Raul Alex Mancilla (NPI# 1487706198, PAC ID# 6608047857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1487706198 |
| PAC ID by PECOS | 6608047857 |
| Professional Enrollment ID | I20110919000646 |
| Full Name | Raul Alex Mancilla |
| Organization Legal Name | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Address |
116 N Plaza St Brawley CA 92227-2426 |
| Phone Number | 7603444330 |
| Gender | M |
| Medical School | INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY |
| Graduation Year | 2004 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4587760749 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 116 N Plaza St, Brawley, CA 92227-2426 | 7603444330 | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| 1420 Ocotillo Dr D, El Centro, CA 92243-4251 | 7603531140 | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Organization Legal Name | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydni Glass | Optometry | Retina Institute of California Medical Group | 44815 Fig Ave, Lancaster, CA 93534-3144 |
| Vy Phuong Thi Pham | Optometry | Retina Institute of California Medical Group | 8616 La Tijera Blvd, Suite 102, Los Angeles, CA 90045-3946 |
| Kathy Mao | Optometry | Retina Institute of California Medical Group | 1801 E Tahquitz Canyon Way, Suite 200, Palm Springs, CA 92262-7123 |
| Tarek Alasil | Ophthalmology | Retina Institute of California Medical Group | 44139 Monterey Ave, Suite A, Palm Desert, CA 92260-8700 |
| Sharon M Dyer | Optometry | Retina Institute of California Medical Group | 100 E California Blvd, Pasadena, CA 91105-3205 |
| Anuj Chawla | Ophthalmology | Retina Institute of California Medical Group | 137 S Aspen Ct, Suite C, Visalia, CA 93291-5175 |
| Reid Wainess | Ophthalmology | Retina Institute of California Medical Group | 2400 N Broadway, Los Angeles, CA 90031-2218 |
| Lisa H Dang | Ophthalmology | Retina Institute of California Medical Group | 3440 Lomita Blvd, Suite 100, Torrance, CA 90505-4810 |
| Jeffrey L Stevens | Ophthalmology | Retina Institute of California Medical Group | 44139 Monterey Ave, Suite A, Palm Desert, CA 92260-8700 |
| Gordon J Montgomery | Ophthalmology | Retina Institute of California Medical Group | 301 W Huntington Dr, Suite 107, Arcadia, CA 91007-3462 |
| Street Address |
116 N PLAZA ST |
| City | BRAWLEY |
| State | CA |
| Zip | 92227-2426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben S Wehrli | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Douglas L Croff | Podiatry | Coachella Valley Foot and Ankle Institute | 221 W E St, Imperial Wellness, Brawley, CA 92227-1836 |
| Claudia Jakiel | Physical Therapy | Mdrs Spine and Sport Inc | 411 W Main St, Suite 411, Brawley, CA 92227-2244 |
| Donald L Barniske | Optometry | 260 Main St, Brawley, CA 92227-2351 | |
| Alidad M Zadeh | Internal Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Lucian Oprea | Internal Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Yong Tan | Family Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Richard M Fitzsimmons | Nurse Practitioner | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Hussein El-newihi | Gastroenterology | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| John Allen Friedline | Family Medicine | Imperial Valley Family Care Medical Group Apc | 125 S 5th St, Brawley, CA 92227-2408 |
| Find all physicians in zip 92227 | |||
| City | BRAWLEY |
| Zip Code | 92227 |
| Specialty | OPTOMETRY |
| City + Specialty | BRAWLEY + OPTOMETRY |
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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.