| Adobe PH Ca Medical Group, P.C. | |
|
135 S State College Blvd # 228 Brea CA 92821-5823 | |
| (480) 339-1780 | |
| Not Available |
| Full Name | Adobe PH Ca Medical Group, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 135 S State College Blvd # 228, Brea, California |
| Authorized Official Name and Position | Jennifer Frangos (OWNER) |
| Authorized Official Contact | 4803391780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adobe PH Ca Medical Group, P.C. 7500 N Dreamy Draw Dr Ste 100 Phoenix AZ 85020-4668 Ph: (480) 339-1780 | Adobe PH Ca Medical Group, P.C. 135 S State College Blvd # 228 Brea CA 92821-5823 Ph: (480) 339-1780 |
| NPI Number | 1427889195 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 8820529761 |
|---|---|
| Medicare Enrollment ID | O20241003000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427889195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 251B00000X | Case Management | () | Secondary |
| Provider Name | Solomon Teckle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154582971 PECOS PAC ID: 1456480698 Enrollment ID: I20100526000260 |
| Provider Name | Jenna Nakagawa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083913180 PECOS PAC ID: 9133482516 Enrollment ID: I20180417002796 |
| Provider Name | Katerina M Borja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962983627 PECOS PAC ID: 1254676554 Enrollment ID: I20181214000042 |
| Provider Name | Elizabeth Ayodele Agiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600699 PECOS PAC ID: 8628377058 Enrollment ID: I20230426001656 |
| Provider Name | Charlotte Ann Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609177641 PECOS PAC ID: 2062958564 Enrollment ID: I20240724004485 |
| Provider Name | Jennifer A. Frangos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043416696 PECOS PAC ID: 3678666856 Enrollment ID: I20241003000903 |
| Provider Name | Kelly Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952152977 PECOS PAC ID: 9931643061 Enrollment ID: I20250109003005 |
| Provider Name | Lynn Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568538205 PECOS PAC ID: 7719075910 Enrollment ID: I20250113003246 |
| Provider Name | Serita Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417203142 PECOS PAC ID: 2062661085 Enrollment ID: I20250116000424 |
| Provider Name | Abri Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467982942 PECOS PAC ID: 4688947476 Enrollment ID: I20250116001879 |
| Provider Name | Tiffany Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730683319 PECOS PAC ID: 5193087443 Enrollment ID: I20250424002085 |
| Provider Name | Oziel Nassif De Rico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437932720 PECOS PAC ID: 0143732057 Enrollment ID: I20250625003347 |
| Provider Name | Teresa Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043593072 PECOS PAC ID: 0648431288 Enrollment ID: I20250918003899 |
| Provider Name | Beverly Balamad Mosqueda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700201779 PECOS PAC ID: 6901107317 Enrollment ID: I20251017002220 |
| Provider Name | Ebonique Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003375825 PECOS PAC ID: 3870916760 Enrollment ID: I20251021003959 |
| Provider Name | Willie Ballou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548657802 PECOS PAC ID: 4385908086 Enrollment ID: I20260204004529 |
| Provider Name | Juan Lafosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548774458 PECOS PAC ID: 9335404243 Enrollment ID: I20260422003045 |
| Provider Name | Raquiel Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811997 PECOS PAC ID: 7012327927 Enrollment ID: I20260526002169 |
Icare Health Plan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3230 E Imperial Hwy Ste 175, Brea, CA 92821 Phone: 626-506-5564 |
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Premier Covid Testing Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 N Palm St Ste 201, Brea, CA 92821 Phone: 714-549-1777 |
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