| Minuteclinic Diagnostic Medical Group Of San Diego Inc | |
|
2760 Fletcher Pkwy El Cajon CA 92020-2110 | |
| (866) 389-2727 | |
| (401) 406-3539 |
| Full Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2760 Fletcher Pkwy, El Cajon, California |
| Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Medical Group Of San Diego Inc Po Box 772 Credentialing-mc 2295 Woonsocket RI 02895-0784 Ph: (866) 389-2727 | Minuteclinic Diagnostic Medical Group Of San Diego Inc 2760 Fletcher Pkwy El Cajon CA 92020-2110 Ph: (866) 389-2727 |
| NPI Number | 1568659233 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Medicare PECOS PAC ID | 2567520414 |
|---|---|
| Medicare Enrollment ID | O20090127000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568659233 | NPI | - | NPPES |
| Provider Name | Martha J Latta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912981267 PECOS PAC ID: 4789583295 Enrollment ID: I20040105000244 |
| Provider Name | Teresa S Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427036235 PECOS PAC ID: 5294729067 Enrollment ID: I20040413001772 |
| Provider Name | Lynn Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164445532 PECOS PAC ID: 6103807318 Enrollment ID: I20040525000825 |
| Provider Name | Deanna Lynn Kudulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285715052 PECOS PAC ID: 2163448143 Enrollment ID: I20051019000390 |
| Provider Name | Octavia Hyacinth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588842637 PECOS PAC ID: 1557424439 Enrollment ID: I20090121000073 |
| Provider Name | Allyl Ng Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922254721 PECOS PAC ID: 3375608706 Enrollment ID: I20090218000187 |
| Provider Name | Jacqueline M Cotten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073583985 PECOS PAC ID: 9436215563 Enrollment ID: I20090225000553 |
| Provider Name | Maisha Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164645958 PECOS PAC ID: 7214093384 Enrollment ID: I20090226000132 |
| Provider Name | Jillaine M Smasal-kwak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215113998 PECOS PAC ID: 4981760923 Enrollment ID: I20090227000153 |
| Provider Name | Gina M Marcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760662811 PECOS PAC ID: 1254488794 Enrollment ID: I20090420000564 |
| Provider Name | Brandi Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679753354 PECOS PAC ID: 9234287202 Enrollment ID: I20090430000302 |
| Provider Name | Mitra N Nahreini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427117266 PECOS PAC ID: 4183625197 Enrollment ID: I20090502000010 |
| Provider Name | Nicole T Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770726275 PECOS PAC ID: 7618013921 Enrollment ID: I20090929000718 |
| Provider Name | Randa L Schroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386978617 PECOS PAC ID: 6800937137 Enrollment ID: I20100108000878 |
| Provider Name | Alexis F Rheinwald-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841527744 PECOS PAC ID: 2365586930 Enrollment ID: I20100219000567 |
| Provider Name | Myriam E Boutary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891022778 PECOS PAC ID: 7517092745 Enrollment ID: I20100312000905 |
| Provider Name | Trina C Acosta Tecson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205167822 PECOS PAC ID: 4880721588 Enrollment ID: I20100429000398 |
| Provider Name | Summer Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487964235 PECOS PAC ID: 6800083296 Enrollment ID: I20101210000771 |
| Provider Name | Maria Etchepare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457648446 PECOS PAC ID: 6709054356 Enrollment ID: I20110726000348 |
| Provider Name | Mariam Andar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407163884 PECOS PAC ID: 4688853849 Enrollment ID: I20111102000823 |
| Provider Name | Ty W Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609151851 PECOS PAC ID: 0042484925 Enrollment ID: I20111111000396 |
| Provider Name | Rebecca A Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982962759 PECOS PAC ID: 0446413504 Enrollment ID: I20120530000138 |
| Provider Name | Mindy A Motta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306107784 PECOS PAC ID: 3577728146 Enrollment ID: I20120705000158 |
| Provider Name | Anthonia E Okeani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629229745 PECOS PAC ID: 4486806965 Enrollment ID: I20121207000319 |
| Provider Name | Ami Narayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962774935 PECOS PAC ID: 6002051133 Enrollment ID: I20130320000665 |
| Provider Name | Kathryn N Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205179066 PECOS PAC ID: 7416196068 Enrollment ID: I20130612000182 |
| Provider Name | Dorianne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080139 PECOS PAC ID: 3476720921 Enrollment ID: I20130810000100 |
| Provider Name | Andrea A Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447577671 PECOS PAC ID: 9638207772 Enrollment ID: I20130911000545 |
| Provider Name | Esther N Baldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821437567 PECOS PAC ID: 8426284019 Enrollment ID: I20131204001918 |
| Provider Name | Yvonne D Fermil Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518086388 PECOS PAC ID: 6002044039 Enrollment ID: I20140120000523 |
| Provider Name | Carol A Coloma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528098217 PECOS PAC ID: 2264413962 Enrollment ID: I20140806001376 |
| Provider Name | Genny Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790116804 PECOS PAC ID: 3779702337 Enrollment ID: I20140912000708 |
| Provider Name | Spring M Degomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134559016 PECOS PAC ID: 7416186697 Enrollment ID: I20141006002524 |
| Provider Name | Allison Marcelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760887194 PECOS PAC ID: 2961725577 Enrollment ID: I20150106000410 |
