| Pacific Gastroenterology Medical Associates, Inc. | |
|
26421 Crown Valley Pkwy Suite 140a Mission Viejo CA 92691-8564 | |
| (949) 365-8836 | |
| (949) 365-8837 |
| Full Name | Pacific Gastroenterology Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 26421 Crown Valley Pkwy, Mission Viejo, California |
| Authorized Official Name and Position | Om P Chaurasia (PRESIDENT) |
| Authorized Official Contact | 9493658836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Gastroenterology Medical Associates, Inc. 26421 Crown Valley Pkwy Suite 140a Mission Viejo CA 92691-8564 Ph: (949) 365-8836 | Pacific Gastroenterology Medical Associates, Inc. 26421 Crown Valley Pkwy Suite 140a Mission Viejo CA 92691-8564 Ph: (949) 365-8836 |
| NPI Number | 1932232576 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 06/03/2015 |
| Medicare PECOS PAC ID | 8123216884 |
|---|---|
| Medicare Enrollment ID | O20101221001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932232576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Susan M Heravi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306905013 PECOS PAC ID: 6901848316 Enrollment ID: I20050525001129 |
| Provider Name | Elaine J Randall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740357508 PECOS PAC ID: 6901848217 Enrollment ID: I20050526000592 |
| Provider Name | Cyrus Parsa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437281615 PECOS PAC ID: 5698872034 Enrollment ID: I20070521000254 |
| Provider Name | Om Prakash Chaurasia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528136702 PECOS PAC ID: 0648328237 Enrollment ID: I20101221001197 |
| Provider Name | Dave O Chy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518253319 PECOS PAC ID: 4587825773 Enrollment ID: I20120416000310 |
| Provider Name | Shehla Arain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497927784 PECOS PAC ID: 0042364630 Enrollment ID: I20140613001280 |
| Provider Name | Ivan Baylosis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699299073 PECOS PAC ID: 0749542298 Enrollment ID: I20180320003146 |
| Provider Name | Kessia Reis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992322200 PECOS PAC ID: 1052725173 Enrollment ID: I20210202000924 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Raef M Elsanadi Md Inc A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691 Phone: 949-364-3582 Fax: 949-364-3582 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |