| Ryan Emmanuel Pascua, | |
|
3364 Beyer Blvd, San Ysidro, CA 92173-1322 | |
| (619) 205-4585 | |
| Not Available |
| Full Name | Ryan Emmanuel Pascua |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 2 Years |
| Location | 3364 Beyer Blvd, San Ysidro, 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 |
|---|---|---|---|
| 1972064269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A192121 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imperial Beach Community Clinic | 6709867880 | 13 |
| Entity Name | Imperial Beach Community Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718351 PECOS PAC ID: 6709867880 Enrollment ID: O20040525001394 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Emmanuel Pascua, 3364 Beyer Blvd, San Ysidro, CA 92173-1322 Ph: (619) 205-4585 | Ryan Emmanuel Pascua, 3364 Beyer Blvd, San Ysidro, CA 92173-1322 Ph: (619) 205-4585 |
Sharonya Shrivastava, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Dr. Martin Valera Consunji, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Andrea Helen Polesky, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Jerry Chun-han Chen, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Michele A. Lamantia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro Health Center, San Ysidro, CA 92173 Phone: 619-917-7122 Fax: 619-474-3722 | |
Dr. Carlos Carriedo, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Ms. Kelley Alexis Butler, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |