Jean Bardenheier (NPI# 1780620138, PAC ID# 2769656842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1780620138 |
| PAC ID by PECOS | 2769656842 |
| Professional Enrollment ID | I20111130000143 |
| Full Name | Jean Bardenheier |
| Address |
914 E Gladstone St Azusa CA 91702-4747 |
| Phone Number | 6269664506 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050597 | FOOTHILL PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 914 E Gladstone St, Azusa, CA 91702-4747 | 6269664506 |
| Street Address |
914 E GLADSTONE ST |
| City | AZUSA |
| State | CA |
| Zip | 91702-4747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bina A Kamdar | Internal Medicine | 520 W Foothill Blvd, Azusa, CA 91702-2343 | |
| Prakash Amratlal Katbamna | Oral Surgery | 590 E Foothill Blvd, Azusa, CA 91702-2542 | |
| Kathryn Y Ecklund | Psychologist, Clinical | 901 E Alosta Ave, Azusa, CA 91702-2701 | |
| Milton M Hom | Optometry | 822 E Alosta Ave, Azusa, CA 91702-2706 | |
| Alexandria I Arias | Physician Assistant | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 910 E Alosta Ave, Azusa, CA 91702-2709 |
| Derrick G Sueki | Physical Therapy | 680 E Alosta Ave, Suite 212, Azusa, CA 91702-2717 | |
| Matthew T Long | Family Medicine | 521 N Azusa Ave, Azusa, CA 91702-2936 | |
| Juan L Alas | Family Medicine | 545 N San Gabriel Ave, Azusa, CA 91702-2939 | |
| Veronika Johana Weller | Nurse Practitioner | El Proyecto Del Barrio Inc | 150 N Azusa Ave, Azusa, CA 91702-3521 |
| Leslie P Paredes-plaza | Nurse Practitioner | El Proyecto Del Barrio Inc | 150 N Azusa Ave, Azusa, CA 91702-3521 |
| Find all physicians in zip 91702 | |||
| City | AZUSA |
| Zip Code | 91702 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | AZUSA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jean Bardenheier.
| 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.