| Bass Medical Group | |
|
2637 Shadelands Dr Walnut Creek CA 94598-2512 | |
| (925) 378-4512 | |
| Not Available |
| Full Name | Bass Medical Group |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 2637 Shadelands Dr, Walnut Creek, California |
| Authorized Official Name and Position | Gregory A Rhodes (PRESIDENT) |
| Authorized Official Contact | 9259326330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bass Medical Group 2637 Shadelands Dr Walnut Creek CA 94598-2512 Ph: (925) 378-4512 | Bass Medical Group 2637 Shadelands Dr Walnut Creek CA 94598-2512 Ph: (925) 378-4512 |
| NPI Number | 1174253405 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 9032111281 |
|---|---|
| Medicare Enrollment ID | O20070201000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174253405 | NPI | - | NPPES |
| Provider Name | Kambiz Behzadi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265437396 PECOS PAC ID: 2466364955 Enrollment ID: I20031103000659 |
| Provider Name | Rajiv Nagesetty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689786840 PECOS PAC ID: 3577476324 Enrollment ID: I20031107000696 |
| Provider Name | Neesha Sri Pammi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437230877 PECOS PAC ID: 4284547738 Enrollment ID: I20031110000772 |
| Provider Name | Harish Hk Murthy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922074061 PECOS PAC ID: 3779497896 Enrollment ID: I20031113000554 |
| Provider Name | Dimple K-a Marwaha |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265495766 PECOS PAC ID: 7416861869 Enrollment ID: I20031204001169 |
| Provider Name | Michaela Straznicka |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003858283 PECOS PAC ID: 0143128850 Enrollment ID: I20031219000356 |
| Provider Name | Jennifer L Maw |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609989417 PECOS PAC ID: 4880596139 Enrollment ID: I20040126000708 |
| Provider Name | John P Loftus |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922074319 PECOS PAC ID: 0749175024 Enrollment ID: I20040216001348 |
| Provider Name | Aditi H Mandpe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790705531 PECOS PAC ID: 0143116954 Enrollment ID: I20040226000922 |
| Provider Name | Maureen N Mbadike-obiora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508948886 PECOS PAC ID: 2365339108 Enrollment ID: I20040304000431 |
| Provider Name | Eric M Kagel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104822030 PECOS PAC ID: 9234026030 Enrollment ID: I20040308000538 |
| Provider Name | Arminda S Tolentino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225131030 PECOS PAC ID: 4789572371 Enrollment ID: I20040330000907 |
| Provider Name | John William Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700856978 PECOS PAC ID: 5799779914 Enrollment ID: I20040414000835 |
| Provider Name | Duane D Stephens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972526044 PECOS PAC ID: 9537066162 Enrollment ID: I20040504000712 |
| Provider Name | Jeffrey Glantz Blue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801900220 PECOS PAC ID: 7517954084 Enrollment ID: I20040507000711 |
| Provider Name | Randall K Wenokur |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669562427 PECOS PAC ID: 8820088891 Enrollment ID: I20040513000523 |
| Provider Name | Subhendu Narayan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427169002 PECOS PAC ID: 4587655311 Enrollment ID: I20040520001025 |
| Provider Name | Anthony T Bernens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215983440 PECOS PAC ID: 6901887181 Enrollment ID: I20040525000663 |
| Provider Name | Lisa A Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760427702 PECOS PAC ID: 1254312119 Enrollment ID: I20040526001084 |
| Provider Name | Mark Loring Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982639662 PECOS PAC ID: 7012991193 Enrollment ID: I20040616000393 |
| Provider Name | Carrie S Haraburda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881706810 PECOS PAC ID: 0345227765 Enrollment ID: I20040702001022 |
| Provider Name | Lorelle Eileen Carlley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821057050 PECOS PAC ID: 2860479037 Enrollment ID: I20040706000828 |
| Provider Name | Michelle M Inserra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356428205 PECOS PAC ID: 3870571136 Enrollment ID: I20040712001619 |
| Provider Name | Michael Murray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750475828 PECOS PAC ID: 9638157795 Enrollment ID: I20040713001514 |
| Provider Name | Kalyani Maganti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073533212 PECOS PAC ID: 3072592633 Enrollment ID: I20040716000588 |
| Provider Name | Robert Chance Algar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750343729 PECOS PAC ID: 0749260743 Enrollment ID: I20040721000813 |
| Provider Name | William Buchanan Workman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952376352 PECOS PAC ID: 4284606534 Enrollment ID: I20040810000407 |
| Provider Name | Kenneth E Norton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104985613 PECOS PAC ID: 8729050547 Enrollment ID: I20040811000646 |
| Provider Name | Hiep Ngo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497763536 PECOS PAC ID: 1355316175 Enrollment ID: I20040826000494 |
| Provider Name | Kai C Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720166556 PECOS PAC ID: 8426023995 Enrollment ID: I20040827001103 |
| Provider Name | Lynne Lin-chang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770516536 PECOS PAC ID: 3072588078 Enrollment ID: I20040901001037 |
| Provider Name | Cesar Rigoberto Molina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811912975 PECOS PAC ID: 7315915741 Enrollment ID: I20040924000233 |
| Provider Name | Alexandra M Burgar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801891932 PECOS PAC ID: 6204897317 Enrollment ID: I20041021001121 |
| Provider Name | Tyler Kang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164691820 PECOS PAC ID: 8729040761 Enrollment ID: I20041101001122 |
| Provider Name | Rupert Roupen Horoupian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184686156 PECOS PAC ID: 6103880844 Enrollment ID: I20041112000962 |
| Provider Name | Ross A Pirkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184656688 PECOS PAC ID: 2264496124 Enrollment ID: I20041119000249 |
| Provider Name | Manjari Nathan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033386503 PECOS PAC ID: 9335106053 Enrollment ID: I20041214001193 |
| Provider Name | Dolores K Musco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679601611 PECOS PAC ID: 8022075647 Enrollment ID: I20041215000824 |
| Provider Name | Mark P Musco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578691523 PECOS PAC ID: 6103883723 Enrollment ID: I20041215000922 |
| Provider Name | Matthew P Campbell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083735070 PECOS PAC ID: 4183682529 Enrollment ID: I20041230000643 |
| Provider Name | Jewel Johl |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407852858 PECOS PAC ID: 6305895400 Enrollment ID: I20050114000894 |