| Provider Name | De Courcy E Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023410578 PECOS PAC ID: 5294059309 Enrollment ID: I20150121000111 |
| Provider Name | Padmaja Gadadoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952657702 PECOS PAC ID: 4284959891 Enrollment ID: I20150202000983 |
| Provider Name | Lisa Stibitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528409976 PECOS PAC ID: 3678705191 Enrollment ID: I20150423002532 |
| Provider Name | Emily Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528455433 PECOS PAC ID: 1658683222 Enrollment ID: I20150710000340 |
| Provider Name | Teresa N Geisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811384365 PECOS PAC ID: 3476868092 Enrollment ID: I20150811005769 |
| Provider Name | Susan Fuerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518333251 PECOS PAC ID: 3072820133 Enrollment ID: I20150922002133 |
| Provider Name | Roselyn J Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205019510 PECOS PAC ID: 4880759034 Enrollment ID: I20150925000383 |
| Provider Name | Christine D Alberto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699017160 PECOS PAC ID: 3971809310 Enrollment ID: I20160310000406 |
| Provider Name | Jessica Z Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568868271 PECOS PAC ID: 1658695648 Enrollment ID: I20160419002248 |
| Provider Name | Rachel Kogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326271883 PECOS PAC ID: 1557650256 Enrollment ID: I20160519001558 |
| Provider Name | Ana C Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184071631 PECOS PAC ID: 1951693563 Enrollment ID: I20160629003035 |
| Provider Name | Wen Cheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468204 PECOS PAC ID: 5890088918 Enrollment ID: I20160727001915 |
| Provider Name | Kelly Y Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700230471 PECOS PAC ID: 3072807122 Enrollment ID: I20160811002127 |
| Provider Name | Erin R Giovannetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013317767 PECOS PAC ID: 5496042244 Enrollment ID: I20160922001849 |
| Provider Name | Karen U Paradee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528292646 PECOS PAC ID: 3072665215 Enrollment ID: I20160923001086 |
| Provider Name | Emily N Rorabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619424959 PECOS PAC ID: 0244518595 Enrollment ID: I20161021000089 |
| Provider Name | Brandy Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114476769 PECOS PAC ID: 5698055937 Enrollment ID: I20161202001969 |
| Provider Name | Do-young Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225589864 PECOS PAC ID: 0941581904 Enrollment ID: I20170105001202 |
| Provider Name | Candace K Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841734043 PECOS PAC ID: 8921380635 Enrollment ID: I20170112002034 |
| Provider Name | Anzhela Davydov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194267070 PECOS PAC ID: 0446532873 Enrollment ID: I20170120000153 |
| Provider Name | Kristine M Ericksen-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174079115 PECOS PAC ID: 3779865670 Enrollment ID: I20170130002260 |
| Provider Name | Angela M Bretton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750827895 PECOS PAC ID: 3274816939 Enrollment ID: I20170203002092 |
| Provider Name | Hailey X Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235688193 PECOS PAC ID: 1052696853 Enrollment ID: I20170317000720 |
| Provider Name | Tracie N Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124561212 PECOS PAC ID: 5496030538 Enrollment ID: I20170403000076 |
| Provider Name | Anna Joy E Lingwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942656152 PECOS PAC ID: 8426334574 Enrollment ID: I20170404002206 |
| Provider Name | Juanette G Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326572132 PECOS PAC ID: 2365710720 Enrollment ID: I20170608000914 |
| Provider Name | Justine N Auer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225566730 PECOS PAC ID: 3678842135 Enrollment ID: I20170627002113 |
| Provider Name | Randi Pucely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043682255 PECOS PAC ID: 8224348669 Enrollment ID: I20170628001982 |
| Provider Name | Forreline G Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053841759 PECOS PAC ID: 3476823535 Enrollment ID: I20170721002559 |
| Provider Name | Suzanne Renee Kenedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578086559 PECOS PAC ID: 1456624113 Enrollment ID: I20170831003352 |
| Provider Name | Barbara I De La Noval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881149797 PECOS PAC ID: 5193004794 Enrollment ID: I20170919001922 |
| Provider Name | Jaime K Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466261 PECOS PAC ID: 0143596023 Enrollment ID: I20171020000000 |
| Provider Name | Sophear In |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164940433 PECOS PAC ID: 5991071201 Enrollment ID: I20171031002185 |
| Provider Name | Xavier Jeremiah Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780010595 PECOS PAC ID: 2961631239 Enrollment ID: I20171117003130 |
| Provider Name | Ashzra Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649728999 PECOS PAC ID: 6709143159 Enrollment ID: I20171120003571 |
| Provider Name | Katarzyna A Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003347816 PECOS PAC ID: 2668739939 Enrollment ID: I20171122001727 |
| Provider Name | Gretchen L Broman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922421288 PECOS PAC ID: 9032349774 Enrollment ID: I20171213003186 |
| Provider Name | Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376060319 PECOS PAC ID: 0446518344 Enrollment ID: I20171226001308 |
| Provider Name | Felicia Latonya Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769298 PECOS PAC ID: 0749548378 Enrollment ID: I20180103000313 |
