Kevin J Mielke (NPI# 1265591846, PAC ID# 5395925424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1265591846 |
PAC ID by PECOS | 5395925424 |
Professional Enrollment ID | I20110208000020 |
Full Name | Kevin J Mielke |
Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
Address |
27309 Madison Ave Temecula CA 92590-5685 |
Phone Number | 9513532000 |
Gender | M |
Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
Graduation Year | 1984 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 6002729175 |
Number of Group Practice Members | 7216 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
10800 Magnolia Ave, Riverside, CA 92505-3043 | 9513532000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
27309 Madison Ave, Temecula, CA 92590-5685 | 9513532000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
Physicians | 10172 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
Street Address |
27309 MADISON AVE |
City | TEMECULA |
State | CA |
Zip | 92590-5685 |
Name | Specialty | Organization | Address |
---|---|---|---|
Humberto S Aragon | General Practice | 27625 Jefferson Ave, Suite 101, Temecula, CA 92590-2619 | |
Laurence Boggeln | Family Medicine | Elizabeth Supportive Medical Specialists, A Medical Corporation | 27720 Jefferson Ave, Suite 200, Temecula, CA 92590-2630 |
Gerardo W Hizon | Family Medicine | 27699 Jefferson Ave, Suite 101, Temecula, CA 92590-2696 | |
Ricardo R Vega | Pulmonary Disease | 27699 Jefferson Ave, Suite 204, Temecula, CA 92590-2696 | |
Matthew S Gargulinski | Orthopedic Surgery | James J Chao Md Facs | 27699 Jefferson Ave, Suite 201, Temecula, CA 92590-2697 |
Emily Sue Mason | Physical Therapy | All Star Physical Therapy Inc | 27699 Jefferson Ave, Suite 202, Temecula, CA 92590-2697 |
Ernesto T Salas | Internal Medicine | 27699 Jefferson Ave, Suite 311, Temecula, CA 92590-2697 | |
Shaun D Young | Physician Assistant | James J Chao Md Facs | 27699 Jefferson Ave, Suite 201, Temecula, CA 92590-2697 |
John R Feeney | Family Practice | Tvfm, Inc | 28999 Old Town Front St, Suite 104, Temecula, CA 92590-2842 |
Kameko Ann Howells | Clinical Social Worker | 28924 Old Town Front St, Temecula, CA 92590-2857 | |
Find all physicians in zip 92590 |
City | TEMECULA |
Zip Code | 92590 |
Specialty | FAMILY PRACTICE |
City + Specialty | TEMECULA + FAMILY PRACTICE |
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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.