| Southern Coast Psych Medical Associates Pc | |
|
903 E Devonshire Ave Ste E Hemet CA 92543-3097 | |
| (951) 322-4532 | |
| (844) 314-9910 |
| Full Name | Southern Coast Psych Medical Associates Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 903 E Devonshire Ave Ste E, Hemet, California |
| Authorized Official Name and Position | Jenifer Buckley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9574667733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Coast Psych Medical Associates Pc 33175 Temecula Pkwy Suite A-121 Temecula CA 92592-7310 Ph: (951) 322-4532 | Southern Coast Psych Medical Associates Pc 903 E Devonshire Ave Ste E Hemet CA 92543-3097 Ph: (951) 322-4532 |
| NPI Number | 1467269068 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Medicare PECOS PAC ID | 3476078718 |
|---|---|
| Medicare Enrollment ID | O20250418000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467269068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jenifer L Carpenter Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457128217 PECOS PAC ID: 0840634028 Enrollment ID: I20240215001586 |
| Provider Name | David Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235969486 PECOS PAC ID: 5496296261 Enrollment ID: I20240919002908 |
| Provider Name | Collins Chukwuebuka Ikueze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881400893 PECOS PAC ID: 6901323815 Enrollment ID: I20250505001959 |
| Provider Name | Gayane Avagimian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154171106 PECOS PAC ID: 9537687439 Enrollment ID: I20250514003208 |
| Provider Name | Sam Sohrab Moss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922462662 PECOS PAC ID: 5698109361 Enrollment ID: I20250612003181 |
Building Blocks Social Skills Development & Learning Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E Florida Ave, Hemet, CA 92544 Phone: 951-550-7295 | |
Concept Healthcare Psychology Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 W Stetson Ave, Hemet, CA 92545 Phone: 951-925-9171 Fax: 951-925-8186 | |
Mary Grace Loar, Marriage And Family Therapist, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41591 Florida Ave Ste D, Hemet, CA 92544 Phone: 951-206-4559 | |
Mckinley Children's Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 E Devonshire Ave Ste 201, Hemet, CA 92543 Phone: 909-599-1227 | |
Peak Health Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Florida Ave Ste E, Hemet, CA 92543 Phone: 213-909-5887 | |
Spirit And Truth Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 N San Jacinto St, Suite A, Hemet, CA 92543 Phone: 951-906-1424 | |
Leap Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Boston St, Hemet, CA 92545 Phone: 951-236-1601 |