| Optima Health Corp | |
|
3634 Elizabeth St Riverside CA 92506-2506 | |
| (951) 788-0008 | |
| (951) 788-0007 |
| Full Name | Optima Health Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 3634 Elizabeth St, Riverside, California |
| Authorized Official Name and Position | Andro Sharobiem (PRESIDENT) |
| Authorized Official Contact | 9494121020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optima Health Corp 3634 Elizabeth St Riverside CA 92506-2506 Ph: (951) 788-0008 | Optima Health Corp 3634 Elizabeth St Riverside CA 92506-2506 Ph: (951) 788-0008 |
| NPI Number | 1245892066 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Medicare PECOS PAC ID | 3779911466 |
|---|---|
| Medicare Enrollment ID | O20200311001414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245892066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sindy K Tadros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851542633 PECOS PAC ID: 4284791179 Enrollment ID: I20090319000618 |
| Provider Name | Andro N Sharobiem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073711453 PECOS PAC ID: 9234280371 Enrollment ID: I20090630000488 |
| Provider Name | Tammy R Wegrzyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801123914 PECOS PAC ID: 7214067438 Enrollment ID: I20100615000718 |
| Provider Name | Humera Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801982632 PECOS PAC ID: 3577632785 Enrollment ID: I20100924001289 |
| Provider Name | Paul Edward Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861993164 PECOS PAC ID: 9638592280 Enrollment ID: I20200722002109 |
| Provider Name | Vicente Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861978371 PECOS PAC ID: 4486056108 Enrollment ID: I20210716001662 |
| Provider Name | Emily Farias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518595677 PECOS PAC ID: 1052772522 Enrollment ID: I20230731002917 |
| Provider Name | Kim Susan Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598549578 PECOS PAC ID: 1759739782 Enrollment ID: I20231130002654 |
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