Dap Health-borrego Springs Community Health Center | |
4343 Yaqui Pass Rd Borrego Springs CA 92004-2369 | |
(760) 767-5051 | |
(760) 767-4552 |
Full Name | Dap Health-borrego Springs Community Health Center |
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Speciality | Clinic/Center |
Location | 4343 Yaqui Pass Rd, Borrego Springs, California |
Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 7603232118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dap Health-borrego Springs Community Health Center 1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | Dap Health-borrego Springs Community Health Center 4343 Yaqui Pass Rd Borrego Springs CA 92004-2369 Ph: (760) 767-5051 |
NPI Number | 1134144165 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 1759299944 |
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Medicare Enrollment ID | O20040122000961 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134144165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 080000651 (California) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Christopher J Swanson |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1023016847 PECOS PAC ID: 3577450675 Enrollment ID: I20040303000343 |
Provider Name | Sean Arthur Barlow |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386653178 PECOS PAC ID: 2365433950 Enrollment ID: I20040521000735 |
Provider Name | Jose-daniel Hernandez Rivera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487702379 PECOS PAC ID: 8426031014 Enrollment ID: I20040612000799 |
Provider Name | Clayton O Barbour |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326137589 PECOS PAC ID: 6305820200 Enrollment ID: I20040617000486 |
Provider Name | Alfredo Ratniewski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689768459 PECOS PAC ID: 6305817891 Enrollment ID: I20040809000614 |
Provider Name | Laura H Goetz |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1710941729 PECOS PAC ID: 7618949769 Enrollment ID: I20040809001343 |
Provider Name | John C Petitt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497992432 PECOS PAC ID: 7416925466 Enrollment ID: I20040917001072 |
Provider Name | Eloise Skelton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285774661 PECOS PAC ID: 6002885522 Enrollment ID: I20040930000546 |
Provider Name | Vache Chakmakian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316974652 PECOS PAC ID: 1951367754 Enrollment ID: I20041203000329 |
Provider Name | Harrsha K Thirunagari |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447472212 PECOS PAC ID: 4385697036 Enrollment ID: I20050223000169 |
Provider Name | Kenneth W Nordlund |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356385082 PECOS PAC ID: 0244270742 Enrollment ID: I20050504000533 |
Provider Name | Hsin-pei Liu |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093718678 PECOS PAC ID: 0749238772 Enrollment ID: I20050627001257 |
Provider Name | Muhammad Arif |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396728564 PECOS PAC ID: 3476589151 Enrollment ID: I20050713001141 |
Provider Name | Bernard Wosk |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033154984 PECOS PAC ID: 7911912787 Enrollment ID: I20060215000416 |
Provider Name | Tracey L Shepherd |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255313805 PECOS PAC ID: 0648278754 Enrollment ID: I20061128000636 |
Provider Name | Karrar H Ali |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1164414827 PECOS PAC ID: 5395709174 Enrollment ID: I20070213000416 |
Provider Name | Ran Regev |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1760412050 PECOS PAC ID: 7719927748 Enrollment ID: I20070417000508 |
Provider Name | Jana L Webb |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295834273 PECOS PAC ID: 7911006168 Enrollment ID: I20070628000405 |
Provider Name | Keyvan Malekshamran |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952466112 PECOS PAC ID: 9436242674 Enrollment ID: I20070905000248 |
Provider Name | Tracie L Davis |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275680738 PECOS PAC ID: 9335234046 Enrollment ID: I20070926000689 |
Provider Name | Sheetal Luthra |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1164604377 PECOS PAC ID: 4183703689 Enrollment ID: I20080508000844 |
Provider Name | Abner C Vilches |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487834669 PECOS PAC ID: 1355410770 Enrollment ID: I20080527000181 |
Provider Name | Hubert T. Greenway |
---|---|
Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
Provider Identifiers | NPI Number: 1366419004 PECOS PAC ID: 3476466038 Enrollment ID: I20080620000656 |
Provider Name | John Sarrouf |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194896415 PECOS PAC ID: 8325131477 Enrollment ID: I20080929000483 |
Provider Name | Daniel D Pearce |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376635383 PECOS PAC ID: 3476615832 Enrollment ID: I20081218000223 |
Provider Name | Cheryl M Welch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295980977 PECOS PAC ID: 2668536921 Enrollment ID: I20090130000599 |
Provider Name | Joseph A Schwartz |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1295747038 PECOS PAC ID: 8729135173 Enrollment ID: I20090422000183 |
Provider Name | Kenneth G Charp |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1841384203 PECOS PAC ID: 8426104258 Enrollment ID: I20090921000423 |
Provider Name | Cecilia L Iacoviello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003140336 PECOS PAC ID: 4385784495 Enrollment ID: I20091222000325 |
Provider Name | Andres Smith |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548270200 PECOS PAC ID: 5294862371 Enrollment ID: I20100421000499 |
Provider Name | Daniela E Cervantes-elia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861726093 PECOS PAC ID: 9931232584 Enrollment ID: I20100803000311 |
Provider Name | James Huot |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1033122296 PECOS PAC ID: 5193849420 Enrollment ID: I20100824000323 |
Provider Name | Tamara J Tucker-ham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316006794 PECOS PAC ID: 7618091174 Enrollment ID: I20100907000066 |
