| Ben Arnold Adom, NP | |
|
12021 Jacaranda Ave Ste 101, Hesperia, CA 92345-4978 | |
| (760) 956-5057 | |
| (760) 947-2057 |
| Full Name | Ben Arnold Adom |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 12021 Jacaranda Ave Ste 101, Hesperia, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417473034 | NPI | - | NPPES |
| 1417473034 | Other | CA | FAMILY PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95042846 (California) | Primary |
| 207Q00000X | Family Medicine | 95021179 (California) | Secondary |
| Entity Name | Providence Podiatry Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376202986 PECOS PAC ID: 6507256708 Enrollment ID: O20211217002222 |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Arnold Adom, NP 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-3145 | Ben Arnold Adom, NP 12021 Jacaranda Ave Ste 101, Hesperia, CA 92345-4978 Ph: (760) 956-5057 |
Huda Abunaja, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15596 Mesquite St, Hesperia, CA 92345 Phone: 760-503-8393 |
Ms. Tina Marie Sudduth, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14191 Yale St, Hesperia, CA 92344 Phone: 909-855-1545 |
Frederick S Bravo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7832 Langdon Ave, Hesperia, CA 92345 Phone: 760-792-1143 |
Elizabeth Wanjiku Mwai, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14211 Dry Creek St, Hesperia, CA 92345 Phone: 214-407-4395 |
Jodian Natalia Lyn, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13025 Clear Creek St, Hesperia, CA 92344 Phone: 786-547-1181 |
Darin Saunders, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13842 Lemongrass Way, Hesperia, CA 92344 Phone: 760-949-0431 |
Olivia Juarez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 17095 Main St, Hesperia, CA 92345 Phone: 760-956-4113 Fax: 760-948-4616 |