| Cep America - Psychiatry Pc | |
|
1400 E Church St Santa Maria CA 93454-5906 | |
| (805) 739-3000 | |
| Not Available |
| Full Name | Cep America - Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1400 E Church St, Santa Maria, California |
| Authorized Official Name and Position | David Birdsall (VICE PRESIDENT) |
| Authorized Official Contact | 5103502638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Psychiatry Pc 2100 Powell St Emeryville CA 94608-1826 Ph: (510) 350-2638 | Cep America - Psychiatry Pc 1400 E Church St Santa Maria CA 93454-5906 Ph: (805) 739-3000 |
| NPI Number | 1538757232 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/16/2021 |
| Medicare PECOS PAC ID | 0244522159 |
|---|---|
| Medicare Enrollment ID | O20160713002860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538757232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Karl Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669676524 PECOS PAC ID: 9739072653 Enrollment ID: I20040204001079 |
| Provider Name | Larry Charles Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528167061 PECOS PAC ID: 8224923255 Enrollment ID: I20040218000926 |
| Provider Name | Gregory G Sokolov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891778890 PECOS PAC ID: 8325091192 Enrollment ID: I20050222000513 |
| Provider Name | Calvin J Flowers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669492948 PECOS PAC ID: 7719927839 Enrollment ID: I20050509000629 |
| Provider Name | David A Ruskin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871651018 PECOS PAC ID: 1658312855 Enrollment ID: I20050518000559 |
| Provider Name | Kedarnath Challakere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972610335 PECOS PAC ID: 5496782252 Enrollment ID: I20050722000726 |
| Provider Name | Visant A. Sanathara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760417661 PECOS PAC ID: 1951305010 Enrollment ID: I20060831000447 |
| Provider Name | Nagui S Achamallah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629057393 PECOS PAC ID: 7719989334 Enrollment ID: I20070212000444 |
| Provider Name | Robert A Mcauley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194881888 PECOS PAC ID: 0042316531 Enrollment ID: I20070430000290 |
| Provider Name | Owen B Towery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265485783 PECOS PAC ID: 7214028349 Enrollment ID: I20070803000402 |
| Provider Name | Elizabeth Mary Tully |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407861974 PECOS PAC ID: 6709891583 Enrollment ID: I20070829000581 |
| Provider Name | Alexander Hazel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891769105 PECOS PAC ID: 1254424781 Enrollment ID: I20070829000623 |
| Provider Name | Cindy M Le |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145259 PECOS PAC ID: 7517045453 Enrollment ID: I20080417000656 |
| Provider Name | Theophile G Koury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568483691 PECOS PAC ID: 7810076395 Enrollment ID: I20080508000676 |
| Provider Name | Melissa J Pereau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457568818 PECOS PAC ID: 9537236161 Enrollment ID: I20080924000470 |
| Provider Name | Anneke M Post |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316100076 PECOS PAC ID: 2365500360 Enrollment ID: I20081020000596 |
| Provider Name | Richard Dale Frishman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174507347 PECOS PAC ID: 6002822780 Enrollment ID: I20081223000512 |
| Provider Name | Tanuj Sidhartha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568666741 PECOS PAC ID: 1658434808 Enrollment ID: I20090114000185 |
| Provider Name | Bryan M Wick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700099611 PECOS PAC ID: 5991861791 Enrollment ID: I20090303000421 |
| Provider Name | Stoyan Rusev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902978760 PECOS PAC ID: 0345398285 Enrollment ID: I20090501000319 |
| Provider Name | Mehar Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649315433 PECOS PAC ID: 4587714878 Enrollment ID: I20090608000491 |
| Provider Name | Swati R Thacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104960830 PECOS PAC ID: 0840342960 Enrollment ID: I20090720000549 |
| Provider Name | Seth C Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265643969 PECOS PAC ID: 0244385946 Enrollment ID: I20090902000074 |
