Pacific Health Systems, L.p. | |
610 Euclid Ave Ste 200 National City CA 91950-2951 | |
(619) 267-9257 | |
(619) 267-9273 |
Full Name | Pacific Health Systems, L.p. |
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Speciality | Psychiatry & Neurology |
Location | 610 Euclid Ave Ste 200, National City, California |
Authorized Official Name and Position | Prakash Bhatia (LIMITED PARTNER) |
Authorized Official Contact | 6192679257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pacific Health Systems, L.p. 610 Euclid Ave Ste 200 National City CA 91950-2951 Ph: (619) 267-9257 | Pacific Health Systems, L.p. 610 Euclid Ave Ste 200 National City CA 91950-2951 Ph: (619) 267-9257 |
NPI Number | 1669486429 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 08/29/2019 |
Medicare PECOS PAC ID | 7911901392 |
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Medicare Enrollment ID | O20060828000447 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669486429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Mohammed A Bari |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679588370 PECOS PAC ID: 2365351558 Enrollment ID: I20040324000554 |
Provider Name | Frederick D Jenkin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225069123 PECOS PAC ID: 9537114202 Enrollment ID: I20050315000815 |
Provider Name | Charles Farrow |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881614030 PECOS PAC ID: 0446279467 Enrollment ID: I20051117001062 |
Provider Name | Prakash K Bhatia |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164464137 PECOS PAC ID: 2961405261 Enrollment ID: I20060804000241 |
Provider Name | Gregory S Paniccia |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518022920 PECOS PAC ID: 8527162619 Enrollment ID: I20070329000362 |
Provider Name | Charmaine I Semeniuk |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215012836 PECOS PAC ID: 2062510092 Enrollment ID: I20070614000227 |
Provider Name | Takeshia C Niday |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932429289 PECOS PAC ID: 4486831898 Enrollment ID: I20110613000635 |
Provider Name | Nirali P Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891004305 PECOS PAC ID: 0547439945 Enrollment ID: I20110801000360 |
Provider Name | Douglas R Dolnak |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316147085 PECOS PAC ID: 2567617459 Enrollment ID: I20130226000218 |
Provider Name | Keren Elizabeth Feld |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730835083 PECOS PAC ID: 5395130595 Enrollment ID: I20220325001608 |
Provider Name | Olukayode Akinkunle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215473640 PECOS PAC ID: 8921471152 Enrollment ID: I20230308002360 |
Provider Name | Azeem Anjum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114516150 PECOS PAC ID: 3173978103 Enrollment ID: I20231011003777 |
Provider Name | Elliot Sutton-inocencio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346929312 PECOS PAC ID: 4789126038 Enrollment ID: I20240603001554 |
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