Arthur Anthony Blain Iv (NPI# 1801816525, PAC ID# 7719972322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1801816525 |
PAC ID by PECOS | 7719972322 |
Professional Enrollment ID | I20040414001735 |
Full Name | Arthur Anthony Blain Iv |
Organization Legal Name | GENESEE MEDICAL GROUP |
Address |
7830 Clairemont Mesa Blvd Suite 100 San Diego CA 92111-1632 |
Phone Number | 8582681111 |
Gender | M |
Credential | MD |
Medical School | NEW YORK MEDICAL COLLEGE |
Graduation Year | 1996 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 1254325350 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050586 | CHINO VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
5451 Walnut Ave, Chino, CA 91710-2609 | 9094648600 | EPIC MEDICAL GROUP, INC |
7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 | 6197385566 | INTEGRATED HEALTHCARE ALLIANCE INC |
7830 Clairemont Mesa Blvd, Suite 100, San Diego, CA 92111-1632 | 8582681111 | GENESEE MEDICAL GROUP |
16850 Bear Valley Rd, Victorville, CA 92395-5794 | 7602418000 | EPIC MEDICAL GROUP, INC |
Organization Legal Name | GENESEE MEDICAL GROUP |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Dysart | Family Medicine | Genesee Medical Group | 7830 Clairemont Mesa Blvd, Suite 100, San Diego, CA 92111-1632 |
Donald Tecca | Internal Medicine | Genesee Medical Group | 7830 Clairemont Mesa Blvd, Suite 100, San Diego, CA 92111-1632 |
Street Address |
7830 CLAIREMONT MESA BLVD SUITE 100 |
City | SAN DIEGO |
State | CA |
Zip | 92111-1632 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Dysart | Family Medicine | Genesee Medical Group | 7830 Clairemont Mesa Blvd, Suite 100, San Diego, CA 92111-1632 |
Donald Tecca | Internal Medicine | Genesee Medical Group | 7830 Clairemont Mesa Blvd, Suite 100, San Diego, CA 92111-1632 |
Craig M Sclar | Cardiovascular Disease (cardiology) | 7830 Clairemont Mesa Blvd, San Diego, CA 92111-1619 |
Name | Specialty | Organization | Address |
---|---|---|---|
Francesca D Adriano | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Peter T Hum | Internal Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Eric M Macy | Allergy/immunology | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Elisa S Ng | Internal Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Deanna M Wong Wan | Optometry | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Maryam A Rahimi | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Carolyn E Snarskis | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Nashwa Aziz-butler | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Flavia Oprea | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Michael Schatz | Allergy/immunology | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
Find all physicians in zip 92111 |
City | SAN DIEGO |
Zip Code | 92111 |
Specialty | FAMILY PRACTICE |
City + Specialty | SAN DIEGO + 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.