| San Gorgonio Memorial Health Care District | |
|
264 N Highland Springs Ave Banning CA 92220-3082 | |
| (951) 846-2877 | |
| (951) 846-2876 |
| Full Name | San Gorgonio Memorial Health Care District |
|---|---|
| Speciality | Clinic/Center |
| Location | 264 N Highland Springs Ave, Banning, California |
| Authorized Official Name and Position | Angela Brady (CHIEF NURSING EXECUTIVE/VP) |
| Authorized Official Contact | 5176921859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gorgonio Memorial Health Care District 264 N Highland Springs Ave Ste 5a Banning CA 92220-3083 Ph: (951) 846-2877 | San Gorgonio Memorial Health Care District 264 N Highland Springs Ave Banning CA 92220-3082 Ph: (951) 846-2877 |
| NPI Number | 1194243642 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 11/22/2024 |
| Medicare PECOS PAC ID | 0749556793 |
|---|---|
| Medicare Enrollment ID | O20171019001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194243642 | NPI | - | NPPES |
| Provider Name | Jasleen Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811308109 PECOS PAC ID: 9133437353 Enrollment ID: I20151007001760 |
| Provider Name | Crystal Nicole Pruitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215357793 PECOS PAC ID: 9830449453 Enrollment ID: I20180831001555 |
| Provider Name | Peter Do Wei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134707680 PECOS PAC ID: 8022476118 Enrollment ID: I20230622000119 |
| Provider Name | Tatiana Hoeffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487274825 PECOS PAC ID: 8426599721 Enrollment ID: I20240925004252 |
New Millenium Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 Fax: 951-849-0080 | |
Dr Shanna R Newbold M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 N Highland Springs Ave Ste A, Banning, CA 92220 Phone: 909-556-7694 | |
First Americans Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12359 Malki Rd, Banning, CA 92220 Phone: 951-922-2058 Fax: 888-551-2116 | |
Riverside-san Bernardino County Indian Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 951-849-4761 Fax: 951-849-5612 | |
Beaver Medical Group, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 Fax: 909-796-4158 | |
Qazi Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 N Highland Springs Ave, Suite 2a, Banning, CA 92220 Phone: 951-845-8856 Fax: 951-845-7256 |