| Department Of Behavioral Health | |
|
303 E Vanderbilt Way San Bernardino CA 92415-0026 | |
| (909) 388-0801 | |
| (909) 890-0435 |
| Full Name | Department Of Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 E Vanderbilt Way, San Bernardino, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Behavioral Health 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | Department Of Behavioral Health 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 |
| NPI Number | 1164467023 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 06/16/2022 |
| Certification Date | 04/13/2021 |
| Medicare PECOS PAC ID | 3870499130 |
|---|---|
| Medicare Enrollment ID | O20031209000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164467023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Krishna Murthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790725752 PECOS PAC ID: 5597678102 Enrollment ID: I20031110000611 |
| Provider Name | Ruben R Avagimov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558376947 PECOS PAC ID: 4385540574 Enrollment ID: I20031209000592 |
| Provider Name | George D Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457494734 PECOS PAC ID: 1456254853 Enrollment ID: I20040202000357 |
| Provider Name | Larry Charles Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528167061 PECOS PAC ID: 8224923255 Enrollment ID: I20040218000926 |
| Provider Name | Jeremiah Umakanthan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104967348 PECOS PAC ID: 0749177244 Enrollment ID: I20040301000429 |
| Provider Name | Arthur Anthony Blain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801816525 PECOS PAC ID: 7719972322 Enrollment ID: I20040414001735 |
| Provider Name | Dau V Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578515375 PECOS PAC ID: 9436130259 Enrollment ID: I20040527000662 |
| Provider Name | Pooja Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497762355 PECOS PAC ID: 7416927710 Enrollment ID: I20040726001110 |
| Provider Name | T Allan Darnell |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073695367 PECOS PAC ID: 9133197270 Enrollment ID: I20040917000210 |
| Provider Name | James Timothy Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104858059 PECOS PAC ID: 7416916507 Enrollment ID: I20041005000705 |
| Provider Name | Luis M Chaname |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992712830 PECOS PAC ID: 1355398157 Enrollment ID: I20050404001075 |
| Provider Name | Syeda A Baig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760464226 PECOS PAC ID: 9032159769 Enrollment ID: I20050511000990 |
| Provider Name | Sabry F Ghaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588706105 PECOS PAC ID: 0840231585 Enrollment ID: I20050512000761 |
| Provider Name | Susan A Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891767026 PECOS PAC ID: 0446292056 Enrollment ID: I20050524000994 |
| Provider Name | Niren A Raval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093722852 PECOS PAC ID: 6507801347 Enrollment ID: I20050622001134 |
| Provider Name | Edward A Pillar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295750941 PECOS PAC ID: 9739081852 Enrollment ID: I20050630001149 |
| Provider Name | Kedarnath Challakere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972610335 PECOS PAC ID: 5496782252 Enrollment ID: I20050722000726 |
| Provider Name | Merle M Madera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932151107 PECOS PAC ID: 8426082215 Enrollment ID: I20050921000577 |
| Provider Name | Jeffrey A Haga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902847320 PECOS PAC ID: 0042229452 Enrollment ID: I20060412000700 |
| Provider Name | Visant A. Sanathara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760417661 PECOS PAC ID: 1951305010 Enrollment ID: I20060831000447 |
| Provider Name | Mailan D Pham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255531687 PECOS PAC ID: 6800978289 Enrollment ID: I20080123000846 |
| Provider Name | Rodney W Borger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619917465 PECOS PAC ID: 2961581244 Enrollment ID: I20080512000588 |
| Provider Name | Aimee M Vercio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720298672 PECOS PAC ID: 4880760263 Enrollment ID: I20080909000353 |
| Provider Name | Rosa M Cortes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154338010 PECOS PAC ID: 4082774310 Enrollment ID: I20081117000647 |
| Provider Name | Martha L Melendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992710396 PECOS PAC ID: 1759441090 Enrollment ID: I20081117000716 |
