Keldyn James Lang (NPI# 1396297727, PAC ID# 1759663503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1396297727 |
| PAC ID by PECOS | 1759663503 |
| Professional Enrollment ID | I20170131001478 |
| Full Name | Keldyn James Lang |
| Organization Legal Name | SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP INC |
| Address |
8805 Haven Ave Suite 200 Rancho Cucamonga CA 91730-5157 |
| Phone Number | 9099121750 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335045228 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5157 | 9099121750 | SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP INC |
| Organization Legal Name | SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP INC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pablo A Ruano | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 3889 W Stetson Ave, 150 Arrowhead Orthopaedics, Hemet, CA 92545-9682 |
| Roy J Caputo | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Lawrence Reginald Walker | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 29099 Hospital Rd, Suite 114, Lake Arrowhead, CA 92352 |
| Milton K Mudge | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 400 N Pepper Ave, Arrowhead, Colton, CA 92324-1801 |
| Bassam Z Hannaway | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 15325 Fairfield Ranch Rd, Suite 150, Chino Hills, CA 91709-8842 |
| Luis A Escamilla | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-3312 |
| Jonathan L Allen | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 400 N Pepper Ave, Arrowhead, Colton, CA 92324-1801 |
| Nicholas R Kasischke | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Andrew Vincent Rives | Physician Assistant | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Blake E Christensen | Occupational Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 |
| Street Address |
8805 HAVEN AVE SUITE 200 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip | 91730-5157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell A Berner | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 8805 Haven Ave, Suite 120, Rancho Cucamonga, CA 91730-5149 |
| Hrishikesh C Gogineni | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5157 |
| Gail E Hopkins Ii | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5157 |
| Trenton J Shumway | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 100110, Rancho Cucamonga, CA 91730-5149 |
| Jayprakash Shah | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5157 |
| Kenneth Hyun-yuk Jahng | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5157 |
| Renee E Ghaly | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 100110, Rancho Cucamonga, CA 91730-5149 |
| Krystian K Szczesik | Physician Assistant | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 100110, Rancho Cucamonga, CA 91730-5149 |
| Megan E Straw | Physician Assistant | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 100110, Rancho Cucamonga, CA 91730-5149 |
| Alan Solis Ceralde | Physician Assistant | San Bernardino Medical Orthopedic Group Inc | 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5157 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles L Taylor | Diagnostic Radiology | 102722 Arrow Route, Suite 520, Rancho Cucamonga, CA 91730 | |
| Mazen K Munir | Family Medicine | 10165 Foothill Blvd, Suite 8, Rancho Cucamonga, CA 91730-0341 | |
| James M Tatum | Optometry | 10165 Foothill Blvd, Suite 6, Rancho Cucamonga, CA 91730-0341 | |
| Kiran N Setty | Podiatry | 10220 Foothill Blvd, Suite 4302, Rancho Cucamonga, CA 91730-0349 | |
| Justin D Jette | Physical Therapy | Team Physical Therapy, Inc. | 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361 |
| Jeffrey T Bekendam | Physical Therapy | Team Physical Therapy, Inc. | 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361 |
| Natalie M Winblad | Physical Therapy | Team Physical Therapy, Inc. | 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361 |
| Benjamin D Duncan | Physical Therapy | Team Physical Therapy, Inc. | 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361 |
| Nariba K Maycock Gibson | Physical Therapy | Team Physical Therapy, Inc. | 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361 |
| Nicholas W Price | Physical Therapy | Team Physical Therapy, Inc. | 10590 Town Ctr Dr, Suite 100, Rancho Cucamonga, CA 91730-0361 |
| Find all physicians in zip 91730 | |||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | RANCHO CUCAMONGA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.