Park Sierra Medical Clinic Inc - Medicare Primary Care in Colton, CA

Park Sierra Medical Clinic Inc is a medicare enrolled primary clinic (Clinic/center) in Colton, California. The current practice location for Park Sierra Medical Clinic Inc is 1023 S Mount Vernon Ave Ste A, Colton, California. For appointments, you can reach them via phone at (909) 533-4443. The mailing address for Park Sierra Medical Clinic Inc is 1023 S Mount Vernon Ave Ste A, Colton, California and phone number is (909) 533-4443.

Park Sierra Medical Clinic Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184833428. 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 (909) 533-4443.

Contact Information

Park Sierra Medical Clinic Inc
1023 S Mount Vernon Ave Ste A
Colton
CA 92324-4202
(909) 533-4443
(909) 533-4483

Primary Care Clinic Profile

Full NamePark Sierra Medical Clinic Inc
SpecialityClinic/Center
Location1023 S Mount Vernon Ave Ste A, Colton, California
Authorized Official Name and PositionAnil Donald Mall (OWNER)
Authorized Official Contact9095334443
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Park Sierra Medical Clinic Inc
1023 S Mount Vernon Ave Ste A
Colton
CA 92324-4202

Ph: (909) 533-4443
Park Sierra Medical Clinic Inc
1023 S Mount Vernon Ave Ste A
Colton
CA 92324-4202

Ph: (909) 533-4443

NPI Details:

NPI Number1184833428
Provider Enumeration Date05/22/2007
Last Update Date09/09/2021

Medicare PECOS Information:

Medicare PECOS PAC ID3678658408
Medicare Enrollment IDO20080304000633

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Medical Identifiers

Medical identifiers for Park Sierra Medical Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184833428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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. Park Sierra Medical Clinic Inc acts as a billing entity for following providers:
Provider NameAnil D Mall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285656900
PECOS PAC ID: 2961410998
Enrollment ID: I20060331000571

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