| Mark Anthony Mayrina Santos, MD | |
|
5957 W Ramsey St, Banning, CA 92220-3058 | |
| (951) 845-0313 | |
| (951) 769-1156 |
| Full Name | Mark Anthony Mayrina Santos |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 5957 W Ramsey St, Banning, 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 |
|---|---|---|---|
| 1508052010 | NPI | - | NPPES |
| CQ2267 | Other | CA | RR MCR |
| 1174760953 | Medicaid | CA | |
| 1508052010 | Medicaid | CA | |
| ZZZ43252Z | Other | CA | BS/TRIWEST |
| P00613391 | Other | CA | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A100509 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| 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 |
|---|---|
| Mark Anthony Mayrina Santos, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188 | Mark Anthony Mayrina Santos, MD 5957 W Ramsey St, Banning, CA 92220-3058 Ph: (951) 845-0313 |
Dr. Manuel I Salmeron, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 800-732-8805 Fax: 909-425-8242 | |
Michael Raymund Oliverio Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 | |
Brigitte Yvonne Willis, M.D., PH.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-922-7852 | |
Zakia Raana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6109 West Ramsey St, Banning, CA 92220 Phone: 951-845-0313 Fax: 909-796-4158 | |
Vinh John Xuan Le, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 | |
Dr. Oluwatoni Janet Arene, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 800-732-8805 | |
Mark Steven Foster, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Highland Springs Avenue, Banning, CA 92220 Phone: 951-845-1121 |