| Samantha Baltazar, PA | |
|
197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 | |
| (099) 558-3636 | |
| (909) 558-3754 |
| Full Name | Samantha Baltazar |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 197 E Caroline St Ste 1400, San Bernardino, 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 |
|---|---|---|---|
| 1578176475 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1313 |
| Entity Name | Faculty Physicians and Surgeons of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Riverside Neurology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508059007 PECOS PAC ID: 4486607033 Enrollment ID: O20050223000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Baltazar, PA 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 Ph: (909) 558-3636 | Samantha Baltazar, PA 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 Ph: (099) 558-3636 |
Nicholas Walther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 |
Deval Dave, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 |
Daniel E Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 284 E Highland Ave, San Bernardino, CA 92404 Phone: 909-883-1098 Fax: 909-883-0653 |
Ms. Tanisha G Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 Fax: 909-887-1985 |
Miss Sara Natour, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2334 N Sierra Way, San Bernardino, CA 92405 Phone: 909-747-2715 |
Ms. Keturah Braithwaite, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 941 Kendall Dr Ste C, San Bernardino, CA 92407 Phone: 302-354-7476 |
Mr. Richard Tang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1364 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-474-9952 |