| Mr Jed D Grant, PA-C | |
|
869 North Cherry Street, Tulare, CA 93274-2287 | |
| (559) 695-3450 | |
| (559) 685-3869 |
| Full Name | Mr Jed D Grant |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 869 North Cherry Street, Tulare, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124064548 | NPI | - | NPPES |
| PA15312 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15317 (California) | Primary |
| 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 | Woodland Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881868164 PECOS PAC ID: 8921176785 Enrollment ID: O20081007000014 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jed D Grant, PA-C 2550 North Hollywood Way, Suite 209, Burbank, CA 91505-5019 Ph: (818) 557-0135 | Mr Jed D Grant, PA-C 869 North Cherry Street, Tulare, CA 93274-2287 Ph: (559) 695-3450 |
John Ya-li Wu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2788 Trapper Springs Ave, Tulare, CA 93274 Phone: 559-759-9224 |
Mr. Juan Contreras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 922 N Cherry St, Suite B, Tulare, CA 93274 Phone: 559-684-7800 Fax: 559-684-7804 |
Jonathan Lawrence Machado, Physician Assistant Medicare: Medicare Enrolled Practice Location: 651 N Enterprise St, Tulare, CA 93274 Phone: 949-735-0774 |
Bindia Shetty, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 N Cherry St, Tulare, CA 93274 Phone: 559-686-9097 |
Chieh Li, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 263 S West St, Tulare, CA 93274 Phone: 877-960-3426 |
Andrew Iliuta, Physician Assistant Medicare: Medicare Enrolled Practice Location: 263 S West St, Tulare, CA 93274 Phone: 877-960-3426 |
Mr. Daniel P Flores, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 869 N Cherry St, Tulare, CA 93274 Phone: 559-688-0821 |