Wilson Izquierdo (NPI# 1396998944, PAC ID# 0941465561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1396998944 |
| PAC ID by PECOS | 0941465561 |
| Professional Enrollment ID | I20120705000639 |
| Full Name | Wilson Izquierdo |
| Organization Legal Name | BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION |
| Address |
10327 Hole Ave Riverside CA 92505-1747 |
| Phone Number | 9513511600 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4880630102 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10327 Hole Ave, Riverside, CA 92505-1747 | 9513511600 | BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION |
| Organization Legal Name | BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvaro Bolivar | Family Medicine | Bolivar Family Medical Clinic A Medical Corporation | 598 N F St, San Bernardino, CA 92410-3110 |
| David A Bolivar | Emergency Medicine | Bolivar Family Medical Clinic A Medical Corporation | 598 N F St, San Bernardino, CA 92410-3110 |
| Eunice Bolivar | Family Medicine | Bolivar Family Medical Clinic A Medical Corporation | 598 N F St, San Bernardino, CA 92410-3110 |
| Street Address |
10327 HOLE AVE |
| City | RIVERSIDE |
| State | CA |
| Zip | 92505-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Martinez | Family Medicine | 10683 Magnolia Ave, Suite B, Riverside, CA 92505-1893 | |
| Michelle Taehee-evans Ng | Physical Medicine and Rehabilitation | West Coast Health and Rehab, PC | 11162 Palm Terrace Ln, Riverside, CA 92505-2338 |
| Ina J Creekbaum | Psychologist, Clinical | 3705 La Sierra Ave, Suite 206, Riverside, CA 92505-3038 | |
| Grace L Kim | Ophthalmology | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Caitlin T Chau | Family Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Robert L Rudek | General Surgery | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Richard M Bradburne | Internal Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Sungjin John | Family Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Shelly C Thio | Internal Medicine | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Brian Hild | Orthopedic Surgery | Southern California Permanente Medical Group | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
| Find all physicians in zip 92505 | |||
| City | RIVERSIDE |
| Zip Code | 92505 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | RIVERSIDE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Wilson Izquierdo.
| 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.