| Carrasco Podiatry Corporation | |
|
7196 Sunnyside Pl, Rancho Cucamonga, CA 91739-5995 | |
| (951) 212-6661 | |
| (909) 987-3292 |
| Full Name | Carrasco Podiatry Corporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 7196 Sunnyside Pl, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043339260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E3608 (California) | Primary |
| Provider Name | James F Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073513610 PECOS PAC ID: 0143122473 Enrollment ID: I20040126000612 |
| Provider Name | Philip E Larkins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659375103 PECOS PAC ID: 1557253267 Enrollment ID: I20040326001383 |
| Provider Name | Todd M Schafer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831127349 PECOS PAC ID: 9133117468 Enrollment ID: I20040504001531 |
| Provider Name | Pete Carrasco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073573127 PECOS PAC ID: 7315990553 Enrollment ID: I20050228000518 |
| Provider Name | Michele S Colon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376578997 PECOS PAC ID: 4981638038 Enrollment ID: I20050920000369 |
| Provider Name | Eckardt W Campos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932315868 PECOS PAC ID: 0547433922 Enrollment ID: I20111031000366 |
| Provider Name | Lisa Nhan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811288418 PECOS PAC ID: 1850513706 Enrollment ID: I20141110002344 |
| Provider Name | Daniel Geller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578618583 PECOS PAC ID: 7911004072 Enrollment ID: I20141125001172 |
| Provider Name | Pratibha Kayastha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942601281 PECOS PAC ID: 2769704527 Enrollment ID: I20141205000012 |
| Provider Name | Mariam Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619370194 PECOS PAC ID: 6800118431 Enrollment ID: I20141209001793 |
| Provider Name | Patricia Lutfy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497024061 PECOS PAC ID: 1355656943 Enrollment ID: I20150811004817 |
| Provider Name | Ivan Brando T Aguilera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861834178 PECOS PAC ID: 0840584587 Enrollment ID: I20160803002024 |
| Provider Name | Joy Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508092230 PECOS PAC ID: 6901076082 Enrollment ID: I20170710001941 |
| Provider Name | John J Clarity |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912994211 PECOS PAC ID: 8527077189 Enrollment ID: I20170713002768 |
| Provider Name | Alireza Zargar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932519378 PECOS PAC ID: 6608147772 Enrollment ID: I20171204000892 |
| Provider Name | Akil Simon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598100877 PECOS PAC ID: 6507121027 Enrollment ID: I20180601002298 |
| Provider Name | Alexander F Simopoulos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801002969 PECOS PAC ID: 2365784899 Enrollment ID: I20190501003335 |
| Provider Name | Michael Shen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366806291 PECOS PAC ID: 7214260801 Enrollment ID: I20190613002105 |
| Provider Name | Maria Elena Almirante |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700230364 PECOS PAC ID: 5496087785 Enrollment ID: I20191106002198 |
| Provider Name | Beverly A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477551919 PECOS PAC ID: 5991836264 Enrollment ID: I20200511001827 |
| Provider Name | Amro Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114433687 PECOS PAC ID: 2466792361 Enrollment ID: I20200827000930 |
| Provider Name | Lora D Yeager-smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811939176 PECOS PAC ID: 0648265546 Enrollment ID: I20220830003350 |
| Provider Name | Ameer Matariyeh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427544113 PECOS PAC ID: 3173928900 Enrollment ID: I20220916001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrasco Podiatry Corporation Po Box 4347, Rancho Cucamonga, CA 91729-4347 Ph: (951) 212-6661 | Carrasco Podiatry Corporation 7196 Sunnyside Pl, Rancho Cucamonga, CA 91739-5995 Ph: (951) 212-6661 |
Providence Podiatry Care, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10621 Church St Ste 120, Rancho Cucamonga, CA 91730 Phone: 909-944-0481 Fax: 909-944-3161 | |
Dr. Pete Carrasco Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7196 Sunnyside Pl, Rancho Cucamonga, CA 91739 Phone: 951-212-6661 Fax: 909-987-3292 | |
Michael Jae Bum Kim, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9353 Fairway View Pl Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-858-2772 Fax: 909-300-6324 | |
Wound Healing Care Specialists, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 10621 Church St Ste 120, Rancho Cucamonga, CA 91730 Phone: 909-944-0486 Fax: 909-944-3161 | |
Susanna Chan D.p.m., Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8283 Grove Ave Ste 207b, Rancho Cucamonga, CA 91730 Phone: 909-500-3007 | |
Albert Kim, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8283 Grove Ave Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-500-3007 Fax: 909-530-3007 |