| Provider Name | Richard S Cherlin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922060219 PECOS PAC ID: 4284683087 Enrollment ID: I20050119000656 |
| Provider Name | Winston C Vaughan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821182973 PECOS PAC ID: 3870544463 Enrollment ID: I20050201000322 |
| Provider Name | Jatinder P Marwaha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417910407 PECOS PAC ID: 8628021144 Enrollment ID: I20050225000523 |
| Provider Name | Selina Shah |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205995958 PECOS PAC ID: 1254384563 Enrollment ID: I20050228000216 |
| Provider Name | Alex A Aslan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538115571 PECOS PAC ID: 2769436773 Enrollment ID: I20050314000512 |
| Provider Name | Kirk L Jensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568553790 PECOS PAC ID: 2769475995 Enrollment ID: I20050330000548 |
| Provider Name | Kenneth M Caldwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457398224 PECOS PAC ID: 8022069947 Enrollment ID: I20050425000863 |
| Provider Name | Michael William Deboisblanc |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467554337 PECOS PAC ID: 6103739149 Enrollment ID: I20050426001488 |
| Provider Name | Mindy M Plotkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588742050 PECOS PAC ID: 6709825722 Enrollment ID: I20050428001193 |
| Provider Name | Cheri L Arbizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205922630 PECOS PAC ID: 6305887076 Enrollment ID: I20050512001003 |
| Provider Name | Tarannum Guller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972532083 PECOS PAC ID: 3971583220 Enrollment ID: I20050516000909 |
| Provider Name | Brian A Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972574739 PECOS PAC ID: 3678514551 Enrollment ID: I20050520000534 |
| Provider Name | Theodore A Glattke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033221551 PECOS PAC ID: 3779526322 Enrollment ID: I20050606000523 |
| Provider Name | Leslie A Gillum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275569089 PECOS PAC ID: 5294779203 Enrollment ID: I20050610000453 |
| Provider Name | Brian T Chin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750347100 PECOS PAC ID: 7517901713 Enrollment ID: I20050617001013 |
| Provider Name | Richard C Shinaman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760410625 PECOS PAC ID: 8123019189 Enrollment ID: I20050719000638 |
| Provider Name | Frederick A Rowe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215927405 PECOS PAC ID: 5294763504 Enrollment ID: I20050728000615 |
| Provider Name | Roger D Dainer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427053560 PECOS PAC ID: 2062448350 Enrollment ID: I20050728001222 |
| Provider Name | Erin J Simms |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588735476 PECOS PAC ID: 6800827171 Enrollment ID: I20050825001079 |
| Provider Name | Rock C Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174601256 PECOS PAC ID: 3072585447 Enrollment ID: I20051004001112 |
| Provider Name | Paul Han Soo Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609831163 PECOS PAC ID: 9133146897 Enrollment ID: I20051102000310 |
| Provider Name | Smitha Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619965688 PECOS PAC ID: 6709804396 Enrollment ID: I20051102000544 |
| Provider Name | Michael Alan Heisman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598760373 PECOS PAC ID: 8628096591 Enrollment ID: I20051109000483 |
| Provider Name | Bhavna Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437231537 PECOS PAC ID: 7315966652 Enrollment ID: I20051116000585 |
| Provider Name | Ileana A Helms |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225039142 PECOS PAC ID: 5799708558 Enrollment ID: I20060106000456 |
| Provider Name | Iqbal I Omarali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588758148 PECOS PAC ID: 2567478803 Enrollment ID: I20060223000851 |
| Provider Name | Huilan J Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679684245 PECOS PAC ID: 7012925290 Enrollment ID: I20060329000654 |
| Provider Name | Patricia Suzanne Maska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942275672 PECOS PAC ID: 9537126479 Enrollment ID: I20060717000346 |
| Provider Name | Chih Hsin C Wen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477517084 PECOS PAC ID: 9638125784 Enrollment ID: I20060824000331 |
| Provider Name | Jianqiu Pan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487760716 PECOS PAC ID: 6305842956 Enrollment ID: I20061004000693 |
| Provider Name | Christian Foglar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780689406 PECOS PAC ID: 0648234310 Enrollment ID: I20061017000381 |
| Provider Name | Steven Michael Schadendorf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619926102 PECOS PAC ID: 4981601085 Enrollment ID: I20061102000587 |
| Provider Name | Kristina Kramer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598714511 PECOS PAC ID: 0042219693 Enrollment ID: I20061209000102 |
| Provider Name | David M Bell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619916293 PECOS PAC ID: 6204806888 Enrollment ID: I20070124000759 |
| Provider Name | Jonathan L Chin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841216892 PECOS PAC ID: 2365444338 Enrollment ID: I20070203000076 |
| Provider Name | Sari J Kasper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194739110 PECOS PAC ID: 0244332971 Enrollment ID: I20070226000707 |
| Provider Name | Raymond M Stephens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629036140 PECOS PAC ID: 3779580089 Enrollment ID: I20070417000597 |
| Provider Name | Ari Umutyan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275516171 PECOS PAC ID: 9830295807 Enrollment ID: I20070508000430 |
| Provider Name | Ricardo W Contreras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679504922 PECOS PAC ID: 1456458447 Enrollment ID: I20070529000131 |
| Provider Name | Janine E Senior |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154321503 PECOS PAC ID: 4385646512 Enrollment ID: I20070529000504 |
| Provider Name | Janette G Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831199280 PECOS PAC ID: 5294737425 Enrollment ID: I20070529000516 |
| Provider Name | Hamid R Rassai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013013218 PECOS PAC ID: 1850498742 Enrollment ID: I20070530000307 |
| Provider Name | Romeo C Agbayani |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205909603 PECOS PAC ID: 9739287426 Enrollment ID: I20070604000378 |
| Provider Name | Timothy Leach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356429534 PECOS PAC ID: 9032218813 Enrollment ID: I20070619000615 |
| Provider Name | Joshua D Perlroth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881807006 PECOS PAC ID: 7618076738 Enrollment ID: I20070629000439 |
| Provider Name | Nicolas E Makhoul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639109515 PECOS PAC ID: 7719087683 Enrollment ID: I20070705000656 |
| Provider Name | Veronica R Barroga |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578681052 PECOS PAC ID: 0941301899 Enrollment ID: I20070723000658 |
