White Feather Physicians Pc | |
6601 White Feather Rd Joshua Tree CA 92252-6607 | |
(760) 366-3711 | |
Not Available |
Full Name | White Feather Physicians Pc |
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Speciality | Internal Medicine |
Location | 6601 White Feather Rd, Joshua Tree, California |
Authorized Official Name and Position | Kim Larsen (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 7708745468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Feather Physicians Pc 5665 New Northside Dr Ste 320 Atlanta GA 30328-5834 Ph: (770) 874-5400 | White Feather Physicians Pc 6601 White Feather Rd Joshua Tree CA 92252-6607 Ph: (760) 366-3711 |
NPI Number | 1710595392 |
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Provider Enumeration Date | 07/20/2020 |
Last Update Date | 08/19/2020 |
Medicare PECOS PAC ID | 8628496171 |
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Medicare Enrollment ID | O20200915001737 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710595392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Ashraf I Ghaly |
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Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1619081528 PECOS PAC ID: 9638075716 Enrollment ID: I20050202000786 |
Provider Name | Christopher L Snyder |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
Provider Name | Sam Lin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649289992 PECOS PAC ID: 7416045901 Enrollment ID: I20090507000404 |
Provider Name | Gholam Reza Zadeii |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407844608 PECOS PAC ID: 0941237796 Enrollment ID: I20160226001228 |
Provider Name | Kevin G Pham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407119852 PECOS PAC ID: 8224355870 Enrollment ID: I20161108001559 |
Provider Name | Hung Q Nguyen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740379312 PECOS PAC ID: 5698732634 Enrollment ID: I20171117002233 |
Provider Name | Meelad Mohammadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215303482 PECOS PAC ID: 6507166576 Enrollment ID: I20180618002603 |
Provider Name | Wali Abawi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104362268 PECOS PAC ID: 7911230925 Enrollment ID: I20190606001069 |
Provider Name | John-john L Loreto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235791674 PECOS PAC ID: 5496186082 Enrollment ID: I20200514002779 |
Provider Name | Sergii Khodakivskyi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609368935 PECOS PAC ID: 4688062680 Enrollment ID: I20211025001498 |
Provider Name | Luis Vera |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962936237 PECOS PAC ID: 1052686003 Enrollment ID: I20230913002757 |
Provider Name | Jose Candelario |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750874251 PECOS PAC ID: 2264844836 Enrollment ID: I20240826003361 |
Provider Name | Monica Neff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891372611 PECOS PAC ID: 7315487071 Enrollment ID: I20240909001876 |
Provider Name | Fahad Jamil |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1881075513 PECOS PAC ID: 1052621323 Enrollment ID: I20241226002702 |
Desert Group Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 White Feather Rd, Joshua Tree, CA 92252 Phone: 706-366-1500 |