Trence Clark (NPI# 1881635423, PAC ID# 7911805056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1881635423 |
| PAC ID by PECOS | 7911805056 |
| Professional Enrollment ID | I20031226000330 |
| Full Name | Trence Clark |
| Organization Legal Name | BANNING MEDICAL SERVICES, A MEDICAL CORPORATION |
| Address |
600 N Highland Springs Ave San Gorgonio Medical Center Banning CA 92220-3046 |
| Phone Number | 9518451121 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193020576 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050054 | SAN GORGONIO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 | 9518451121 | BANNING MEDICAL SERVICES, A MEDICAL CORPORATION |
| Organization Legal Name | BANNING MEDICAL SERVICES, A MEDICAL CORPORATION |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie K Kasarjian | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Karan P Singh | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Maciej Witkos | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Alexander J Charmoz | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Dylan D Mann | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Richard L Preci | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Street Address |
600 N HIGHLAND SPRINGS AVE SAN GORGONIO MEDICAL CENTER |
| City | BANNING |
| State | CA |
| Zip | 92220-3046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Brilee | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 600 N Highland Springs Ave, Banning, CA 92220-3046 |
| Julie K Kasarjian | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Karan P Singh | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Devin F Borna | Anesthesiology | Desert Anesthesia Consultants Lp | 600 N Highland Springs Ave, Banning, CA 92220-3046 |
| Farzad Farrokhi | Anesthesiology | Desert Anesthesia Consultants Lp | 600 N Highland Springs Ave, Banning, CA 92220-3046 |
| Lisa Wong-soqui | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 600 N Highland Springs Ave, Banning, CA 92220-3046 |
| Maciej Witkos | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Alexander J Charmoz | Emergency Medicine | Banning Medical Services, A Medical Corporation | 600 N Highland Springs Ave, San Gorgonio Medical Center, Banning, CA 92220-3046 |
| Norma Dominguez | Anesthesiology | Desert Anesthesia Consultants Lp | 600 N Highland Springs Ave, Banning, CA 92220-3046 |
| Devin F Borna | Anesthesiology | Desert Anesthesia Consultants Lp | 600 N Highland Springs Ave, Banning, CA 92220-3046 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Waheed A Saeed | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Nellie T Anosa | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Susan L Jacobs | Clinical Social Worker | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Kenneth Levin | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Cornelius John Driscoll | Clinical Social Worker | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Lydia A Roybal-aragon | Psychiatry | County of Riverside | 1330 W Ramsey, Banning, CA 92220 |
| Jonson J Lin | Psychiatry | County of Riverside | 1330 W Ramsey, Suite 100, Banning, CA 92220 |
| Farshid Yadegar | Psychologist, Clinical | Concept Healthcare Psychology Group,inc. | 5800 W Wilson St, Cherry Valley Healthcare, Banning, CA 92220-3042 |
| Michael P Sloan | Psychologist, Clinical | 264 N Highland Springs Ave, Suite 1c, Banning, CA 92220-3045 | |
| Michael D Gentry | Diagnostic Radiology | Arrowhead Radiology Medical Group Inc | 600 N Highland Springs, Banning, CA 92220-3046 |
| Find all physicians in zip 92220 | |||
| City | BANNING |
| Zip Code | 92220 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BANNING + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Trence Clark.
| 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.