Ucsd Medical Group | |
200 W Arbor Dr, San Diego, CA 92103-9000 | |
(800) 926-8273 | |
(888) 539-8781 |
Full Name | Ucsd Medical Group |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 200 W Arbor Dr, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699877621 | NPI | - | NPPES |
364823301 | Other | US DEPT OF LABOR | |
364823310 | Other | US DEPT OF LABOR | |
ZZZP3715Z | Medicaid | CA | |
2327 | Other | CA | CMS |
364823302 | Other | US DEPT OF LABOR | |
364823304 | Other | US DEPT OF LABOR | |
364823305 | Other | US DEPT OF LABOR | |
364823307 | Other | US DEPT OF LABOR | |
364823308 | Other | US DEPT OF LABOR | |
CQ4024 | Other | RAILROAD MEDICARE | |
GSD000390 | Medicaid | CA | |
ZZZP3715Z | Other | CA | CALOPTIMA |
GSD000390 | Other | CA | CALOPTIMA |
ZZZP3715Z | Other | CA | BLUE SHIELD |
364823300 | Other | US DEPT OF LABOR | |
364823306 | Other | US DEPT OF LABOR | |
CGP016905 | Other | CA | GHPP |
Provider Name | Weldon W Haw |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710945357 PECOS PAC ID: 8022903830 Enrollment ID: I20040219000968 |
Provider Name | Jessica A Tasto |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790733673 PECOS PAC ID: 7012950827 Enrollment ID: I20050602000833 |
Provider Name | Henry A Ferreyra |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1669497822 PECOS PAC ID: 3779529300 Enrollment ID: I20050705000599 |
Provider Name | Bobby S Korn |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174551006 PECOS PAC ID: 2163468687 Enrollment ID: I20050706000324 |
Provider Name | Anne B Lam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174550768 PECOS PAC ID: 4082647680 Enrollment ID: I20050914000799 |
Provider Name | Don O Kikkawa |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932202371 PECOS PAC ID: 3375554058 Enrollment ID: I20060509000582 |
Provider Name | Thao P Nguyen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154352185 PECOS PAC ID: 0941308316 Enrollment ID: I20070607000758 |
Provider Name | Manuel Puig-llano |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427102979 PECOS PAC ID: 8123197928 Enrollment ID: I20080520000430 |
Provider Name | Peter J Savino |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467451898 PECOS PAC ID: 7719935626 Enrollment ID: I20081024000659 |
Provider Name | Stephen F Oster |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215073689 PECOS PAC ID: 4284793696 Enrollment ID: I20081029000918 |
Provider Name | Sang-rog Oh |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659588978 PECOS PAC ID: 8729174248 Enrollment ID: I20090528000136 |
Provider Name | Ashkan Pirouz |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942489356 PECOS PAC ID: 9032260823 Enrollment ID: I20090708000402 |
Provider Name | Jeffrey E Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801943279 PECOS PAC ID: 0446304406 Enrollment ID: I20090811000348 |
Provider Name | Stuart Brown |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356376347 PECOS PAC ID: 4385784313 Enrollment ID: I20091222000584 |
Provider Name | Christopher W Heichel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083667307 PECOS PAC ID: 8325162597 Enrollment ID: I20100825000904 |
Provider Name | Robert N Weinreb |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093764177 PECOS PAC ID: 4688798127 Enrollment ID: I20100903000912 |
Provider Name | Michael H Goldbaum |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1720157142 PECOS PAC ID: 4587780291 Enrollment ID: I20100929001571 |
Provider Name | David B Granet |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982629036 PECOS PAC ID: 3173715570 Enrollment ID: I20101004000892 |
Provider Name | William R Freeman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1518983352 PECOS PAC ID: 6608068721 Enrollment ID: I20101007001148 |
Provider Name | Shira L Robbins |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508814914 PECOS PAC ID: 6002008604 Enrollment ID: I20101013001162 |
Provider Name | Pamela A Hoo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275566010 PECOS PAC ID: 8022201995 Enrollment ID: I20101023000104 |
Provider Name | Lara D Hustana |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235161597 PECOS PAC ID: 4688860539 Enrollment ID: I20101118000338 |
Provider Name | Lianne T Mizoguchi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619900313 PECOS PAC ID: 1153517008 Enrollment ID: I20101118000446 |
Provider Name | John F Kulischak |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740205236 PECOS PAC ID: 5991993693 Enrollment ID: I20101222000370 |
Provider Name | Kirsta L Brummel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003085481 PECOS PAC ID: 9234316506 Enrollment ID: I20110614000593 |