| Provider Name | Yanira Orellana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396873766 PECOS PAC ID: 9537217138 Enrollment ID: I20090509000052 |
| Provider Name | Karen P Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619004173 PECOS PAC ID: 3375691827 Enrollment ID: I20090511000407 |
| Provider Name | Teresa Frausto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992737068 PECOS PAC ID: 6507916103 Enrollment ID: I20090602000300 |
| Provider Name | Denise C Dittemore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649310335 PECOS PAC ID: 7416007091 Enrollment ID: I20090603000272 |
| Provider Name | Mehar Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649315433 PECOS PAC ID: 4587714878 Enrollment ID: I20090608000491 |
| Provider Name | Salvador Lasala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225163140 PECOS PAC ID: 2860542677 Enrollment ID: I20090616000449 |
| Provider Name | Marissa Mariano-mejia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750426862 PECOS PAC ID: 9436209194 Enrollment ID: I20090618000344 |
| Provider Name | Nerissa V Galang-feather |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477698389 PECOS PAC ID: 8527118215 Enrollment ID: I20090618000582 |
| Provider Name | Kari M Enge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710028584 PECOS PAC ID: 9931250495 Enrollment ID: I20090624000358 |
| Provider Name | Thuy Huynh T Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356488290 PECOS PAC ID: 8820149123 Enrollment ID: I20090626000256 |
| Provider Name | Steve Eklund |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417090648 PECOS PAC ID: 6204987449 Enrollment ID: I20090629000098 |
| Provider Name | Daniel N Padua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689626483 PECOS PAC ID: 3779661392 Enrollment ID: I20090629000134 |
| Provider Name | Dennis Wb Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043242696 PECOS PAC ID: 1557412772 Enrollment ID: I20090630000231 |
| Provider Name | Juan C Pequeno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477537942 PECOS PAC ID: 5395716351 Enrollment ID: I20090630000427 |
| Provider Name | Sushma Wali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952407694 PECOS PAC ID: 4880745645 Enrollment ID: I20090708000191 |
| Provider Name | Swati R Thacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104960830 PECOS PAC ID: 0840342960 Enrollment ID: I20090720000549 |
| Provider Name | Febbis Balinos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023269891 PECOS PAC ID: 6103970181 Enrollment ID: I20090811000525 |
| Provider Name | Susan Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245459619 PECOS PAC ID: 2062566896 Enrollment ID: I20090813000471 |
| Provider Name | Ryan E Zane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669534293 PECOS PAC ID: 9133275910 Enrollment ID: I20090921000012 |
| Provider Name | Nirma R Usher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750439402 PECOS PAC ID: 3173679974 Enrollment ID: I20090921000159 |
| Provider Name | Jose C Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629234893 PECOS PAC ID: 2961548037 Enrollment ID: I20091002000137 |
| Provider Name | Lita Hedglin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114052487 PECOS PAC ID: 8921135146 Enrollment ID: I20100420000832 |
| Provider Name | Alma M Palisoc |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1144277526 PECOS PAC ID: 9638175565 Enrollment ID: I20100507000735 |
| Provider Name | Than Myint |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083709711 PECOS PAC ID: 1951432301 Enrollment ID: I20100629000006 |
| Provider Name | Samuel George Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912948019 PECOS PAC ID: 6103958319 Enrollment ID: I20100722000772 |
| Provider Name | Nancy C Moore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538361464 PECOS PAC ID: 2961595327 Enrollment ID: I20101006000946 |
| Provider Name | Joachim M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366677197 PECOS PAC ID: 4385839315 Enrollment ID: I20101116000443 |
| Provider Name | Quy V Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477680866 PECOS PAC ID: 2466631734 Enrollment ID: I20110119001100 |
| Provider Name | Marianna E Ronay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508089897 PECOS PAC ID: 2062692767 Enrollment ID: I20110214000180 |
| Provider Name | Emily A Ebert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730194127 PECOS PAC ID: 2961451539 Enrollment ID: I20110214000231 |
| Provider Name | Ramesh Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558478685 PECOS PAC ID: 0345420055 Enrollment ID: I20110214000293 |
