| H.d.p.r.g., Inc | |
|
5930 Adobe Rd, Twentynine Palms, CA 92277-2356 | |
| (760) 367-1743 | |
| (760) 367-1083 |
| Full Name | H.d.p.r.g., Inc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 5930 Adobe Rd, Twentynine Palms, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295886067 | NPI | - | NPPES |
| ZZZ07515Z | Other | CA | BLUE SHIELD |
| GPT000931 | Medicaid | CA | |
| 678082 | Other | CA | ACN |
| GCT000411 | Medicaid | CA | |
| ZZZ08136Z | Other | CA | BLUE SHIELD |
| GPT000930 | Medicaid | CA | |
| GSP000541 | Medicaid | CA | |
| ZZZ07514Z | Other | CA | BLUE SHIELD |
| ZZZ08126Z | Other | CA | BLUE SHIELD |
| GCT000410 | Medicaid | CA | |
| ZZZ08135Z | Other | CA | BLUE SHIELD |
| GSP000540 | Medicaid | CA | |
| ZZZ08125Z | Other | CA | BLUE SHIELD |
| Provider Name | Jay Arthur Forgeron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053462762 PECOS PAC ID: 6507775442 Enrollment ID: I20040220000269 |
| Provider Name | Susan Marie Hurley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356494074 PECOS PAC ID: 2567454150 Enrollment ID: I20040401001769 |
| Provider Name | Jennifer L Diemart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043484850 PECOS PAC ID: 7911059548 Enrollment ID: I20090713000557 |
| Provider Name | Mark Lostracco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548690837 PECOS PAC ID: 8426375510 Enrollment ID: I20170712003783 |
| Provider Name | Gina Wyatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558765321 PECOS PAC ID: 4880918531 Enrollment ID: I20180209002508 |
| Provider Name | Brooks Landy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124371398 PECOS PAC ID: 5395998298 Enrollment ID: I20180213000884 |
| Provider Name | Erika Elizabeth Ilkanich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528421336 PECOS PAC ID: 7113209479 Enrollment ID: I20180618002350 |
| Provider Name | Christie Pirkle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174985311 PECOS PAC ID: 0648527515 Enrollment ID: I20180724000813 |
| Provider Name | Jared C Pirkle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942752241 PECOS PAC ID: 5294082004 Enrollment ID: I20180725002621 |
| Provider Name | Sarah Burns |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659854180 PECOS PAC ID: 7911251517 Enrollment ID: I20181119000756 |
| Provider Name | Joseph Thomas Armeli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851805816 PECOS PAC ID: 1759649106 Enrollment ID: I20190208001159 |
| Provider Name | Vika Preddy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447813654 PECOS PAC ID: 5294078721 Enrollment ID: I20190523002035 |
| Provider Name | Zachary Hunter Woolever |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598214850 PECOS PAC ID: 2062745573 Enrollment ID: I20190614000060 |
| Provider Name | Crystal Lyn Knapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306217625 PECOS PAC ID: 4981939329 Enrollment ID: I20190708002663 |
| Provider Name | Erin Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417589375 PECOS PAC ID: 9830520618 Enrollment ID: I20200511002950 |
| Provider Name | Faith Muvuti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477055663 PECOS PAC ID: 4385075175 Enrollment ID: I20200511003399 |
| Provider Name | Jacquelyn B Leslie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588144406 PECOS PAC ID: 9537412390 Enrollment ID: I20210518002797 |
| Provider Name | Monifa A Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558976282 PECOS PAC ID: 2668887290 Enrollment ID: I20210809001352 |
| Provider Name | Alycia Quinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174268833 PECOS PAC ID: 1951786920 Enrollment ID: I20220913000713 |
| Provider Name | Erin Aspaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083183438 PECOS PAC ID: 6204173289 Enrollment ID: I20230110002294 |
| Provider Name | Adam Keith Aspaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447714639 PECOS PAC ID: 3779978499 Enrollment ID: I20230110002767 |
| Provider Name | Lucia Valenzuela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871227744 PECOS PAC ID: 4880065473 Enrollment ID: I20230628003585 |
| Provider Name | Derek S Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003497116 PECOS PAC ID: 7911307186 Enrollment ID: I20230629000689 |
| Provider Name | Elijah Hazzard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760268312 PECOS PAC ID: 2961856075 Enrollment ID: I20230922003063 |
| Provider Name | Kathleen Kamerzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417306572 PECOS PAC ID: 2567727951 Enrollment ID: I20240126003050 |
| Provider Name | Michael Stasi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891249348 PECOS PAC ID: 0345538146 Enrollment ID: I20240201003905 |
| Provider Name | Shannon E Zorsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811496938 PECOS PAC ID: 9638423650 Enrollment ID: I20240303000083 |
| Provider Name | Sarah Grim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871193482 PECOS PAC ID: 0143669903 Enrollment ID: I20240412004081 |
| Provider Name | Spencer Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265298525 PECOS PAC ID: 1355883554 Enrollment ID: I20240603003648 |
| Provider Name | Urian Kyung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801652490 PECOS PAC ID: 3072055151 Enrollment ID: I20240604002792 |
| Provider Name | Monica Gillum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326397779 PECOS PAC ID: 7810147998 Enrollment ID: I20240725002117 |
| Provider Name | Emily Riley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831923929 PECOS PAC ID: 1153853049 Enrollment ID: I20241016004032 |
| Provider Name | Anthony Blair |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235963562 PECOS PAC ID: 5597299719 Enrollment ID: I20241111003544 |
| Provider Name | Victoria Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548045123 PECOS PAC ID: 0042657520 Enrollment ID: I20250128002384 |
| Provider Name | Kytan Tencleve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770352445 PECOS PAC ID: 9537500343 Enrollment ID: I20250128002697 |
| Provider Name | Vashti Tillman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255145728 PECOS PAC ID: 0143743740 Enrollment ID: I20250324003672 |
| Mailing Address | Practice Location Address |
|---|---|
| H.d.p.r.g., Inc 5930 Adobe Rd, Twentynine Palms, CA 92277-2356 Ph: (760) 367-1743 | H.d.p.r.g., Inc 5930 Adobe Rd, Twentynine Palms, CA 92277-2356 Ph: (760) 367-1743 |
Ms. Deandra Leigh Contangelo, M.S. ED., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083 | |
Jennifer Diemart, M.A. Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 Fax: 760-367-1083 | |
Kathryn Woolley, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Vashti Tillman, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Llana Paco, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Jennifer Anne Langley, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 | |
Jill Henderson Taylor, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5930 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-1743 |