Prestige Medical Clinic and Urgent Care Inc
A Medicare group practice based in Pomona, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0840624953), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0840624953
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20191226000750 | CA | Part B Supplier - Clinic/Group Practice | 1801444708 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Prestige Medical Clinic and Urgent Care Inc
- Urgent Care Clinic/Center
- Pomona, CA
- NPI 1801444708
-
Prestige Medical Clinic and Urgent Care Inc
- Urgent Care Clinic/Center
- Rancho Cucamonga, CA
- NPI 1396683801
Practice locations
- Rancho Cucamonga, CA1
- Pomona, CA1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
Leticia C Barksdale, MD
- Family Medicine Physician
- Pomona, CA
- NPI 1588059281
-
Isis Samir Iskander, M.D.
- Family Medicine Physician
- Glendale, CA
- NPI 1740243104
-
Emy Oduro-Burton, DNP-BC
- Family Medicine Physician
- Pomona, CA
- NPI 1205210531
-
Laura Kai Quaye, NP
- Nurse Practitioner
- Riverside, CA
- NPI 1902299191
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.