Mission Trail Clinica Medica Familiar - Medicare Primary Care in Lake Elsinore, CA

Mission Trail Clinica Medica Familiar is a medicare enrolled primary clinic (Family Medicine) in Lake Elsinore, California. The current practice location for Mission Trail Clinica Medica Familiar is 31946 Mission Trl Ste A, Lake Elsinore, California. For appointments, you can reach them via phone at (855) 505-7467. The mailing address for Mission Trail Clinica Medica Familiar is 495 E Rincon St Ste 215, Corona, California and phone number is (951) 523-0117.

Mission Trail Clinica Medica Familiar is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598291015. 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 (855) 505-7467.

Contact Information

Mission Trail Clinica Medica Familiar
31946 Mission Trl Ste A
Lake Elsinore
CA 92530-4539
(855) 505-7467
(888) 975-8926

Primary Care Clinic Profile

Full NameMission Trail Clinica Medica Familiar
SpecialityFamily Medicine
Location31946 Mission Trl Ste A, Lake Elsinore, California
Authorized Official Name and PositionJavier R Rios (MEDICAL DIRECTOR)
Authorized Official Contact9513543221
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mission Trail Clinica Medica Familiar
495 E Rincon St Ste 215
Corona
CA 92879-1378

Ph: (951) 523-0117
Mission Trail Clinica Medica Familiar
31946 Mission Trl Ste A
Lake Elsinore
CA 92530-4539

Ph: (855) 505-7467

NPI Details:

NPI Number1598291015
Provider Enumeration Date05/03/2017
Last Update Date06/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4183892508
Medicare Enrollment IDO20150107002576

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Medical Identifiers

Medical identifiers for Mission Trail Clinica Medica Familiar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598291015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mission Trail Clinica Medica Familiar acts as a billing entity for following providers:
Provider NameThuy D Pham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558362723
PECOS PAC ID: 7911893052
Enrollment ID: I20040225000525

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Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154461010
PECOS PAC ID: 7517047160
Enrollment ID: I20080428000699

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Provider NameJavier R Rios
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639246176
PECOS PAC ID: 3173518156
Enrollment ID: I20081119000392

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Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649443599
PECOS PAC ID: 4587842570
Enrollment ID: I20110622000039

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Provider NameRodolfo Rey
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891062998
PECOS PAC ID: 0042442816
Enrollment ID: I20140409001031

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Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053686865
PECOS PAC ID: 7517283922
Enrollment ID: I20150302002473

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Provider IdentifiersNPI Number: 1770888505
PECOS PAC ID: 2062717705
Enrollment ID: I20160218000508

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PECOS PAC ID: 2769744184
Enrollment ID: I20180323001323

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Provider NameZainab Ather Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437449048
PECOS PAC ID: 7719202696
Enrollment ID: I20180522003197

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PECOS PAC ID: 6305219965
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Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174238356
PECOS PAC ID: 4880068451
Enrollment ID: I20230817003823

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Family Medicine in Lake Elsinore, CA

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Lake Elsinore Clinica Medica Familiar
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Medicare: Not Enrolled in Medicare
Practice Location: 141 N Main St, Lake Elsinore, CA 92530
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J M Asprec Md
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Medicare: Medicare Enrolled
Practice Location: 31571 Canyon Estates Dr, Ste 132, Lake Elsinore, CA 92532
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County Of Riverside-community Health Agency
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2499 E Lakeshore Dr, Lake Elsinore, CA 92530
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Lakeshore Medical Clinic Inc
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Medicare: Medicare Enrolled
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Medicare: Not Enrolled in Medicare
Practice Location: 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530
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Medicare: Not Enrolled in Medicare
Practice Location: 16770 Lakeshore Dr, Suite G, Lake Elsinore, CA 92530
Phone: 951-674-6876    Fax: 951-674-6876

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