| Provider Name | Daniel F Hartman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699798421 PECOS PAC ID: 9739272782 Enrollment ID: I20070906000642 |
| Provider Name | Marc A Levine |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801974332 PECOS PAC ID: 1951495100 Enrollment ID: I20070918000667 |
| Provider Name | Benjamin T Busfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952459992 PECOS PAC ID: 1557456993 Enrollment ID: I20071001000554 |
| Provider Name | Kelly Nix |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134229735 PECOS PAC ID: 2466547682 Enrollment ID: I20071003000529 |
| Provider Name | Peter J Mazolewski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710076773 PECOS PAC ID: 1951300425 Enrollment ID: I20071013000072 |
| Provider Name | Ian A Stine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154544468 PECOS PAC ID: 7416043484 Enrollment ID: I20071022000866 |
| Provider Name | Daniel R Nathanson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467653006 PECOS PAC ID: 6204886849 Enrollment ID: I20071031000633 |
| Provider Name | Richard T Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023185030 PECOS PAC ID: 7719087063 Enrollment ID: I20071121000596 |
| Provider Name | Lawrence Jason Goldstein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972571636 PECOS PAC ID: 7315834256 Enrollment ID: I20071205000435 |
| Provider Name | Elizabeth A Cunningham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891763553 PECOS PAC ID: 8628167160 Enrollment ID: I20071205000455 |
| Provider Name | Robert A Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346450418 PECOS PAC ID: 3274613823 Enrollment ID: I20080108000689 |
| Provider Name | Nimisha Mishra-shukla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487843942 PECOS PAC ID: 1658452263 Enrollment ID: I20080121000151 |
| Provider Name | Lisa K Higa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669583167 PECOS PAC ID: 5193787737 Enrollment ID: I20080225000242 |
| Provider Name | Mehra Hosseini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205947884 PECOS PAC ID: 9739141375 Enrollment ID: I20080225000298 |
| Provider Name | Mythilla Karunaratne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285765313 PECOS PAC ID: 7012091440 Enrollment ID: I20080225000379 |
| Provider Name | Mary K Cardoza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710936067 PECOS PAC ID: 4284718404 Enrollment ID: I20080227000308 |
| Provider Name | Lynda Frassetto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588695472 PECOS PAC ID: 1254415227 Enrollment ID: I20080228000785 |
| Provider Name | Kenneth C Hsiao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265427975 PECOS PAC ID: 8224009535 Enrollment ID: I20080304000926 |
| Provider Name | Shannon Mark Rush |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083788681 PECOS PAC ID: 0547346355 Enrollment ID: I20080319000351 |
| Provider Name | Tsung T Li |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568425148 PECOS PAC ID: 0648357053 Enrollment ID: I20080409000757 |
| Provider Name | Christina L Corey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225214695 PECOS PAC ID: 5193803807 Enrollment ID: I20080422000299 |
| Provider Name | Benjamin Loos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457441214 PECOS PAC ID: 9436238722 Enrollment ID: I20080512000664 |
| Provider Name | David J Jupina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033114178 PECOS PAC ID: 9234165523 Enrollment ID: I20080529000684 |
| Provider Name | Karen Jean Fong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548275068 PECOS PAC ID: 0042381519 Enrollment ID: I20080611000706 |
| Provider Name | Luman H Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124040274 PECOS PAC ID: 8123197621 Enrollment ID: I20080702000614 |
| Provider Name | Jonathan Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689644866 PECOS PAC ID: 8224101480 Enrollment ID: I20080721000716 |
| Provider Name | Lloyd C Ford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538259304 PECOS PAC ID: 6103905484 Enrollment ID: I20080723000561 |
| Provider Name | Daniel A Spilman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619923711 PECOS PAC ID: 2466456389 Enrollment ID: I20080805000448 |
| Provider Name | Jennifer M Nathanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972517118 PECOS PAC ID: 9638243959 Enrollment ID: I20080805000626 |
| Provider Name | Hamidreza M Khonsari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306874714 PECOS PAC ID: 4486726874 Enrollment ID: I20080807000543 |
| Provider Name | Jorge R Bernett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366460081 PECOS PAC ID: 7315944089 Enrollment ID: I20080814000792 |
| Provider Name | Ronald B Wasserman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346268067 PECOS PAC ID: 9133126808 Enrollment ID: I20080814000794 |
| Provider Name | Aradhana Kar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447358692 PECOS PAC ID: 2961579057 Enrollment ID: I20080915000501 |
| Provider Name | Ruben Kalra |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1245228766 PECOS PAC ID: 5890893903 Enrollment ID: I20081013000175 |
| Provider Name | Salim M Shelby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215948161 PECOS PAC ID: 2062580392 Enrollment ID: I20081014000126 |
| Provider Name | Jason F Moy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447468236 PECOS PAC ID: 8224118625 Enrollment ID: I20081104000301 |
| Provider Name | Ruth H Kaspar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871631853 PECOS PAC ID: 5294894077 Enrollment ID: I20081107000626 |
| Provider Name | Srilakshmi Vemulakonda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659584019 PECOS PAC ID: 7214097583 Enrollment ID: I20081117000135 |
| Provider Name | Haramandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154410967 PECOS PAC ID: 8224199815 Enrollment ID: I20081201000392 |
| Provider Name | Omar A Araim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548474570 PECOS PAC ID: 1355421397 Enrollment ID: I20081209000176 |
| Provider Name | Randall E Kan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326083114 PECOS PAC ID: 9335200021 Enrollment ID: I20081213000137 |
| Provider Name | William C Longton |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275625204 PECOS PAC ID: 6103892872 Enrollment ID: I20081213000196 |
| Provider Name | Andrew David Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174793806 PECOS PAC ID: 0749343580 Enrollment ID: I20090106000241 |
| Provider Name | Frederick Joseph Nachtwey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710901822 PECOS PAC ID: 3678536174 Enrollment ID: I20090112000757 |
| Provider Name | Danielle G Muller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902831720 PECOS PAC ID: 8123182698 Enrollment ID: I20090128000098 |
| Provider Name | Maria Delie T Jumagdao Sakai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205025996 PECOS PAC ID: 1355405424 Enrollment ID: I20090204000489 |
| Provider Name | Brian Joseph Mcguinness |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1891870770 PECOS PAC ID: 7012072010 Enrollment ID: I20090206000418 |
