| Anaheim Urgent Care, Inc. | |
|
831 S State College Blvd Anaheim CA 92806-4613 | |
| (714) 533-2273 | |
| (714) 635-2273 |
| Full Name | Anaheim Urgent Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 831 S State College Blvd, Anaheim, California |
| Authorized Official Name and Position | Pejman Bolourian (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7145332273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anaheim Urgent Care, Inc. 1300 N La Brea Ave Los Angeles CA 90028-7504 Ph: (323) 464-1336 | Anaheim Urgent Care, Inc. 831 S State College Blvd Anaheim CA 92806-4613 Ph: (714) 533-2273 |
| NPI Number | 1962680033 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 04/14/2021 |
| Medicare PECOS PAC ID | 8325118029 |
|---|---|
| Medicare Enrollment ID | O20080606000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962680033 | NPI | - | NPPES |
| Provider Name | David Israel Hantman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306890462 PECOS PAC ID: 5294639597 Enrollment ID: I20031119000850 |
| Provider Name | John R Debanto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033175922 PECOS PAC ID: 5294632667 Enrollment ID: I20031215000404 |
| Provider Name | Maria F Daly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225127491 PECOS PAC ID: 5496640344 Enrollment ID: I20040325001729 |
| Provider Name | Nicole K Alexander-spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528175395 PECOS PAC ID: 4486546173 Enrollment ID: I20040326001249 |
| Provider Name | Princess Gladys F Bordador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952366304 PECOS PAC ID: 8527056878 Enrollment ID: I20040504001642 |
| Provider Name | Razan F Ammari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538104518 PECOS PAC ID: 4082604897 Enrollment ID: I20040513001586 |
| Provider Name | Woo S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386663185 PECOS PAC ID: 5496746000 Enrollment ID: I20040524000753 |
| Provider Name | Sunil G Sujan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598740474 PECOS PAC ID: 8527041516 Enrollment ID: I20040610001012 |
| Provider Name | Morris Kokhab |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245248681 PECOS PAC ID: 4385628767 Enrollment ID: I20040614001686 |
| Provider Name | Sharonda P Covington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174550487 PECOS PAC ID: 7719962778 Enrollment ID: I20040623000523 |
| Provider Name | Michael Akhondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437226347 PECOS PAC ID: 9133106818 Enrollment ID: I20040630001014 |
| Provider Name | Thomas V Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912924432 PECOS PAC ID: 8628041449 Enrollment ID: I20040818001007 |
| Provider Name | Michael C Bang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366571309 PECOS PAC ID: 7012981251 Enrollment ID: I20040823001430 |
| Provider Name | Keith D Stamler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578509568 PECOS PAC ID: 9638144561 Enrollment ID: I20040901001349 |
| Provider Name | Dyan Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225067812 PECOS PAC ID: 1951359348 Enrollment ID: I20050112000589 |
| Provider Name | Helen Pensanti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659707586 PECOS PAC ID: 9335198787 Enrollment ID: I20050112001194 |
| Provider Name | Shahrokh Poormehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104902378 PECOS PAC ID: 9032160767 Enrollment ID: I20050211000297 |
| Provider Name | Igor Boyarsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023166808 PECOS PAC ID: 4082667019 Enrollment ID: I20050301001015 |
| Provider Name | Luis P Nugent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144289646 PECOS PAC ID: 1052366721 Enrollment ID: I20050315000836 |
| Provider Name | William Patrick Dunne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902076292 PECOS PAC ID: 8527000215 Enrollment ID: I20050523001340 |
| Provider Name | Ngoc Mai T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467470823 PECOS PAC ID: 8729017298 Enrollment ID: I20050805000335 |
| Provider Name | Pejman Bolourian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114963360 PECOS PAC ID: 9133146426 Enrollment ID: I20051026000580 |
| Provider Name | Angela P Cherlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508890567 PECOS PAC ID: 8325054968 Enrollment ID: I20060306000641 |
| Provider Name | Peter Y. Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922014257 PECOS PAC ID: 3173528510 Enrollment ID: I20060919000196 |
| Provider Name | Jeffrey S Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083626543 PECOS PAC ID: 4385649938 Enrollment ID: I20061003000557 |
| Provider Name | Barry Huang |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1316961550 PECOS PAC ID: 0941208854 Enrollment ID: I20061130000473 |
| Provider Name | Mohammad Ashori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649308149 PECOS PAC ID: 0749385409 Enrollment ID: I20070425000293 |
| Provider Name | Shahram S Mirhashemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912071556 PECOS PAC ID: 3476645235 Enrollment ID: I20070823000977 |
| Provider Name | Laura M Harman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942239579 PECOS PAC ID: 0244325900 Enrollment ID: I20070926001181 |
| Provider Name | Franz Gliederer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831318765 PECOS PAC ID: 7911092275 Enrollment ID: I20071001000853 |
