| Temecula Valley Primary Care Physicians | |
|
40285 Winchester Rd Suite 103 Temecula CA 92591-5547 | |
| (951) 296-5844 | |
| (951) 296-5840 |
| Full Name | Temecula Valley Primary Care Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 40285 Winchester Rd, Temecula, California |
| Authorized Official Name and Position | David Howard Zebrack (OWNER) |
| Authorized Official Contact | 9512965844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Temecula Valley Primary Care Physicians 40285 Winchester Rd Suite 103 Temecula CA 92591-5547 Ph: (951) 296-5844 | Temecula Valley Primary Care Physicians 40285 Winchester Rd Suite 103 Temecula CA 92591-5547 Ph: (951) 296-5844 |
| NPI Number | 1124395686 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 07/31/2017 |
| Medicare PECOS PAC ID | 1355503210 |
|---|---|
| Medicare Enrollment ID | O20120510000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124395686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5930 (California) | Primary |
| Provider Name | David H Zebrack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891873329 PECOS PAC ID: 9739173766 Enrollment ID: I20040413000681 |
| Provider Name | Douglas J Wise |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568542363 PECOS PAC ID: 1951338649 Enrollment ID: I20050725000726 |
| Provider Name | Danielle Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801315171 PECOS PAC ID: 7012273394 Enrollment ID: I20171102003269 |
| Provider Name | Maria Barakzai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205331469 PECOS PAC ID: 0345620621 Enrollment ID: I20220705000174 |
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Prestigious Medical Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40820 Winchester Rd Ste 2505, Temecula, CA 92591 Phone: 951-764-5962 |
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