Vergil Duane Sisson (NPI# 1619904182, PAC ID# 7517911787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1619904182 |
| PAC ID by PECOS | 7517911787 |
| Professional Enrollment ID | I20050310000293 |
| Full Name | Vergil Duane Sisson |
| Organization Legal Name | BASELINE MEDICAL CLINIC, INC |
| Address |
330 N D St San Bernardino CA 92401-1522 |
| Phone Number | 9098886602 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6103906524 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 330 N D St, San Bernardino, CA 92401-1522 | 9098886602 | BASELINE MEDICAL CLINIC, INC |
| 330 N D St, Suite 300, San Bernardino, CA 92401-1522 | 9098886602 | BASELINE MEDICAL CLINIC, INC |
| Organization Legal Name | BASELINE MEDICAL CLINIC, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hoang-chuong N Vu | Family Medicine | Baseline Medical Clinic, Inc | 330 N D St, Suite 300, San Bernardino, CA 92401-1522 |
| Ezequiel Martinez Sr. | Physician Assistant | Baseline Medical Clinic, Inc | 1598 N D St, San Bernardino, CA 92405-4710 |
| Street Address |
330 N D ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92401-1522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hoang-chuong N Vu | Family Medicine | Baseline Medical Clinic, Inc | 330 N D St, Suite 300, San Bernardino, CA 92401-1522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uzair Zia Siddiqui | Family Medicine | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Luis A Santana | Physician Assistant | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Donald Albert Underwood | Family Medicine | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Sanaa I Ligons | Family Medicine | Inland Behavioral and Health Services Inc | 665 N D St, San Bernadino, CA 92401-1109 |
| Samuel A Bolivar | Internal Medicine | 555 N D St, Suite 130, San Bernardino, CA 92401-1317 | |
| Ruth A Tanyi | Nurse Practitioner | 577 N D St, Suite 101, San Bernardino, CA 92401-1326 | |
| Esteban S Poni | General Practice | 570 W 4th St, Suite 101, San Bernardino, CA 92401-1438 | |
| Barbara A Stanfield | Chiropractic | 123 N E St, San Bernardino, CA 92401-1921 |
| City | SAN BERNARDINO |
| Zip Code | 92401 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | SAN BERNARDINO + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Vergil Duane Sisson.
| 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.