| Provider Name | Kathleen W Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306357686 PECOS PAC ID: 4981963295 Enrollment ID: I20180112000830 |
| Provider Name | Caitlin T Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659713865 PECOS PAC ID: 4981838695 Enrollment ID: I20180122002805 |
| Provider Name | Brittany M Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811383284 PECOS PAC ID: 7618274184 Enrollment ID: I20180319002387 |
| Provider Name | Amy J Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255839106 PECOS PAC ID: 0042572638 Enrollment ID: I20180319002545 |
| Provider Name | Maria Agnes Austria Sado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104339225 PECOS PAC ID: 9032471347 Enrollment ID: I20180327000948 |
| Provider Name | Denise C Pettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609326024 PECOS PAC ID: 6800159625 Enrollment ID: I20180409002466 |
| Provider Name | Nicole J Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043708456 PECOS PAC ID: 5092079285 Enrollment ID: I20180516002634 |
| Provider Name | Rose Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215253885 PECOS PAC ID: 1951687763 Enrollment ID: I20180611002630 |
| Provider Name | Lindsay A Arboleda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780005710 PECOS PAC ID: 1153552658 Enrollment ID: I20180612002242 |
| Provider Name | Nancy D Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578051017 PECOS PAC ID: 5698024198 Enrollment ID: I20180816001342 |
| Provider Name | Lamia Adelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932688074 PECOS PAC ID: 8527319151 Enrollment ID: I20180920003230 |
| Provider Name | Karen A Hvizdzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295231371 PECOS PAC ID: 5698019321 Enrollment ID: I20181206000066 |
| Provider Name | George S Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124500012 PECOS PAC ID: 7315281052 Enrollment ID: I20181206000513 |
| Provider Name | Hope L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407357726 PECOS PAC ID: 7012252091 Enrollment ID: I20181219001466 |
| Provider Name | Valery Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371810 PECOS PAC ID: 2466799093 Enrollment ID: I20190121000914 |
| Provider Name | Dan Bi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386112597 PECOS PAC ID: 8527305150 Enrollment ID: I20190121001016 |
| Provider Name | Joyce Elaine A Ellingwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730667049 PECOS PAC ID: 2062759228 Enrollment ID: I20190125000286 |
| Provider Name | Dia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841700093 PECOS PAC ID: 2961749650 Enrollment ID: I20190204002462 |
| Provider Name | Jeazale A Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881161388 PECOS PAC ID: 3072851773 Enrollment ID: I20190205000270 |
| Provider Name | Emily Commack Tobias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618121 PECOS PAC ID: 2466718929 Enrollment ID: I20190211002557 |
| Provider Name | Rhoda Awino Ojwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104250521 PECOS PAC ID: 7012224090 Enrollment ID: I20190325002021 |
| Provider Name | Monte Carol Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366730855 PECOS PAC ID: 5193066769 Enrollment ID: I20190408002631 |
| Provider Name | Ariel M Wauchope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548726789 PECOS PAC ID: 9739420357 Enrollment ID: I20190409001837 |
| Provider Name | Madison A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178996 PECOS PAC ID: 3072846914 Enrollment ID: I20190610000808 |
| Provider Name | Virginia Denise Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992144489 PECOS PAC ID: 7517109903 Enrollment ID: I20190619000144 |
| Provider Name | Claudine Uwimpaye Blaise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063995447 PECOS PAC ID: 7113266719 Enrollment ID: I20190920000822 |
| Provider Name | Bethany Mistone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094936 PECOS PAC ID: 1658657317 Enrollment ID: I20191028001001 |
| Provider Name | Ozioma A Enworom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225685902 PECOS PAC ID: 6204268428 Enrollment ID: I20191108001816 |
| Provider Name | Diana J Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285284760 PECOS PAC ID: 7315370087 Enrollment ID: I20191211000501 |
| Provider Name | Tanita B Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073773545 PECOS PAC ID: 5092148502 Enrollment ID: I20191213000209 |
| Provider Name | Elina Maharjan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235470188 PECOS PAC ID: 9436390374 Enrollment ID: I20191227001927 |
| Provider Name | Cortney M Keckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194363770 PECOS PAC ID: 5799111852 Enrollment ID: I20200207002422 |
| Provider Name | Jaspreet Kaur Chhina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679117238 PECOS PAC ID: 3678900495 Enrollment ID: I20200217002306 |
| Provider Name | Amanda K Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760021026 PECOS PAC ID: 1658707799 Enrollment ID: I20200224001545 |
| Provider Name | Victoria Ashley Vayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760988935 PECOS PAC ID: 2365879525 Enrollment ID: I20200227001820 |
| Provider Name | Dominique L Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124589163 PECOS PAC ID: 5890123186 Enrollment ID: I20200320000233 |
| Provider Name | Astha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427684166 PECOS PAC ID: 9830529023 Enrollment ID: I20200501001348 |
| Provider Name | Shana Marie Tyler-henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669012571 PECOS PAC ID: 7113340118 Enrollment ID: I20200709001587 |
| Provider Name | Caroline T. Zimmet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932722758 PECOS PAC ID: 8729402102 Enrollment ID: I20200710002473 |