| Provider Name | Ran Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437237005 PECOS PAC ID: 5890871941 Enrollment ID: I20090217000291 |
| Provider Name | Nadine B Hanna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043244007 PECOS PAC ID: 6406911874 Enrollment ID: I20090218000547 |
| Provider Name | Gerald Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306868450 PECOS PAC ID: 9032288535 Enrollment ID: I20090223000137 |
| Provider Name | Philip Rush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922023993 PECOS PAC ID: 6507922747 Enrollment ID: I20090312000675 |
| Provider Name | Wilson Tsai |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609035666 PECOS PAC ID: 0143393017 Enrollment ID: I20090401000272 |
| Provider Name | Kathleen Marie Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225295694 PECOS PAC ID: 9537112487 Enrollment ID: I20090515000383 |
| Provider Name | Brian D Hopkins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891793980 PECOS PAC ID: 3971502733 Enrollment ID: I20090528000157 |
| Provider Name | Luisa Munoz Del Romeral |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982625018 PECOS PAC ID: 1254329857 Enrollment ID: I20090601000351 |
| Provider Name | Noor S Sachdev |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710141072 PECOS PAC ID: 9931250610 Enrollment ID: I20090622000053 |
| Provider Name | Michael Albert Oberlander |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063525244 PECOS PAC ID: 0042107401 Enrollment ID: I20090629000420 |
| Provider Name | Cynthia Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790823680 PECOS PAC ID: 7810049301 Enrollment ID: I20090714000545 |
| Provider Name | Kenneth Ping Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279841 PECOS PAC ID: 2466427091 Enrollment ID: I20090805000377 |
| Provider Name | Siddhartha Agrawal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477761963 PECOS PAC ID: 7214081645 Enrollment ID: I20090819000245 |
| Provider Name | Howard K Tsuchiya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184660672 PECOS PAC ID: 7113071523 Enrollment ID: I20090819000937 |
| Provider Name | Yun Sok Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669527164 PECOS PAC ID: 6901963834 Enrollment ID: I20090820000716 |
| Provider Name | Vanessa R Erickson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700072659 PECOS PAC ID: 0840345302 Enrollment ID: I20090904000260 |
| Provider Name | Philip C Yee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770666448 PECOS PAC ID: 6305941196 Enrollment ID: I20091008000191 |
| Provider Name | Man-kit Leung |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144417007 PECOS PAC ID: 3779620265 Enrollment ID: I20091103000199 |
| Provider Name | Stephen Robert Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659385151 PECOS PAC ID: 4385713882 Enrollment ID: I20091118000697 |
| Provider Name | Navin A Mallavaram |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1962677724 PECOS PAC ID: 0941349864 Enrollment ID: I20091204000528 |
| Provider Name | Smruti S Nalawadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972767655 PECOS PAC ID: 0840330999 Enrollment ID: I20091221000527 |
| Provider Name | Kaling Cheung |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881643831 PECOS PAC ID: 0547334922 Enrollment ID: I20100310000061 |
| Provider Name | Sean P Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376612275 PECOS PAC ID: 6406983980 Enrollment ID: I20100415000473 |
| Provider Name | Dimitry L Lerner |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1992965354 PECOS PAC ID: 2567599632 Enrollment ID: I20100629000814 |
| Provider Name | Mark Reginato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194884502 PECOS PAC ID: 5698829851 Enrollment ID: I20100714000219 |
| Provider Name | Saurin Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902062698 PECOS PAC ID: 8224161336 Enrollment ID: I20100726000882 |
| Provider Name | Steven S Liu |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1952467698 PECOS PAC ID: 2163555111 Enrollment ID: I20100728000751 |
| Provider Name | Xin Yang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528034154 PECOS PAC ID: 9234262106 Enrollment ID: I20100728001051 |
| Provider Name | Hussein A Samji |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124160510 PECOS PAC ID: 6800920141 Enrollment ID: I20100823000293 |
| Provider Name | Kuang-hwa Kenneth Chao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073721569 PECOS PAC ID: 1355431107 Enrollment ID: I20100826000881 |
| Provider Name | Robert R Greene |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639193709 PECOS PAC ID: 3577551183 Enrollment ID: I20100830001079 |
| Provider Name | Bao G Tran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104065440 PECOS PAC ID: 6800910530 Enrollment ID: I20100901000230 |
| Provider Name | Jennifer O Chan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265634687 PECOS PAC ID: 6406970805 Enrollment ID: I20100907000633 |
| Provider Name | Madhavi D Vemulapalli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063627362 PECOS PAC ID: 2466577119 Enrollment ID: I20100917000539 |
| Provider Name | Denise M Romero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194922542 PECOS PAC ID: 4486779022 Enrollment ID: I20100920000350 |
| Provider Name | John S Edelen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831183383 PECOS PAC ID: 6507763133 Enrollment ID: I20100921001138 |
| Provider Name | Ethan D Schram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659320703 PECOS PAC ID: 6406852284 Enrollment ID: I20100923000428 |
| Provider Name | Caroline A Perry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548279821 PECOS PAC ID: 2860496874 Enrollment ID: I20101109000966 |
| Provider Name | Gonzalo Obnial |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497909931 PECOS PAC ID: 6507051851 Enrollment ID: I20101111001039 |
| Provider Name | Bassam Said |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831118652 PECOS PAC ID: 1355537069 Enrollment ID: I20101119001095 |
| Provider Name | Melissa Ann Lehmer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699922252 PECOS PAC ID: 4880881820 Enrollment ID: I20101203000205 |
| Provider Name | Paul I Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457664062 PECOS PAC ID: 3476740275 Enrollment ID: I20101206000867 |
| Provider Name | Tanvi S Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649501446 PECOS PAC ID: 5395932693 Enrollment ID: I20101213000954 |
| Provider Name | Steven Albert Stanten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285697698 PECOS PAC ID: 5799819074 Enrollment ID: I20101214000834 |
| Provider Name | Susan Choe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275763252 PECOS PAC ID: 2961690011 Enrollment ID: I20101216000473 |
| Provider Name | Lionel P Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902838063 PECOS PAC ID: 7810185402 Enrollment ID: I20101227000110 |
| Provider Name | Ajay Kumar Upadhyay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104888155 PECOS PAC ID: 0244364529 Enrollment ID: I20110118000545 |
