Patricia Guevara Channell (NPI# 1841266392, PAC ID# 4183601065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1841266392 |
| PAC ID by PECOS | 4183601065 |
| Professional Enrollment ID | I20040630000250 |
| Full Name | Patricia Guevara Channell |
| Organization Legal Name | CHANNELL FAMILY MEDICAL GROUP, INC |
| Address |
8008 Haven Ave Suite 100 Rancho Cucamonga CA 91730-3070 |
| Phone Number | 9094831236 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1658563549 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050099 | SAN ANTONIO REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8008 Haven Ave, Suite 100, Rancho Cucamonga, CA 91730-3070 | 9094831236 | CHANNELL FAMILY MEDICAL GROUP, INC |
| Organization Legal Name | CHANNELL FAMILY MEDICAL GROUP, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel B Channell | Obstetrics/gynecology | Channell Family Medical Group, Inc | 8008 Haven Ave, Suite 100, Rancho Cucamonga, CA 91730-3070 |
| Street Address |
8008 HAVEN AVE SUITE 100 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip | 91730-3070 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel B Channell | Obstetrics/gynecology | Channell Family Medical Group, Inc | 8008 Haven Ave, Suite 100, Rancho Cucamonga, CA 91730-3070 |
| 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 | FAMILY MEDICINE |
| City + Specialty | RANCHO CUCAMONGA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Patricia Guevara Channell.
| 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.