Agustinus Rushanaedy
USC CARE MEDICAL GROUP INC


Address: 869 N Cherry St, Tulare, CA 93274-2207
Phone: 5596853462

Agustinus Rushanaedy (NPI# 1679683742, PAC ID# 9234211566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1679683742
PAC ID by PECOS 9234211566
Professional Enrollment ID I20120326000080
Full Name Agustinus Rushanaedy
Organization Legal Name USC CARE MEDICAL GROUP INC
Address 869 N Cherry St
Tulare
CA 93274-2207
Phone Number 5596853462
Gender M
Graduation Year 1975
Primary Specialty UROLOGY
Group Practice PAC ID 0446157747
Number of Group Practice Members 858
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050455 SAN JOAQUIN COMMUNITY HOSPITAL
050295 MERCY HOSPITAL

Other Locations

Address Phone Organization
1520 San Pablo St, Fl 4, Los Angeles, CA 90033-5310 8008722273 USC CARE MEDICAL GROUP INC
1520 San Pablo St, Los Angeles, CA 90033-5310 8008722273 USC CARE MEDICAL GROUP INC
1520 San Pablo St 1st Floor N, Los Angeles, CA 90033-5310 8008722273 USC CARE MEDICAL GROUP INC
869 N Cherry St, Tulare, CA 93274-2207 5596853462 USC CARE MEDICAL GROUP INC

Organization Information

Organization Legal Name USC CARE MEDICAL GROUP INC
Physicians 1070

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Chelsea Kay Cole Qualified Audiologist Usc Care Medical Group Inc 806 W Adams Blvd, Los Angeles, CA 90007-2505
Burton L Eisenberg Surgical Oncology Usc Care Medical Group Inc 1520 San Pablo St, Los Angeles, CA 90033-5310
Paul C Lee Interventional Pain Management Usc Care Medical Group Inc 1520 San Pablo St 1st Floor N, Los Angeles, CA 90033-5310
Manju Aron Pathology Usc Care Medical Group Inc 1500 San Pablo St, Los Angeles, CA 90033-5313
Caroline Hwang Gastroenterology Usc Care Medical Group Inc 1450 San Pablo St, Los Angeles, CA 90033-4500
Clan H Hahn Hematology/oncology Usc Care Medical Group Inc 1225 Wilshire Blvd, Los Angeles, CA 90017-1901
Eric Allan White Diagnostic Radiology Usc Care Medical Group Inc 830 S Flower St, Suite B100, Los Angeles, CA 90017-4608
Andy E Sherrod Pathology Usc Care Medical Group Inc 2011 Zonal Ave Hmr, Suite 308, Los Angeles, CA 90033-0110
David T Woodley Dermatology Usc Care Medical Group Inc 120 Bellefontaine St, Pasadena, CA 91105-3102

Office Location

Street Address 869 N CHERRY ST
City TULARE
State CA
Zip 93274-2207

Physicians in the same location

Name Specialty Organization Address
Chidi Jude Ukatu General Surgery 869 N Cherry St, Tulare, CA 93274-2207
Brian Pak-fung Ho Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
David James Tsuneji Fujihara Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
Dries M Van Dyk Family Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
Frank A Macaluso Diagnostic Radiology California Imaging Partners Inc 869 N Cherry St, Tulare, CA 93274-2207
Yasser W Barsoum Nephrology 869 N Cherry St, Tulare, CA 93274-2207
Dallas Beaird Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
Matthew Henschel Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
Prudence A. Smith Diagnostic Radiology California Imaging Partners Inc 869 N Cherry St, Tulare, CA 93274-2207
Norlan A Maltez Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
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Physicians in the same zip code

Name Specialty Organization Address
Abraham Betre Obstetrics/gynecology 925 E Merritt, Tulare, CA 93274
Murad A Sunalp Ophthalmology Sunalp Vision Center 880 E Merritt Ave, Suite 109, Tulare, CA 93274-2200
Kevin L Dean Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
Michael Johnson Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
Michael N Kirschner Emergency Medicine Cep America - California 869 N Cherry St, Tulare, CA 93274-2207
Olga B Sutton Nurse Practitioner Tulare Local Health Care District 869 N Cherry St, Tulare, CA 93274-2207
Ezequiel Gonzalez Nurse Practitioner Transamerica Medical Group, Inc 810 N Cherry St, Tulare, CA 93274-2208
Cretia R Guzman Nurse Practitioner Transamerica Medical Group, Inc 810 N Cherry St, Tulare, CA 93274-2208
Yadwinder Kang Family Medicine Transamerica Medical Group, Inc 810 N Cherry St, Tulare, CA 93274-2208
Rasbinder Singh Physician Assistant Transamerica Medical Group, Inc 810 N Cherry St, Tulare, CA 93274-2208
Find all physicians in zip 93274

Competitor

Search similar physicians

City TULARE
Zip Code 93274
Specialty UROLOGY
City + Specialty TULARE + UROLOGY

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Dataset Information

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.

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