| Emily Renee Grant Heim, | |
|
223 W Cole Blvd, Calexico, CA 92231-9722 | |
| (760) 357-2020 | |
| (760) 357-1056 |
| Full Name | Emily Renee Grant Heim |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 223 W Cole Blvd, Calexico, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861081994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (California) | Primary |
| Entity Name | Clinicas De Salud Del Pueblo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
| Entity Name | Tyson Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467241570 PECOS PAC ID: 3072870112 Enrollment ID: O20171128003449 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Renee Grant Heim, 223 W Cole Blvd, Calexico, CA 92231-9722 Ph: (760) 357-2020 | Emily Renee Grant Heim, 223 W Cole Blvd, Calexico, CA 92231-9722 Ph: (760) 357-2020 |
Mr. Conrado Martinez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Manuel Oswaldo Ramirez, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Bihon Zeweldemariam, NP Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 730-357-2020 Fax: 760-357-1056 |
Claudia Gonzalez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 495 E Birch St Ste A, Calexico, CA 92231 Phone: 760-357-0508 Fax: 760-357-0817 |
Jorge Ramon Romo, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 E Birch St, Calexico, CA 92231 Phone: 760-768-6262 |
Vanessa Jimenez Fuentes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 251 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-3768 |