Provider Name | David I Kaufer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710082789 PECOS PAC ID: 3072682244 Enrollment ID: I20100916000982 |
Provider Name | Daniel Ethan Zelac |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1891709903 PECOS PAC ID: 4284750761 Enrollment ID: I20100922000785 |
Provider Name | Unneetha P Pruitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730294174 PECOS PAC ID: 1153513445 Enrollment ID: I20101005000606 |
Provider Name | Roberto Contreras |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316173404 PECOS PAC ID: 5597959270 Enrollment ID: I20101027000871 |
Provider Name | Edgar M Bulloch |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508046376 PECOS PAC ID: 0941494264 Enrollment ID: I20101101000717 |
Provider Name | William S Welte |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1235313396 PECOS PAC ID: 8022204122 Enrollment ID: I20101201000994 |
Provider Name | Michelle Y Lewis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588973523 PECOS PAC ID: 6305015785 Enrollment ID: I20110802000379 |
Provider Name | Warren R Christianson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932359445 PECOS PAC ID: 5597936963 Enrollment ID: I20110914000671 |
Provider Name | Veronica Garcia-campos |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023326840 PECOS PAC ID: 9133390107 Enrollment ID: I20110922000784 |
Provider Name | Dauod M Ghafari |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053417691 PECOS PAC ID: 6305741679 Enrollment ID: I20111012000342 |
Provider Name | Setareh S Jones |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033441316 PECOS PAC ID: 6709050057 Enrollment ID: I20111122000679 |
Provider Name | Doe D Gasque |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982855698 PECOS PAC ID: 6901967827 Enrollment ID: I20111208000710 |
Provider Name | Robert Scott Segnit |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649364746 PECOS PAC ID: 5597946152 Enrollment ID: I20111214001081 |
Provider Name | Bo Young Suh |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942351978 PECOS PAC ID: 3274790084 Enrollment ID: I20120207000347 |
Provider Name | Hector Barajas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831494368 PECOS PAC ID: 2163688805 Enrollment ID: I20120724000506 |
Provider Name | Jennifer J. Winesburg |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1811162456 PECOS PAC ID: 8123270618 Enrollment ID: I20121207000407 |
Provider Name | Mylien Vu Ho |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851464606 PECOS PAC ID: 4284889809 Enrollment ID: I20130306000184 |
Provider Name | Theresa Lopez-zepeda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558570085 PECOS PAC ID: 5991940082 Enrollment ID: I20130320000242 |
Provider Name | Fazela Wasimi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780024588 PECOS PAC ID: 9436390432 Enrollment ID: I20130801000734 |
Provider Name | Deborah A Streletz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447458351 PECOS PAC ID: 4284720400 Enrollment ID: I20140519000113 |
Provider Name | Maricela A Soto |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477565091 PECOS PAC ID: 8921226713 Enrollment ID: I20140819002470 |
Provider Name | Javier Hernandez |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1144318734 PECOS PAC ID: 2668693656 Enrollment ID: I20141015002455 |
Provider Name | Brenda L Figueroa |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1134205214 PECOS PAC ID: 5890836159 Enrollment ID: I20141103002600 |
Provider Name | Lee Bella A Mandap |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629477344 PECOS PAC ID: 7810210457 Enrollment ID: I20150106001556 |
Provider Name | Marlyne Mfp Abon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982003604 PECOS PAC ID: 6406171099 Enrollment ID: I20150202000462 |
Provider Name | Perpemelo B Balasta |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548580624 PECOS PAC ID: 2062698269 Enrollment ID: I20150202001219 |
Provider Name | Rhett R Papa |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063642312 PECOS PAC ID: 1355666546 Enrollment ID: I20150210002025 |
Provider Name | Janet Ratniewski |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245649599 PECOS PAC ID: 6305162090 Enrollment ID: I20150223001102 |
Provider Name | Deborah R Wondoloski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780081935 PECOS PAC ID: 3072831098 Enrollment ID: I20150422002201 |
Provider Name | Briana M Wischnack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447648837 PECOS PAC ID: 7911226873 Enrollment ID: I20150428001153 |
Provider Name | Chidi R Duru |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265860167 PECOS PAC ID: 4789904780 Enrollment ID: I20150514001342 |
Provider Name | Lali Reddy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861522237 PECOS PAC ID: 6608189386 Enrollment ID: I20150723009741 |
Provider Name | Patrick G Thomas |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891085924 PECOS PAC ID: 5890919484 Enrollment ID: I20150803001444 |
Provider Name | Mary L Sullivan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1588893564 PECOS PAC ID: 5799926747 Enrollment ID: I20150806010405 |
Provider Name | Luisa Olvera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598161309 PECOS PAC ID: 0042529760 Enrollment ID: I20151020002963 |
Provider Name | Manfred Ramos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720217235 PECOS PAC ID: 2163600263 Enrollment ID: I20151030002164 |
Provider Name | Christine H Tellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326442492 PECOS PAC ID: 1456660612 Enrollment ID: I20151229000912 |
Provider Name | Ihuoma O Chukwueke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316206436 PECOS PAC ID: 2567764525 Enrollment ID: I20160107001502 |
Provider Name | Maged F Ibrahim |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306852934 PECOS PAC ID: 0345406393 Enrollment ID: I20160519000183 |
Provider Name | Uri Guefen |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1275646333 PECOS PAC ID: 2668373747 Enrollment ID: I20160629000934 |
Provider Name | