Prode P. Pascual, M.d., Inc. - Medicare Primary Care in Cerritos, CA

Prode P. Pascual, M.d., Inc. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Cerritos, California. The current practice location for Prode P. Pascual, M.d., Inc. is 18331 Gridley Rd, Suite C, Cerritos, California. For appointments, you can reach them via phone at (562) 865-0213. The mailing address for Prode P. Pascual, M.d., Inc. is 18331 Gridley Rd, Suite C, Cerritos, California and phone number is (562) 865-0213.

Prode P. Pascual, M.d., Inc. is licensed to practice in California (license number A30986). The clinic also participates in the medicare program and its NPI number is 1649646209. 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 (562) 865-0213.

Contact Information

Prode P. Pascual, M.d., Inc.
18331 Gridley Rd
Suite C
Cerritos
CA 90703-5438
(562) 865-0213
(562) 865-1050

Primary Care Clinic Profile

Full NameProde P. Pascual, M.d., Inc.
SpecialityClinic/Center
Location18331 Gridley Rd, Cerritos, California
Authorized Official Name and PositionProde Pascual (CEO)
Authorized Official Contact5628650213
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prode P. Pascual, M.d., Inc.
18331 Gridley Rd
Suite C
Cerritos
CA 90703-5438

Ph: (562) 865-0213
Prode P. Pascual, M.d., Inc.
18331 Gridley Rd
Suite C
Cerritos
CA 90703-5438

Ph: (562) 865-0213

NPI Details:

NPI Number1649646209
Provider Enumeration Date08/18/2015
Last Update Date08/18/2015

Medicare PECOS Information:

Medicare PECOS PAC ID8224347232
Medicare Enrollment IDO20151014000620

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Medical Identifiers

Medical identifiers for Prode P. Pascual, M.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649646209NPI-NPPES
00A309860MedicaidCA
A30986OtherMEDICARE ID-TYPE UNSPECIFIED

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care A30986 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prode P. Pascual, M.d., Inc. acts as a billing entity for following providers:
Provider NameProde P Pascual
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558454595
PECOS PAC ID: 5890822720
Enrollment ID: I20100423000367

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Provider NameAllen Kris Navarro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679237598
PECOS PAC ID: 9830570894
Enrollment ID: I20220721002706

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