| Provider Name | Edward J Maxwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710119425 PECOS PAC ID: 3870649205 Enrollment ID: I20090925000371 |
| Provider Name | Uqbah Taksh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326095431 PECOS PAC ID: 7113922345 Enrollment ID: I20091022000612 |
| Provider Name | Gregory G Mcgowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073706636 PECOS PAC ID: 9234278979 Enrollment ID: I20091209000362 |
| Provider Name | Oghenesume D Umugbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831305143 PECOS PAC ID: 5092844704 Enrollment ID: I20100518000601 |
| Provider Name | Craig L Beaty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194787507 PECOS PAC ID: 7416080064 Enrollment ID: I20100803000283 |
| Provider Name | Rose Drago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306904982 PECOS PAC ID: 9739138322 Enrollment ID: I20100920000500 |
| Provider Name | Quy V Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477680866 PECOS PAC ID: 2466631734 Enrollment ID: I20110119001100 |
| Provider Name | Khushro B Unwalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568514610 PECOS PAC ID: 7012199417 Enrollment ID: I20110307000341 |
| Provider Name | Patrick Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295814929 PECOS PAC ID: 5991981656 Enrollment ID: I20110512000799 |
| Provider Name | Penny Kim Randall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265724975 PECOS PAC ID: 6204014467 Enrollment ID: I20110617000369 |
| Provider Name | Raja Dutta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285932137 PECOS PAC ID: 1153509096 Enrollment ID: I20110624000210 |
| Provider Name | Michael Farell Massa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598825382 PECOS PAC ID: 6901899277 Enrollment ID: I20110902000226 |
| Provider Name | Abhijit V Ramanujam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841407723 PECOS PAC ID: 2264603448 Enrollment ID: I20110920000160 |
| Provider Name | Doan Q Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457493405 PECOS PAC ID: 9537331350 Enrollment ID: I20111020000064 |
| Provider Name | Phuoc Q Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104969153 PECOS PAC ID: 2567634389 Enrollment ID: I20111020000155 |
| Provider Name | Badalin Helvink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144342403 PECOS PAC ID: 4082689443 Enrollment ID: I20120404000341 |
| Provider Name | Roobal S Sekhon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427261528 PECOS PAC ID: 4789845603 Enrollment ID: I20120419000436 |
| Provider Name | Kimberly A Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033371836 PECOS PAC ID: 1052573722 Enrollment ID: I20120426000185 |
| Provider Name | Jeremy J Defranco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114291010 PECOS PAC ID: 2567619927 Enrollment ID: I20120821000211 |
| Provider Name | Aalamgeer Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386838795 PECOS PAC ID: 1153578893 Enrollment ID: I20120830000738 |
| Provider Name | Eugene Y Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215052428 PECOS PAC ID: 3274782479 Enrollment ID: I20121003000621 |
| Provider Name | David Robert Seigler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023396132 PECOS PAC ID: 0547412678 Enrollment ID: I20121218000160 |
| Provider Name | Emad H Daniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205034287 PECOS PAC ID: 7618120668 Enrollment ID: I20121227000153 |
| Provider Name | Jose L Aguilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619255783 PECOS PAC ID: 7618121518 Enrollment ID: I20130130000253 |
| Provider Name | Meena Rajendren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790927572 PECOS PAC ID: 8820235195 Enrollment ID: I20130503000271 |
| Provider Name | Micah T Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649565417 PECOS PAC ID: 8426297417 Enrollment ID: I20130624000655 |
| Provider Name | Emily Todd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255625273 PECOS PAC ID: 6406098979 Enrollment ID: I20130813000297 |
| Provider Name | Britany E Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891929832 PECOS PAC ID: 8123255619 Enrollment ID: I20131206001459 |
| Provider Name | Jennifer M Mcquade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619267168 PECOS PAC ID: 6507080629 Enrollment ID: I20140611002029 |
