Olumide A Danisa, MD | |
25455 Barton Rd Ste 102b, Loma Linda, CA 92354 | |
(909) 558-2808 | |
Not Available |
Full Name | Olumide A Danisa |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 34 Years |
Location | 25455 Barton Rd Ste 102b, Loma Linda, 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 |
---|---|---|---|
1467413450 | NPI | - | NPPES |
1467413450 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | G89015 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loma Linda University Medical Center | Loma linda, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1053 |
Sac Health System | 4385533579 | 159 |
Entity Name | Beaver Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
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 | Sac Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
Mailing Address | Practice Location Address |
---|---|
Olumide A Danisa, MD File Number 54701, Los Angeles, CA 90074-0001 Ph: () - | Olumide A Danisa, MD 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Ph: (909) 558-2808 |
Dr. Ryan Timothy Moore, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Rm 21005, Loma Linda, CA 92350 Phone: 909-558-4000 | |
Philip Henry Reiswig, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-583-6073 | |
Dr. Corey Brandon Fuller, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Phone: 909-558-6444 Fax: 909-558-6118 | |
Dr. Gary D Botimer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5599 | |
Dr. Brian Andrew Schneiderman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 | |
Allen Nedley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354 Phone: 909-558-6444 | |
Dr. Arthur Thiel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5588 |