| Genesis Medical Health A Professional Corporation | |
|
1155 E Grand Ave Ste 10 Escondido CA 92025-3219 | |
| (760) 644-4027 | |
| (714) 333-4262 |
| Full Name | Genesis Medical Health A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1155 E Grand Ave Ste 10, Escondido, California |
| Authorized Official Name and Position | Rosie Cruz (CEO) |
| Authorized Official Contact | 7608032005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Health A Professional Corporation 1155 E Grand Ave Ste 10 Escondido CA 92025-3219 Ph: (760) 803-2005 | Genesis Medical Health A Professional Corporation 1155 E Grand Ave Ste 10 Escondido CA 92025-3219 Ph: (760) 644-4027 |
| NPI Number | 1811742307 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 9032655576 |
|---|---|
| Medicare Enrollment ID | O20240722000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811742307 | NPI | - | NPPES |
| Provider Name | Benjamin Gross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124053665 PECOS PAC ID: 1759308984 Enrollment ID: I20051027000604 |
| Provider Name | Michael H Verdolin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1477525657 PECOS PAC ID: 8426141060 Enrollment ID: I20070912000540 |
| Provider Name | Markus Ploesser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669662755 PECOS PAC ID: 9638458268 Enrollment ID: I20161122000924 |
| Provider Name | Rizalina Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811430820 PECOS PAC ID: 1254564594 Enrollment ID: I20170627001542 |
| Provider Name | Thomas Ward-mckinlay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346778081 PECOS PAC ID: 1355619016 Enrollment ID: I20190625000963 |
| Provider Name | Jeffensen Jay Timacdog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083103956 PECOS PAC ID: 5890105076 Enrollment ID: I20201028002170 |
| Provider Name | Ana W Pacis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194323121 PECOS PAC ID: 6305239096 Enrollment ID: I20220201001501 |
| Provider Name | Marilou Marasigan Cabusao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514957 PECOS PAC ID: 1052789781 Enrollment ID: I20221130000655 |
| Provider Name | Sandee C San Mateo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609543909 PECOS PAC ID: 4385012970 Enrollment ID: I20221202000647 |
| Provider Name | Edelpaulette Jane Tumbali Pugh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902383334 PECOS PAC ID: 9537509542 Enrollment ID: I20240425002617 |
Healthright 360 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 S Fig St, Escondido, CA 92025 Phone: 760-233-4533 Fax: 760-741-6299 | |
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Palomar Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 858-675-5259 Fax: 858-675-5181 | |
Palomar Family Counseling Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 E Grand Ave, Escondido, CA 92025 Phone: 760-741-2660 Fax: 760-741-2647 | |
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