| Aristamd | |
|
4660 La Jolla Village Dr Ste 100-1535 San Diego CA 92122-4601 | |
| (858) 751-4777 | |
| Not Available |
| Full Name | Aristamd |
|---|---|
| Speciality | Internal Medicine |
| Location | 4660 La Jolla Village Dr Ste 100-1535, San Diego, California |
| Authorized Official Name and Position | Tanille Logsdon (SPECIALIST NETWORK MANAGER) |
| Authorized Official Contact | 8169163289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aristamd 4755 Nexus Center Dr San Diego CA 92121-3051 Ph: (858) 750-4777 | Aristamd 4660 La Jolla Village Dr Ste 100-1535 San Diego CA 92122-4601 Ph: (858) 751-4777 |
| NPI Number | 1235671660 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 5092120816 |
|---|---|
| Medicare Enrollment ID | O20210209000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235671660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Tsung Lung Ho |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679507537 PECOS PAC ID: 8224942297 Enrollment ID: I20031113000811 |
| Provider Name | Eugene Galperin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548318330 PECOS PAC ID: 9436127776 Enrollment ID: I20040923000690 |
| Provider Name | Quang Dinh Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568568582 PECOS PAC ID: 0143272757 Enrollment ID: I20050211000306 |
| Provider Name | Michael A Puniak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861492712 PECOS PAC ID: 9739116781 Enrollment ID: I20050720001165 |
| Provider Name | Gregory H Kurio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033168190 PECOS PAC ID: 0547284879 Enrollment ID: I20060125000380 |
| Provider Name | Tempe K Chen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043368863 PECOS PAC ID: 4880609270 Enrollment ID: I20060206000929 |
| Provider Name | Bruce Reisman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699785014 PECOS PAC ID: 6800805888 Enrollment ID: I20060419000709 |
| Provider Name | Luke C Bi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700964202 PECOS PAC ID: 9830108729 Enrollment ID: I20060420000734 |
| Provider Name | Ammar Qoubaitary |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851346977 PECOS PAC ID: 8820091077 Enrollment ID: I20060809000139 |
| Provider Name | June N Seliber-klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184619439 PECOS PAC ID: 8325046832 Enrollment ID: I20061129000219 |
| Provider Name | Michael K Louie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538294798 PECOS PAC ID: 9335248640 Enrollment ID: I20070627000695 |
| Provider Name | Jennette L Boakes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972569531 PECOS PAC ID: 6406942374 Enrollment ID: I20071023000832 |
| Provider Name | Janine Roach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972644227 PECOS PAC ID: 5890868392 Enrollment ID: I20080716000591 |
| Provider Name | Michael Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982680716 PECOS PAC ID: 4688734262 Enrollment ID: I20081201000203 |
| Provider Name | Sarina L Behera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558447631 PECOS PAC ID: 2264526011 Enrollment ID: I20090609000409 |
| Provider Name | Tina M Sasaki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336376540 PECOS PAC ID: 3072643105 Enrollment ID: I20100616000001 |
| Provider Name | Brett Michael Wertman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043349772 PECOS PAC ID: 3173654563 Enrollment ID: I20100629000446 |
| Provider Name | Arnold Clive Cinman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801867163 PECOS PAC ID: 1850327255 Enrollment ID: I20100816000206 |
| Provider Name | Lonnie R Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992817936 PECOS PAC ID: 4284716762 Enrollment ID: I20100824000298 |
| Provider Name | Prabhjot K Grewal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770748030 PECOS PAC ID: 6406971670 Enrollment ID: I20100910000647 |
| Provider Name | Edward Cladera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588810329 PECOS PAC ID: 7810189636 Enrollment ID: I20101012000050 |
| Provider Name | Michelle Ruth Yasharpour |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1952560815 PECOS PAC ID: 7810181492 Enrollment ID: I20101027001054 |
| Provider Name | Sandra J Mun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952505539 PECOS PAC ID: 1658446133 Enrollment ID: I20110330000521 |
| Provider Name | Robert A Cooper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295813079 PECOS PAC ID: 8820272966 Enrollment ID: I20110413000869 |
| Provider Name | Ziba Jalali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902855232 PECOS PAC ID: 5597786855 Enrollment ID: I20110621000645 |
| Provider Name | Scott E Nass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477783827 PECOS PAC ID: 2062680002 Enrollment ID: I20110719000429 |
| Provider Name | Hasan Syed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982816468 PECOS PAC ID: 7719170778 Enrollment ID: I20110906000680 |
| Provider Name | Jina Sohn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558420760 PECOS PAC ID: 4385743277 Enrollment ID: I20120202000661 |
| Provider Name | Mark Stahl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306009501 PECOS PAC ID: 0345403630 Enrollment ID: I20120524000258 |
| Provider Name | Nadeem N Vaidya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578616520 PECOS PAC ID: 9537253539 Enrollment ID: I20121008000042 |
| Provider Name | John Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902006075 PECOS PAC ID: 0749431559 Enrollment ID: I20121102000490 |
