Jesse D. Mitchell (NPI# 1235357252, PAC ID# 2668433285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1235357252 |
| PAC ID by PECOS | 2668433285 |
| Professional Enrollment ID | I20110429000135 |
| Full Name | Jesse D. Mitchell |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER SPECIALISTS |
| Address |
2815 S Main St Suite 215 Corona CA 92882-2533 |
| Phone Number | 9515820644 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3678702206 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2815 S Main St, Suite 215, Corona, CA 92882-2533 | 9515820644 | ADVANCED DERMATOLOGY AND SKIN CANCER SPECIALISTS |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER SPECIALISTS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose Callender | Nurse Practitioner | Advanced Dermatology and Skin Cancer Specialists | 26960 Cherry Hills Blvd C, Sun City, CA 92586-2512 |
| Mark S Sutton | Family Medicine | Advanced Dermatology and Skin Cancer Specialists | 79430 Hwy 111 102, La Quinta, CA 92253-4549 |
| Cyrus E Querol | Physician Assistant | Advanced Dermatology and Skin Cancer Specialists | 79430 Hwy 111 102, La Quinta, CA 92253-4549 |
| Krystina N Carcone | Physician Assistant | Advanced Dermatology and Skin Cancer Specialists | 79430 Hwy 111 102, La Quinta, CA 92253-4549 |
| Anette J Lecair | Physician Assistant | Advanced Dermatology and Skin Cancer Specialists | 79430 Hwy 111 102, La Quinta, CA 92253-4549 |
| Tony Leuang | Physician Assistant | Advanced Dermatology and Skin Cancer Specialists | 79430 Hwy 111 102, La Quinta, CA 92253-4549 |
| Daniel Kim | Physician Assistant | Advanced Dermatology and Skin Cancer Specialists | 31720 Temecula Pkwy, Suite 203, Temecula, CA 92592-5895 |
| Manouchehr Seyfzadeh | Dermatology | Advanced Dermatology and Skin Cancer Specialists | 2815 S Main St, Suite 215, Corona, CA 92882-2533 |
| Gregory Lynch | Physician Assistant | Advanced Dermatology and Skin Cancer Specialists | 79430 Hwy 111 102, La Quinta, CA 92253-4549 |
| Judy Hsieh | Physician Assistant | Advanced Dermatology and Skin Cancer Specialists | 399 E Highland Ave, Suite 317, San Bernardino, CA 92404-3819 |
| Street Address |
2815 S MAIN ST SUITE 215 |
| City | CORONA |
| State | CA |
| Zip | 92882-2533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manouchehr Seyfzadeh | Dermatology | Advanced Dermatology and Skin Cancer Specialists | 2815 S Main St, Suite 215, Corona, CA 92882-2533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nalin G Nanayakkara | Obstetrics/gynecology | 760 S Washburn, Suite 9, Corona, CA 92882 | |
| Roger D Magsino | Physical Therapy | 1026 Railroad St, Corona, CA 92882-1947 | |
| Purshotam B Kataria | Psychiatry | 112 W Grand Blvd, Corona, CA 92882-2006 | |
| Terry Lee Sanderfer | General Surgery | Citrus Valley Medical Associates Inc | 2250 S Main St, Suite 106, Corona, CA 92882-2501 |
| Omar Shahbaz | Gastroenterology | Citrus Valley Medical Associates Inc | 2250 S Main St, Suite 106, Corona, CA 92882-2501 |
| Christos Bovetas | Internal Medicine | Citrus Valley Medical Associates Inc | 2250 S Main St, Suite 106, Corona, CA 92882-2501 |
| Fadia R Attia | Internal Medicine | Citrus Valley Medical Associates Inc | 2250 S Main St, Suite 106, Corona, CA 92882-2501 |
| Helen Patzanakidis | Family Medicine | Citrus Valley Medical Associates Inc | 2250 S Main St, Suite 106, Corona, CA 92882-2501 |
| Anthony John Pirritano | Chiropractic | 2250 S Main St, Suite 203, Corona, CA 92882-2506 | |
| Shaun C Daly | General Surgery | Mission Surgical Clinic Inc | 2250 S Main St, Suite 206, Corona, CA 92882-2507 |
| Find all physicians in zip 92882 | |||
| City | CORONA |
| Zip Code | 92882 |
| Specialty | DERMATOLOGY |
| City + Specialty | CORONA + DERMATOLOGY |
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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.