Ann Joo Lee (NPI# 1396979126, PAC ID# 9739307638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1396979126 |
| PAC ID by PECOS | 9739307638 |
| Professional Enrollment ID | I20150817002129 |
| Full Name | Ann Joo Lee |
| Organization Legal Name | THE GASTRO GROUP, INC. |
| Address |
12595 Hesperia Rd Suite 101 Victorville CA 92395-5882 |
| Phone Number | 7608813377 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3173709185 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050300 | ST MARY MEDICAL CENTER |
| 050517 | VICTOR VALLEY GLOBAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 | 7608813377 | THE GASTRO GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 94% | |
| MIPS_EC_047_overall | Care Plan | 94% |
| Organization Legal Name | THE GASTRO GROUP, INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard H Huang | Gastroenterology | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Arnab Biswas | Gastroenterology | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Thomas Nguyen | Internal Medicine | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Adriana Petriceanu Sanchez | Nurse Practitioner | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Mark Joseph Navarro | Nurse Practitioner | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Kari Lynn Provost | Physician Assistant | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Street Address |
12595 HESPERIA RD SUITE 101 |
| City | VICTORVILLE |
| State | CA |
| Zip | 92395-5882 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve M Yribe | Certified Registered Nurse Anesthetist (crna) | Sweet Dreams Anesthesia Inc | 12595 Hesperia Rd, Victorville, CA 92395-5882 |
| Richard H Huang | Gastroenterology | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Arnab Biswas | Gastroenterology | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Thomas Nguyen | Internal Medicine | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Adriana Petriceanu Sanchez | Nurse Practitioner | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Mark Joseph Navarro | Nurse Practitioner | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Kari Lynn Provost | Physician Assistant | The Gastro Group, Inc. | 12595 Hesperia Rd, Suite 101, Victorville, CA 92395-5882 |
| Derrick Rose | Certified Registered Nurse Anesthetist (crna) | Sweet Dreams Anesthesia Inc | 12595 Hesperia Rd, Victorville, CA 92395-5882 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nogba Pawoo | Pathology | High Desert Pathology Medical Group | 15248 11th St E, Department of Pathology, Victorville, CA 92395-3704 |
| Brian M Coombe | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Dee M Larcheveque | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Orlando Ricci | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Richard M Obler | Family Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Chang-ho L Chon | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lisa Rogers | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Monica D Serna | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Michael R Manolescu | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Jie Ren | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Find all physicians in zip 92395 | |||
| City | VICTORVILLE |
| Zip Code | 92395 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | VICTORVILLE + GASTROENTEROLOGY |
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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.