| Cheyenne Morgan Upton, | |
|
2175 Park Pl, El Segundo, CA 90245-4705 | |
| (310) 354-4200 | |
| Not Available |
| Full Name | Cheyenne Morgan Upton |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2175 Park Pl, El Segundo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598350886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58991 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carbon Health Medical Group Of California Pc | 9032340047 | 335 |
| Healthcare Partners Affiliates Medical Group | 7315842002 | 775 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Anaheim Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962680033 PECOS PAC ID: 8325118029 Enrollment ID: O20080606000728 |
| Entity Name | Carbon Health Medical Group of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Morgan Upton, Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Cheyenne Morgan Upton, 2175 Park Pl, El Segundo, CA 90245-4705 Ph: (310) 354-4200 |
Mr. Timothy Dawayne Barmore, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, 1000, El Segundo, CA 90245 Phone: 310-343-6030 Fax: 310-640-9690 |
Melody Castellon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2110 E El Segundo Blvd, El Segundo, CA 90245 Phone: 310-784-3740 |
Cheyenne Patel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd, El Segundo, CA 90245 Phone: 310-653-2873 |
Elizabeth Idrogo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245 Phone: 310-653-6717 Fax: 310-653-6453 |
Lauren Rae Bennett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 713 N Douglas St, El Segundo, CA 90245 Phone: 310-906-2788 Fax: 310-906-2786 |
Mr. Joseph Andrew Burrow I, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245 Phone: 310-653-2890 |
Duke Romeo Salvador, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd, El Segundo, CA 90245 Phone: 310-653-2873 |