| Provider Name | Keena Lucretia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780136820 PECOS PAC ID: 1052734803 Enrollment ID: I20200713000710 |
| Provider Name | Dawn E Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134747595 PECOS PAC ID: 5092139287 Enrollment ID: I20200721002543 |
| Provider Name | Jennifer Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124560818 PECOS PAC ID: 7315364668 Enrollment ID: I20200901001195 |
| Provider Name | Ramona Fontela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891252912 PECOS PAC ID: 6002233368 Enrollment ID: I20200901001345 |
| Provider Name | Shannon L Liauw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082095 PECOS PAC ID: 1254750334 Enrollment ID: I20200916002637 |
| Provider Name | Robert Roscoe Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780233221 PECOS PAC ID: 1658705553 Enrollment ID: I20200922002335 |
| Provider Name | Karoljohn S Delara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306478896 PECOS PAC ID: 5890114789 Enrollment ID: I20200925001444 |
| Provider Name | Sheena Ching-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104358381 PECOS PAC ID: 1759668247 Enrollment ID: I20201009001217 |
| Provider Name | Janeane Horan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225680846 PECOS PAC ID: 5092135855 Enrollment ID: I20201015002190 |
| Provider Name | Inna V. Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568024339 PECOS PAC ID: 7911327556 Enrollment ID: I20201020001460 |
| Provider Name | Freddy Y Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417569906 PECOS PAC ID: 3375953441 Enrollment ID: I20201030000358 |
| Provider Name | Tamara Renae Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144847328 PECOS PAC ID: 7113337940 Enrollment ID: I20201106001757 |
| Provider Name | Maame Osei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467920934 PECOS PAC ID: 5294145827 Enrollment ID: I20201110000878 |
| Provider Name | Agnes Sara Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851853964 PECOS PAC ID: 6800206467 Enrollment ID: I20201110002144 |
| Provider Name | Jennifer Maneffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770180028 PECOS PAC ID: 4880006253 Enrollment ID: I20201209002569 |
| Provider Name | Andrea G Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685795 PECOS PAC ID: 7719399773 Enrollment ID: I20201215003021 |
| Provider Name | Binwant Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932729902 PECOS PAC ID: 5597177386 Enrollment ID: I20201221000678 |
| Provider Name | Neelam K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619593365 PECOS PAC ID: 2668885237 Enrollment ID: I20201229001623 |
| Provider Name | Jazel Sambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043860844 PECOS PAC ID: 4789097635 Enrollment ID: I20210113002522 |
| Provider Name | Tracy Canonizado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447858139 PECOS PAC ID: 7517370372 Enrollment ID: I20210115001523 |
| Provider Name | Ujunwa Jane Nnaji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891322145 PECOS PAC ID: 7416376082 Enrollment ID: I20210120002364 |
| Provider Name | Fely Embrado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902417124 PECOS PAC ID: 6002220605 Enrollment ID: I20210121002466 |
| Provider Name | Saret Azizians |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356876833 PECOS PAC ID: 7012321128 Enrollment ID: I20210202000604 |
| Provider Name | Samantha M Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629680087 PECOS PAC ID: 5496169468 Enrollment ID: I20210202003335 |
| Provider Name | Jacqueline Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534542 PECOS PAC ID: 0648685818 Enrollment ID: I20210222000115 |
| Provider Name | Angela C Hoefke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063012060 PECOS PAC ID: 0042626624 Enrollment ID: I20210305000420 |
| Provider Name | Virginia Vicky Inthavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932741139 PECOS PAC ID: 8820320872 Enrollment ID: I20210309002875 |
| Provider Name | Erika D Larracas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528699147 PECOS PAC ID: 1951717248 Enrollment ID: I20210311000831 |
| Provider Name | Bri'andra I Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204533 PECOS PAC ID: 1951717149 Enrollment ID: I20210312002313 |
| Provider Name | Tricia Rose Fontanilla Alegado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336619451 PECOS PAC ID: 3375883150 Enrollment ID: I20210318001808 |
| Provider Name | Stacy Antone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114517919 PECOS PAC ID: 5890102834 Enrollment ID: I20210318001849 |
| Provider Name | Megan Hoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207351 PECOS PAC ID: 7214344274 Enrollment ID: I20210318002619 |
| Provider Name | Lisa G Mciver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871079590 PECOS PAC ID: 0648692764 Enrollment ID: I20210318002982 |
| Provider Name | Emily Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083247308 PECOS PAC ID: 7315354222 Enrollment ID: I20210319002224 |
| Provider Name | Diana Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609427 PECOS PAC ID: 6103251277 Enrollment ID: I20210319002239 |
| Provider Name | Meghan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144839531 PECOS PAC ID: 2860809712 Enrollment ID: I20210322001182 |
| Provider Name | Ijeoma Onyejiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225630767 PECOS PAC ID: 2466869219 Enrollment ID: I20210324000624 |
| Provider Name | Cynthia Neal Sepulveda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649819368 PECOS PAC ID: 6901214972 Enrollment ID: I20210413001782 |
| Provider Name | Yaehee Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043666795 PECOS PAC ID: 3577972389 Enrollment ID: I20210507000665 |
| Provider Name | Jamie Kate M Adoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015941 PECOS PAC ID: 6800205451 Enrollment ID: I20210511001876 |