| Provider Name | Scott H Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073636536 PECOS PAC ID: 5092896712 Enrollment ID: I20080118000306 |
| Provider Name | Glenn N Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568433274 PECOS PAC ID: 8426139965 Enrollment ID: I20080122000755 |
| Provider Name | Rhonda M Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770554651 PECOS PAC ID: 4385726710 Enrollment ID: I20080124000299 |
| Provider Name | Kevin I Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689847725 PECOS PAC ID: 2961562624 Enrollment ID: I20081125000651 |
| Provider Name | Erik Martin Bezema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548419674 PECOS PAC ID: 7113088006 Enrollment ID: I20081210000741 |
| Provider Name | Ela Grigorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598937468 PECOS PAC ID: 9537222179 Enrollment ID: I20090108000484 |
| Provider Name | Jihyun Jang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558537118 PECOS PAC ID: 1557424587 Enrollment ID: I20090116000203 |
| Provider Name | Jeannette Y Martello |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1245452424 PECOS PAC ID: 2365507860 Enrollment ID: I20090217000539 |
| Provider Name | Nahid Eskandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528277233 PECOS PAC ID: 6507918844 Enrollment ID: I20090722000667 |
| Provider Name | Jacob Rastegar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821131632 PECOS PAC ID: 5597835298 Enrollment ID: I20090804000746 |
| Provider Name | Paul S Sucgang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205843711 PECOS PAC ID: 9638218811 Enrollment ID: I20091201000295 |
| Provider Name | Jill Adrienne Hoffman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659465771 PECOS PAC ID: 4587799929 Enrollment ID: I20100324000256 |
| Provider Name | Robert K Kakehashi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255486072 PECOS PAC ID: 4082742739 Enrollment ID: I20100517000747 |
| Provider Name | Homayoon Khanlou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356335277 PECOS PAC ID: 7517151210 Enrollment ID: I20101026001526 |
| Provider Name | Heleen Robins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871519959 PECOS PAC ID: 3678761384 Enrollment ID: I20101222000443 |
| Provider Name | Joanne B Schilperoort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568796894 PECOS PAC ID: 2769670215 Enrollment ID: I20101228000128 |
| Provider Name | Rashel J Tahzib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013103704 PECOS PAC ID: 9335228626 Enrollment ID: I20110222000958 |
| Provider Name | Matthew K Kurlan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063615110 PECOS PAC ID: 2062489123 Enrollment ID: I20110331000896 |
| Provider Name | Nazanin Parsaei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417104282 PECOS PAC ID: 7315121670 Enrollment ID: I20110411000579 |
| Provider Name | Naheed P Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790786333 PECOS PAC ID: 7113971896 Enrollment ID: I20110819000229 |
| Provider Name | Ronald L Gertsch |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043356033 PECOS PAC ID: 7517927304 Enrollment ID: I20120619000652 |
| Provider Name | Amir H Rad |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1710262472 PECOS PAC ID: 5496911877 Enrollment ID: I20120730000784 |
| Provider Name | Ali Parsaeian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528229374 PECOS PAC ID: 0648319145 Enrollment ID: I20120809000722 |
| Provider Name | Mary A Vreeke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013027184 PECOS PAC ID: 0941447783 Enrollment ID: I20130514000740 |
| Provider Name | Kristin Wechsler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386947117 PECOS PAC ID: 4981842713 Enrollment ID: I20130605000811 |
| Provider Name | Raffi J Ghurabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700014529 PECOS PAC ID: 9436386893 Enrollment ID: I20131211000739 |
| Provider Name | Raheleh Sarbaziha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194097477 PECOS PAC ID: 3375786205 Enrollment ID: I20131213000050 |
| Provider Name | Barry Buffman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356480016 PECOS PAC ID: 9133343403 Enrollment ID: I20140609000355 |
| Provider Name | Daniel Martin Sciaroni |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962407692 PECOS PAC ID: 6002075926 Enrollment ID: I20140902001437 |
| Provider Name | Nadereh Tafreshi-darabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851552996 PECOS PAC ID: 1153594775 Enrollment ID: I20141001000605 |
| Provider Name | Russell S Alterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487609939 PECOS PAC ID: 1850361437 Enrollment ID: I20141006001686 |
| Provider Name | Michael D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700141470 PECOS PAC ID: 5496079238 Enrollment ID: I20150127000123 |
| Provider Name | Marc Dennis Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730119322 PECOS PAC ID: 4587780580 Enrollment ID: I20150305002204 |
| Provider Name | William T Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245203256 PECOS PAC ID: 1153359211 Enrollment ID: I20150429000586 |
| Provider Name | Gita Tavassoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427380435 PECOS PAC ID: 7517286180 Enrollment ID: I20150501001891 |
