| 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 |
| Medicare PECOS PAC ID | 8820529761 |
|---|---|
| Medicare Enrollment ID | O20241003000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427889195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Jennifer 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 | Paul Schrickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285035584 PECOS PAC ID: 1951625003 Enrollment ID: I20250113001386 |
| 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 |
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