| Provider Name | Joyce H Colton House |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891960597 PECOS PAC ID: 2668651639 Enrollment ID: I20110122000040 |
| Provider Name | Michael T Krosin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578705000 PECOS PAC ID: 3870632847 Enrollment ID: I20110216000187 |
| Provider Name | Artemio Perez |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1821299926 PECOS PAC ID: 4789723834 Enrollment ID: I20110504000406 |
| Provider Name | Awisa Monsefan Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013071547 PECOS PAC ID: 6608051602 Enrollment ID: I20110505000631 |
| Provider Name | Anjali Kandpal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871896274 PECOS PAC ID: 3971789918 Enrollment ID: I20110509000823 |
| Provider Name | Stephen Justin Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568453264 PECOS PAC ID: 0840468104 Enrollment ID: I20110713000173 |
| Provider Name | Jamal J Zaka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053581769 PECOS PAC ID: 8426128083 Enrollment ID: I20110805000552 |
| Provider Name | Zepure Kouyoumdjian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235326232 PECOS PAC ID: 2365612173 Enrollment ID: I20110906000567 |
| Provider Name | Meaghan Maureen Pinheiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881848109 PECOS PAC ID: 9537332036 Enrollment ID: I20111028000099 |
| Provider Name | Najwa M Javed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063729630 PECOS PAC ID: 7618140559 Enrollment ID: I20111109000423 |
| Provider Name | Caitlin Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073894218 PECOS PAC ID: 5991970766 Enrollment ID: I20111206000145 |
| Provider Name | Konark Sharma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114975562 PECOS PAC ID: 1759346810 Enrollment ID: I20120302000634 |
| Provider Name | Nathalie Michaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467460022 PECOS PAC ID: 2062692718 Enrollment ID: I20120404000828 |
| Provider Name | Hamed Sajjadi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336169259 PECOS PAC ID: 9133380280 Enrollment ID: I20120417000226 |
| Provider Name | Okkyung Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386871168 PECOS PAC ID: 9335396720 Enrollment ID: I20120820000582 |
| Provider Name | Tasneem Bader-omarali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578658795 PECOS PAC ID: 1153579206 Enrollment ID: I20121113000440 |
| Provider Name | Jordan L Newmark |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144489592 PECOS PAC ID: 6406029065 Enrollment ID: I20121128000396 |
| Provider Name | Joseph D Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245492925 PECOS PAC ID: 3870747314 Enrollment ID: I20130208000129 |
| Provider Name | Emily Anne O'rourke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437492386 PECOS PAC ID: 2769628858 Enrollment ID: I20130416000248 |
| Provider Name | Julie Ann Long |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982608733 PECOS PAC ID: 7517938194 Enrollment ID: I20130613000555 |
| Provider Name | Patrick R Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760638118 PECOS PAC ID: 5496994584 Enrollment ID: I20130621000110 |
| Provider Name | Preethi Sridhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033362041 PECOS PAC ID: 2062652894 Enrollment ID: I20130628000063 |
| Provider Name | Brandon N Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487898938 PECOS PAC ID: 1254571227 Enrollment ID: I20130716000390 |
| Provider Name | Szilvia Molitorisz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295806289 PECOS PAC ID: 9739178104 Enrollment ID: I20130717000864 |
| Provider Name | Christopher J Welty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750571360 PECOS PAC ID: 9537300413 Enrollment ID: I20130719000409 |
| Provider Name | Edward C Klass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639517907 PECOS PAC ID: 1153563937 Enrollment ID: I20130807000132 |
| Provider Name | Victorina P Hoffmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336251693 PECOS PAC ID: 9234364035 Enrollment ID: I20131104000296 |
| Provider Name | Daniel H Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023360930 PECOS PAC ID: 6608003140 Enrollment ID: I20131209000944 |
| Provider Name | Jennifer S Steen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326256546 PECOS PAC ID: 6406915289 Enrollment ID: I20131212001002 |
| Provider Name | John Ulric Zink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366628935 PECOS PAC ID: 4688800386 Enrollment ID: I20140102000785 |
| Provider Name | Joseph Brandel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770756884 PECOS PAC ID: 6800961301 Enrollment ID: I20140114001799 |
| Provider Name | Lauren M Lockwood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356777130 PECOS PAC ID: 4587892534 Enrollment ID: I20140121000336 |
| Provider Name | Courtney Sepic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245222058 PECOS PAC ID: 1951338565 Enrollment ID: I20140428000465 |
| Provider Name | Thanh Tam N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902145592 PECOS PAC ID: 9436382488 Enrollment ID: I20140429001077 |
| Provider Name | Monica Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063785426 PECOS PAC ID: 3870717051 Enrollment ID: I20140609001271 |
| Provider Name | Negar Sodeifi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437321429 PECOS PAC ID: 7719102441 Enrollment ID: I20140712000051 |
| Provider Name | Jenny Feifei Jew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356504476 PECOS PAC ID: 1759506314 Enrollment ID: I20140715002444 |
| Provider Name | Jennifer R Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871903286 PECOS PAC ID: 0840416269 Enrollment ID: I20140721001769 |
| Provider Name | Danielle Bertoni |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780843185 PECOS PAC ID: 1153545884 Enrollment ID: I20140811001522 |
| Provider Name | Linda F Shui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578683124 PECOS PAC ID: 4688737547 Enrollment ID: I20140902000236 |
| Provider Name | Audrey E Arzamendi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508159567 PECOS PAC ID: 3971724949 Enrollment ID: I20141016002399 |
| Provider Name | Shawntel A Reddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598173767 PECOS PAC ID: 2466674056 Enrollment ID: I20141114002121 |
| Provider Name | Chandni Suba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992943906 PECOS PAC ID: 2062562416 Enrollment ID: I20141219000389 |
| Provider Name | Negar M Salehomoum |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1013169911 PECOS PAC ID: 1355574500 Enrollment ID: I20150403001030 |
| Provider Name | Cynthia Mullen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013123140 PECOS PAC ID: 6305031584 Enrollment ID: I20150414002728 |
| Provider Name | Eman Elmi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073930343 PECOS PAC ID: 6901117746 Enrollment ID: I20150619000679 |
| Provider Name | Rishi K Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992969281 PECOS PAC ID: 0749459303 Enrollment ID: I20150728003386 |