| Provider Name | Edwin Romel Soriano De Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871735464 PECOS PAC ID: 7618192303 Enrollment ID: I20140714002334 |
| Provider Name | Tara P. Toohey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568655306 PECOS PAC ID: 1658563929 Enrollment ID: I20140903000937 |
| Provider Name | Benjamin Joseph Hidy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570031 PECOS PAC ID: 7214158260 Enrollment ID: I20141016001682 |
| Provider Name | Tokunbo L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422274 PECOS PAC ID: 3173763661 Enrollment ID: I20150105001897 |
| Provider Name | Bobby N Kaura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811209554 PECOS PAC ID: 0547584609 Enrollment ID: I20150120000643 |
| Provider Name | Philipp A Sack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790974863 PECOS PAC ID: 5698862654 Enrollment ID: I20150213000168 |
| Provider Name | Sunpreet Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326464462 PECOS PAC ID: 1850616749 Enrollment ID: I20150218000289 |
| Provider Name | Bryan Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962701581 PECOS PAC ID: 4880907336 Enrollment ID: I20150714000012 |
| Provider Name | Nancy Chinwe Chuks-orji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467840850 PECOS PAC ID: 4082922737 Enrollment ID: I20150930001966 |
| Provider Name | Ravinderjit Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265695563 PECOS PAC ID: 7214183995 Enrollment ID: I20151029001289 |
| Provider Name | Donald John Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801236625 PECOS PAC ID: 8123338589 Enrollment ID: I20151116000063 |
| Provider Name | Sameer Kamal Hassamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538459011 PECOS PAC ID: 8921246877 Enrollment ID: I20151228000750 |
| Provider Name | Rachna L Saralkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376832162 PECOS PAC ID: 9931358249 Enrollment ID: I20160413001712 |
| Provider Name | Lauren Enteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801224217 PECOS PAC ID: 4082912498 Enrollment ID: I20160419001885 |
| Provider Name | Manjit S Sran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467765792 PECOS PAC ID: 5890921134 Enrollment ID: I20161109002056 |
| Provider Name | Farah Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760828990 PECOS PAC ID: 4284913203 Enrollment ID: I20161115002775 |
| Provider Name | Earl Andrew Balayan De Guzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821432378 PECOS PAC ID: 8628358801 Enrollment ID: I20161205001169 |
| Provider Name | Pallavi Rajput |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306109657 PECOS PAC ID: 8022314145 Enrollment ID: I20170123000702 |
| Provider Name | Kathleen Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962834150 PECOS PAC ID: 2365725728 Enrollment ID: I20170208002032 |
| Provider Name | Megan O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750784559 PECOS PAC ID: 2668758160 Enrollment ID: I20170418001552 |
| Provider Name | Herbert J Harman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932195484 PECOS PAC ID: 3577566231 Enrollment ID: I20170501001168 |
| Provider Name | Kolby Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144541376 PECOS PAC ID: 2264679711 Enrollment ID: I20170501001520 |
| Provider Name | Roshanak Ramezani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346402443 PECOS PAC ID: 8820222193 Enrollment ID: I20170502002397 |
| Provider Name | Anthony Andrew Mazzarulli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801090006 PECOS PAC ID: 8426124439 Enrollment ID: I20170515001836 |
| Provider Name | Erin S Samplin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811382567 PECOS PAC ID: 5092082248 Enrollment ID: I20170518002759 |
| Provider Name | Ryan Louie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922368851 PECOS PAC ID: 9234406208 Enrollment ID: I20170522002862 |
| Provider Name | Gregory Michas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285039651 PECOS PAC ID: 4486922044 Enrollment ID: I20170622002286 |
| Provider Name | Ameek Singh Mundi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366881757 PECOS PAC ID: 6901189984 Enrollment ID: I20170725001804 |
| Provider Name | Chin Tang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023245198 PECOS PAC ID: 3577837491 Enrollment ID: I20170915001825 |