| Provider Name | Vyacheslav Belous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154636645 PECOS PAC ID: 2365757218 Enrollment ID: I20150820011861 |
| Provider Name | Khalid Mekki Medani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912214503 PECOS PAC ID: 2860629847 Enrollment ID: I20150916003535 |
| Provider Name | Ezequiel Suarez |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1487740338 PECOS PAC ID: 4183934060 Enrollment ID: I20151104002351 |
| Provider Name | Carol Jean Uebelacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891767240 PECOS PAC ID: 4082675913 Enrollment ID: I20160216002712 |
| Provider Name | Ali Anari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912252743 PECOS PAC ID: 0345548780 Enrollment ID: I20160418002010 |
| Provider Name | John N Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801893672 PECOS PAC ID: 2264566991 Enrollment ID: I20160725001231 |
| Provider Name | Shirley L Wang |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700227931 PECOS PAC ID: 6406175678 Enrollment ID: I20161114002425 |
| Provider Name | Rahil Khan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124092549 PECOS PAC ID: 9032138649 Enrollment ID: I20161118001569 |
| Provider Name | Sarah Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578903977 PECOS PAC ID: 4183905656 Enrollment ID: I20161222000430 |
| Provider Name | William Lenaburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871562496 PECOS PAC ID: 0143504167 Enrollment ID: I20170310000916 |
| Provider Name | Salvador Plasencia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881953156 PECOS PAC ID: 1850523374 Enrollment ID: I20170609001691 |
| Provider Name | Lananh T Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528352341 PECOS PAC ID: 0648459818 Enrollment ID: I20170628003038 |
| Provider Name | Arin V Abramian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487033213 PECOS PAC ID: 5991928939 Enrollment ID: I20171013002304 |
| Provider Name | Elizabeth Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726850 PECOS PAC ID: 3274809686 Enrollment ID: I20171030001038 |
| Provider Name | Gordon E Van Tassell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104864024 PECOS PAC ID: 6103183488 Enrollment ID: I20171121001599 |
| Provider Name | Chioma Onyejekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548701535 PECOS PAC ID: 8628272556 Enrollment ID: I20180213001716 |
| Provider Name | Jeffrey Marvin Jue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639664824 PECOS PAC ID: 1052661212 Enrollment ID: I20180910000652 |
| Provider Name | Assaf Kahsai Fesseha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215371547 PECOS PAC ID: 0749560597 Enrollment ID: I20181119002382 |
| Provider Name | Derek Yu Hsu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952720013 PECOS PAC ID: 0749518710 Enrollment ID: I20190829000307 |
| Provider Name | Sean Fischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851887384 PECOS PAC ID: 7012247083 Enrollment ID: I20190918002119 |
| Provider Name | David Iskandar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548780026 PECOS PAC ID: 7810229465 Enrollment ID: I20191030003462 |
| Provider Name | Anna E Ziegler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275859860 PECOS PAC ID: 5890929541 Enrollment ID: I20200117000461 |
| Provider Name | Shaudee Parvinjah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144683913 PECOS PAC ID: 0345598686 Enrollment ID: I20200130002523 |
| Provider Name | Iman Abdel Bar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326127804 PECOS PAC ID: 1052586286 Enrollment ID: I20200221002359 |
| Provider Name | Robin M Longley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104265206 PECOS PAC ID: 6507169208 Enrollment ID: I20200414003599 |
| Provider Name | Bernard A Smyle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154347169 PECOS PAC ID: 4981034329 Enrollment ID: I20200424002946 |
| Provider Name | Rajiv Kumra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750581096 PECOS PAC ID: 1557450640 Enrollment ID: I20200520000602 |
| Provider Name | Sharnjeet Dosanjh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316330970 PECOS PAC ID: 2769804897 Enrollment ID: I20200618002531 |
| Provider Name | Jenny Lynn Lazarus |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902167901 PECOS PAC ID: 8527480466 Enrollment ID: I20200622002006 |
| Provider Name | David N Farchadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467985705 PECOS PAC ID: 1557783180 Enrollment ID: I20200626001101 |
| Provider Name | Mariam Sargsyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316436355 PECOS PAC ID: 2062837628 Enrollment ID: I20200730001316 |
| Provider Name | Lord L Addo-yirenkyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588140008 PECOS PAC ID: 3678999109 Enrollment ID: I20200814001115 |
| Provider Name | Tiffany Ann Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982249587 PECOS PAC ID: 3173940269 Enrollment ID: I20200903002566 |
| Provider Name | Jennifer M Galich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073960175 PECOS PAC ID: 6901224997 Enrollment ID: I20200908001325 |
| Provider Name | Elinora S Madrid Carranza |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578917720 PECOS PAC ID: 6507284551 Enrollment ID: I20200908003167 |