| Provider Name | Tara L Tarantino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891088704 PECOS PAC ID: 9830403203 Enrollment ID: I20150729007867 |
| Provider Name | Margaret Susan Carter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790009215 PECOS PAC ID: 1557521986 Enrollment ID: I20150803001993 |
| Provider Name | Nicole C Indart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154787224 PECOS PAC ID: 7416250337 Enrollment ID: I20160126001865 |
| Provider Name | Mary Beth Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922420785 PECOS PAC ID: 7517263312 Enrollment ID: I20160303002076 |
| Provider Name | Maxwell B Merkow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194951723 PECOS PAC ID: 6800192238 Enrollment ID: I20160311000737 |
| Provider Name | Michael Hong |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336342369 PECOS PAC ID: 7416190079 Enrollment ID: I20160426000192 |
| Provider Name | Heidi Y Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649681982 PECOS PAC ID: 6901195262 Enrollment ID: I20160510002097 |
| Provider Name | Jennifer A Avise |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801039615 PECOS PAC ID: 4082936455 Enrollment ID: I20160513001222 |
| Provider Name | Dana Kristopher Petersen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568783470 PECOS PAC ID: 5294972725 Enrollment ID: I20160518002352 |
| Provider Name | Sachie T Nguyen-trung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023218716 PECOS PAC ID: 7517257793 Enrollment ID: I20160531000961 |
| Provider Name | Armin Farajzadeh Deroee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952600389 PECOS PAC ID: 8527352996 Enrollment ID: I20160808001289 |
| Provider Name | Glenda L Montague |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043508872 PECOS PAC ID: 4385947704 Enrollment ID: I20160818000885 |
| Provider Name | Crystal Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518253012 PECOS PAC ID: 9436444163 Enrollment ID: I20160819001770 |
| Provider Name | Valy Boulom |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174785232 PECOS PAC ID: 1951530419 Enrollment ID: I20160826001712 |
| Provider Name | Ethelind C Cahigas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336388644 PECOS PAC ID: 0749441269 Enrollment ID: I20160921000586 |
| Provider Name | Jennifer Cheng |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669791612 PECOS PAC ID: 5294046991 Enrollment ID: I20160921001609 |
| Provider Name | Dina Casparro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629417670 PECOS PAC ID: 2466749759 Enrollment ID: I20160930000651 |
| Provider Name | Nicole Lynn Abell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811243603 PECOS PAC ID: 3678878436 Enrollment ID: I20161003002508 |
| Provider Name | Marie J Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600772 PECOS PAC ID: 6800184805 Enrollment ID: I20161006001400 |
| Provider Name | Amy K Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043551609 PECOS PAC ID: 7911285218 Enrollment ID: I20161020000899 |
| Provider Name | Amelia Quiel Atalig-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063833192 PECOS PAC ID: 7719268119 Enrollment ID: I20161222001448 |
| Provider Name | Maren Bohne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851835235 PECOS PAC ID: 3678855145 Enrollment ID: I20170117002147 |
| Provider Name | Joshua D Lem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356709745 PECOS PAC ID: 5890077846 Enrollment ID: I20170126001913 |
| Provider Name | Rachael Cabreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013047257 PECOS PAC ID: 5294019329 Enrollment ID: I20170308002415 |
| Provider Name | Shervin Yousefian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801055900 PECOS PAC ID: 1658552203 Enrollment ID: I20170313001553 |
| Provider Name | Jennifer Dion-gokan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831634708 PECOS PAC ID: 5991081291 Enrollment ID: I20170422000225 |
| Provider Name | Joshua Kahwor Au |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366701385 PECOS PAC ID: 3173800166 Enrollment ID: I20170428001431 |
| Provider Name | Abdulrahman Hamdi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285945196 PECOS PAC ID: 0547568933 Enrollment ID: I20170508000806 |
| Provider Name | Brian J Keyashian |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962776245 PECOS PAC ID: 7517257413 Enrollment ID: I20170510001571 |
| Provider Name | Shannon E Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255673463 PECOS PAC ID: 9032402979 Enrollment ID: I20170522001817 |
| Provider Name | James D Mitchell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700057569 PECOS PAC ID: 4284803131 Enrollment ID: I20170619002182 |
| Provider Name | Edward Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528324597 PECOS PAC ID: 9234439142 Enrollment ID: I20170626001571 |
| Provider Name | James A Teng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326337544 PECOS PAC ID: 7719114966 Enrollment ID: I20170822003614 |
| Provider Name | Esther M. Molnar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831456896 PECOS PAC ID: 4284859216 Enrollment ID: I20170831002065 |
| Provider Name | Sheetal Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861620072 PECOS PAC ID: 2365677119 Enrollment ID: I20171003006538 |
| Provider Name | Monica Shah Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225390917 PECOS PAC ID: 1254638299 Enrollment ID: I20171116002849 |
| Provider Name | Dawud O Lankford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063750099 PECOS PAC ID: 2668780479 Enrollment ID: I20180312000585 |
| Provider Name | Clarissa C Fago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477747707 PECOS PAC ID: 1759644610 Enrollment ID: I20180406001627 |
| Provider Name | Apurva Ambekar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467957662 PECOS PAC ID: 7810252145 Enrollment ID: I20180607000733 |
| Provider Name | Anna L Ameli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720327299 PECOS PAC ID: 3870848997 Enrollment ID: I20180613002759 |
| Provider Name | Peter Sterling Greene |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407295942 PECOS PAC ID: 1355566290 Enrollment ID: I20180705001909 |
| Provider Name | Lauren Len Spiegel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164840963 PECOS PAC ID: 4880941285 Enrollment ID: I20180717000658 |
| Provider Name | Shiva Mohtashami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043566623 PECOS PAC ID: 6103130406 Enrollment ID: I20180718001709 |
| Provider Name | Diana Caudillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437666567 PECOS PAC ID: 2567710254 Enrollment ID: I20180813003134 |
| Provider Name | Emily Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740783778 PECOS PAC ID: 1254681208 Enrollment ID: I20180912002091 |
| Provider Name | Serena Zhao Yang-loudin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649613365 PECOS PAC ID: 3274767991 Enrollment ID: I20181018003277 |
| Provider Name | Rafael Felipe Diaz Flores |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619056561 PECOS PAC ID: 2466609854 Enrollment ID: I20181114001809 |
