Mary Edem (NPI# 1760787030, PAC ID# 9830491737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760787030 |
| PAC ID by PECOS | 9830491737 |
| Professional Enrollment ID | I20160108002574 |
| Full Name | Mary Edem |
| Organization Legal Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA |
| Address |
190 E Highland Ave San Bernardino CA 92404-3658 |
| Phone Number | 9098824788 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800059767 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 190 E Highland Ave, San Bernardino, CA 92404-3658 | 9098824788 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA |
| Organization Legal Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loida Brinckhaus | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 1181 N Mount Vernon Ave, Colton, CA 92324-2574 |
| Christine P Duong | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 5549 Van Buren Blvd, Riverside, CA 92503-2068 |
| Rowan Baird | Family Practice | Joseph M Molina Md Professional Corporation-southern California | 6339 Mack Rd, Sacramento, CA 95823-4655 |
| Valerie O Ajiduah | Physician Assistant | Joseph M Molina Md Professional Corporation-southern California | 3946 Norwood Ave, Molina Medical Group of Southern Ca, Sacramento, CA 95838-3300 |
| Matthew R Hicks | Clinical Social Worker | Joseph M Molina Md Professional Corporation-southern California | 107 N Mckinley St, Corona, CA 92879-6561 |
| Le F Cofield | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 887 E 2nd St, Pomona, CA 91766-2009 |
| John A Roohan | Family Practice | Joseph M Molina Md Professional Corporation-southern California | 540 E Artesia Blvd, Long Beach, CA 90805-1476 |
| Valerie R Green Amos | Family Practice | Joseph M Molina Md Professional Corporation-southern California | 17500 Foothill Blvd, Suite A2, Fontana, CA 92335-3798 |
| Smita Manoj Soans | Family Practice | Joseph M Molina Md Professional Corporation-southern California | 445 E Anaheim St, Suite H, Wilmington, CA 90744-4600 |
| Latika D Arsecularatne | Family Practice | Joseph M Molina Md Professional Corporation-southern California | 14544 7th St, Victorville, CA 92395-4214 |
| Street Address |
190 E HIGHLAND AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92404-3658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria E Morrow | Clinical Psychologist | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Yvonne C Medock | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine Sze Ho | Family Medicine | Unicare Community Health Center Inc | 184 -190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Renato G Rada | Family Medicine | Unicare Community Health Center Inc | 184 -190 E Highland Ave, San Bernardino, CA 92404-3658 |
| Nathan B Williams | Family Medicine | Premier Urgent Care Centers of California Inc | 284 E Highland Ave, San Bernardino, CA 92404-3706 |
| Irene Donley Kimble | Obstetrics/gynecology | Woman To Woman Ob Gyn Medical Grp | 249 E Highland Ave, San Bernrdno, CA 92404-3707 |
| Robert D Parkinson | Physician Assistant | Dignity Health Medical Foundation | 401 E Highland Ave, Suite 251, San Bernardino, CA 92404-3800 |
| Samir Ved Kubba | Hematology/oncology | Inland Hematology Oncology Medical Group Inc | 401 C E Highland Ave, San Bernadino, CA 92404-3801 |
| Rajiv Malik | Hematology/oncology | Inland Hematology Oncology Medical Group Inc | 401 C E Highland Ave, San Bernadino, CA 92404-3801 |
| Dennis Hilliard | Hematology/oncology | Inland Hematology Oncology Medical Group Inc | 401 C E Highland Ave, San Bernadino, CA 92404-3801 |
| Michio Kajitani | Thoracic Surgery | Dignity Health Medical Foundation | 401 E Highland Ave, Suite 450a, San Bernardino, CA 92404-3803 |
| Seneca T Dewar | Internal Medicine | Dignity Health Medical Foundation | 401 E Highland Ave, Suite 450a, San Bernardino, CA 92404-3803 |
| Find all physicians in zip 92404 | |||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN BERNARDINO + NURSE PRACTITIONER |
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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.