| White Feather Physicians PC | |
|
6601 White Feather Rd Joshua Tree CA 92252-6607 | |
| (760) 366-3711 | |
| Not Available |
| Full Name | White Feather Physicians PC |
|---|---|
| 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 |
|---|---|
| White Feather Physicians PC Po Box 27823 Belfast ME 04915-2030 Ph: (770) 874-5400 | White Feather Physicians PC 6601 White Feather Rd Joshua Tree CA 92252-6607 Ph: (760) 366-3711 |
| NPI Number | 1710595392 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 08/14/2026 |
| Certification Date | 08/14/2026 |
| Medicare PECOS PAC ID | 8628496171 |
|---|---|
| Medicare Enrollment ID | O20200915001737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710595392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Ashraf I Ghaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619081528 PECOS PAC ID: 9638075716 Enrollment ID: I20050202000786 |
| Provider Name | Christopher L Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
| Provider Name | Otashe Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508891797 PECOS PAC ID: 9436152774 Enrollment ID: I20060807000240 |
| Provider Name | Sam Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649289992 PECOS PAC ID: 7416045901 Enrollment ID: I20090507000404 |
| Provider Name | Olusegun a Adetuyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417275033 PECOS PAC ID: 2961641576 Enrollment ID: I20140626002537 |
| Provider Name | Gholam Reza Zadeii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407844608 PECOS PAC ID: 0941237796 Enrollment ID: I20160226001228 |
| Provider Name | Marc K Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467542175 PECOS PAC ID: 0042243008 Enrollment ID: I20160824000425 |
| Provider Name | Kevin G Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407119852 PECOS PAC ID: 8224355870 Enrollment ID: I20161108001559 |
| Provider Name | Hung Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740379312 PECOS PAC ID: 5698732634 Enrollment ID: I20171117002233 |
| Provider Name | Meelad Mohammadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215303482 PECOS PAC ID: 6507166576 Enrollment ID: I20180618002603 |
| Provider Name | Wali Abawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104362268 PECOS PAC ID: 7911230925 Enrollment ID: I20190606001069 |
| Provider Name | Martin Duclos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063475192 PECOS PAC ID: 4082694047 Enrollment ID: I20190808002507 |
| Provider Name | John-john L Loreto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235791674 PECOS PAC ID: 5496186082 Enrollment ID: I20200514002779 |
| Provider Name | Sergii Khodakivskyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609368935 PECOS PAC ID: 4688062680 Enrollment ID: I20211025001498 |
| Provider Name | Shipra Saigal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154940138 PECOS PAC ID: 2567822489 Enrollment ID: I20230724001908 |
| Provider Name | Luis Vera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962936237 PECOS PAC ID: 1052686003 Enrollment ID: I20230913002757 |
| Provider Name | Jose Candelario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750874251 PECOS PAC ID: 2264844836 Enrollment ID: I20240826003361 |
| Provider Name | Kristina Tabila-guglielmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003217886 PECOS PAC ID: 0446799969 Enrollment ID: I20240828004247 |
| Provider Name | Monica Neff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891372611 PECOS PAC ID: 7315487071 Enrollment ID: I20240909001876 |
| Provider Name | Fahad Jamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881075513 PECOS PAC ID: 1052621323 Enrollment ID: I20241226002702 |
| Provider Name | John Sullivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730180456 PECOS PAC ID: 5799799136 Enrollment ID: I20251203000503 |
| Provider Name | Imam Imam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346685781 PECOS PAC ID: 5698996858 Enrollment ID: I20260602001598 |
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 |