| Provider Name | Nella L Green |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538393699 PECOS PAC ID: 9537314760 Enrollment ID: I20130219000350 |
| Provider Name | Jayant P Menon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528203361 PECOS PAC ID: 1254570229 Enrollment ID: I20130624000389 |
| Provider Name | Tawhid Gazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235236571 PECOS PAC ID: 9638271554 Enrollment ID: I20130701000589 |
| Provider Name | Erin R Okawa |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1972861490 PECOS PAC ID: 7416189204 Enrollment ID: I20140409001696 |
| Provider Name | David Filsoof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861686354 PECOS PAC ID: 2365698081 Enrollment ID: I20150813010221 |
| Provider Name | Troy A Miles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972829968 PECOS PAC ID: 9830344555 Enrollment ID: I20150831002315 |
| Provider Name | Mohammad N Mhaissen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124258025 PECOS PAC ID: 6901042605 Enrollment ID: I20150923001266 |
| Provider Name | Sunghoon Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902833395 PECOS PAC ID: 7911215827 Enrollment ID: I20150925001685 |
| Provider Name | Dina R Block |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497996318 PECOS PAC ID: 2567789605 Enrollment ID: I20160224000384 |
| Provider Name | Angelica Nangit Shepard |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447546684 PECOS PAC ID: 5092008433 Enrollment ID: I20160722002108 |
| Provider Name | Alexander V Uihlein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801043880 PECOS PAC ID: 0941468045 Enrollment ID: I20170128000172 |
| Provider Name | Vincent A Covelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354347 PECOS PAC ID: 4385911924 Enrollment ID: I20170601002153 |
| Provider Name | Teeranun Jirajariyavej |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730317751 PECOS PAC ID: 4486877933 Enrollment ID: I20170807003467 |
| Provider Name | Yen Hui M Soong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942572680 PECOS PAC ID: 6406166776 Enrollment ID: I20170808003860 |
| Provider Name | Benjamin Djulbegovic |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1649201740 PECOS PAC ID: 7315029709 Enrollment ID: I20171002000823 |
| Provider Name | Reem Ali Abu Libdeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972985158 PECOS PAC ID: 6507131778 Enrollment ID: I20171013002980 |
| Provider Name | Robert Jay Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356343040 PECOS PAC ID: 7416120381 Enrollment ID: I20180608000671 |
| Provider Name | Mona K Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548569866 PECOS PAC ID: 1951549799 Enrollment ID: I20181105000933 |
| Provider Name | Daniah Alicia Denise Thomps Beleford |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1841634805 PECOS PAC ID: 8325334535 Enrollment ID: I20190206001970 |
| Provider Name | Zeyad Hashem Kanaan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144412560 PECOS PAC ID: 8628193059 Enrollment ID: I20190522003108 |
| Provider Name | Nianzhou Xiao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659504959 PECOS PAC ID: 1153643317 Enrollment ID: I20190723000939 |
| Provider Name | Joshua M Smith |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154528727 PECOS PAC ID: 5193856193 Enrollment ID: I20210625000734 |
| Provider Name | Sandy K Yip |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1013070804 PECOS PAC ID: 4082837349 Enrollment ID: I20210629001630 |
| Provider Name | Rajat S Bhatt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013938349 PECOS PAC ID: 5991776023 Enrollment ID: I20210630000332 |
| Provider Name | Victor Sanoe Harrison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952621468 PECOS PAC ID: 5395981435 Enrollment ID: I20210707001355 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457665671 PECOS PAC ID: 6002057445 Enrollment ID: I20210707001729 |
| Provider Name | Priyanka Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326466145 PECOS PAC ID: 9133436512 Enrollment ID: I20210708000361 |
| Provider Name | Jeffrey P Allerton |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1205886181 PECOS PAC ID: 2365425519 Enrollment ID: I20210708001536 |
| Provider Name | Khaled Boubes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356573976 PECOS PAC ID: 0345499414 Enrollment ID: I20210712001051 |
| Provider Name | Jason J Brucker |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174723373 PECOS PAC ID: 4789831892 Enrollment ID: I20210713000921 |
| Provider Name | James Clifford |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619034030 PECOS PAC ID: 3173798980 Enrollment ID: I20210714000142 |
| Provider Name | Sujatha Gerineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396973640 PECOS PAC ID: 0345495255 Enrollment ID: I20210714001549 |
| Provider Name | Ian G Harnik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851506737 PECOS PAC ID: 3476648007 Enrollment ID: I20210714001685 |
| Provider Name | Tahir Khwaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881804938 PECOS PAC ID: 5092844928 Enrollment ID: I20210714003824 |
| Provider Name | Sujai D Nath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255337382 PECOS PAC ID: 1052376498 Enrollment ID: I20210714003833 |
| Provider Name | Brian Alexander Weatherby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548380850 PECOS PAC ID: 2769556000 Enrollment ID: I20210715004210 |
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