Urgentpoint Medical Group, Pc | |
15030 7th Street, Victorville, CA 92395 | |
(833) 438-8763 | |
(833) 438-8700 |
Full Name | Urgentpoint Medical Group, Pc |
---|---|
Type | Facility |
Speciality | Surgery - Vascular Surgery |
Location | 15030 7th Street, Victorville, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689835563 | NPI | - | NPPES |
OOG660080 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
Provider Name | Jennifer M Lee |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144412446 PECOS PAC ID: 0749362721 Enrollment ID: I20080129000868 |
Provider Name | Joe P Chauvapun |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1487842597 PECOS PAC ID: 0749344158 Enrollment ID: I20090130000064 |
Provider Name | Salma Nawabi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013197946 PECOS PAC ID: 8527125483 Enrollment ID: I20090319000368 |
Provider Name | Jason T Chiriano |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1457569519 PECOS PAC ID: 3870649809 Enrollment ID: I20090916000665 |
Provider Name | Victor Gregory Krall |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386746477 PECOS PAC ID: 9638339401 Enrollment ID: I20120402000483 |
Provider Name | Olivia V Morales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619246006 PECOS PAC ID: 0547575342 Enrollment ID: I20150821013732 |
Provider Name | Chirag Pankaj Mehta |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1144483256 PECOS PAC ID: 2860708062 Enrollment ID: I20150902002815 |
Provider Name | Sameer Kamal Hassamal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538459011 PECOS PAC ID: 8921246877 Enrollment ID: I20151228000750 |
Provider Name | Robert Azizi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316101298 PECOS PAC ID: 3779872981 Enrollment ID: I20160511001425 |
Provider Name | Tyeshia Monika Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104276419 PECOS PAC ID: 7012281322 Enrollment ID: I20170926002317 |
Provider Name | Allan Evangelista |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154480887 PECOS PAC ID: 5294765327 Enrollment ID: I20180417000268 |
Provider Name | Atabak Allaei |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720390420 PECOS PAC ID: 4789979675 Enrollment ID: I20180523002350 |
Provider Name | Julio Meza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649666470 PECOS PAC ID: 6608131040 Enrollment ID: I20180605003074 |
Provider Name | Simpledeep Kaur Banipal |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1306181375 PECOS PAC ID: 5395036529 Enrollment ID: I20180815003413 |
Provider Name | Francisco G Mendivil-moreno |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1871989475 PECOS PAC ID: 9739433905 Enrollment ID: I20181107002069 |
Provider Name | Adela Mercedes Valenzuela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295745958 PECOS PAC ID: 3476881830 Enrollment ID: I20190822002239 |
Provider Name | Pamela V Gambrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821552308 PECOS PAC ID: 6305176058 Enrollment ID: I20190924001716 |
Provider Name | Haran Sivakumar |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982109740 PECOS PAC ID: 8123453347 Enrollment ID: I20200116001651 |
Provider Name | Bernice Zenia Tan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033749270 PECOS PAC ID: 2264861541 Enrollment ID: I20200501000771 |
Provider Name | Nicole M Ray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689290827 PECOS PAC ID: 9335563881 Enrollment ID: I20200716004176 |
Provider Name | Kenisha Akeila Nisbett |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316471527 PECOS PAC ID: 1456757210 Enrollment ID: I20210902003147 |
Provider Name | Ceazon Edwards |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1417396227 PECOS PAC ID: 1951533884 Enrollment ID: I20211105000914 |
Provider Name | Anam Gulraiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598432320 PECOS PAC ID: 3173913159 Enrollment ID: I20211206002484 |
Provider Name | Shala Battle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912529272 PECOS PAC ID: 8820401219 Enrollment ID: I20220427002471 |
Provider Name | Jamie Lynn Michalski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740887579 PECOS PAC ID: 6204223894 Enrollment ID: I20220429000355 |
Provider Name | Porsha Marie Peterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992387088 PECOS PAC ID: 1951788579 Enrollment ID: I20220519000892 |
Provider Name | Tigran Karamanukyan |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1730561994 PECOS PAC ID: 5092190082 Enrollment ID: I20220912001268 |
Provider Name | Abraham Kaslow |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1962896274 PECOS PAC ID: 7719354448 Enrollment ID: I20221109000248 |
Provider Name | Shaunte Peta-vonn Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205575602 PECOS PAC ID: 9234507708 Enrollment ID: I20221115002050 |
Provider Name | Michael Mckee |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1306256185 PECOS PAC ID: 7315253200 Enrollment ID: I20221214003323 |
Provider Name | Brittany Burney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679163349 PECOS PAC ID: 9436522489 Enrollment ID: I20230222002517 |
Provider Name | Riana Leake Chagoury |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851644538 PECOS PAC ID: 1052785813 Enrollment ID: I20230316002493 |
Provider Name | Miriam Elizabeth Mirmotahari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851911135 PECOS PAC ID: 4688049935 Enrollment ID: I20230425000529 |
Provider Name | Kathleen Kai-lee Hua |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871957829 PECOS PAC ID: 4587900949 Enrollment ID: I20230426002768 |
Provider Name | Rumi Mohammed Faizer |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1720025455 PECOS PAC ID: 2961654132 Enrollment ID: I20230615003039 |
Provider Name | Tausha Dargon Bolin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245004720 PECOS PAC ID: 7719322254 Enrollment ID: I20240223003449 |
Mailing Address | Practice Location Address |
---|---|
Urgentpoint Medical Group, Pc Po Box 7092, Pasadena, CA 91109-7092 Ph: (323) 438-0483 | Urgentpoint Medical Group, Pc 15030 7th Street, Victorville, CA 92395 Ph: (833) 438-8763 |