Livingwater'S Medical Clinic, Inc.

PAC ID

6204849102The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

CA

Enrollments

1

Group size

4 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Livingwater'S Medical Clinic, Inc.

  • Primary Care Clinic/Center
  • Murrieta, CA
  • NPI 1992738991
• Livingwater'S Medical Clinic, Inc.

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1073041851

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

• Jasmina Ponjavic Dillon, PA-C

  • Medical Physician Assistant
  • Menifee, CA
  • NPI 1851577969
• Tanya Peltz, PA

  • Physician Assistant
  • West Covina, CA
  • NPI 1285129049
• Kushan Ketan Shah

  • Physician Assistant
  • Colton, CA
  • NPI 1750005849
• Jonathan Yujung Yun, D.O.

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1275572349

• 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.