| Danielle Marie Venegas, DPM | |
|
11201 Benton St, Loma Linda, CA 92357-1000 | |
| (909) 825-7084 | |
| Not Available |
| Full Name | Danielle Marie Venegas |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 11201 Benton St, Loma Linda, 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 |
|---|---|---|---|
| 1083135743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5674 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | EL6814 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mariam Amiri | 0446158968 | 2 |
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Provider Name | Mariam Amiri |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235140336 PECOS PAC ID: 0446158968 Enrollment ID: O20031222000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Marie Venegas, DPM 11332 Mountain View Ave Ste A, Loma Linda, CA 92354-3854 Ph: (909) 796-3707 | Danielle Marie Venegas, DPM 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 |
Dr. Carol Tran, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Brayton R Campbell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton St, 3 Nw, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Montana Vanessa Von Musser, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Elizabeth Hana Oh, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Mariam Shanaz Amiri, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354 Phone: 909-796-3707 Fax: 909-796-3709 | |
Barry Young, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354 Phone: 909-796-3707 Fax: 909-796-3709 |