| Sierra Madre Community Medical Group, Inc | |
| 
					147 W Sierra Madre Blvd Sierra Madre CA 91024-2492  | |
| (626) 355-3443 | |
| (626) 355-7843 | 
| Full Name | Sierra Madre Community Medical Group, Inc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 147 W Sierra Madre Blvd, Sierra Madre, California | 
| Authorized Official Name and Position | Hani Sami (PRESIDENT/ PHYSICIAN) | 
| Authorized Official Contact | 6269211808 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sierra Madre Community Medical Group, Inc 147 W Sierra Madre Blvd Sierra Madre CA 91024-2492 Ph: (626) 355-3443  | Sierra Madre Community Medical Group, Inc 147 W Sierra Madre Blvd Sierra Madre CA 91024-2492 Ph: (626) 355-3443  | 
| NPI Number | 1902951825 | 
|---|---|
| Provider Enumeration Date | 01/23/2007 | 
| Last Update Date | 02/17/2022 | 
| Medicare PECOS PAC ID | 8729049663 | 
|---|---|
| Medicare Enrollment ID | O20041022001121 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902951825 | NPI | - | NPPES | 
| ZZZ606482 | Other | CA | BLUE SHIELD | 
| GR0087460 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Cindy H Chou | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1821010745 PECOS PAC ID: 5698721330 Enrollment ID: I20050325000487  | 
| Provider Name | Dorothy C Hong | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1548411713 PECOS PAC ID: 2264579861 Enrollment ID: I20091031000049  | 
| Provider Name | Jossalyn T Emslie | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1013913508 PECOS PAC ID: 6507909181 Enrollment ID: I20100204000311  | 
| Provider Name | Hani Sami | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1306891957 PECOS PAC ID: 2769580174 Enrollment ID: I20110111000690  | 
| Provider Name | Hani Sami | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1306891957 PECOS PAC ID: 2769580174 Enrollment ID: I20110412000903  | 
| Provider Name | Mirna P Elias | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1295045532 PECOS PAC ID: 0749466357 Enrollment ID: I20110517000094  | 
| Provider Name | Phuong Tinh Nguyen | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1336609908 PECOS PAC ID: 6901289289 Enrollment ID: I20220906002462  | 
| Provider Name | Nathalie Sami | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1902487622 PECOS PAC ID: 6507259132 Enrollment ID: I20240911004416  | 
Edward P. Laurance, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 460 W Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 626-836-6900  | |
Wound Care Partners, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Sierra Madre Blvd, Sierra Madre, CA 91024 Phone: 888-794-2362  | |
Nicholas Jauregui Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 W Sierra Madre Blvd, Suite 352, Sierra Madre, CA 91024 Phone: 877-830-7328  |