| Provider Name | Cathy Lynn Eckert Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396227427 PECOS PAC ID: 4486908928 Enrollment ID: I20181119002943 |
| Provider Name | Katrina Chaung |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487810990 PECOS PAC ID: 7416197090 Enrollment ID: I20181218002432 |
| Provider Name | Rachel Ersoff |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104272657 PECOS PAC ID: 8325300163 Enrollment ID: I20190115001679 |
| Provider Name | Christopher Chao Xiao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124480736 PECOS PAC ID: 4789946971 Enrollment ID: I20190506001419 |
| Provider Name | Karen Tinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225442080 PECOS PAC ID: 8325371503 Enrollment ID: I20190603000617 |
| Provider Name | Shu Pan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225476989 PECOS PAC ID: 6002136041 Enrollment ID: I20190624002521 |
| Provider Name | Lauren Abrahamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225695869 PECOS PAC ID: 2668707423 Enrollment ID: I20190716001992 |
| Provider Name | Sayuj Paudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932330883 PECOS PAC ID: 9032375092 Enrollment ID: I20190818000005 |
| Provider Name | Saritha Byrapuneni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710461512 PECOS PAC ID: 4385973601 Enrollment ID: I20190912000890 |
| Provider Name | Kaileen M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508204058 PECOS PAC ID: 1456630102 Enrollment ID: I20191014003482 |
| Provider Name | Melanie Joy Rosenblatt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780167288 PECOS PAC ID: 2062744113 Enrollment ID: I20191023001317 |
| Provider Name | Jaime R Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497748594 PECOS PAC ID: 8527286954 Enrollment ID: I20191120000779 |
| Provider Name | Kimberly Dionne Oja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245064 PECOS PAC ID: 2668805177 Enrollment ID: I20191213000426 |
| Provider Name | Emmeline J Katsarelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496538 PECOS PAC ID: 9739513292 Enrollment ID: I20191217000949 |
| Provider Name | Poornima Vanguri |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144457375 PECOS PAC ID: 3678713997 Enrollment ID: I20200306001372 |
| Provider Name | Smita Jangid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083069371 PECOS PAC ID: 2668764796 Enrollment ID: I20200422003011 |
| Provider Name | Jaisri T Maharaj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629380464 PECOS PAC ID: 9335371673 Enrollment ID: I20200430002293 |
| Provider Name | Michael Sung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225423072 PECOS PAC ID: 0547502023 Enrollment ID: I20200715000168 |
| Provider Name | Navdeep K Dhatt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609307180 PECOS PAC ID: 5597001826 Enrollment ID: I20200805002731 |
| Provider Name | Navjot Singh Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245646231 PECOS PAC ID: 5395039358 Enrollment ID: I20200928000719 |
| Provider Name | Shayan Essapoor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083103725 PECOS PAC ID: 7618387622 Enrollment ID: I20201103001388 |
| Provider Name | Elise M Pellett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124633060 PECOS PAC ID: 1355758921 Enrollment ID: I20210326000147 |
| Provider Name | David Anthony Fall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407159510 PECOS PAC ID: 9739408469 Enrollment ID: I20210420000489 |
| Provider Name | Zachary A Decant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417343922 PECOS PAC ID: 4981940228 Enrollment ID: I20210513000836 |
| Provider Name | Benilda Oliquino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477164051 PECOS PAC ID: 6507275948 Enrollment ID: I20210514000918 |
| Provider Name | Nicole Sadika Yee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942733720 PECOS PAC ID: 5597164723 Enrollment ID: I20210520001610 |
| Provider Name | Kyle Ryland Hannabass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154784866 PECOS PAC ID: 8729326723 Enrollment ID: I20210621002197 |
| Provider Name | Benjamin Yim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598176604 PECOS PAC ID: 8426388232 Enrollment ID: I20210622003108 |
| Provider Name | Andrew Guenthart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134482805 PECOS PAC ID: 0446587299 Enrollment ID: I20210628003249 |
| Provider Name | Gurpreet Kaur Boparai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275732091 PECOS PAC ID: 1456475425 Enrollment ID: I20210714001245 |
| Provider Name | Alexander H Nguyen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730406729 PECOS PAC ID: 7618283425 Enrollment ID: I20210720000125 |
| Provider Name | Coco L Tsao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861068496 PECOS PAC ID: 4082012653 Enrollment ID: I20211012002319 |
| Provider Name | Ali Hamraz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083901961 PECOS PAC ID: 7618248972 Enrollment ID: I20211118002057 |
| Provider Name | Cristina Baldia Yttrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962086819 PECOS PAC ID: 5294125597 Enrollment ID: I20211130002373 |
| Provider Name | Shannon E Clemons |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700540689 PECOS PAC ID: 4789075490 Enrollment ID: I20220106000618 |
| Provider Name | Deirdre Grace Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902493117 PECOS PAC ID: 4880080324 Enrollment ID: I20220408000971 |
| Provider Name | Katherine Silbermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518614783 PECOS PAC ID: 7012303530 Enrollment ID: I20220411001391 |
| Provider Name | Brandon A Mccutcheon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093195380 PECOS PAC ID: 6901117688 Enrollment ID: I20220426000787 |
| Provider Name | Maryna Vazmitsel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245767029 PECOS PAC ID: 6406234913 Enrollment ID: I20220610002075 |
| Provider Name | Christian Swinney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093248775 PECOS PAC ID: 7315216181 Enrollment ID: I20220706003327 |
| Provider Name | Soheila Azghadi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952794455 PECOS PAC ID: 6305226143 Enrollment ID: I20220711001200 |
| Provider Name | Masoud Sultan Chopan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659891141 PECOS PAC ID: 6103206958 Enrollment ID: I20220711001323 |
| Provider Name | Steven S Zourabian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578918926 PECOS PAC ID: 1254734007 Enrollment ID: I20220713001434 |
| Provider Name | Katie Michaela O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346971637 PECOS PAC ID: 7113308644 Enrollment ID: I20220714004014 |
| Provider Name | Nathaniel S Gamsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164955043 PECOS PAC ID: 1557636206 Enrollment ID: I20220719003667 |
| Provider Name | Virginia Yee Lieu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063945962 PECOS PAC ID: 7012399934 Enrollment ID: I20220809000992 |
| Provider Name | Rachel Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710280409 PECOS PAC ID: 8426489923 Enrollment ID: I20220829002690 |
