Gino Hidalgo Tagoylo (NPI# 1790982254, PAC ID# 1759547235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1790982254 |
| PAC ID by PECOS | 1759547235 |
| Professional Enrollment ID | I20130820000354 |
| Full Name | Gino Hidalgo Tagoylo |
| Organization Legal Name | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| Address |
665 Munras Ave Suite 109 Monterey CA 93940-3136 |
| Phone Number | 8316569800 |
| Gender | M |
| Medical School | PONCE SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4284621525 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050036 | BAKERSFIELD MEMORIAL HOSPITAL |
| 050295 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2215 Truxtun Ave, Bakersfield, CA 93301-3602 | 6613269600 | KERN RADIOLOGY MEDICAL GROUP INC |
| 2301 Bahamas Dr, Bakersfield, CA 93309-0663 | 6613269600 | KERN RADIOLOGY MEDICAL GROUP INC |
| 4500 Morning Dr, Suite 202, Bakersfield, CA 93306-7277 | 6613266900 | KERN RADIOLOGY MEDICAL GROUP INC |
| 9330 Stockdale Hwy, Suite 100, Bakersfield, CA 93311-3615 | 6613269600 | KERN RADIOLOGY MEDICAL GROUP INC |
| 455 Hickey Blvd, Suite 200, Daly City, CA 94015-2630 | 6507572030 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 665 Munras Ave, Suite 109, Monterey, CA 93940-3136 | 8316569800 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| 325 Sacramento St, San Francisco, CA 94111-3601 | 4153214674 | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| Organization Legal Name | HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi M Dambach | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Sean S London | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Jessica C Tan | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Ved Prakash | Diagnostic Radiology | Health Diagnostics of California A Professional Corporation | 1690 Barton Rd, Suite 108, Redlands, CA 92373-4230 |
| Street Address |
665 MUNRAS AVE SUITE 109 |
| City | MONTEREY |
| State | CA |
| Zip | 93940-3136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David T Morwood | Plastic and Reconstructive Surgery | 665 Munras Ave, Suite 220, Monterey, CA 93940-3129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladimir Leibovsky | Obstetrics/gynecology | 337 Eldorado St, Suite B4, Monterey, CA 93940 | |
| Lee M Hamilton | Family Practice | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Hami Ebrahimi | Internal Medicine | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Christopher L Tinker | Physical Therapy | 786 Lighthouse Ave, Monterey, CA 93940-1010 | |
| Craig D Schmitz | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Kimberly M Micheletti | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Shelley A Kroopf | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Travis D Jurgens | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Timothy K Wilken | Family Medicine | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| James D Wells | Hospitalist | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| Find all physicians in zip 93940 | |||
| City | MONTEREY |
| Zip Code | 93940 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MONTEREY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gino Hidalgo Tagoylo.
| 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.