| Provider Name | Juan Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770585192 PECOS PAC ID: 7719167428 Enrollment ID: I20110214000383 |
| Provider Name | Nguyen-phuong D Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558516823 PECOS PAC ID: 3779764105 Enrollment ID: I20110218000143 |
| Provider Name | Khushro B Unwalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568514610 PECOS PAC ID: 7012199417 Enrollment ID: I20110307000341 |
| Provider Name | Siraj M Mowjood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588988588 PECOS PAC ID: 0042481368 Enrollment ID: I20110919000167 |
| Provider Name | Johannes C Ndlela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699837898 PECOS PAC ID: 9739351545 Enrollment ID: I20111020000032 |
| 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 | Marc Jean-paul Debay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588996623 PECOS PAC ID: 1456524008 Enrollment ID: I20111027000414 |
| Provider Name | Thomas Wei Guo Bai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538204359 PECOS PAC ID: 6608041488 Enrollment ID: I20111206000278 |
| Provider Name | Michael A Tomkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386914778 PECOS PAC ID: 6709049307 Enrollment ID: I20120517000649 |
| Provider Name | Ellen C Ko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124047501 PECOS PAC ID: 2062675283 Enrollment ID: I20120524000579 |
| Provider Name | Mark R Seifert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831127653 PECOS PAC ID: 4284897448 Enrollment ID: I20120525000288 |
| Provider Name | Carolyn S Leach |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679650261 PECOS PAC ID: 6507020526 Enrollment ID: I20120604000102 |
| Provider Name | Glenn M Fischberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093784951 PECOS PAC ID: 1759398571 Enrollment ID: I20120629000448 |
| Provider Name | Stephanie J Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255504957 PECOS PAC ID: 6709032220 Enrollment ID: I20120815000487 |
| Provider Name | Christopher E Schreur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407029424 PECOS PAC ID: 1658521224 Enrollment ID: I20121017000782 |
| Provider Name | Denise R Persichino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871721647 PECOS PAC ID: 4385896026 Enrollment ID: I20121204000316 |
| Provider Name | David Robert Seigler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023396132 PECOS PAC ID: 0547412678 Enrollment ID: I20121218000160 |
| Provider Name | Sachin Relia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497989347 PECOS PAC ID: 9436336690 Enrollment ID: I20130118000256 |
| Provider Name | Christopher E Berger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063679017 PECOS PAC ID: 9335394667 Enrollment ID: I20130312000386 |
| Provider Name | Christopher Todd Holder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467502336 PECOS PAC ID: 7517105265 Enrollment ID: I20130607000541 |
| Provider Name | Bronwyn D Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083872709 PECOS PAC ID: 8123206661 Enrollment ID: I20130823000699 |
| Provider Name | Heather H Bohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043504004 PECOS PAC ID: 1759517493 Enrollment ID: I20131202000866 |
| Provider Name | Lauren Kissner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972776763 PECOS PAC ID: 1850528340 Enrollment ID: I20131206001477 |
| Provider Name | Ariane Marie-mitchell |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1952408965 PECOS PAC ID: 4587724604 Enrollment ID: I20140306001133 |
| Provider Name | Gordon L Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659662583 PECOS PAC ID: 1951527118 Enrollment ID: I20140723002268 |
| Provider Name | Jared M Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295091791 PECOS PAC ID: 7618197583 Enrollment ID: I20140929000927 |
| Provider Name | Ower C Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588950216 PECOS PAC ID: 2062641970 Enrollment ID: I20141013001087 |
| Provider Name | Evelyn E Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386936748 PECOS PAC ID: 3779705306 Enrollment ID: I20141113002187 |
| Provider Name | Eugene Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407129273 PECOS PAC ID: 4284956590 Enrollment ID: I20141121002163 |
| Provider Name | Veronica J Camacho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003956681 PECOS PAC ID: 6901128966 Enrollment ID: I20141202000137 |
| Provider Name | Melanie E Daye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972751139 PECOS PAC ID: 4284956798 Enrollment ID: I20141211000015 |
| Provider Name | Emily J Robison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417227141 PECOS PAC ID: 3870816812 Enrollment ID: I20141227000034 |
| Provider Name | Jeffrey C Moffat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144545948 PECOS PAC ID: 8426371345 Enrollment ID: I20141230001024 |
| Provider Name | Tokunbo L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422274 PECOS PAC ID: 3173763661 Enrollment ID: I20150105001897 |
| Provider Name | Cono Badalamenti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447577853 PECOS PAC ID: 3870724677 Enrollment ID: I20150204001999 |
| Provider Name | Carolina Abrew Quimbaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104118603 PECOS PAC ID: 2062738883 Enrollment ID: I20150618000260 |
| Provider Name | Piper Sandel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245596618 PECOS PAC ID: 2365758406 Enrollment ID: I20150903001015 |
| Provider Name | Zuelika C Xicotencatl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467583864 PECOS PAC ID: 1658687504 Enrollment ID: I20150908003006 |
| Provider Name | Anushree Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043574403 PECOS PAC ID: 5092022814 Enrollment ID: I20150910002985 |
| Provider Name | Claire A Nelson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1447447776 PECOS PAC ID: 7810206273 Enrollment ID: I20151026001390 |
| Provider Name | Ngozi Ezinwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336467380 PECOS PAC ID: 2365674702 Enrollment ID: I20151102001166 |
| Provider Name | Thanh V Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124381231 PECOS PAC ID: 8820308844 Enrollment ID: I20151103002862 |
| Provider Name | Monique A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932240611 PECOS PAC ID: 7315257029 Enrollment ID: I20151110000391 |
| Provider Name | Maria G Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780947499 PECOS PAC ID: 5890005433 Enrollment ID: I20151110002182 |
| Provider Name | Tracy A Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255630398 PECOS PAC ID: 4789987785 Enrollment ID: I20160126000835 |
| Provider Name | Maryam Sanjari |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1760740427 PECOS PAC ID: 3173828464 Enrollment ID: I20160224001982 |
| Provider Name | Theodore Friedman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003991654 PECOS PAC ID: 3971807967 Enrollment ID: I20160725001924 |
| Provider Name | Aileen Lo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1487972261 PECOS PAC ID: 4587951587 Enrollment ID: I20160919002182 |
| Provider Name | Derick L Ly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962744417 PECOS PAC ID: 0648558080 Enrollment ID: I20161104001996 |
| Provider Name | Andrea M Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801282074 PECOS PAC ID: 9830473131 Enrollment ID: I20170306001713 |
| Provider Name | Ravi Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376836460 PECOS PAC ID: 3072826247 Enrollment ID: I20170503000956 |
| Provider Name | Jonathan William Smits |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447679667 PECOS PAC ID: 2466720677 Enrollment ID: I20170612002491 |
| Provider Name | Janessa Ann James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205246501 PECOS PAC ID: 0143590208 Enrollment ID: I20170721001921 |
| Provider Name | Arlene F Braham |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1447362462 PECOS PAC ID: 8022335843 Enrollment ID: I20170801002209 |
| Provider Name | Frances Mcintyre Krel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871932723 PECOS PAC ID: 7517239817 Enrollment ID: I20170822001433 |
| Provider Name | Lauren Elisabeth Orona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245642990 PECOS PAC ID: 6901170380 Enrollment ID: I20170923000260 |
| Provider Name | Jennifer L Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255745980 PECOS PAC ID: 5991071839 Enrollment ID: I20171020002938 |
| Provider Name | Jordan J Aney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922419902 PECOS PAC ID: 2769758572 Enrollment ID: I20171023003013 |
| Provider Name | Kenneth D Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629576244 PECOS PAC ID: 3971864125 Enrollment ID: I20180302001425 |
| Provider Name | Warren Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447752845 PECOS PAC ID: 7911268933 Enrollment ID: I20180307001573 |
| Provider Name | Erik L Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245641935 PECOS PAC ID: 7719240076 Enrollment ID: I20180419000517 |
