| Grace A Buonavita, PAC | |
|
436 S Riverside Ave, Rialto, CA 92376-6523 | |
| (909) 877-8868 | |
| (909) 877-0008 |
| Full Name | Grace A Buonavita |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 436 S Riverside Ave, Rialto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396805479 | NPI | - | NPPES |
| PA13592 | Other | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13592 (California) | Primary |
| Entity Name | R. Ruiz, M.D., a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578599809 PECOS PAC ID: 4981592391 Enrollment ID: O20040308000956 |
| Entity Name | Ruben Ruiz M D a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241821 PECOS PAC ID: 0648168062 Enrollment ID: O20040308000994 |
| Entity Name | Mountain View Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619923653 PECOS PAC ID: 5092606376 Enrollment ID: O20040324000887 |
| Entity Name | Mountain View Urgent Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023306784 PECOS PAC ID: 7214107861 Enrollment ID: O20110908002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace A Buonavita, PAC 436 S Riverside Ave, Rialto, CA 92376-6523 Ph: (909) 877-8868 | Grace A Buonavita, PAC 436 S Riverside Ave, Rialto, CA 92376-6523 Ph: (909) 877-8868 |
Katherine Elizabeth Vazquez, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1850 N Riverside Ave Ste 180, Rialto, CA 92376 Phone: 909-787-1987 |
Mrs. Danette Brown, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 416 W Foothill Blvd, Rialto, CA 92376 Phone: 909-421-0493 |
Luis M Buenrostro Martinez, MA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9301 Fax: 909-421-9219 |
Jessica St. Jules, PA- C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1036 S Riverside Ave Apt 102, Rialto, CA 92376 Phone: 909-240-8322 |
Mr. Diego H Sevilla, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 436 S Riverside Ave, Rialto, CA 92376 Phone: 909-877-8868 Fax: 909-877-0008 |
Mickoyan Nakita Poole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 E Foothill Blvd, Rialto, CA 92376 Phone: 909-546-1005 Fax: 909-546-1061 |
Mrs. Wariam Kaur William, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 280 N Riverside Ave, Rialto, CA 92376 Phone: 909-421-2121 Fax: 909-421-0491 |