| San Jose Muiltispecialty Medical Group,inc | |
|
14514 Ramona Blvd Suite 3 Baldwin Park CA 91706-3305 | |
| (626) 337-0424 | |
| (626) 813-9095 |
| Full Name | San Jose Muiltispecialty Medical Group,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14514 Ramona Blvd, Baldwin Park, California |
| Authorized Official Name and Position | Jose Dalio Berganza (PRESIDENT) |
| Authorized Official Contact | 6263370424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jose Muiltispecialty Medical Group,inc 14514 Ramona Blvd Suite 3 Baldwin Park CA 91706-3305 Ph: (626) 337-0424 | San Jose Muiltispecialty Medical Group,inc 14514 Ramona Blvd Suite 3 Baldwin Park CA 91706-3305 Ph: (626) 337-0424 |
| NPI Number | 1962560896 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 01/09/2008 |
| Medicare PECOS PAC ID | 0941214225 |
|---|---|
| Medicare Enrollment ID | O20060126000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962560896 | NPI | - | NPPES |
| GR0080790 | Medicaid | CA |
| Provider Name | Jose D Berganza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003997032 PECOS PAC ID: 0749294023 Enrollment ID: I20060127000403 |
| Provider Name | Marina H Fernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255354171 PECOS PAC ID: 8022286525 Enrollment ID: I20110728000428 |
| Provider Name | Haydee G Castaneda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689741241 PECOS PAC ID: 2466753819 Enrollment ID: I20180123000676 |
Balwin Park Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14652 Pacific Ave, Baldwin Park, CA 91706 Phone: 626-337-1360 Fax: 323-962-1375 | |
Amado D. Mandani M.d.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14338 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-962-7886 Fax: 626-962-4636 | |
Rao L. Atluri,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14051 E. Ramona Parkway, Baldwin Park, CA 91706 Phone: 626-338-7338 Fax: 626-338-0201 | |
Baldwin Park Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 | |
Baldwin Park-el Monte Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14342 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-338-4088 Fax: 626-814-9068 | |
El Proyecto Del Barrio,inc/ Baldwin Park Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3942 Maine Ave, Baldwin Park, CA 91706 Phone: 626-969-7885 | |
Carlos Beharie M.d. Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706 Phone: 626-653-0800 Fax: 626-244-0485 |