Organization
COGENT HEALTHCARE OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN WEILAND (CEO)
(615) 377-5600
Entity
Organization
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 881-4520
(908) 881-4528
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106039
—
CA
05
—
GR0103490
—
CA
01
—
ZZZ69865Z
BLUE CROSS
—
Enumeration date
02/19/2009
Last updated
09/17/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us