| Provider Name | David Osuna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184923500 PECOS PAC ID: 5496068629 Enrollment ID: I20180423002875 |
| Provider Name | Jennifer Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548640899 PECOS PAC ID: 5991084253 Enrollment ID: I20180629001844 |
| Provider Name | Anne M Spini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588078208 PECOS PAC ID: 7719233584 Enrollment ID: I20180709003220 |
| Provider Name | Kathleen J Gouvea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649659954 PECOS PAC ID: 8325397946 Enrollment ID: I20180815001670 |
| Provider Name | Leala B Lettice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023604 PECOS PAC ID: 8527319136 Enrollment ID: I20180920002433 |
| Provider Name | Kwame B Appiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831441690 PECOS PAC ID: 7416200803 Enrollment ID: I20181101001382 |
| Provider Name | Jeanne M Rorabeck |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1053599936 PECOS PAC ID: 5193871986 Enrollment ID: I20190212001343 |
| Provider Name | Xavier Bermudez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124414651 PECOS PAC ID: 8325311723 Enrollment ID: I20190212003154 |
| Provider Name | Mohsin Rajani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285044073 PECOS PAC ID: 4486995180 Enrollment ID: I20190405001939 |
| Provider Name | Blessing E Umugbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441449 PECOS PAC ID: 4284976044 Enrollment ID: I20190425002795 |
| Provider Name | David Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871942243 PECOS PAC ID: 5597002717 Enrollment ID: I20190926000994 |
| Provider Name | Vivian Khanh Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982125969 PECOS PAC ID: 7416389465 Enrollment ID: I20191113003045 |
| Provider Name | Patricia Ann Samaniego Calimlim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598147423 PECOS PAC ID: 4880934728 Enrollment ID: I20191202002132 |
| Provider Name | Keith R Noonan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508271982 PECOS PAC ID: 8325472939 Enrollment ID: I20200107000431 |
| Provider Name | Ali J Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861034282 PECOS PAC ID: 4385071414 Enrollment ID: I20200302000125 |
| Provider Name | Syed Fahad Iftikhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730542515 PECOS PAC ID: 9739472887 Enrollment ID: I20200309000434 |
| Provider Name | Eman M Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548649775 PECOS PAC ID: 4880022045 Enrollment ID: I20200322000205 |
| Provider Name | Sarah J Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255750824 PECOS PAC ID: 8022237585 Enrollment ID: I20200407000131 |
| Provider Name | Nancy Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275053688 PECOS PAC ID: 2365867389 Enrollment ID: I20200729000530 |
| Provider Name | Nehemiah S Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821519182 PECOS PAC ID: 7810313780 Enrollment ID: I20200819002165 |
| Provider Name | Patrice D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659781078 PECOS PAC ID: 8729405055 Enrollment ID: I20200901000639 |
| Provider Name | Le Treice K Irving |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497140354 PECOS PAC ID: 3779901418 Enrollment ID: I20200914000490 |
| Provider Name | Narges Moaddel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770004012 PECOS PAC ID: 1153733571 Enrollment ID: I20201209000591 |
| Provider Name | Starla N Lyles-mckelvy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023303922 PECOS PAC ID: 2961815527 Enrollment ID: I20201229000915 |
| Provider Name | Sandeep Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972910016 PECOS PAC ID: 5597173203 Enrollment ID: I20210419001541 |
| Provider Name | Albert Huy Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992124986 PECOS PAC ID: 1052729589 Enrollment ID: I20210421001059 |
| Provider Name | Christopher Paul Foglesong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316212848 PECOS PAC ID: 1254749641 Enrollment ID: I20210423002115 |
| Provider Name | Alicia K Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962673780 PECOS PAC ID: 4385043801 Enrollment ID: I20210602003028 |
| Provider Name | Ruby Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134569387 PECOS PAC ID: 1850790312 Enrollment ID: I20210603000898 |
| Provider Name | Vanessa Evette Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346878931 PECOS PAC ID: 5092114439 Enrollment ID: I20210604000891 |
| Provider Name | Jonathan D Avalos |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1386050805 PECOS PAC ID: 4183024177 Enrollment ID: I20210614000402 |
