| Sycuan Tribal Government | |
|
5442 Sycuan Rd El Cajon CA 92019-1816 | |
| (619) 445-0707 | |
| (619) 445-9764 |
| Full Name | Sycuan Tribal Government |
|---|---|
| Speciality | Clinic/Center |
| Location | 5442 Sycuan Rd, El Cajon, California |
| Authorized Official Name and Position | Daniel L. Barbara (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 6194450707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycuan Tribal Government 5442 Sycuan Rd El Cajon CA 92019-1816 Ph: (619) 445-0707 | Sycuan Tribal Government 5442 Sycuan Rd El Cajon CA 92019-1816 Ph: (619) 445-0707 |
| NPI Number | 1427197078 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/26/2018 |
| Medicare PECOS PAC ID | 5698795813 |
|---|---|
| Medicare Enrollment ID | O20051202000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427197078 | NPI | - | NPPES |
| 1427197078 | Medicaid | CA | |
| ZZZ50681Z | Other | CA | BLUE CROSS |
| 54220ZZZ50681Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| THP70066F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Arjun N Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730132457 PECOS PAC ID: 7214922681 Enrollment ID: I20040415000993 |
| Provider Name | Wendy S Dengerink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104822022 PECOS PAC ID: 4587645569 Enrollment ID: I20050923000410 |
| Provider Name | Melchior Peter Vallone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093998965 PECOS PAC ID: 2365565405 Enrollment ID: I20101112000202 |
| Provider Name | Teresa M Mogielnicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043202765 PECOS PAC ID: 4981892874 Enrollment ID: I20101220000140 |
| Provider Name | Donald Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780770560 PECOS PAC ID: 8426246323 Enrollment ID: I20140611002350 |
Health Ave Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 E Chase Ave Ste 109, El Cajon, CA 92020 Phone: 619-499-5006 | |
Zion Healing Center Socal Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S Magnolia Ave Ste 203, El Cajon, CA 92020 Phone: 619-350-0302 | |
Ahmed Alshawwaf Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S Magnolia Ave Ste 101, El Cajon, CA 92020 Phone: 619-383-4153 | |
East County Family Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S. Magnolia Ave. Suite 101, El Cajon, CA 92020 Phone: 619-861-4123 Fax: 858-676-0035 | |
Family Health Centers Of San Diego Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Chase Ave, El Cajon, CA 92020 Phone: 619-515-2300 Fax: 619-593-9164 | |
San Diego Rehab Specialists Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3356 Rancho Diego Cir, El Cajon, CA 92019 Phone: 619-438-4119 | |
Salam Yatooma, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Colina Grande, El Cajon, CA 92019 Phone: 619-729-0559 Fax: 619-740-4204 |