John M Riddle, MD 2910 Azalea Park, Muskogee, OK 74401 Ph: (918) 683-6500 | John M Riddle, MD 869 W Lacey Blvd, Hanford, CA 93230-4328 Ph: (559) 582-9313 |
Dr. Vijay Krishna, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1524 W Lacey Blvd Ste 201a, Hanford, CA 93230 Phone: 553-537-0355 | |
Dr. Sherief Zamzam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 N Douty St, Suite 105, Hanford, CA 93230 Phone: 559-537-0229 Fax: 559-537-0226 | |
Frank Tyrrell Buchanan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1320 Bailey Drive, Suite 102, Hanford, CA 93230 Phone: 559-582-4461 Fax: 559-582-8525 | |
Eric N Sorensen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1028 N Douty St, Hanford, CA 93230 Phone: 559-589-6420 Fax: 559-589-6425 | |
Romeo C. Castillo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1524 W Lacey Blvd, Suite 203, Hanford, CA 93230 Phone: 559-853-4660 Fax: 559-583-4685 | |
Nicole Elaine Lally, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 250 W 5th St, Hanford, CA 93230 Phone: 779-603-4268 |