| Christopher Kassar D.o. Inc. | |
|
615 E Foothill Blvd Ste A San Dimas CA 91773-1255 | |
| (626) 335-3527 | |
| (626) 623-7233 |
| Full Name | Christopher Kassar D.o. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 615 E Foothill Blvd Ste A, San Dimas, California |
| Authorized Official Name and Position | Tammi Lyn Parr (OFFICE MANAGER) |
| Authorized Official Contact | 9093353527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Kassar D.o. Inc. 615 E Foothill Blvd Ste A San Dimas CA 91773-1255 Ph: (626) 335-3527 | Christopher Kassar D.o. Inc. 615 E Foothill Blvd Ste A San Dimas CA 91773-1255 Ph: (626) 335-3527 |
| NPI Number | 1831346592 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 04/10/2025 |
| Medicare PECOS PAC ID | 3678620366 |
|---|---|
| Medicare Enrollment ID | O20090415000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831346592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A036813 (California) | Primary |
| Provider Name | Timothy Jay Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205878451 PECOS PAC ID: 9133276819 Enrollment ID: I20090415000512 |
| Provider Name | Raquel Marie Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770597809 PECOS PAC ID: 8921222134 Enrollment ID: I20140609002271 |
| Provider Name | Christopher E Kassar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346659174 PECOS PAC ID: 1658656145 Enrollment ID: I20170324000217 |
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