Provider Name | Alex A Huang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821246141 PECOS PAC ID: 8224293964 Enrollment ID: I20120703000422 |
Provider Name | Minh Vo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801021100 PECOS PAC ID: 0840456208 Enrollment ID: I20120730000553 |
Provider Name | Natalie A Afshari |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538126735 PECOS PAC ID: 9335278936 Enrollment ID: I20121107000560 |
Provider Name | Jeffrey Goldberg |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1417158114 PECOS PAC ID: 9739249210 Enrollment ID: I20130212000442 |
Provider Name | Asmaneh S Yamagata |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174754022 PECOS PAC ID: 0547401390 Enrollment ID: I20130722000171 |
Provider Name | Kweku Grant-acquah |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831327626 PECOS PAC ID: 2264667294 Enrollment ID: I20131029002250 |
Provider Name | Arash Mozayan Isfahani |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093948176 PECOS PAC ID: 6103053996 Enrollment ID: I20131227000672 |
Provider Name | Paulyne Lux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255763942 PECOS PAC ID: 3476777020 Enrollment ID: I20140620002074 |
Provider Name | Julio C Echegoyen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770801540 PECOS PAC ID: 7012135577 Enrollment ID: I20140825001287 |
Provider Name | Eric D Nudleman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154582575 PECOS PAC ID: 9436315389 Enrollment ID: I20140825002466 |
Provider Name | Ron Gutmark |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609189893 PECOS PAC ID: 6305095282 Enrollment ID: I20140827002101 |
Provider Name | Ling Y Bei |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164740460 PECOS PAC ID: 4789813361 Enrollment ID: I20140828000101 |
Provider Name | Cristiana G Vasile |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891002044 PECOS PAC ID: 9436377512 Enrollment ID: I20140903000669 |
Provider Name | Frank F Tsai |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043530777 PECOS PAC ID: 0941429104 Enrollment ID: I20140919002381 |
Provider Name | Daniel L Chao |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891011953 PECOS PAC ID: 7618197195 Enrollment ID: I20141003002301 |
Provider Name | Esmeralda C Mcclean |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962817981 PECOS PAC ID: 1850614173 Enrollment ID: I20141219001155 |
Provider Name | Maria Laura G Freeman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528490430 PECOS PAC ID: 9335469188 Enrollment ID: I20150519002615 |
Provider Name | Feilin Zhu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1497045041 PECOS PAC ID: 9830401892 Enrollment ID: I20150702002654 |
Provider Name | Hamideh S Moayedpardazi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386933240 PECOS PAC ID: 1658685078 Enrollment ID: I20150729009435 |
Provider Name | Aaron S Wang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790078129 PECOS PAC ID: 9739338427 Enrollment ID: I20150808015949 |
Provider Name | Joseph Ho |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1962766451 PECOS PAC ID: 3173839230 Enrollment ID: I20150903001748 |
Provider Name | Audrey C Ko |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891089546 PECOS PAC ID: 2264740661 Enrollment ID: I20151005002773 |
Provider Name | Shabnam K Taylor |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487944062 PECOS PAC ID: 3678882511 Enrollment ID: I20151016000010 |
Provider Name | Benjamin Y Xu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487910063 PECOS PAC ID: 6305138348 Enrollment ID: I20160712000808 |
Provider Name | Kevin Charles Chen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447518832 PECOS PAC ID: 8123310174 Enrollment ID: I20160712001159 |
Provider Name | Andrew S Camp |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1326300377 PECOS PAC ID: 8123311578 Enrollment ID: I20160722002325 |
Provider Name | Megha Pansara |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184983728 PECOS PAC ID: 5092000216 Enrollment ID: I20160825002957 |
Provider Name | Derek Stuart Welsbie |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588869945 PECOS PAC ID: 7214110527 Enrollment ID: I20160831000738 |
Provider Name | Harish Raja |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811251853 PECOS PAC ID: 1850537788 Enrollment ID: I20160915001751 |
Provider Name | Alicia Lau |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629312210 PECOS PAC ID: 1951534593 Enrollment ID: I20161216000927 |
Provider Name | Jiun L Do |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578900205 PECOS PAC ID: 9537439989 Enrollment ID: I20170718003704 |
