| Nanditha Kongara, MD | |
|
9961 Sierra Ave, Fontana, CA 92335-6720 | |
| (909) 427-3910 | |
| Not Available |
| Full Name | Nanditha Kongara |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 9961 Sierra Ave, Fontana, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144397985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A92556 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Universal Urgent Care And Occupational Medicine Inc | 1052637329 | 3 |
| Universal Healthcare Services, Inc. | 6305930314 | 11 |
| California Dreams Medical Corporation Pc | 7113353160 | 11 |
| Entity Name | Universal Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720282585 PECOS PAC ID: 6305930314 Enrollment ID: O20070921000320 |
| Entity Name | Universal Urgent Care And Occupational Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346646775 PECOS PAC ID: 1052637329 Enrollment ID: O20150303002463 |
| Entity Name | California Dreams Medical Corporation Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487299699 PECOS PAC ID: 7113353160 Enrollment ID: O20200211000893 |
| Mailing Address | Practice Location Address |
|---|---|
| Nanditha Kongara, MD 393 E Walnut St, 3rd Floor Phr Systems, Pasadena, CA 91188-0001 Ph: (000) 000-0000 | Nanditha Kongara, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910 |
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 | |
William J. Delo, DO Family Medicine Medicare: Accepting Medicare Assignments 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 | |
Miguel Angel Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16854 Ivy Ave Ste A, Fontana, CA 92335 Phone: 909-791-1000 Fax: 909-781-6000 |