| Agm Medical Group, P.C. | |
|
27349 Jefferson Ave Ste 100 Temecula CA 92590-5611 | |
| (866) 211-9447 | |
| (619) 393-0840 |
| Full Name | Agm Medical Group, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 27349 Jefferson Ave Ste 100, Temecula, California |
| Authorized Official Name and Position | Andrew Paul Desjardins (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8662119447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agm Medical Group, P.C. 27349 Jefferson Ave Ste 100 Temecula CA 92590-5611 Ph: (866) 211-9447 | Agm Medical Group, P.C. 27349 Jefferson Ave Ste 100 Temecula CA 92590-5611 Ph: (866) 211-9447 |
| NPI Number | 1003617499 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 05/19/2026 |
| Certification Date | 05/19/2026 |
| Medicare PECOS PAC ID | 5890208185 |
|---|---|
| Medicare Enrollment ID | O20250630003819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003617499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Andrew Desjardins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396713103 PECOS PAC ID: 0244213882 Enrollment ID: I20040612000418 |
| Provider Name | Kristen L Tautua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184362675 PECOS PAC ID: 5597148627 Enrollment ID: I20220822003346 |
| Provider Name | Ebony Hillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730822875 PECOS PAC ID: 9032651823 Enrollment ID: I20240607002285 |
| Provider Name | Kasama Brand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578305165 PECOS PAC ID: 4284171976 Enrollment ID: I20240730003952 |
| Provider Name | Anh-thu L Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992509699 PECOS PAC ID: 3870008089 Enrollment ID: I20250716002092 |
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