Fred F Soeprono (NPI# 1659485746, PAC ID# 3476637653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1659485746 |
| PAC ID by PECOS | 3476637653 |
| Professional Enrollment ID | I20080226000875 |
| Full Name | Fred F Soeprono |
| Address |
25084 Barton Rd B Loma Linda CA 92354-2828 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 25084 Barton Rd B, Loma Linda, CA 92354-2828 | ||
| 255 Terracina Blvd, Suite 206, Redlands, CA 92373-4870 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 0% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 0% |
| Street Address |
25084 BARTON RD B |
| City | LOMA LINDA |
| State | CA |
| Zip | 92354-2828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Beld | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| Leisure Yu | Orthopedic Surgery | Leisure Yu Md Inc | 10459 Mountain View Ave D, Loma Linda, CA 92354-2033 |
| Kelsey Jillane Kellar | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| Joshua Dean Elloway | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| Matthew Haus | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| Dennis R Breese | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| John Tuan Vy | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| Jose D Alvarez | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| Brittany Beckwith | Physical Therapy | Physiotherapy Associates Inc | 10459 Mountain View Ave, Loma Linda, CA 92354-2033 |
| Brian R Hu | Urology | Faculty Physicians and Surgeons of Llusm | 11234 Anderson St, Loma Linda, CA 92354-2804 |
| Find all physicians in zip 92354 | |||
| City | LOMA LINDA |
| Zip Code | 92354 |
| Specialty | DERMATOLOGY |
| City + Specialty | LOMA LINDA + DERMATOLOGY |
Please comment or provide details below to improve the information on Fred F Soeprono.
| 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.