| Provider Name | Jessica G Layug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366026841 PECOS PAC ID: 5294134474 Enrollment ID: I20210519002665 |
| Provider Name | Amie Conley-abston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579644 PECOS PAC ID: 1456750678 Enrollment ID: I20210520000994 |
| Provider Name | Jacqueline Ovsepyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639782501 PECOS PAC ID: 4385043371 Enrollment ID: I20210524002796 |
| Provider Name | Vernica Foots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184250144 PECOS PAC ID: 9537577937 Enrollment ID: I20210525000191 |
| Provider Name | Fiji Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124659685 PECOS PAC ID: 6608275631 Enrollment ID: I20210525001766 |
| Provider Name | Sobia Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437747409 PECOS PAC ID: 4486053220 Enrollment ID: I20210526003434 |
| Provider Name | Mary Joyce Viray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144802976 PECOS PAC ID: 7810396660 Enrollment ID: I20210527000054 |
| Provider Name | Jordan Alan Brocaille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942891288 PECOS PAC ID: 8921407578 Enrollment ID: I20210601002566 |
| Provider Name | Prisma Otanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992318315 PECOS PAC ID: 8820498173 Enrollment ID: I20210608003840 |
| Provider Name | Mignonne D'cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700489648 PECOS PAC ID: 8022418052 Enrollment ID: I20210614001872 |
| Provider Name | Erin E Puryear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609450758 PECOS PAC ID: 0345641015 Enrollment ID: I20210701002256 |
| Provider Name | Ji Yeong Gendron Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033788898 PECOS PAC ID: 5890197511 Enrollment ID: I20210716001481 |
| Provider Name | Kimberly Noche Abido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881214237 PECOS PAC ID: 6608271721 Enrollment ID: I20210826002719 |
| Provider Name | Allison J Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548691686 PECOS PAC ID: 6608007448 Enrollment ID: I20210831001531 |
| Provider Name | Brandi L Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578939013 PECOS PAC ID: 6204234446 Enrollment ID: I20211001002019 |
| Provider Name | Rita Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306282322 PECOS PAC ID: 6406087501 Enrollment ID: I20211001002563 |
| Provider Name | Krisinda J Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914941 PECOS PAC ID: 2668748542 Enrollment ID: I20211006000764 |
| Provider Name | Alice Lee A Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922614411 PECOS PAC ID: 4981002664 Enrollment ID: I20211011001431 |
| Provider Name | Sherilyn Marie M Chua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164003109 PECOS PAC ID: 4082012604 Enrollment ID: I20211013000929 |
| Provider Name | Andrea C Lam Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992147425 PECOS PAC ID: 6305079070 Enrollment ID: I20211013001346 |
| Provider Name | Stephanie M Strozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558994384 PECOS PAC ID: 2961890629 Enrollment ID: I20211028002907 |
| Provider Name | Erica L Villaluz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551231 PECOS PAC ID: 8123416831 Enrollment ID: I20211029001774 |
| Provider Name | Marga C Dizon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185124 PECOS PAC ID: 0547658254 Enrollment ID: I20211029001987 |
| Provider Name | Andrea Denise James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669945705 PECOS PAC ID: 3375932726 Enrollment ID: I20211105001316 |
| Provider Name | Tiese L Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740954536 PECOS PAC ID: 1759770118 Enrollment ID: I20211105001694 |
| Provider Name | Amanda Nakamura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760054423 PECOS PAC ID: 1557750932 Enrollment ID: I20211105002677 |
| Provider Name | Terry G Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517711 PECOS PAC ID: 9436176484 Enrollment ID: I20211108001152 |
| Provider Name | Yashica Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942847272 PECOS PAC ID: 8325438799 Enrollment ID: I20211130000777 |
| Provider Name | Nian Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780350611 PECOS PAC ID: 7719377597 Enrollment ID: I20211209002843 |
| Provider Name | Sona Kirakasian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780356402 PECOS PAC ID: 9335530674 Enrollment ID: I20211222000227 |
| Provider Name | Brian Ngan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871261925 PECOS PAC ID: 3678964921 Enrollment ID: I20211222000825 |
| Provider Name | Amy Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790360634 PECOS PAC ID: 3870984057 Enrollment ID: I20211222002507 |
| Provider Name | Karen Ogboro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946385 PECOS PAC ID: 5092106237 Enrollment ID: I20211227000692 |
| Provider Name | Suzanne Calcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467077610 PECOS PAC ID: 2466843503 Enrollment ID: I20211227001084 |
| Provider Name | Tanya C Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427512714 PECOS PAC ID: 5991196040 Enrollment ID: I20211227001217 |
| Provider Name | Daniela Shon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013688738 PECOS PAC ID: 5890186969 Enrollment ID: I20211228000657 |
| Provider Name | Steven Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013598960 PECOS PAC ID: 3870984693 Enrollment ID: I20220104002944 |
| Provider Name | Tara C Readler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669066742 PECOS PAC ID: 7517359250 Enrollment ID: I20220110001151 |
| Provider Name | Cristel Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821753542 PECOS PAC ID: 1456743079 Enrollment ID: I20220111002197 |
| Provider Name | Anu Khanal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740943174 PECOS PAC ID: 0941692511 Enrollment ID: I20220112001237 |
| Provider Name | Parameswary Muthian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265101620 PECOS PAC ID: 1355733742 Enrollment ID: I20220114001152 |
| Provider Name | Say Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609457290 PECOS PAC ID: 8224420237 Enrollment ID: I20220125003092 |
| Provider Name | Cicily R Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518573161 PECOS PAC ID: 3274946553 Enrollment ID: I20220207001289 |
| Provider Name | Armine Balumyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417625484 PECOS PAC ID: 4688067903 Enrollment ID: I20220209002507 |
| Provider Name | Shaghayegh Oveis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154089555 PECOS PAC ID: 4183018948 Enrollment ID: I20220222001336 |
| Provider Name | Ashley N Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538828355 PECOS PAC ID: 1850785346 Enrollment ID: I20220226000311 |
| Provider Name | Aashika Dhungel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790457349 PECOS PAC ID: 8921492448 Enrollment ID: I20220228000780 |
| Provider Name | Jacquelyn R Smith-douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598336828 PECOS PAC ID: 2466846811 Enrollment ID: I20220228002673 |
| Provider Name | Suzanne A Bejec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164190088 PECOS PAC ID: 2264826411 Enrollment ID: I20220303001837 |
| Provider Name | Holly A Gloudemans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144804550 PECOS PAC ID: 4789078973 Enrollment ID: I20220304000520 |
| Provider Name | Jaqueline Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376295527 PECOS PAC ID: 1759776701 Enrollment ID: I20220310000182 |
| Provider Name | Nwamaka Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013598911 PECOS PAC ID: 2668867474 Enrollment ID: I20220314001744 |
| Provider Name | Nathalie Anyakpor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699319103 PECOS PAC ID: 6305231069 Enrollment ID: I20220315002060 |
| Provider Name | Olivia Oti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427700640 PECOS PAC ID: 8820483548 Enrollment ID: I20220316001426 |
| Provider Name | Karren L Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578226064 PECOS PAC ID: 9436545597 Enrollment ID: I20220330000881 |
| Provider Name | Barbara Mae Madriaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912659442 PECOS PAC ID: 3779970710 Enrollment ID: I20220421002405 |
| Provider Name | Marilyn J Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366641821 PECOS PAC ID: 2668787094 Enrollment ID: I20220427001072 |
| Provider Name | Anne M Kahana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467028373 PECOS PAC ID: 3779962212 Enrollment ID: I20220614001266 |
| Provider Name | Alexa Schaeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356000855 PECOS PAC ID: 2163801622 Enrollment ID: I20220614002053 |
| Provider Name | Anna M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700536430 PECOS PAC ID: 7911386180 Enrollment ID: I20220617001156 |
| Provider Name | Amelia Margaret Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395113 PECOS PAC ID: 7618384009 Enrollment ID: I20220617001413 |
| Provider Name | Rachael Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740936111 PECOS PAC ID: 0042699290 Enrollment ID: I20220620000684 |
| Provider Name | Amreen Guru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982344651 PECOS PAC ID: 7517346653 Enrollment ID: I20220621002494 |
| Provider Name | Airene Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245972835 PECOS PAC ID: 8628458668 Enrollment ID: I20220707002582 |
| Provider Name | Nancy Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326514084 PECOS PAC ID: 3779964200 Enrollment ID: I20220714003963 |
| Provider Name | Christina T Bakhsheshian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316431216 PECOS PAC ID: 5496008914 Enrollment ID: I20220720000282 |
| Provider Name | Helen Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386255248 PECOS PAC ID: 2365824059 Enrollment ID: I20220727002256 |
| Provider Name | Chartavia Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306599428 PECOS PAC ID: 7416339718 Enrollment ID: I20220803002054 |
| Provider Name | Wendy Crage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225617053 PECOS PAC ID: 6103200027 Enrollment ID: I20220826000374 |
| Provider Name | Erin Elizabeth Hermes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194451864 PECOS PAC ID: 9032594031 Enrollment ID: I20220912001854 |
| Provider Name | Marybeth Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619100161 PECOS PAC ID: 9830238989 Enrollment ID: I20220914003645 |
| Provider Name | Amy Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184117525 PECOS PAC ID: 1557797792 Enrollment ID: I20220926001574 |
| Provider Name | Tracey Iyamu-sanusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093087595 PECOS PAC ID: 5193101376 Enrollment ID: I20220927000638 |
| Provider Name | Katherine Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861013344 PECOS PAC ID: 7012383300 Enrollment ID: I20221011001604 |
| Provider Name | Mary Ann Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881366367 PECOS PAC ID: 2860868171 Enrollment ID: I20221011002397 |
| Provider Name | April Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760051205 PECOS PAC ID: 5890191951 Enrollment ID: I20221021000440 |
| Provider Name | Crystal Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891365722 PECOS PAC ID: 7012315641 Enrollment ID: I20221101001403 |
| Provider Name | Hee Y Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275265696 PECOS PAC ID: 2769859990 Enrollment ID: I20221101001727 |
| Provider Name | Johnny Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205578622 PECOS PAC ID: 9234506486 Enrollment ID: I20221101002582 |
| Provider Name | Manuel Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174259592 PECOS PAC ID: 8820465990 Enrollment ID: I20221102000757 |
| Provider Name | Diana Fruzza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780331439 PECOS PAC ID: 6305213414 Enrollment ID: I20221102002073 |
| Provider Name | Rhonalee Uy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164153003 PECOS PAC ID: 9830566959 Enrollment ID: I20221102002661 |
| Provider Name | Hongmei Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134637861 PECOS PAC ID: 0345617254 Enrollment ID: I20221107001657 |
| Provider Name | Selene Chagoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013647973 PECOS PAC ID: 5597132381 Enrollment ID: I20221108001722 |
| Provider Name | Melissa A Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255054490 PECOS PAC ID: 2961870050 Enrollment ID: I20221121002805 |
| Provider Name | Ana Fraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528661436 PECOS PAC ID: 4183093065 Enrollment ID: I20221215002540 |
| Provider Name | Joana Marie Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935231 PECOS PAC ID: 8921478165 Enrollment ID: I20230103002932 |
| Provider Name | Rachel Ballantyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427765627 PECOS PAC ID: 8325418130 Enrollment ID: I20230111002246 |
| Provider Name | Jesse Tung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114634185 PECOS PAC ID: 4587035233 Enrollment ID: I20230117002741 |
| Provider Name | Vanessa Yvonne A Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063147452 PECOS PAC ID: 9739550344 Enrollment ID: I20230118002055 |
| Provider Name | Laura Bretado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215675178 PECOS PAC ID: 5092186635 Enrollment ID: I20230119000443 |
| Provider Name | Leonardo Mariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241622 PECOS PAC ID: 3779954243 Enrollment ID: I20230119001885 |
| Provider Name | Solande Louis Xvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376284646 PECOS PAC ID: 4486025988 Enrollment ID: I20230119003117 |
| Provider Name | Da Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558087684 PECOS PAC ID: 4082085584 Enrollment ID: I20230119003320 |
| Provider Name | Rosalie Usher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417666967 PECOS PAC ID: 2961873310 Enrollment ID: I20230120002489 |
| Provider Name | Samina Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336858026 PECOS PAC ID: 7911378260 Enrollment ID: I20230124001401 |
| Provider Name | Candice M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740619063 PECOS PAC ID: 9931512753 Enrollment ID: I20230124001487 |
| Provider Name | Veronica R Dionisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164092862 PECOS PAC ID: 6204207368 Enrollment ID: I20230127001010 |
| Provider Name | Krista Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376080390 PECOS PAC ID: 8527343540 Enrollment ID: I20230127002293 |
| Provider Name | Karen Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20230206000331 |
| Provider Name | Tonya Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093431751 PECOS PAC ID: 6800268525 Enrollment ID: I20230207000297 |
| Provider Name | Latoya Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083324248 PECOS PAC ID: 8426420175 Enrollment ID: I20230207001600 |
| Provider Name | Gabriela Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073222576 PECOS PAC ID: 6002288354 Enrollment ID: I20230214001803 |
| Provider Name | Bing Rounsavall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083221840 PECOS PAC ID: 5193197457 Enrollment ID: I20230214002374 |
| Provider Name | Sharon Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942526736 PECOS PAC ID: 9638202377 Enrollment ID: I20230216001570 |
| Provider Name | Kristin Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184331928 PECOS PAC ID: 5799158614 Enrollment ID: I20230223002308 |
| Provider Name | Francis Bayona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245968676 PECOS PAC ID: 4688047285 Enrollment ID: I20230301002866 |
| Provider Name | Moh Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669185492 PECOS PAC ID: 4082087481 Enrollment ID: I20230306002624 |
| Provider Name | Samantha Vivian Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752050 PECOS PAC ID: 8426421579 Enrollment ID: I20230310001288 |
| Provider Name | Jevangeline Co-vivo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134827868 PECOS PAC ID: 8426423070 Enrollment ID: I20230414001760 |
| Provider Name | Jennifer Noyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205547239 PECOS PAC ID: 3072988435 Enrollment ID: I20230417002533 |
| Provider Name | Nikhita S Walji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487352233 PECOS PAC ID: 2264807551 Enrollment ID: I20230419002292 |
| Provider Name | Arti Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427407105 PECOS PAC ID: 5890087100 Enrollment ID: I20230420000989 |
| Provider Name | Brianna K Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497454102 PECOS PAC ID: 6103281563 Enrollment ID: I20230508002614 |
| Provider Name | Brittani Carpinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881394823 PECOS PAC ID: 2860858933 Enrollment ID: I20230515003159 |
| Provider Name | Debbie Pangilinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497453856 PECOS PAC ID: 4880050772 Enrollment ID: I20230518003132 |
| Provider Name | Stephan Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942902986 PECOS PAC ID: 9234595976 Enrollment ID: I20230522003235 |
| Provider Name | Kelli Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508348590 PECOS PAC ID: 4082966395 Enrollment ID: I20230523000971 |
| Provider Name | Nicole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730889270 PECOS PAC ID: 5294191771 Enrollment ID: I20230525003135 |
| Provider Name | Cherisha Np Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457093791 PECOS PAC ID: 9537526942 Enrollment ID: I20230530002898 |
| Provider Name | Artashes Vasilyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649993932 PECOS PAC ID: 1254798697 Enrollment ID: I20230531000886 |
| Provider Name | Keona Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033647144 PECOS PAC ID: 8527326982 Enrollment ID: I20230608003246 |
| Provider Name | Joshua Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548959042 PECOS PAC ID: 5991163404 Enrollment ID: I20230615000583 |
| Provider Name | Mikayla Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437852985 PECOS PAC ID: 5890153290 Enrollment ID: I20230616000602 |
| Provider Name | Meron Desta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598454563 PECOS PAC ID: 7315305489 Enrollment ID: I20230621003376 |
| Provider Name | Rodelle Ann De Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164112041 PECOS PAC ID: 6800254764 Enrollment ID: I20230626000117 |
| Provider Name | Kywaita E Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588369086 PECOS PAC ID: 8921468398 Enrollment ID: I20230717002501 |
| Provider Name | Tam Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073218186 PECOS PAC ID: 0840650909 Enrollment ID: I20230720002320 |
| Provider Name | Maria Petiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306530886 PECOS PAC ID: 0941661532 Enrollment ID: I20230728002874 |
| Provider Name | Kirstyn Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982358057 PECOS PAC ID: 6709271406 Enrollment ID: I20230817000243 |
| Provider Name | Navjot Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033885371 PECOS PAC ID: 7517336050 Enrollment ID: I20230818000476 |
| Provider Name | Alexandra Ciszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578220612 PECOS PAC ID: 4587057229 Enrollment ID: I20230922002928 |
| Provider Name | Katherine R. Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073106225 PECOS PAC ID: 5890185490 Enrollment ID: I20231010003262 |
| Provider Name | Jessica Bessette-castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083177372 PECOS PAC ID: 1557771482 Enrollment ID: I20231108003558 |
| Provider Name | Jenna L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669259875 PECOS PAC ID: 4183071285 Enrollment ID: I20231110002642 |
| Provider Name | Terri L Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720777469 PECOS PAC ID: 5991154510 Enrollment ID: I20231207003860 |
| Provider Name | Sara Pourmand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811779689 PECOS PAC ID: 1850740333 Enrollment ID: I20231208002226 |
| Provider Name | Andrea Polo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093393951 PECOS PAC ID: 1557762978 Enrollment ID: I20231208002769 |
| Provider Name | Elicia Y Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043998305 PECOS PAC ID: 2062861354 Enrollment ID: I20231212002658 |
| Provider Name | Chaehyeon L Damko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215717343 PECOS PAC ID: 0345699658 Enrollment ID: I20231212003348 |
| Provider Name | Sarah Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548041064 PECOS PAC ID: 3870942105 Enrollment ID: I20231212003927 |
| Provider Name | Mey Saephanh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154101749 PECOS PAC ID: 3678922903 Enrollment ID: I20231212003985 |
| Provider Name | Crystaloren M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184406522 PECOS PAC ID: 9436509155 Enrollment ID: I20231221000915 |
| Provider Name | Monica Rivera-gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033990874 PECOS PAC ID: 2668824400 Enrollment ID: I20240117003986 |
| Provider Name | Adrianne Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306529284 PECOS PAC ID: 9537512322 Enrollment ID: I20240129001221 |
| Provider Name | Charles Hinga |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922562446 PECOS PAC ID: 9830532555 Enrollment ID: I20240209002496 |
| Provider Name | Shaon Martineau |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841730470 PECOS PAC ID: 1456796747 Enrollment ID: I20240226004061 |
| Provider Name | Jessica Fox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487922704 PECOS PAC ID: 2668818154 Enrollment ID: I20240306003533 |
| Provider Name | Lola Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417957051 PECOS PAC ID: 0446250302 Enrollment ID: I20240429001951 |
| Provider Name | Sarah L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871351544 PECOS PAC ID: 3375985310 Enrollment ID: I20240522003448 |
| Provider Name | Bhoomika Vakharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528741014 PECOS PAC ID: 5193267383 Enrollment ID: I20240603003546 |
East County Regional Recovery Center Satelllite Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1365 N Johnson Ave, 111, 112 & 113, El Cajon, CA 92020 Phone: 619-440-4801 | |
Tlc Cornerstone, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 771 Jamacha Rd. #243, El Cajon, CA 92019 Phone: 619-396-0367 | |
Yvonne E Munoz Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 E Lexington Ave, El Cajon, CA 92020 Phone: 619-991-7400 | |
Cvly--los Coches Creek Middle Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9669 Dunbar Ln, El Cajon, CA 92021 Phone: 619-588-3653 | |
Dr. Arnold Scott Presley, Psy.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1977 N Marshall Ave Ste 101, El Cajon, CA 92020 Phone: 619-277-8051 | |
Satellite 1 - Cajon Valley Middle School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E Park Ave, El Cajon, CA 92020 Phone: 619-588-3653 | |
Dr. David Hahn Psychologist Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1252 Broadway, Suite I, El Cajon, CA 92021 Phone: 619-917-2569 Fax: 866-273-2035 |