John A Mardones (NPI# 1669408522, PAC ID# 2163582677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1669408522 |
PAC ID by PECOS | 2163582677 |
Professional Enrollment ID | I20081113000383 |
Full Name | John A Mardones |
Organization Legal Name | SIERRA VALLEY MEDICAL SERVICES PC |
Address |
115 W E St Tehachapi Hospital Tehachapi CA 93561-1669 |
Phone Number | 6618233000 |
Gender | M |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1983 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 4486973724 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
051301 | TEHACHAPI HOSPITAL |
Address | Phone | Organization |
---|---|---|
115 W E St, Tehachapi Hospital, Tehachapi, CA 93561-1669 | 6618233000 | SIERRA VALLEY MEDICAL SERVICES PC |
115 W E St, Tehachapi, CA 93561-1669 | 6618233000 | SIERRA VALLEY MEDICAL SERVICES PC |
Organization Legal Name | SIERRA VALLEY MEDICAL SERVICES PC |
Physicians | 1 |
Street Address |
115 W E ST TEHACHAPI HOSPITAL |
City | TEHACHAPI |
State | CA |
Zip | 93561-1669 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher Scott Alix | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 115 W E St, Tehachapi, CA 93561-1607 |
I-wen Tseng | Emergency Medicine | Stallion Springs Medical Services A Medical Corporation | 115 W E St, Tehachapi, CA 93561-1607 |
Opeyemi M Ajayi | Emergency Medicine | Stallion Springs Medical Services A Medical Corporation | 115 W E St, Tehachapi, CA 93561-1607 |
Marc S Bracy | Emergency Medicine | Stallion Springs Medical Services A Medical Corporation | 115 W E St, Tehachapi, CA 93561-1607 |
Emery L. Chen | General Surgery | Emery L. Chen, M.d., A Medical Corporation | 115 W E St, Tehachapi, CA 93561-1607 |
Terrance Ito | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 115 W E St, Tehachapi, CA 93561-1607 |
Stephen T Gau | Emergency Medicine | Stallion Springs Medical Services A Medical Corporation | 115 W E St, Tehachapi, CA 93561-1607 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kim Jeffery Horowitz | Family Medicine | 20797 Santa Lucia, Tehachapi, CA 93561 | |
Kim M Tucker | Nurse Practitioner | Omni Family Health | 161 N Mill St, Tehachapi, CA 93561-1347 |
Roy C Peterson | Family Medicine | Omni Family Health | 161 N Mill St, Tehachapi, CA 93561-1347 |
Megan Reed | Nurse Practitioner | Omni Family Health | 161 N Mill St, Tehachapi, CA 93561-1347 |
Alicia M Schroeder | Nurse Practitioner | Omni Family Health | 161 N Mill St, Tehachapi, CA 93561-1347 |
Susan J P Hall | Family Medicine | 432 W J St, Suite A, Tehachapi, CA 93561-1349 | |
Terri D Steinberg | Nurse Practitioner | Susan J P Hall, Md Inc | 432 W J St, Tehachapi, CA 93561-1349 |
James A Cusator | Diagnostic Radiology | Adventist Health Medical Center Tehachapi | 1100 Magellan Dr, Tehachapi, CA 93561-1380 |
Irene S Dansby | Diagnostic Radiology | Adventist Health Medical Center Tehachapi | 1100 Magellan Dr, Tehachapi, CA 93561-1380 |
Levi R Dansby | Interventional Radiology | Adventist Health Medical Center Tehachapi | 1100 Magellan Dr, Tehachapi, CA 93561-1380 |
Find all physicians in zip 93561 |
City | TEHACHAPI |
Zip Code | 93561 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | TEHACHAPI + EMERGENCY MEDICINE |
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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.