| Kelli Gora, | |
|
41870 Garstin Rd., Big Bear Lake, CA 92315 | |
| (909) 878-8294 | |
| Not Available |
| Full Name | Kelli Gora |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 41870 Garstin Rd., Big Bear Lake, 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 |
|---|---|---|---|
| 1417372186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95000429 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bear Valley Community Hospital | Big bear lake, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bear Valley Community Health Care District | 0345138582 | 22 |
| Elevate Emergency Medicine | 8325580707 | 18 |
| Big Bear Urgent Care Inc | 8729460233 | 4 |
| Entity Name | Bear Valley Community Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073553756 PECOS PAC ID: 0345138582 Enrollment ID: O20040312000729 |
| Entity Name | Stephen R Shea Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942239033 PECOS PAC ID: 7416854377 Enrollment ID: O20040422001706 |
| Entity Name | Executive Urgent Care Of Indian Wells |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801181961 PECOS PAC ID: 0042456212 Enrollment ID: O20130412000154 |
| Entity Name | Big Bear Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366104671 PECOS PAC ID: 8729460233 Enrollment ID: O20220801000326 |
| Entity Name | Elevate Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457118705 PECOS PAC ID: 8325580707 Enrollment ID: O20240613000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Gora, 1141 La Loma Dr, Santa Ana, CA 92705-2902 Ph: (714) 335-4113 | Kelli Gora, 41870 Garstin Rd., Big Bear Lake, CA 92315 Ph: (909) 878-8294 |
Miss Kita Lastrape, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41945 Big Bear Blvd Ste 222, Big Bear Lake, CA 92315 Phone: 909-866-5070 | |
Kimberly Brooke Delandtsheer, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 42002 Fox Farm Rd, Big Bear Lake, CA 92315 Phone: 909-878-8000 | |
Mrs. Melissa Ann Staricka, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 370 Summit Blvd, Big Bear Lake, CA 92315 Phone: 909-878-8246 | |
Adriana Denise Lopez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 484 Edgemoor Road, Big Bear Lake, CA 92315 Phone: 909-273-3493 | |
Ms. Tasha Nicole Lowery, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315 Phone: 909-866-8501 | |
Jamie Davidson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41820 Garstin Dr, Big Bear Lake, CA 92315 Phone: 909-878-8246 |