Shellee R Lazar (NPI# 1093806382, PAC ID# 8628153442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1093806382 |
| PAC ID by PECOS | 8628153442 |
| Professional Enrollment ID | I20161122001817 |
| Full Name | Shellee R Lazar |
| Organization Legal Name | RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC. |
| Address |
11980 Mount Vernon Ave Grand Terrace CA 92313-5172 |
| Phone Number | 9098641097 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4789867805 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 | 9098641097 | RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC. |
| Organization Legal Name | RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC. |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodrigo A Cheng | Nurse Practitioner | Riverside-san Bernardino County Indian Health, Inc. | 607 Donna Way, Soboba Indian Health Clinic, San Jacinto, CA 92583-5517 |
| John E Parsons Jr. | Family Medicine | Riverside-san Bernardino County Indian Health, Inc. | 66735 Martinez Rd, Thermal, CA 92274-9007 |
| Manuel I Salmeron | Family Medicine | Riverside-san Bernardino County Indian Health, Inc. | 11555 /2 Potrero Rd, Banning, CA 92220-6946 |
| Michelle T Opsahl | Family Medicine | Riverside-san Bernardino County Indian Health, Inc. | 11555 /2 Potrero Rd, Banning, CA 92220-6946 |
| Brigitte Y Willis | Internal Medicine | Riverside-san Bernardino County Indian Health, Inc. | 11555 /2 Potrero Rd, Banning, CA 92220-6946 |
| Jean T Dinh | Optometry | Riverside-san Bernardino County Indian Health, Inc. | 11555 /2 Potrero Rd, Banning, CA 92220-6946 |
| Darlene M Zaft | Internal Medicine | Riverside-san Bernardino County Indian Health, Inc. | 11555 /2 Potrero Rd, Banning, CA 92220-6946 |
| Aidan M Clarke | Physical Medicine and Rehabilitation | Riverside-san Bernardino County Indian Health, Inc. | 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 |
| Chad E Stockert | Optometry | Riverside-san Bernardino County Indian Health, Inc. | 11555 /2 Potrero Rd, Banning, CA 92220-6946 |
| Chidi R Duru | Nurse Practitioner | Riverside-san Bernardino County Indian Health, Inc. | 11555 /2 Potrero Rd, Banning, CA 92220-6946 |
| Street Address |
11980 MOUNT VERNON AVE |
| City | GRAND TERRACE |
| State | CA |
| Zip | 92313-5172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aidan M Clarke | Physical Medicine and Rehabilitation | Riverside-san Bernardino County Indian Health, Inc. | 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 |
| Reshmi Sinha | Family Medicine | Riverside-san Bernardino County Indian Health, Inc. | 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 |
| Cynthia M Nakoski | Psychologist, Clinical | Riverside-san Bernardino County Indian Health, Inc. | 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 |
| Timothy Li | Family Practice | Riverside-san Bernardino County Indian Health, Inc. | 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Nguyen | Geriatric Medicine | 12000 Mount Vernon Ave, Grand Terrace, CA 92313-5174 | |
| Sheila Renee Jones-lilley | Occupational Therapy | Total Care Physical Therapy Inc | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5500 |
| Farid F Khattar | Physical Therapy | Total Care Physical Therapy Inc | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5500 |
| Jeremy J Mumu | Physical Therapy | Total Care Physical Therapy Inc | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5500 |
| Heather Rae Thielen | Occupational Therapy | Total Care Physical Therapy Inc | 12139 Mount Vernon Ave, Grand Terrace, CA 92313-5500 |
| Kelly Patrick Keough | Chiropractic | 12139 Mount Vernon Ave, Suite 100, Grand Terrace, CA 92313-5519 | |
| Richard John Trujillo | Chiropractic | 12139 Mount Vernon Ave, Suite 100, Grand Terrace, CA 92313-5519 | |
| Richard C Ortiz | Physical Therapy | 22908 Wren St, Grand Terrace, CA 92313-5580 |
| City | GRAND TERRACE |
| Zip Code | 92313 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GRAND TERRACE + OBSTETRICS/GYNECOLOGY |
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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.