| Provider Name | Clayton A Barnes Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922453513 PECOS PAC ID: 6608142831 Enrollment ID: I20171016002708 |
| Provider Name | Amanda Ling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912350752 PECOS PAC ID: 0345506275 Enrollment ID: I20171109002401 |
| Provider Name | Grace Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20171127001337 |
| Provider Name | Irina Filip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801207923 PECOS PAC ID: 3072894005 Enrollment ID: I20171222000935 |
| Provider Name | Arthur Leitzke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649651076 PECOS PAC ID: 8527328103 Enrollment ID: I20180130000240 |
| Provider Name | Alex Chandler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497013288 PECOS PAC ID: 6507126026 Enrollment ID: I20180201001094 |
| Provider Name | Christine Joy Pacis Bangalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851811624 PECOS PAC ID: 0840551073 Enrollment ID: I20180302000523 |
| Provider Name | Serena Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427213123 PECOS PAC ID: 7810138492 Enrollment ID: I20180418002327 |
| Provider Name | Erik L Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245641935 PECOS PAC ID: 7719240076 Enrollment ID: I20180419000517 |
| Provider Name | Skyler S Galindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730446808 PECOS PAC ID: 5597045393 Enrollment ID: I20180420001040 |
| Provider Name | Jill K Norman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366817983 PECOS PAC ID: 0042575763 Enrollment ID: I20180530002659 |
| Provider Name | Anne M Spini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588078208 PECOS PAC ID: 7719233584 Enrollment ID: I20180709003220 |
| Provider Name | Sarbani Maitra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134360647 PECOS PAC ID: 0244597318 Enrollment ID: I20180720002947 |
| Provider Name | Jonathan D Funk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710306659 PECOS PAC ID: 9032489091 Enrollment ID: I20180730003069 |
| Provider Name | Jenna Pettus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376033746 PECOS PAC ID: 6709135155 Enrollment ID: I20180820000642 |
| Provider Name | Olukemi A Kuku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114417854 PECOS PAC ID: 5395096986 Enrollment ID: I20180920001822 |
| Provider Name | Louis E Herzog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356830384 PECOS PAC ID: 2365786647 Enrollment ID: I20181128001736 |
| Provider Name | Anthony Kelada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659790624 PECOS PAC ID: 8123362753 Enrollment ID: I20181207001053 |
| Provider Name | Oluwayemisi O Daramola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215379276 PECOS PAC ID: 4284970005 Enrollment ID: I20190115001742 |
| Provider Name | Nasratullah Wahidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407264203 PECOS PAC ID: 1153602610 Enrollment ID: I20190219001152 |
| Provider Name | Richard Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316208382 PECOS PAC ID: 0547552580 Enrollment ID: I20190307001828 |
| Provider Name | Glicelda Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205287216 PECOS PAC ID: 9537400791 Enrollment ID: I20190416002563 |
| Provider Name | Blessing E Umugbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441449 PECOS PAC ID: 4284976044 Enrollment ID: I20190425002795 |
| Provider Name | Pranathi Mruthyunjaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144636705 PECOS PAC ID: 1456694900 Enrollment ID: I20190523002648 |
| Provider Name | Abhishek Rai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841547874 PECOS PAC ID: 0547579377 Enrollment ID: I20190626002600 |
| Provider Name | Lauren Margaret Carrizosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013463827 PECOS PAC ID: 5890021224 Enrollment ID: I20190723003499 |
| Provider Name | Keith L Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053473629 PECOS PAC ID: 6709116205 Enrollment ID: I20190926000804 |
| Provider Name | Jamie Lee Plaxco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257269 PECOS PAC ID: 7214268465 Enrollment ID: I20191018002290 |
| Provider Name | Mario A Mangiardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023490828 PECOS PAC ID: 6507198371 Enrollment ID: I20191028002149 |
