| Yogendra B Patel,md,inc | |
|
12980 Frederick St Suite J Moreno Valley CA 92553-5263 | |
| (951) 924-9300 | |
| (951) 485-0240 |
| Full Name | Yogendra B Patel,md,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12980 Frederick St, Moreno Valley, California |
| Authorized Official Name and Position | Rosie Lara (SECRETARY) |
| Authorized Official Contact | 9519249300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yogendra B Patel,md,inc 12980 Frederick St Suite J Moreno Valley CA 92553-5263 Ph: (951) 924-9300 | Yogendra B Patel,md,inc 12980 Frederick St Suite J Moreno Valley CA 92553-5263 Ph: (951) 924-9300 |
| NPI Number | 1053688945 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 11/21/2011 |
| Medicare PECOS PAC ID | 2961679139 |
|---|---|
| Medicare Enrollment ID | O20120111000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053688945 | NPI | - | NPPES |
| 1386706240 | Other | CA | INDIVIDUAL EXISTING NPI |
| 00A409080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A40908 (California) | Primary |
| Provider Name | Yogendra B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386706240 PECOS PAC ID: 6901981745 Enrollment ID: I20120112000717 |
Riverside University Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 Fax: 951-486-4435 | |
Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
Dong S. Kim, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557 Phone: 951-243-8000 Fax: 951-243-9707 | |
Planned Parenthood Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 951-222-3101 | |
Joel A Pengson, Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-243-6460 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 |