| Provider Name | Azadeh Esmaeili |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386198489 PECOS PAC ID: 6406230986 Enrollment ID: I20220901000938 |
| Provider Name | Christian Snow Pingree |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801259957 PECOS PAC ID: 1052674694 Enrollment ID: I20220919000241 |
| Provider Name | Jon Christopher Pineda Orlino |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265963789 PECOS PAC ID: 1658747373 Enrollment ID: I20221021000692 |
| Provider Name | Rusna K Jhita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053805200 PECOS PAC ID: 2062888621 Enrollment ID: I20221022000081 |
| Provider Name | Shreya Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841753605 PECOS PAC ID: 9537535059 Enrollment ID: I20221024002471 |
| Provider Name | Laura Sonoda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851732572 PECOS PAC ID: 4082923172 Enrollment ID: I20221031002446 |
| Provider Name | Ho Ming Lau |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912486309 PECOS PAC ID: 1355718057 Enrollment ID: I20221109003114 |
| Provider Name | Jacqueline Idun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659903045 PECOS PAC ID: 0749658631 Enrollment ID: I20221128000843 |
| Provider Name | Alyssa Joy Connors |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306552146 PECOS PAC ID: 7719359314 Enrollment ID: I20230208000759 |
| Provider Name | Grace T Wu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427435700 PECOS PAC ID: 9638415201 Enrollment ID: I20230222001910 |
| Provider Name | Lacy Nasseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255054631 PECOS PAC ID: 4486019346 Enrollment ID: I20230427001747 |
| Provider Name | Gabriella Perko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477252575 PECOS PAC ID: 6800252180 Enrollment ID: I20230510003084 |
| Provider Name | Talia Schiff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538879218 PECOS PAC ID: 8224494042 Enrollment ID: I20230522001970 |
| Provider Name | Isabelle A Struve |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346628740 PECOS PAC ID: 9537532734 Enrollment ID: I20230825001428 |
| Provider Name | Sujata Poudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801261466 PECOS PAC ID: 4880950500 Enrollment ID: I20230922003815 |
| Provider Name | Nicole Knight |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649931718 PECOS PAC ID: 6608221098 Enrollment ID: I20231004001920 |
| Provider Name | Katherine Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679357248 PECOS PAC ID: 8123473618 Enrollment ID: I20231019000063 |
| Provider Name | Kaspar Trocha |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245670694 PECOS PAC ID: 3375991078 Enrollment ID: I20231117002782 |
| Provider Name | Anthony M Salos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811472723 PECOS PAC ID: 1850740689 Enrollment ID: I20231205003980 |
| Provider Name | Meghan April M Bicomong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902584089 PECOS PAC ID: 9032569496 Enrollment ID: I20231227001544 |
| Provider Name | Jodi Michele Choplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790552305 PECOS PAC ID: 8921441825 Enrollment ID: I20240207003684 |
| Provider Name | Mallory Cless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649847203 PECOS PAC ID: 7012362718 Enrollment ID: I20240226000851 |
| Provider Name | Rajeev Kaul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336198183 PECOS PAC ID: 6608889928 Enrollment ID: I20240401003385 |
| Provider Name | Seyed Kavous Pakseresht |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437389327 PECOS PAC ID: 1658688759 Enrollment ID: I20240416000879 |
| Provider Name | Delisa Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699527010 PECOS PAC ID: 4486096989 Enrollment ID: I20240529004180 |
| Provider Name | Michelle Freed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710687017 PECOS PAC ID: 8729521422 Enrollment ID: I20240624000119 |
| Provider Name | Savannah Nichole King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275262131 PECOS PAC ID: 7810432317 Enrollment ID: I20240709001841 |
| Provider Name | Adeel Ashfaq |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821558222 PECOS PAC ID: 7719422278 Enrollment ID: I20240709004386 |
| Provider Name | Ali Khavari |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043836778 PECOS PAC ID: 4183169493 Enrollment ID: I20240711000452 |
| Provider Name | Jonathan Domenic Nigro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770164626 PECOS PAC ID: 5193260156 Enrollment ID: I20240715000518 |
| Provider Name | Timothy Lu Jang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801358775 PECOS PAC ID: 6103150107 Enrollment ID: I20240723001678 |
| Provider Name | Ghulam Shabir Joyo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508850843 PECOS PAC ID: 1254392715 Enrollment ID: I20240723004656 |
| Provider Name | Jonathan Cuong Huynh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659864783 PECOS PAC ID: 2466703202 Enrollment ID: I20240730002014 |
| Provider Name | Jee-hong Kim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629423140 PECOS PAC ID: 4486992856 Enrollment ID: I20240807001724 |
| Provider Name | Morgan Anne Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831612456 PECOS PAC ID: 2062787245 Enrollment ID: I20240814004236 |
| Provider Name | Julianne Macmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053044107 PECOS PAC ID: 0143603746 Enrollment ID: I20240829004327 |
| Provider Name | Laura L Hutchison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477592087 PECOS PAC ID: 7214214089 Enrollment ID: I20240926001564 |
| Provider Name | Leticia Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932927720 PECOS PAC ID: 2163954413 Enrollment ID: I20241011002570 |
| Provider Name | Avery Joseph |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891351565 PECOS PAC ID: 8820323058 Enrollment ID: I20241016002962 |
| Provider Name | Priscilla Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104646660 PECOS PAC ID: 0143754267 Enrollment ID: I20241112004334 |
| Provider Name | Michael Hajek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114456639 PECOS PAC ID: 6507137536 Enrollment ID: I20241115002926 |
| Provider Name | Geleeza Joy Pintor Idolyantes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447816129 PECOS PAC ID: 8921534504 Enrollment ID: I20241205002882 |
Ll Integrative Life Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 La Casa Via Ste 175, Walnut Creek, CA 94598 Phone: 925-522-9885 | |
John Muir Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Treat Blvd, Suite 130, Walnut Creek, CA 94597 Phone: 925-952-2888 | |
Westin Medical Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 415-990-0242 Fax: 855-233-9555 | |
Yi Zheng Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2121 Ygnacio Valley Rd Ste E105, Walnut Creek, CA 94598 Phone: 925-384-9276 | |
Phoenix Advanced Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 Ygnacio Valley Rd, Suite 14, Walnut Creek, CA 94598 Phone: 925-934-4123 Fax: 925-934-4125 |