| Provider Name | Tagbo Ekene Arene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457474033 PECOS PAC ID: 0749680411 Enrollment ID: I20210617000499 |
| Provider Name | Sonia N Gallegos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083158224 PECOS PAC ID: 0547662223 Enrollment ID: I20210719000781 |
| Provider Name | Brent M Willard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336551084 PECOS PAC ID: 0749683431 Enrollment ID: I20210719001593 |
| Provider Name | Francisca A Buenrostro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568862472 PECOS PAC ID: 6103229737 Enrollment ID: I20210720003112 |
| Provider Name | Melissa Kimberly Urquhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386088110 PECOS PAC ID: 7517360738 Enrollment ID: I20210726003418 |
| Provider Name | Rishi Mahesh Parikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902151962 PECOS PAC ID: 3678851854 Enrollment ID: I20210729003755 |
| Provider Name | Ambarin Salma Faizi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124409610 PECOS PAC ID: 9739582552 Enrollment ID: I20210730000476 |
| Provider Name | Hanumantharao Damerla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225119464 PECOS PAC ID: 3476956251 Enrollment ID: I20210730002979 |
| Provider Name | April R Lota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811390644 PECOS PAC ID: 4284038472 Enrollment ID: I20210810003262 |
| Provider Name | Ashley N Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780181289 PECOS PAC ID: 0648674713 Enrollment ID: I20210811002599 |
| Provider Name | Dain P Zylstra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538531330 PECOS PAC ID: 2365847191 Enrollment ID: I20210817003116 |
| Provider Name | Sadiq H Mirza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194166298 PECOS PAC ID: 2062818388 Enrollment ID: I20210910001605 |
| Provider Name | Janett Berumen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922418003 PECOS PAC ID: 2264839083 Enrollment ID: I20210921003963 |
| Provider Name | Marlene Janice Anceno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699228205 PECOS PAC ID: 9638576341 Enrollment ID: I20210923000348 |
| Provider Name | Uchenna K Nnaji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952858961 PECOS PAC ID: 1052719234 Enrollment ID: I20211004000711 |
| Provider Name | Diem-trinh T Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780159806 PECOS PAC ID: 3072911197 Enrollment ID: I20211004002810 |
| Provider Name | Reni Zachariah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679044093 PECOS PAC ID: 6800294935 Enrollment ID: I20211004003343 |
| Provider Name | Nehal N Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679070098 PECOS PAC ID: 2668861782 Enrollment ID: I20211111000889 |
| Provider Name | Nashwa Darwish Moustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548638414 PECOS PAC ID: 2466842067 Enrollment ID: I20211213002611 |
| Provider Name | Ngoc-minh D. Pham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154770808 PECOS PAC ID: 6204226871 Enrollment ID: I20211214002220 |
| Provider Name | Sandy Adelaida Pacheco-ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760898670 PECOS PAC ID: 6800280405 Enrollment ID: I20220224001855 |
| Provider Name | Paul Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396198941 PECOS PAC ID: 5799171831 Enrollment ID: I20220330000121 |
| Provider Name | Arlin A Bhattacharjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134688047 PECOS PAC ID: 9234522806 Enrollment ID: I20220602000891 |
| Provider Name | Kathryn G Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770942690 PECOS PAC ID: 9931588068 Enrollment ID: I20220621002226 |
| Provider Name | Miriam A Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679048813 PECOS PAC ID: 8527442219 Enrollment ID: I20220830000573 |
| Provider Name | Jeeyoon Jung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689022907 PECOS PAC ID: 9133526551 Enrollment ID: I20220830000810 |
| Provider Name | Rachel Shira Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669038154 PECOS PAC ID: 5092199406 Enrollment ID: I20220902002864 |
| Provider Name | Jennifer L Greeno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558918680 PECOS PAC ID: 4284019761 Enrollment ID: I20220920001037 |
| Provider Name | Tory C Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992261945 PECOS PAC ID: 4486020385 Enrollment ID: I20221018001639 |
| Provider Name | Nader Shakir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750811535 PECOS PAC ID: 0749550374 Enrollment ID: I20221026002416 |
