Canyon Springs Medical Group, Inc. - Medicare Primary Care in Moreno Valley, CA

Canyon Springs Medical Group, Inc. is a medicare enrolled primary clinic (Family Medicine) in Moreno Valley, California. The current practice location for Canyon Springs Medical Group, Inc. is 26520 Cactus Ave Rm B2018, Moreno Valley, California. For appointments, you can reach them via phone at (951) 486-5610. The mailing address for Canyon Springs Medical Group, Inc. is 26520 Cactus Ave, Moreno Valley, California and phone number is (951) 486-5610.

Canyon Springs Medical Group, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073669404. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 486-5610.

Contact Information

Canyon Springs Medical Group, Inc.
26520 Cactus Ave Rm B2018
Moreno Valley
CA 92555-3927
(951) 486-5610
(951) 486-5620

Primary Care Clinic Profile

Full NameCanyon Springs Medical Group, Inc.
SpecialityFamily Medicine
Location26520 Cactus Ave Rm B2018, Moreno Valley, California
Authorized Official Name and PositionFaheem M. Jukaku (PRESIDENT)
Authorized Official Contact9514865610
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Canyon Springs Medical Group, Inc.
26520 Cactus Ave
Moreno Valley
CA 92555-3927

Ph: (951) 486-5610
Canyon Springs Medical Group, Inc.
26520 Cactus Ave Rm B2018
Moreno Valley
CA 92555-3927

Ph: (951) 486-5610

NPI Details:

NPI Number1073669404
Provider Enumeration Date01/26/2007
Last Update Date04/23/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0446297634
Medicare Enrollment IDO20050408000993

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Medical Identifiers

Medical identifiers for Canyon Springs Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073669404NPI-NPPES
GR0088740MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Canyon Springs Medical Group, Inc. acts as a billing entity for following providers:
Provider NameJohn F Randolph
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750389482
PECOS PAC ID: 6305805557
Enrollment ID: I20041213000260

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Provider NameAdolfo Aguilera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477609808
PECOS PAC ID: 1658318837
Enrollment ID: I20050408000968

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Provider NameFaheem Mohammed Jukaku
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518072230
PECOS PAC ID: 9931146784
Enrollment ID: I20050413000258

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Provider NameBarbara C Ackerman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1639126410
PECOS PAC ID: 4082626056
Enrollment ID: I20060613000224

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Provider NameJairo Lopez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669666186
PECOS PAC ID: 4385836048
Enrollment ID: I20101013000436

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Provider NameYuliana Soe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235450594
PECOS PAC ID: 0042446544
Enrollment ID: I20131111000756

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Provider NameNathan D Mclaughlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104069889
PECOS PAC ID: 0547412843
Enrollment ID: I20131227000587

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Provider NameWael Hamade
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295924710
PECOS PAC ID: 7113094723
Enrollment ID: I20160818000947

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Provider NameShunling Tsang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497052443
PECOS PAC ID: 4880989318
Enrollment ID: I20160823002731

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Provider NameParastou Farhadian
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538496419
PECOS PAC ID: 8224323621
Enrollment ID: I20160824001987

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Provider NameBrenda Jerez-aguilar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972052132
PECOS PAC ID: 3779868443
Enrollment ID: I20170320001371

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Provider NameUziel Sauceda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164837191
PECOS PAC ID: 3870873532
Enrollment ID: I20170726003564

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Provider NameAmar Dave
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336588623
PECOS PAC ID: 8921368887
Enrollment ID: I20180214001464

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Provider NameJin Seon Kim Paglingayen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699152819
PECOS PAC ID: 6507112786
Enrollment ID: I20180629002001

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Provider NameEsther N Zarecki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326570540
PECOS PAC ID: 9638411796
Enrollment ID: I20190422001630

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Provider NameHeidi Pang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790213494
PECOS PAC ID: 7214358621
Enrollment ID: I20200610001296

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Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639604523
PECOS PAC ID: 0345661781
Enrollment ID: I20200610002638

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Provider NameJennifer Ann Vazquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841873486
PECOS PAC ID: 1759781321
Enrollment ID: I20210618000810

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Provider NameSarah Duan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124687645
PECOS PAC ID: 0749656346
Enrollment ID: I20221024001303

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Provider NameIvy H Vu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003545641
PECOS PAC ID: 4688094758
Enrollment ID: I20230322001933

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Family Medicine in Moreno Valley, CA

Riverside University Health System
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4000    Fax: 951-486-4435
Antonio A. Tan, Md, Professional Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553
Phone: 951-485-2744    Fax: 951-485-2749
Dong S. Kim, M.d., Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557
Phone: 951-243-8000    Fax: 951-243-9707
Planned Parenthood Pacific Southwest
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553
Phone: 951-222-3101    
Joel A Pengson, Md, A Medical Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557
Phone: 951-243-6460    
John Liquete Md Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553
Phone: 951-697-1150    
Yogendra B Patel,md,inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553
Phone: 951-924-9300    Fax: 951-485-0240

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