| Michael A Davalos, PA, MS | |
|
36243 Inland Valley Dr, Ste 180, Wildomar, CA 92595 | |
| (951) 600-0110 | |
| (951) 600-4645 |
| Full Name | Michael A Davalos |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 36243 Inland Valley Dr, Wildomar, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285641902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17328 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside University Health System-medical Center | Moreno valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Medical Doctors | 2961305651 | 168 |
| Carbon Health Medical Group Of California Pc | 9032340047 | 335 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | United Medical Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069 |
| 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 |
|---|---|
| Michael A Davalos, PA, MS 36243 Inland Valley Dr, Ste 180, Wildomar, CA 92595 Ph: (951) 600-0110 | Michael A Davalos, PA, MS 36243 Inland Valley Dr, Ste 180, Wildomar, CA 92595 Ph: (951) 600-0110 |
Charity Morris Yoon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 23905 Clinton Keith Rd, #114, Wildomar, CA 92595 Phone: 951-672-7673 Fax: 951-672-1197 |
Lisa M Bornmann, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773 |
Paul K Grover, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773 |
Julie Marie Shryock Elias, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 951-304-7187 |
Joseph S Demattia, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773 |
Mrs. Glennise Daneen Pratt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36320 Inland Valley Drive, 307, Wildomar, CA 92595 Phone: 951-600-0110 Fax: 951-600-1489 |
Christopher David Doan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 951-677-1111 |