| Easyaccess Medical Group, Inc | |
|
222 E Cole Blvd Calexico CA 92231-3211 | |
| (760) 352-2551 | |
| (888) 631-5150 |
| Full Name | Easyaccess Medical Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 E Cole Blvd, Calexico, California |
| Authorized Official Name and Position | Tien Vo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7603522551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easyaccess Medical Group, Inc 1590 S Imperial Ave El Centro CA 92243-4241 Ph: (760) 352-2551 | Easyaccess Medical Group, Inc 222 E Cole Blvd Calexico CA 92231-3211 Ph: (760) 352-2551 |
| NPI Number | 1386160810 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 06/20/2023 |
| Medicare PECOS PAC ID | 8628336393 |
|---|---|
| Medicare Enrollment ID | O20171229002278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386160810 | NPI | - | NPPES |
| 1891964904 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Harry D Elshire |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376618389 PECOS PAC ID: 2163410721 Enrollment ID: I20040506000442 |
| Provider Name | Hoang M Ho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275684847 PECOS PAC ID: 7214906759 Enrollment ID: I20040930000689 |
| Provider Name | Lawrence N Cooper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518939297 PECOS PAC ID: 4284603267 Enrollment ID: I20050418001321 |
| Provider Name | Juan Carlos Velazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497812895 PECOS PAC ID: 2961591771 Enrollment ID: I20071201000200 |
| Provider Name | Michael N Rutman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303122 PECOS PAC ID: 2860533056 Enrollment ID: I20100111000198 |
| Provider Name | Bryant Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902085426 PECOS PAC ID: 4789756545 Enrollment ID: I20110815000304 |
| Provider Name | Tien T Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891964904 PECOS PAC ID: 6507937067 Enrollment ID: I20110818000077 |
| Provider Name | James M Kohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063568947 PECOS PAC ID: 1658364302 Enrollment ID: I20120104000377 |
| Provider Name | Duc T Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245495498 PECOS PAC ID: 8527115815 Enrollment ID: I20160222000135 |
| Provider Name | John Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043248719 PECOS PAC ID: 9335204163 Enrollment ID: I20170420001379 |
| Provider Name | Christian Omar Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942806237 PECOS PAC ID: 2567878408 Enrollment ID: I20210301002401 |
| Provider Name | Jhoana B Tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868191 PECOS PAC ID: 8224445440 Enrollment ID: I20210405001923 |
| Provider Name | Joanna Falcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689254039 PECOS PAC ID: 9830591536 Enrollment ID: I20210716000820 |
| Provider Name | Rafid Asfar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639468747 PECOS PAC ID: 2961626486 Enrollment ID: I20211103001270 |
| Provider Name | Venus Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053705087 PECOS PAC ID: 0941577001 Enrollment ID: I20220712003771 |
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