| Loma Linda Foot And Ankle Center | |
|
18225 Outer Highway 18, Apple Valley, CA 92307 | |
| (760) 242-5096 | |
| (909) 242-3814 |
| Full Name | Loma Linda Foot And Ankle Center |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 18225 Outer Highway 18, Apple Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235140336 | NPI | - | NPPES |
| GRE001751 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E4049 (California) | Primary |
| Provider Name | Mariam S Amiri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093826539 PECOS PAC ID: 6406754928 Enrollment ID: I20080116000193 |
| Provider Name | Candace Buckley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558795757 PECOS PAC ID: 8325262264 Enrollment ID: I20140614000071 |
| Provider Name | Allan Evangelista |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154480887 PECOS PAC ID: 5294765327 Enrollment ID: I20180417000268 |
| Provider Name | Danielle M Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083135743 PECOS PAC ID: 7911320163 Enrollment ID: I20200707003098 |
| Provider Name | Leticia Janel Juarez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508393778 PECOS PAC ID: 4385912146 Enrollment ID: I20200728003055 |
| Provider Name | Vidhi Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285126664 PECOS PAC ID: 7517361231 Enrollment ID: I20210803001689 |
| Mailing Address | Practice Location Address |
|---|---|
| Loma Linda Foot And Ankle Center Po Box 1069, Loma Linda, CA 92354-1069 Ph: (909) 796-3707 | Loma Linda Foot And Ankle Center 18225 Outer Highway 18, Apple Valley, CA 92307 Ph: (760) 242-5096 |
High Desert Foot & Ankle Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 19333 Bear Valley Rd, Suite 101, Apple Valley, CA 92308 Phone: 760-240-6749 Fax: 760-956-4156 | |
High Desert Limb Salvage Institute Podiatrist Corp Podiatrist Medicare: Medicare Enrolled Practice Location: 18225 Outer Hwy 18, Apple Valley, CA 92307 Phone: 760-242-4199 Fax: 760-242-3814 | |
Dr. Norris Morrison Sr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 18225 Outer Hwy 18, Apple Valley, CA 92307 Phone: 760-242-4199 Fax: 760-242-4199 |