| Jayesh Mahesh Bellara, | |
|
1400 S Mercey Springs Rd Ste I, Los Banos, CA 93635-4928 | |
| (209) 710-1011 | |
| Not Available |
| Full Name | Jayesh Mahesh Bellara |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1400 S Mercey Springs Rd Ste I, Los Banos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861073280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12692 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | PT-300339 (California) | Primary |
| Provider Name | Golden Bear Physical Therapy Sports Injury Center Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811084676 PECOS PAC ID: 2961423082 Enrollment ID: O20051215000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayesh Mahesh Bellara, 1881 Summit Dr, Los Banos, CA 93635-8308 Ph: (201) 780-6509 | Jayesh Mahesh Bellara, 1400 S Mercey Springs Rd Ste I, Los Banos, CA 93635-4928 Ph: (209) 710-1011 |
Glenn Ernest Fabian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 | |
Ignacio Protto, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 | |
Neptahli Santarin Parian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 208-827-6179 | |
Susanna Russell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 | |
Yashesh Goradia, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 301-278-9852 | |
Raymond Bradley Dunne, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 Mercey Springs Rd, Suite A, Los Banos, CA 93635 Phone: 209-829-0444 Fax: 209-829-0445 | |
Mr. Scott Kevin Russell, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 |