| Provider Name | Josue Daniel Enriquez Quezada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639549991 PECOS PAC ID: 7719355791 Enrollment ID: I20221122003323 |
| Provider Name | Zachary Robert Eckert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346778446 PECOS PAC ID: 1355714270 Enrollment ID: I20230223002212 |
| Provider Name | Olivia Oliveros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295133080 PECOS PAC ID: 4486029501 Enrollment ID: I20230403002032 |
| Provider Name | Michelle R Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760692859 PECOS PAC ID: 5799150579 Enrollment ID: I20230410000296 |
| Provider Name | Manuel Alejandro Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699302455 PECOS PAC ID: 3779991708 Enrollment ID: I20230526002082 |
| Provider Name | John B Brewington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295357416 PECOS PAC ID: 6709231897 Enrollment ID: I20231010001113 |
| Provider Name | Gal Andres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043779903 PECOS PAC ID: 3678920188 Enrollment ID: I20231106000920 |
| Provider Name | Guy Biakop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639747827 PECOS PAC ID: 8022465228 Enrollment ID: I20231109001620 |
| Provider Name | Kelli Evelyn Ensman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033407747 PECOS PAC ID: 6305293531 Enrollment ID: I20231109002872 |
| Provider Name | Pammeli M. Carlos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649777624 PECOS PAC ID: 9830546902 Enrollment ID: I20231110000911 |
| Provider Name | Paul Terrazas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326172966 PECOS PAC ID: 6406203587 Enrollment ID: I20231110001912 |
| Provider Name | Erika Nnaji |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245768480 PECOS PAC ID: 2163879867 Enrollment ID: I20231116001737 |
| Provider Name | Jacquelyn Dang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154778934 PECOS PAC ID: 6507214533 Enrollment ID: I20231130002610 |
| Provider Name | Randa M Saleh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710497854 PECOS PAC ID: 2163863812 Enrollment ID: I20240511000397 |
| Provider Name | Henry K. Chang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003250390 PECOS PAC ID: 7517309206 Enrollment ID: I20240528000189 |
| Provider Name | Peggy Erwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447548235 PECOS PAC ID: 3476995010 Enrollment ID: I20240528002133 |
| Provider Name | Alba Delgadillo- Paramo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871919209 PECOS PAC ID: 2668814286 Enrollment ID: I20240529001036 |
| Provider Name | Amy Elizabeth Carpenter Harvey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588792618 PECOS PAC ID: 8022450469 Enrollment ID: I20240530001792 |
| Provider Name | Ashley Ezraa Hill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790207512 PECOS PAC ID: 2769824119 Enrollment ID: I20240530002150 |
| Provider Name | Michelle Efia Okoreeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366905283 PECOS PAC ID: 1052797685 Enrollment ID: I20240604000704 |
| Provider Name | Jessica Marie Luera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255811238 PECOS PAC ID: 4981146958 Enrollment ID: I20240605001974 |
| Provider Name | Amber Lynn Sherwood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639683782 PECOS PAC ID: 1052853660 Enrollment ID: I20240611002933 |
| Provider Name | Brant Dean Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497934996 PECOS PAC ID: 1658813068 Enrollment ID: I20240612003078 |
| Provider Name | Vanessa Velez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205490216 PECOS PAC ID: 9436691813 Enrollment ID: I20240613000949 |
Cynthia J Soto Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 223, San Bernardino, CA 92404 Phone: 909-475-5200 | |
Pride Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1874 Business Center Dr Ste B, San Bernardino, CA 92408 Phone: 909-386-0437 Fax: 909-386-0529 | |
Valley Star Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1585 South D Street, Suite 101, 205, San Bernardino, CA 92408 Phone: 909-388-2222 | |
Youth Hope Licensed Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N D St Ste 400, San Bernardino, CA 92401 Phone: 909-567-2808 | |
Centralized Child Intensive Case Mgmt Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 E Brier Dr Ste 200, San Bernardino, CA 92408 Phone: 909-501-0700 Fax: 909-381-2330 | |
Ffs Psychologist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0801 Fax: 909-890-0435 | |
Taylor Almquist Lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92408 Phone: 909-300-5058 |