| Rafael Jimenez Iii, PA | |
|
47111 Monroe St, Indio, CA 92201-6799 | |
| (760) 347-6191 | |
| Not Available |
| Full Name | Rafael Jimenez Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 47111 Monroe St, Indio, 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 |
|---|---|---|---|
| 1124995857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA67187 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1278 |
| Santa Ana Physicians Group Pc | 9234455015 | 16 |
| 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 | Santa Ana Physicians Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592187 PECOS PAC ID: 9234455015 Enrollment ID: O20150313001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Jimenez Iii, PA 48369 Camino Maya, Coachella, CA 92236-6372 Ph: (760) 449-1972 | Rafael Jimenez Iii, PA 47111 Monroe St, Indio, CA 92201-6799 Ph: (760) 347-6191 |
Christine Guzon Pagunuran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-347-6191 |
Timothy Kent Evje, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 47111 Monroe St, Indio, CA 92201 Phone: 760-775-8111 |
Brittany Vega, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 82360 Us Highway 111, Indio, CA 92201 Phone: 760-342-8828 |
Elsa Minnie Cisneros, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44374 Palm St, Indio, CA 92201 Phone: 760-342-6616 Fax: 760-925-0706 |
Moises Fausto Ortega, NURSING ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44359 Palm St, Indio, CA 92201 Phone: 760-342-6616 |
Ramon Olivas-ortega, MA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44374 Palm St, Indio, CA 92201 Phone: 760-342-6616 |
Tony Leuang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 82165 Doctor Carreon Blvd Apt 33b1, Indio, CA 92201 Phone: 404-543-4714 |