| Ms Stefanie Mecham, FNP | |
| 11234 Anderson St Unit 4800, Loma Linda, CA 92354-2804 | |
| (909) 558-4000 | |
| Not Available | 
| Full Name | Ms Stefanie Mecham | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 11234 Anderson St Unit 4800, Loma Linda, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619525086 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 95005576 (California) | Primary | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Stefanie Mecham, FNP 4966 Balsa Ave, Yucca Valley, CA 92284-6631 Ph: (909) 558-4000 | Ms Stefanie Mecham, FNP 11234 Anderson St Unit 4800, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 | 
| Ecler Ercole Jaqua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
| Lauren Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
| Barbara Orr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25455 Barton Rd, Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
| Victoria V Teppone, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600 | |
| Dr. Prashanth Gowda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Va Loma Linda Health Care System, 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
| Dr. Roger D. Woodruff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 206a, Loma Linda, CA 92354 Phone: 909-558-6505 Fax: 909-558-6701 | |
| Michelle Opsahl, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Ste. 204a, Loma Linda, CA 92354 Phone: 909-558-6600 |