| Pacific Neuropsychiatric Specialists Inc. | |
|
3151 Airway Ave Ste G1 Costa Mesa CA 92626-4624 | |
| (714) 545-5550 | |
| (714) 708-2588 |
| Full Name | Pacific Neuropsychiatric Specialists Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3151 Airway Ave Ste G1, Costa Mesa, California |
| Authorized Official Name and Position | Alejandro Alva (PRESIDENT) |
| Authorized Official Contact | 7145455550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Neuropsychiatric Specialists Inc. 3151 Airway Ave Ste G1 Costa Mesa CA 92626-4624 Ph: (714) 545-5550 | Pacific Neuropsychiatric Specialists Inc. 3151 Airway Ave Ste G1 Costa Mesa CA 92626-4624 Ph: (714) 545-5550 |
| NPI Number | 1356685218 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 3375796170 |
|---|---|
| Medicare Enrollment ID | O20130103000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356685218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Alejandro Alva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801816764 PECOS PAC ID: 8123032240 Enrollment ID: I20060127000518 |
| Provider Name | Tshekedi Galen Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215015508 PECOS PAC ID: 9830254432 Enrollment ID: I20090216000052 |
| Provider Name | Priti Bhardwaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750419230 PECOS PAC ID: 6204804792 Enrollment ID: I20110215000146 |
| Provider Name | Jeannette Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578652798 PECOS PAC ID: 0446426209 Enrollment ID: I20111228000122 |
| Provider Name | Yvette Yvette Elpidio |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043657547 PECOS PAC ID: 9739321712 Enrollment ID: I20141024000491 |
| Provider Name | Mohammed Shreiba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982866067 PECOS PAC ID: 7416265749 Enrollment ID: I20151006000893 |
| Provider Name | Markus Ploesser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669662755 PECOS PAC ID: 9638458268 Enrollment ID: I20161122000924 |
| Provider Name | Erik J Petersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922210251 PECOS PAC ID: 5991945446 Enrollment ID: I20190417001523 |
| Provider Name | Hugo Gomez Rueda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346701455 PECOS PAC ID: 5597093377 Enrollment ID: I20220613001418 |
| Provider Name | Christy Lia Mantanona Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376725580 PECOS PAC ID: 6204136039 Enrollment ID: I20231220003092 |
| Provider Name | Merlyn George Scoggin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336404664 PECOS PAC ID: 1153643457 Enrollment ID: I20240223001139 |
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