| Juan Carlos Vera, MD | |
|
5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | |
| (619) 740-4008 | |
| Not Available |
| Full Name | Juan Carlos Vera |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093193427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A172415 (California) | Primary |
| 2085N0700X | Radiology - Neuroradiology | A172415 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scripps Mercy Hospital | San diego, CA | Hospital |
| Pioneers Memorial Healthcare District | Brawley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihs Radiology Medical Group Inc | 1052622024 | 65 |
| Radiology Medical Group Inc | 5496668675 | 19 |
| Entity Name | Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578516829 PECOS PAC ID: 5496668675 Enrollment ID: O20031112000662 |
| Entity Name | X-ray Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232776 PECOS PAC ID: 5294796801 Enrollment ID: O20041026000600 |
| Entity Name | Ihs Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497148456 PECOS PAC ID: 1052622024 Enrollment ID: O20150617000811 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Vera, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: () - | Juan Carlos Vera, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-4008 |
Dr. Jonathan Tiefenbrun, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Ste 505, La Mesa, CA 91942 Phone: 619-461-3880 Fax: 619-461-3895 | |
Dr. Scott Carey Honowitz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4005 Fax: 619-740-4207 | |
James C Jacobsen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484 | |
Dr. Charles Kerber, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4444 Topa Topa Dr, La Mesa, CA 91941 Phone: 760-598-8058 Fax: 760-598-8078 | |
Alexander S Urioste, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484 | |
Stanley Rapoport, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Parkway, #102, La Mesa, CA 91942 Phone: 619-461-1830 Fax: 619-797-1484 |