| Kemerick Takang, | |
|
301 E Arrow Hwy Ste 101, San Dimas, CA 91773-3364 | |
| (310) 946-5578 | |
| (949) 695-3678 |
| Full Name | Kemerick Takang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 301 E Arrow Hwy Ste 101, San Dimas, 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 |
|---|---|---|---|
| 1588284251 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inland Psychiatric Medical Group Inc | 9436062312 | 121 |
| Sokyahealth Medical Group Pc | 8628463015 | 173 |
| Entity Name | Inland Psychiatric Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
| Entity Name | David Desai Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174901128 PECOS PAC ID: 6204148794 Enrollment ID: O20150713001240 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Euphrate Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427871631 PECOS PAC ID: 4082140587 Enrollment ID: O20241206002953 |
| Mailing Address | Practice Location Address |
|---|---|
| Kemerick Takang, 5493 Stoneview Rd, Rancho Cucamonga, CA 91739-8933 Ph: (310) 946-5578 | Kemerick Takang, 301 E Arrow Hwy Ste 101, San Dimas, CA 91773-3364 Ph: (310) 946-5578 |
Karen Renee Manson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W Arrow Hwy Ste 106, San Dimas, CA 91773 Phone: 909-592-9246 Fax: 909-592-9248 | |
Shuhua Guo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 981 W Arrow Hwy # 118, San Dimas, CA 91773 Phone: 626-265-6371 | |
Gia Han Ngoc Nguyen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 W Covina Blvd Ste 105106, San Dimas, CA 91773 Phone: 626-963-7675 | |
Cynthia Gutierrez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 187 E Commercial St, San Dimas, CA 91773 Phone: 626-388-7605 | |
Lana Madanat, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 W Covina Blvd Ste 106, San Dimas, CA 91773 Phone: 909-599-6876 | |
Bassam Aziz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 310-592-7149 | |
Miss Maki Kusunaga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 W Covina Blvd, San Dimas, CA 91773 Phone: 909-592-6411 Fax: 909-971-5841 |