| Provider Name | Saranya Srinivasan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932335932 PECOS PAC ID: 5496901894 Enrollment ID: I20201016000547 |
| Provider Name | Masih Sadeghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295268977 PECOS PAC ID: 7012337538 Enrollment ID: I20201021001678 |
| Provider Name | Farahnaz Eskandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144545534 PECOS PAC ID: 1052505492 Enrollment ID: I20201119003453 |
| Provider Name | Hilda A Fujimoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212066 PECOS PAC ID: 8123431616 Enrollment ID: I20201229003076 |
| Provider Name | Lindsay Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558868281 PECOS PAC ID: 8527473776 Enrollment ID: I20210219002056 |
| 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 | Gaila Maureen Kenneally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700831468 PECOS PAC ID: 7719994714 Enrollment ID: I20210315002691 |
| Provider Name | Brittany Leigh Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760832497 PECOS PAC ID: 7810283280 Enrollment ID: I20210316003033 |
| Provider Name | King Nino Tadeo Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144841172 PECOS PAC ID: 2961810957 Enrollment ID: I20210412001184 |
| Provider Name | Lincoln K Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518521525 PECOS PAC ID: 2769891886 Enrollment ID: I20210430002508 |
| Provider Name | Kari E Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922699149 PECOS PAC ID: 6204235435 Enrollment ID: I20210520001289 |
| Provider Name | Desiree Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539321 PECOS PAC ID: 3072915420 Enrollment ID: I20210708001253 |
| Provider Name | David Moaddel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376808626 PECOS PAC ID: 5799072294 Enrollment ID: I20210928003391 |
| Provider Name | Natalia Y Obzejta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992209589 PECOS PAC ID: 8123378932 Enrollment ID: I20211007000662 |
| Provider Name | Erica Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669072690 PECOS PAC ID: 2062802903 Enrollment ID: I20211208000152 |
| Provider Name | Yonglin Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245824127 PECOS PAC ID: 0749670388 Enrollment ID: I20211214000945 |
| Provider Name | Crysten Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467052282 PECOS PAC ID: 3678964814 Enrollment ID: I20211227000531 |
| Provider Name | Caleb Thomas Brackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386119188 PECOS PAC ID: 1052653169 Enrollment ID: I20220216002839 |
| Provider Name | Naser Alazari |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770878449 PECOS PAC ID: 7719372127 Enrollment ID: I20220322002458 |
| Provider Name | Nahom Tassew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316689185 PECOS PAC ID: 3678953460 Enrollment ID: I20220711002904 |
| Provider Name | Rita G Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477764892 PECOS PAC ID: 7719031814 Enrollment ID: I20220801001135 |
| Provider Name | Anthony Joseph Picconatto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871045377 PECOS PAC ID: 8224394085 Enrollment ID: I20220802003659 |
| Provider Name | Alex Christopher Adamian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982267340 PECOS PAC ID: 8426430406 Enrollment ID: I20220808002612 |
| Provider Name | Shana Hedvat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891388641 PECOS PAC ID: 4385026236 Enrollment ID: I20220809001957 |
| Provider Name | Peter J Liepmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568415701 PECOS PAC ID: 4880789692 Enrollment ID: I20220914001916 |
| Provider Name | Guido S Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851896559 PECOS PAC ID: 0648646364 Enrollment ID: I20221021000749 |
| Provider Name | Shannon Marie Setter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447970793 PECOS PAC ID: 0244603694 Enrollment ID: I20230306000694 |
| Provider Name | Robert Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821661489 PECOS PAC ID: 8921471087 Enrollment ID: I20230310001482 |
| Provider Name | Krystle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396348975 PECOS PAC ID: 5890184667 Enrollment ID: I20230721002258 |
| Provider Name | Timeitself Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083237440 PECOS PAC ID: 2163882077 Enrollment ID: I20230724001152 |
| Provider Name | Janet C Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487260113 PECOS PAC ID: 3375993785 Enrollment ID: I20231227003357 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
Anaheim Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2571 W La Palma Ave, Anaheim, CA 92801 Phone: 714-827-9797 Fax: 714-827-5377 | |
Shirdi Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 W Romneya Dr, Anaheim, CA 92801 Phone: 714-776-3180 Fax: 714-991-1932 | |
Rakesh Kumar Bhola ,m.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1781 W Romneya Dr Ste C, Anaheim, CA 92801 Phone: 714-776-2700 | |
Anaheim Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280 Fax: 714-484-1358 | |
Richard Dick M Yip Md A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd Ste 211, Anaheim, CA 92804 Phone: 714-527-6000 Fax: 714-527-2371 | |
Benevolence Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N East St, Anaheim, CA 92805 Phone: 714-491-1771 |