Provider Name | Lilangi Ediriwickrema |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588922801 PECOS PAC ID: 2264702588 Enrollment ID: I20170719003185 |
Provider Name | Erica Liu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528402633 PECOS PAC ID: 6204125552 Enrollment ID: I20170720001092 |
Provider Name | Doran B Spencer |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1053670810 PECOS PAC ID: 4688981434 Enrollment ID: I20170724002920 |
Provider Name | Tyler Arnt Ofstad |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407199607 PECOS PAC ID: 6103196100 Enrollment ID: I20170725000949 |
Provider Name | Philip Ngai |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649614215 PECOS PAC ID: 2466769245 Enrollment ID: I20170725001052 |
Provider Name | Elizabeth N Luu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104350651 PECOS PAC ID: 9638440365 Enrollment ID: I20170729000017 |
Provider Name | Janette Elaine Matthess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457694549 PECOS PAC ID: 0648546382 Enrollment ID: I20171024002054 |
Provider Name | Andrew M Vo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790291565 PECOS PAC ID: 9436417300 Enrollment ID: I20171222001159 |
Provider Name | Bradley Barnett |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154765139 PECOS PAC ID: 4587888029 Enrollment ID: I20180712002053 |
Provider Name | Shagun K Bhatia |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1104237353 PECOS PAC ID: 6002195393 Enrollment ID: I20180723002198 |
Provider Name | Brandon James Wong |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902224850 PECOS PAC ID: 1456609544 Enrollment ID: I20180806003324 |
Provider Name | Sarah N Ahmed |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1477959096 PECOS PAC ID: 9931472818 Enrollment ID: I20180820002140 |
Provider Name | Ashlie A Bernhisel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356751572 PECOS PAC ID: 2567760457 Enrollment ID: I20180907002684 |
Provider Name | Yunxiang Liu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770849804 PECOS PAC ID: 4486961125 Enrollment ID: I20181004003019 |
Provider Name | Carol Yu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639697451 PECOS PAC ID: 9436415585 Enrollment ID: I20190220001532 |
Provider Name | Mansoor Movaghar |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1497792220 PECOS PAC ID: 8426050071 Enrollment ID: I20190322001760 |
Provider Name | Eric H Chan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427443316 PECOS PAC ID: 7315272010 Enrollment ID: I20190717003618 |
Provider Name | Xiongfei Liu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1497135156 PECOS PAC ID: 1658607585 Enrollment ID: I20190730001952 |
Provider Name | Kevin J Garff |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609258920 PECOS PAC ID: 4880931252 Enrollment ID: I20190730003528 |
Provider Name | Daniel J Ozzello |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073992731 PECOS PAC ID: 6507174208 Enrollment ID: I20190731001088 |
Provider Name | Lanning B Kline |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841227477 PECOS PAC ID: 1850285040 Enrollment ID: I20190731002655 |
Provider Name | Darren K Knight |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891181095 PECOS PAC ID: 8224301197 Enrollment ID: I20190802001754 |
Provider Name | Jolene C Rudell |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1144539305 PECOS PAC ID: 4880962406 Enrollment ID: I20191015001115 |
Provider Name | Sasan Moghimi Araghi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750923108 PECOS PAC ID: 9638509912 Enrollment ID: I20200429001382 |
Provider Name | Shyamanga R. Borooah |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275165102 PECOS PAC ID: 9638593833 Enrollment ID: I20200721002892 |
Provider Name | Yue Zhao |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851753354 PECOS PAC ID: 5395026637 Enrollment ID: I20200804002314 |
Provider Name | Sally Liu Baxter |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912325184 PECOS PAC ID: 4284926643 Enrollment ID: I20200804002448 |
Provider Name | Michael Ang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578907085 PECOS PAC ID: 0941625172 Enrollment ID: I20200805002802 |
Provider Name | Alex Paul Beazer |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942662168 PECOS PAC ID: 3779874755 Enrollment ID: I20200811000843 |
Provider Name | Ryan H Phan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588027213 PECOS PAC ID: 3072850536 Enrollment ID: I20200828000637 |
Provider Name | Adeleh Yarmohammadi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1023542370 PECOS PAC ID: 6103220355 Enrollment ID: I20210810001896 |
