Mercedes Blasco Samson (NPI# 1578605226, PAC ID# 7618982422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1578605226 |
| PAC ID by PECOS | 7618982422 |
| Professional Enrollment ID | I20111228000450 |
| Full Name | Mercedes Blasco Samson |
| Address |
8615 Knott Ave Suite 3 Buena Park CA 90620-3886 |
| Gender | F |
| Graduation Year | 1967 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050580 | LA PALMA INTERCOMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8615 Knott Ave, Suite 3, Buena Park, CA 90620-3886 |
| Street Address |
8615 KNOTT AVE SUITE 3 |
| City | BUENA PARK |
| State | CA |
| Zip | 90620-3886 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy B Lim | Physical Therapy | Dynamx Physical Therapy Inc A Physical Therapy Corporation | 7941 Beach Blvd, Suite J, Buena Park, CA 90620-1900 |
| Brent Mcmahon | Physical Therapy | Dynamx Physical Therapy Inc A Physical Therapy Corporation | 7941 Beach Blvd, Suite J, Buena Park, CA 90620-1900 |
| Salvatore J Plano | Chiropractic | 7921 Westren Ave, Suite F, Buena Park, CA 90620-2654 | |
| David Wong | Optometry | 8450 La Palma Ave, Buena Park, CA 90620-3210 | |
| Bahram Goshtasbi | Chiropractic | 8821 Valley View St, Buena Park, CA 90620-3528 | |
| Young-sik Cho | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Mei-ling Lin | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Jennifer C Santero | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| Hyejin Jeong | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of Orange County Inc | 8850 Valley View St, Buena Park, CA 90620-3562 |
| John Samuel Ikeda | Optometry | 8751 Valley View St, Suite A, Buena Park, CA 90620-3566 | |
| Find all physicians in zip 90620 | |||
| City | BUENA PARK |
| Zip Code | 90620 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BUENA PARK + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Mercedes Blasco Samson.
| 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.