| Jose Antonio Rodriguez, MD | |
|
7965 Sierra Ave Ste E, Fontana, CA 92336-3329 | |
| (909) 356-4459 | |
| (909) 355-4261 |
| Full Name | Jose Antonio Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 7965 Sierra Ave Ste E, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508829185 | NPI | - | NPPES |
| CA118228 | Other | CA | PECOS |
| 1508829185 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A78410 (California) | Primary |
| Entity Name | San Marcos Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447446448 PECOS PAC ID: 0749222495 Enrollment ID: O20050524000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Antonio Rodriguez, MD 742 W Highland Ave, San Bernardino, CA 92405-3839 Ph: (909) 376-4438 | Jose Antonio Rodriguez, MD 7965 Sierra Ave Ste E, Fontana, CA 92336-3329 Ph: (909) 356-4459 |
Robert M. Theal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Todd A. Westra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Pushkar Chand, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Huy Phan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Juan Manuel Oliva, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17284 Slover Ave, Fontana, CA 92337 Phone: 909-609-3000 | |
William J. Delo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
John R. Sharpe Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |