| Ocean Psychiatry Inc | |
|
39180 Liberty St Ste 205 Fremont CA 94538-2586 | |
| (510) 451-2000 | |
| (510) 379-9209 |
| Full Name | Ocean Psychiatry Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 39180 Liberty St Ste 205, Fremont, California |
| Authorized Official Name and Position | Ahmed El Sokkary (OWNER) |
| Authorized Official Contact | 5104512000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Psychiatry Inc 39180 Liberty St Ste 205 Fremont CA 94538-2586 Ph: (510) 451-2000 | Ocean Psychiatry Inc 39180 Liberty St Ste 205 Fremont CA 94538-2586 Ph: (510) 451-2000 |
| NPI Number | 1396306338 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Medicare PECOS PAC ID | 6305277633 |
|---|---|
| Medicare Enrollment ID | O20200520002277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396306338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ahmed S El-sokkary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619169380 PECOS PAC ID: 8224118393 Enrollment ID: I20071231000577 |
| Provider Name | Janice Beverly Cahambing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356699912 PECOS PAC ID: 3476706359 Enrollment ID: I20121228000132 |
| Provider Name | Misty Tu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396857975 PECOS PAC ID: 0547329930 Enrollment ID: I20140204001196 |
| Provider Name | Ryuko Ishikawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053629634 PECOS PAC ID: 8921326729 Enrollment ID: I20150407001429 |
| Provider Name | Daniel N Pistone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962405084 PECOS PAC ID: 2062490113 Enrollment ID: I20150520001213 |
| Provider Name | Tara Ericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157115 PECOS PAC ID: 6406187657 Enrollment ID: I20191018002716 |
| Provider Name | Michael Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558749804 PECOS PAC ID: 0648540278 Enrollment ID: I20200215000233 |
| Provider Name | Shareh O Ghani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366520488 PECOS PAC ID: 5294725735 Enrollment ID: I20200904001718 |
| Provider Name | Kamaljot Bajwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659981330 PECOS PAC ID: 4284053240 Enrollment ID: I20200925000000 |
| Provider Name | Eric Tubat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336536960 PECOS PAC ID: 3678835956 Enrollment ID: I20201130001667 |
| Provider Name | Gloria Sim Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316488620 PECOS PAC ID: 7416363205 Enrollment ID: I20210302001843 |
| Provider Name | Marcene C Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871616599 PECOS PAC ID: 9931501061 Enrollment ID: I20210713001193 |
| Provider Name | Brittany K Meier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407222821 PECOS PAC ID: 4688027865 Enrollment ID: I20240124003805 |
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