Provider Name | Nicole Topilow |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215468376 PECOS PAC ID: 6002210168 Enrollment ID: I20210811002218 |
Provider Name | Etienne Schonbach |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073040580 PECOS PAC ID: 9739583774 Enrollment ID: I20210812001387 |
Provider Name | Delu Song |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437689536 PECOS PAC ID: 4183028178 Enrollment ID: I20210812004056 |
Provider Name | Samuel Philip Burke |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740717149 PECOS PAC ID: 2466721063 Enrollment ID: I20210901000300 |
Provider Name | Caitlin Vu-khanh Jomoc |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861164642 PECOS PAC ID: 3375932783 Enrollment ID: I20211104002852 |
Provider Name | Philip Kim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376929034 PECOS PAC ID: 3072818475 Enrollment ID: I20220221000484 |
Provider Name | Christopher Toomey |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578922092 PECOS PAC ID: 2860814381 Enrollment ID: I20220525002362 |
Provider Name | Man Li Jin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073010120 PECOS PAC ID: 1759623366 Enrollment ID: I20220620001844 |
Provider Name | Catherine Ruth Sheils |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932605649 PECOS PAC ID: 2264788363 Enrollment ID: I20220621001953 |
Provider Name | Kamran Rahmatnejad |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699268292 PECOS PAC ID: 6608120514 Enrollment ID: I20220622000958 |
Provider Name | Charity Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841784659 PECOS PAC ID: 9830448281 Enrollment ID: I20220623002047 |
Provider Name | Nicole Marie Clements Jody |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932690294 PECOS PAC ID: 2961736665 Enrollment ID: I20220628003907 |
Provider Name | Zachary Koretz |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487157269 PECOS PAC ID: 4587999362 Enrollment ID: I20220729001343 |
Provider Name | Nathan L Scott |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1346622586 PECOS PAC ID: 1557679107 Enrollment ID: I20220803003083 |
Provider Name | Tracy Moor |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184283277 PECOS PAC ID: 8628447000 Enrollment ID: I20221206002831 |
Provider Name | Lauren M Hennein |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699216010 PECOS PAC ID: 5799190450 Enrollment ID: I20230530001449 |
Provider Name | Marissa Katherine Shoji |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1265096929 PECOS PAC ID: 9931435468 Enrollment ID: I20230703000882 |
Provider Name | Paul Lang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083275952 PECOS PAC ID: 1951704188 Enrollment ID: I20230703001351 |
Provider Name | Justin John Arnett |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154988012 PECOS PAC ID: 0345609749 Enrollment ID: I20230703001586 |
Provider Name | Kyle Alexander Bolo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154984417 PECOS PAC ID: 2466858196 Enrollment ID: I20230703002199 |
Provider Name | Malvika Arya |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659935096 PECOS PAC ID: 3577987833 Enrollment ID: I20230703002739 |
Provider Name | Lingling Huang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902398506 PECOS PAC ID: 4688925449 Enrollment ID: I20230704000027 |
Provider Name | Medi Eslani |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437614310 PECOS PAC ID: 7315306677 Enrollment ID: I20230705000505 |
Provider Name | Bao Han Allison Le |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306401096 PECOS PAC ID: 8729319066 Enrollment ID: I20230714000646 |
Provider Name | Aliya Cecilia Roginiel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1225599913 PECOS PAC ID: 0648506519 Enrollment ID: I20230720003063 |
Provider Name | Amiee Suijuan Ho |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396009478 PECOS PAC ID: 1557509965 Enrollment ID: I20231101003359 |
Provider Name | Sarah Cheng |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1568995397 PECOS PAC ID: 5395185029 Enrollment ID: I20240429002800 |
Provider Name | Jessica Hsueh |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952927584 PECOS PAC ID: 9739521154 Enrollment ID: I20240530001065 |
Provider Name | Christopher Anthony Girkin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891730073 PECOS PAC ID: 4880724665 Enrollment ID: I20240603001390 |
Mailing Address | Practice Location Address |
---|---|
Ucsd Medical Group File 57326, Los Angeles, CA 90074-2410 Ph: (800) 926-8273 | Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |