| California Medical Behavioral Health | |
|
8770 Cuyamaca St Ste 4 Santee CA 92071-4289 | |
| (619) 596-9890 | |
| (619) 596-9893 |
| Full Name | California Medical Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8770 Cuyamaca St Ste 4, Santee, California |
| Authorized Official Name and Position | Yashwant S Chaudhri (PRESIDENT) |
| Authorized Official Contact | 6192291895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Medical Behavioral Health 8770 Cuyamaca St Ste 4 Santee CA 92071-4289 Ph: (619) 596-9890 | California Medical Behavioral Health 8770 Cuyamaca St Ste 4 Santee CA 92071-4289 Ph: (619) 596-9890 |
| NPI Number | 1881705127 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 5597740126 |
|---|---|
| Medicare Enrollment ID | O20040618001381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881705127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A67679 (California) | Primary |
| Provider Name | Yashwant S Chaudhri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043258429 PECOS PAC ID: 0042295685 Enrollment ID: I20040622001347 |
| Provider Name | Debra J Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790757623 PECOS PAC ID: 4789866245 Enrollment ID: I20110304000803 |
| Provider Name | Fady S Boules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639541022 PECOS PAC ID: 8527356773 Enrollment ID: I20161004002021 |
| Provider Name | Yi Ting Halgedahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619246907 PECOS PAC ID: 6002172376 Enrollment ID: I20171102002883 |
| Provider Name | Kendra Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073026191 PECOS PAC ID: 0749543015 Enrollment ID: I20180419000931 |
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