Martin J Porcelli (NPI# 1124096847, PAC ID# 5799799573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1124096847 |
PAC ID by PECOS | 5799799573 |
Professional Enrollment ID | I20060131000956 |
Full Name | Martin J Porcelli |
Address |
336 Ervilla St Pomona CA 91767-3016 |
Gender | M |
Credential | DO |
Graduation Year | 1978 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE, PAIN MANAGEMENT |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050782 | CASA COLINA HOSPITAL |
050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
336 Ervilla St, Pomona, CA 91767-3016 |
Street Address |
336 ERVILLA ST |
City | POMONA |
State | CA |
Zip | 91767-3016 |
Name | Specialty | Organization | Address |
---|---|---|---|
James Barr | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 775 E Foothill Blvd, Pomona, CA 91767-1223 |
Warren Gabrillo | Family Medicine | 219 E Foothill Blvd, Pomona, CA 91767-1403 | |
Richard Veirs | Chiropractic | 355 E Foothill Blvd, Suite B, Pomona, CA 91767-1471 | |
Jia Mao | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Wayne E Houpt Jr. | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Jennifer Lee | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Forrest Doan | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Seeyam Teimoori Nobandegani | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Susan M Bishop | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
Patricia F Wallace-burke | Clinical Psychologist | Tricity Mental Health Center | 2008 N Garey Ave, Pomona, CA 91767-1639 |
Find all physicians in zip 91767 |
City | POMONA |
Zip Code | 91767 |
Specialty | FAMILY MEDICINE |
City + Specialty | POMONA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Martin J Porcelli.
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.