Nogba Pawoo (NPI# 1689904237, PAC ID# 0547544876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1689904237 |
| PAC ID by PECOS | 0547544876 |
| Professional Enrollment ID | I20170303001564 |
| Full Name | Nogba Pawoo |
| Organization Legal Name | HIGH DESERT PATHOLOGY MEDICAL GROUP |
| Address |
15248 11th St E Department of Pathology Victorville CA 92395-3704 |
| Phone Number | 7602458691 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2009 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 9537313028 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050517 | VICTOR VALLEY GLOBAL MEDICAL CENTER |
| 050298 | BARSTOW COMMUNITY HOSPITAL |
| 050586 | CHINO VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 15248 11th St E, Department of Pathology, Victorville, CA 92395-3704 | 7602458691 | HIGH DESERT PATHOLOGY MEDICAL GROUP |
| Organization Legal Name | HIGH DESERT PATHOLOGY MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reda M Tadros | Pathology | High Desert Pathology Medical Group | 5451 Walnut Ave, Department of Pathology, Chino, CA 91710-2609 |
| Gholamhossein Pezeshkpour | Pathology | High Desert Pathology Medical Group | 1001 N Tustin Ave, Santa Ana, CA 92705-3502 |
| Maryam Dadfarnia Ameri | Pathology | High Desert Pathology Medical Group | 1805 Medical Ctr Dr, San Bernardino, CA 92411-1217 |
| Street Address |
15248 11TH ST E DEPARTMENT OF PATHOLOGY |
| City | VICTORVILLE |
| State | CA |
| Zip | 92395-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Coombe | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Dee M Larcheveque | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Orlando Ricci | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Richard M Obler | Family Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Chang-ho L Chon | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lisa Rogers | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Monica D Serna | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Michael R Manolescu | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Jie Ren | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lydia A Cruz | Anesthesiology | Orange Coast Anesthesia Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Find all physicians in zip 92395 | |||
| City | VICTORVILLE |
| Zip Code | 92395 |
| Specialty | PATHOLOGY |
| City + Specialty | VICTORVILLE + PATHOLOGY |
Please comment or provide details below to improve the information on Nogba Pawoo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.