Michael D Gentry (NPI# 1013196575, PAC ID# 1850378670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013196575 |
| PAC ID by PECOS | 1850378670 |
| Professional Enrollment ID | I20090114000074 |
| Full Name | Michael D Gentry |
| Organization Legal Name | ARROWHEAD RADIOLOGY MEDICAL GROUP INC |
| Address |
600 N Highland Springs Banning CA 92220-3046 |
| Phone Number | 9097692142 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5395739023 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050245 | ARROWHEAD REGIONAL MEDICAL CENTER |
| 050770 | LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA |
| 050054 | SAN GORGONIO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 N Highland Springs, Banning, CA 92220-3046 | 9097692142 | ARROWHEAD RADIOLOGY MEDICAL GROUP INC |
| 400 N Pepper Ave, Colton, CA 92324-1801 | 9095801520 | ARROWHEAD RADIOLOGY MEDICAL GROUP INC |
| 28062 Baxter Rd, Murrieta, CA 92563-1401 | 9512904000 | ARROWHEAD RADIOLOGY MEDICAL GROUP INC |
| Organization Legal Name | ARROWHEAD RADIOLOGY MEDICAL GROUP INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter M Malek | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Chul Ho Chae | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Chandler Shyu | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Thuan T Dang | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Tung Van Huynh | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| John S Sohn | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| James M Kim | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Ha M Le | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Jay B Federhart | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 400 N Pepper Ave, Colton, CA 92324-1801 |
| Street Address |
600 N HIGHLAND SPRINGS |
| City | BANNING |
| State | CA |
| Zip | 92220-3046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter M Malek | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Chul Ho Chae | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Chandler Shyu | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Thuan T Dang | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Tung Van Huynh | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| John S Sohn | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| James M Kim | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Ha M Le | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Waheed A Saeed | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Nellie T Anosa | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Susan L Jacobs | Clinical Social Worker | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Kenneth Levin | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Cornelius John Driscoll | Clinical Social Worker | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Lydia A Roybal-aragon | Psychiatry | County of Riverside | 1330 W Ramsey, Banning, CA 92220 |
| Jonson J Lin | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Farshid Yadegar | Psychologist, Clinical | Concept Healthcare Psychology Group,inc. | 5800 W Wilson St, Cherry Valley Healthcare, Banning, CA 92220-3042 |
| Michael P Sloan | Psychologist, Clinical | 264 N Highland Springs Ave, Suite 1c, Banning, CA 92220-3045 | |
| Michelle M Brilee | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 600 N Highland Springs Ave, Banning, CA 92220-3046 |
| Find all physicians in zip 92220 | |||
| City | BANNING |
| Zip Code | 92220 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BANNING + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael D Gentry.
| 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.