Richard Conner (NPI# 1275633364, PAC ID# 2062580947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1275633364 |
| PAC ID by PECOS | 2062580947 |
| Professional Enrollment ID | I20081006000061 |
| Full Name | Richard Conner |
| Organization Legal Name | TRI-VALLEY UROLOGY MEDICAL GROUP |
| Address |
591 E Elder St Suite C Fallbrook CA 92028-5001 |
| Phone Number | 9516981901 |
| Gender | M |
| Medical School | ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1988 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2668449125 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050701 | SOUTHWEST HEALTHCARE SYSTEM |
| 050775 | TEMECULA VALLEY HOSPITAL |
| 050770 | LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA |
| Address | Phone | Organization |
|---|---|---|
| 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 | 9516981901 | TRI-VALLEY UROLOGY MEDICAL GROUP |
| 25495 Medical Ctr Dr, Murrieta, CA 92562-4903 | 9516981901 | TRI-VALLEY UROLOGY MEDICAL GROUP |
| Organization Legal Name | TRI-VALLEY UROLOGY MEDICAL GROUP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Anastasia Nealeigh | Physician Assistant | Tri-valley Urology Medical Group | 25495 Medical Ctr Dr, Suite 204, Murrieta, CA 92562-4903 |
| Philip Brodak | Urology | Tri-valley Urology Medical Group | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Sreenivas N Vemulapalli | Urology | Tri-valley Urology Medical Group | 25495 Medical Ctr Dr, Murrieta, CA 92562-4903 |
| Monisha S Crisell | Urology | Tri-valley Urology Medical Group | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Benjamin Thayne Larson | Urology | Tri-valley Urology Medical Group | 25495 Medical Ctr Dr, Suite 204, Murrieta, CA 92562-4903 |
| Street Address |
591 E ELDER ST SUITE C |
| City | FALLBROOK |
| State | CA |
| Zip | 92028-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niraj V Parekh | Cardiovascular Disease (cardiology) | Cardiology Specialists Medical Group Inc | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Philip Brodak | Urology | Tri-valley Urology Medical Group | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Shanka Nandi | Nephrology | Nephrology Associates Medical Group Inc | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Richard J Reynolds Iii | Internal Medicine | Southern California Physician Network, Inc | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Jerry Zhong Yu | Nephrology | Nephrology Associates Medical Group Inc | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Monisha S Crisell | Urology | Tri-valley Urology Medical Group | 591 E Elder St, Suite C, Fallbrook, CA 92028-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helena Holmes Morrison | Clinical Social Worker | 2068 E Mission Rd, Fallbrook, CA 92028-1837 | |
| Graydon W Skeoch | Emergency Medicine | 617 E Alvarado St, Fallbrook, CA 92028-2315 | |
| Peter Strutz | Internal Medicine | 605 E Alvarado St, Suite 100, Fallbrook, CA 92028-2315 | |
| Lawrence Franklin Pearson | Obstetrics/gynecology | 113 S Vine St, Suite A, Fallbrook, CA 92028-2925 | |
| Michael Foli | Chiropractic | 210 S Vine St, Fallbrook, CA 92028-2926 | |
| Enchanta L Jenkins | Obstetrics/gynecology | 585 E Elder St, Fallbrook, CA 92028-3003 | |
| William Andrew Atkins | Physical Therapy | All Star Physical Therapy Inc | 577 E Elder St, Suite I, Fallbrook, CA 92028-3079 |
| Carol A Heck | Psychologist, Clinical | 577 E Elder St C, Fallbrook, CA 92028-3079 | |
| Carrie Ann Loomis | Physical Therapy | All Star Physical Therapy Inc | 577 E Elder St, Suite I, Fallbrook, CA 92028-3079 |
| Cheyenne Rose Spencer | Physical Therapy | All Star Physical Therapy Inc | 577 E Elder St, Suite I, Fallbrook, CA 92028-3079 |
| Find all physicians in zip 92028 | |||
| City | FALLBROOK |
| Zip Code | 92028 |
| Specialty | UROLOGY |
| City + Specialty | FALLBROOK + UROLOGY |
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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.