| Provider Name | Jennifer Leong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881894889 PECOS PAC ID: 0941263974 Enrollment ID: I20191111000783 |
| Provider Name | Matthew Louis Goldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538588934 PECOS PAC ID: 6901153311 Enrollment ID: I20191111002205 |
| Provider Name | Makan Talayeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033407572 PECOS PAC ID: 4880938653 Enrollment ID: I20191115001325 |
| Provider Name | Stuti Bhandari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982013975 PECOS PAC ID: 3072733435 Enrollment ID: I20191120002644 |
| Provider Name | Neal Ryan Christopher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750735650 PECOS PAC ID: 0749614733 Enrollment ID: I20191227002277 |
| Provider Name | Keith R Noonan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508271982 PECOS PAC ID: 8325472939 Enrollment ID: I20200107000431 |
| Provider Name | Manpreet Kaur Pannu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760029847 PECOS PAC ID: 9638504848 Enrollment ID: I20200116001447 |
| Provider Name | Adekunle S Adegbite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407494735 PECOS PAC ID: 8123456977 Enrollment ID: I20200310001848 |
| Provider Name | Stefan Ursu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629201561 PECOS PAC ID: 0143442095 Enrollment ID: I20200407000878 |
| Provider Name | Preston Gentry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528479458 PECOS PAC ID: 0042640880 Enrollment ID: I20200420001186 |
| Provider Name | Jaswinder Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629430590 PECOS PAC ID: 9638500960 Enrollment ID: I20200520002016 |
| Provider Name | Troy Kurz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154862357 PECOS PAC ID: 9739503822 Enrollment ID: I20200722001726 |
| Provider Name | Abishek P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952718652 PECOS PAC ID: 6103107289 Enrollment ID: I20200821002188 |
| Provider Name | Christopher K Blazes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568449916 PECOS PAC ID: 9830386622 Enrollment ID: I20200824002838 |
| Provider Name | Shalin Rajesh Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366858656 PECOS PAC ID: 5092132423 Enrollment ID: I20200901000397 |
| Provider Name | Bradley Dane Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639559677 PECOS PAC ID: 3971807587 Enrollment ID: I20200929001122 |
| Provider Name | Khai Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992102990 PECOS PAC ID: 1355760083 Enrollment ID: I20200930001513 |
| Provider Name | Christina Blouir Downing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285173849 PECOS PAC ID: 8628497112 Enrollment ID: I20201002000363 |
| Provider Name | Ellen S Takher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164860458 PECOS PAC ID: 0446548648 Enrollment ID: I20210118000077 |
| Provider Name | Funmilola Umoren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124665468 PECOS PAC ID: 1254744048 Enrollment ID: I20210118000180 |
| Provider Name | Mohsen Vazirian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225334097 PECOS PAC ID: 6901036896 Enrollment ID: I20210316002503 |
| Provider Name | Andrea M Kornbau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235471962 PECOS PAC ID: 0244589257 Enrollment ID: I20210318002184 |
| Provider Name | Lilia Danilov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851698823 PECOS PAC ID: 7517374200 Enrollment ID: I20210324002832 |
| Provider Name | Jaimini Chauhan-james |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700152618 PECOS PAC ID: 8729388798 Enrollment ID: I20210608001431 |
| Provider Name | Shailinder Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952718017 PECOS PAC ID: 9739446634 Enrollment ID: I20210622000744 |
| Provider Name | Jessy Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457768764 PECOS PAC ID: 3072846526 Enrollment ID: I20210722003730 |
| Provider Name | Jean-paul Carrillo Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598138273 PECOS PAC ID: 9032514997 Enrollment ID: I20210816003816 |
| Provider Name | Luke Valentine Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114375219 PECOS PAC ID: 5597160390 Enrollment ID: I20210817002008 |
| Provider Name | Matthew J Kubasta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063985455 PECOS PAC ID: 7618375718 Enrollment ID: I20211004001925 |
