| Daniel Ghiyam M D Inc | |
|
2840 E Los Angeles Ave Simi Valley CA 93065-3937 | |
| (805) 526-8360 | |
| Not Available |
| Full Name | Daniel Ghiyam M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2840 E Los Angeles Ave, Simi Valley, California |
| Authorized Official Name and Position | Daniel Ghiyam (PRESIDENT) |
| Authorized Official Contact | 8055268360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Ghiyam M D Inc 2840 E Los Angeles Ave Simi Valley CA 93065-3937 | Daniel Ghiyam M D Inc 2840 E Los Angeles Ave Simi Valley CA 93065-3937 Ph: (805) 526-8360 |
| NPI Number | 1114245842 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Medicare PECOS PAC ID | 1850429085 |
|---|---|
| Medicare Enrollment ID | O20100510000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114245842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A75370 (California) | Primary |
| Provider Name | Daniel Ghiyam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750378188 PECOS PAC ID: 4486782612 Enrollment ID: I20100510000503 |
| Provider Name | Jessica Fogeltanz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477942647 PECOS PAC ID: 4284953761 Enrollment ID: I20150505001284 |
| Provider Name | Jessica Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770090201 PECOS PAC ID: 9335401041 Enrollment ID: I20180316001102 |
| Provider Name | Robert a Fielding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477152353 PECOS PAC ID: 0547673352 Enrollment ID: I20210114002560 |
| Provider Name | Luke Jonathan Paik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215698535 PECOS PAC ID: 5193119972 Enrollment ID: I20220221000699 |
| Provider Name | Rutha Mae Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851006431 PECOS PAC ID: 6406373711 Enrollment ID: I20250509001958 |
Pulmonary Critical Care Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 N Sycamore Dr, Suite # 306, Simi Valley, CA 93065 Phone: 805-583-4111 Fax: 805-583-2041 |
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Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Alamo St # 201, Simi Valley, CA 93065 Phone: 805-578-9620 |
Community Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3605 Alamo Street, Suite 100, Simi Valley, CA 93063 Phone: 805-522-6577 Fax: 805-522-7030 |