| Crownview Medical Group, Inc | |
|
158 C Ave Coronado CA 92118-1420 | |
| (619) 435-5400 | |
| (619) 435-5401 |
| Full Name | Crownview Medical Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 158 C Ave, Coronado, California |
| Authorized Official Name and Position | Mark Melden (OWNER) |
| Authorized Official Contact | 6194355400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crownview Medical Group, Inc 158 C Ave Coronado CA 92118-1420 Ph: (619) 435-5400 | Crownview Medical Group, Inc 158 C Ave Coronado CA 92118-1420 Ph: (619) 435-5400 |
| NPI Number | 1598928798 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 2668524323 |
|---|---|
| Medicare Enrollment ID | O20090710000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598928798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Mark Melden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982653135 PECOS PAC ID: 4981693462 Enrollment ID: I20040510001023 |
| Provider Name | Christina Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700171436 PECOS PAC ID: 8729377726 Enrollment ID: I20160513001983 |
| Provider Name | Anne L Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467428268 PECOS PAC ID: 2668423153 Enrollment ID: I20161118001377 |
| Provider Name | Kathryn Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609140003 PECOS PAC ID: 8628311248 Enrollment ID: I20190523001085 |
| Provider Name | Kelvin Ka-fai Poon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316581812 PECOS PAC ID: 7810431202 Enrollment ID: I20240626002499 |
| Provider Name | Myriame Mia Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063106805 PECOS PAC ID: 7416488473 Enrollment ID: I20241001002154 |
| Provider Name | Charlie R Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497584239 PECOS PAC ID: 0840722062 Enrollment ID: I20241014000975 |
| Provider Name | Kimberly A Umansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043777147 PECOS PAC ID: 9739615055 Enrollment ID: I20241210004382 |
Firm Foundation Marriage And Family Therapy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 B Ave, Coronado, CA 92118 Phone: 619-800-2445 | |
Mark Melden, Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 C Ave, Coronado, CA 92118 Phone: 619-435-5400 Fax: 619-435-5401 | |
Ventura Heath Care Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Orange Ave, Ste 205, Coronado, CA 92118 Phone: 855-583-6887 | |
Crownview Co-occuring Institute, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 C Avenue, Coronado, CA 92118 Phone: 619-435-5400 | |
Neo-balance Marriage Therapy And Recovery, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 4th St, Coronado, CA 92118 Phone: 619-996-3065 | |
Jessica Morris, Mental Health Therapies Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Bahama Bnd, Coronado, CA 92118 Phone: 619-459-0162 | |
Imperial Beach Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Orange Ave Ste 319, Coronado, CA 92118 Phone: 619-737-9118 |