Ultimate Medical Practice A Professional Corporation - Medicare Primary Care in Highland, CA

Ultimate Medical Practice A Professional Corporation is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Highland, California. The current practice location for Ultimate Medical Practice A Professional Corporation is 3654 Highland Ave, Suite 15, Highland, California. For appointments, you can reach them via phone at (909) 864-1006. The mailing address for Ultimate Medical Practice A Professional Corporation is 3654 Highland Ave, Suite 15, Highland, California and phone number is (909) 864-1006.

Ultimate Medical Practice A Professional Corporation is licensed to practice in California (license number A55122). The clinic also participates in the medicare program and its NPI number is 1962659573. 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) 864-1006.

Contact Information

Ultimate Medical Practice A Professional Corporation
3654 Highland Ave
Suite 15
Highland
CA 92346-2614
(909) 864-1006
(909) 864-1625

Primary Care Clinic Profile

Full NameUltimate Medical Practice A Professional Corporation
SpecialityClinic/Center
Location3654 Highland Ave, Highland, California
Authorized Official Name and PositionRichard Kangah (MEDICAL DIRECTOR/PRESIDENT)
Authorized Official Contact9098641006
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ultimate Medical Practice A Professional Corporation
3654 Highland Ave
Suite 15
Highland
CA 92346-2614

Ph: (909) 864-1006
Ultimate Medical Practice A Professional Corporation
3654 Highland Ave
Suite 15
Highland
CA 92346-2614

Ph: (909) 864-1006

NPI Details:

NPI Number1962659573
Provider Enumeration Date08/26/2008
Last Update Date03/04/2009

Medicare PECOS Information:

Medicare PECOS PAC ID0244393619
Medicare Enrollment IDO20090112000131

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Medical Identifiers

Medical identifiers for Ultimate Medical Practice A Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962659573NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care A55122 (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. Ultimate Medical Practice A Professional Corporation acts as a billing entity for following providers:
Provider NameRichard Kangah
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1255379681
PECOS PAC ID: 5193809911
Enrollment ID: I20090318000469

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Provider NameBeatrice Okoreeh-kangah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457520074
PECOS PAC ID: 1658438650
Enrollment ID: I20090415000000

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Provider NamePriscilla Naamomo Otubuah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437551561
PECOS PAC ID: 7911277876
Enrollment ID: I20170725004065

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