| Anew Era Tms & Psychiatry Ca | |
|
7677 Center Ave Ste 405 Huntington Beach CA 92647-3098 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | Anew Era Tms & Psychiatry Ca |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7677 Center Ave Ste 405, Huntington Beach, California |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Era Tms & Psychiatry Ca 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Anew Era Tms & Psychiatry Ca 7677 Center Ave Ste 405 Huntington Beach CA 92647-3098 Ph: (714) 828-1800 |
| NPI Number | 1265946289 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 6608136056 |
|---|---|
| Medicare Enrollment ID | O20180205001318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265946289 | NPI | - | NPPES |
| Provider Name | Padmini Shamasundara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861478521 PECOS PAC ID: 2466625405 Enrollment ID: I20111107000805 |
| Provider Name | Sameer Kamal Hassamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538459011 PECOS PAC ID: 8921246877 Enrollment ID: I20151228000750 |
| Provider Name | Martha C Okwor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306202387 PECOS PAC ID: 0840595567 Enrollment ID: I20160217002276 |
| Provider Name | Terry Van Eagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538490123 PECOS PAC ID: 3971863325 Enrollment ID: I20180205001298 |
| Provider Name | Adaobi Judith Afonta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295385581 PECOS PAC ID: 3971936766 Enrollment ID: I20191210000220 |
| Provider Name | Bryan Benjamin Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427582766 PECOS PAC ID: 7911235817 Enrollment ID: I20200218002301 |
| Provider Name | John Anthony Chua Diya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275095663 PECOS PAC ID: 6204263189 Enrollment ID: I20200306000527 |
| Provider Name | Michelle Del Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467009084 PECOS PAC ID: 1759792377 Enrollment ID: I20201218001986 |
| Provider Name | Starly Alvarado-cardona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003444597 PECOS PAC ID: 5496160533 Enrollment ID: I20210223000919 |
| Provider Name | Tiffany Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679042238 PECOS PAC ID: 4587079421 Enrollment ID: I20210226001269 |
| Provider Name | Stephany Manurung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669065660 PECOS PAC ID: 7012326200 Enrollment ID: I20210428002767 |
| Provider Name | Kahina Cathleen Kaci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720538283 PECOS PAC ID: 7416359211 Enrollment ID: I20210716000263 |
| Provider Name | Nadia Bening |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043471360 PECOS PAC ID: 3476959412 Enrollment ID: I20210901003155 |
| Provider Name | Mary Wyman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043882244 PECOS PAC ID: 3072911221 Enrollment ID: I20211001002723 |
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