| Provider Name | Bethel Essaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205298205 PECOS PAC ID: 0749688851 Enrollment ID: I20211004002228 |
| Provider Name | Miguel Angel Acuna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447613336 PECOS PAC ID: 9335531771 Enrollment ID: I20220117000600 |
| Provider Name | Ronnie Alvarez Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982229571 PECOS PAC ID: 0941693550 Enrollment ID: I20220203000491 |
| Provider Name | Bimal Aujla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396771044 PECOS PAC ID: 7719912708 Enrollment ID: I20220215001918 |
| Provider Name | Nicole Genevieve Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083936660 PECOS PAC ID: 7416341177 Enrollment ID: I20220223002612 |
| Provider Name | Anh Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083118871 PECOS PAC ID: 5395132484 Enrollment ID: I20220419002551 |
| Provider Name | Timothy Macdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568811073 PECOS PAC ID: 5799165494 Enrollment ID: I20220711003606 |
| Provider Name | Kevin Truong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063804755 PECOS PAC ID: 9739560632 Enrollment ID: I20220725001292 |
| Provider Name | Austin Huy Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942769195 PECOS PAC ID: 4789067984 Enrollment ID: I20220822001424 |
| Provider Name | Catherine Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154714111 PECOS PAC ID: 7810243953 Enrollment ID: I20220823003865 |
| Provider Name | Alexander Hin-ming Tsang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063918696 PECOS PAC ID: 1759767247 Enrollment ID: I20221006002548 |
| Provider Name | Naweed Hayat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043771710 PECOS PAC ID: 5496124497 Enrollment ID: I20221214001666 |
| Provider Name | Elizabeth Faye Metzgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598479008 PECOS PAC ID: 9133591894 Enrollment ID: I20230207002279 |
| Provider Name | Kyle H Jasper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649703075 PECOS PAC ID: 5799057410 Enrollment ID: I20230530002353 |
| Provider Name | Govind Raghavan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861951998 PECOS PAC ID: 9830500966 Enrollment ID: I20230705002403 |
| Provider Name | Kayton Jonathan Riley Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538727599 PECOS PAC ID: 5597125187 Enrollment ID: I20230713003749 |
| Provider Name | Lindsey Joy Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639865967 PECOS PAC ID: 2365803707 Enrollment ID: I20230801002423 |
| Provider Name | Jagannath Nayak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548764863 PECOS PAC ID: 9234590696 Enrollment ID: I20230801003086 |
| Provider Name | Jessica L Luo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427555143 PECOS PAC ID: 7214273671 Enrollment ID: I20230803004552 |
| Provider Name | Gal Andres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043779903 PECOS PAC ID: 3678920188 Enrollment ID: I20231106000920 |
| Provider Name | Arman Danielyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306035050 PECOS PAC ID: 2769655224 Enrollment ID: I20240423001305 |
| Provider Name | Carina May Zulueta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346809803 PECOS PAC ID: 1658711510 Enrollment ID: I20240425003939 |
D&j's Transitions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Benwiley Ave, Santa Maria, CA 93458 Phone: 805-631-2241 | |
Lags Recovery Centers, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 135 Carmen Ln, Santa Maria, CA 93458 Phone: 805-332-4568 Fax: 805-332-3487 | |
Casa De Familia Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 W Morrison Ave, Santa Maria, CA 93458 Phone: 805-346-8185 | |
Cac Los Padres Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 E Enos Dr, Santa Maria, CA 93454 Phone: 805-928-6228 Fax: 805-928-0128 | |
Serenity Counseling And Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 E Clark Ave Ste C, Santa Maria, CA 93455 Phone: 805-448-7469 Fax: 805-354-0806 | |
Holdsambeck Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2342 Professional Parkway Suite 300, Santa Maria, CA 93455 Phone: 805-979-9941 Fax: 805-222-3041 | |
Sojourn Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 S Broadway, Santa Maria, CA 93454 Phone: 805-614-9535 Fax: 805-614-9390 |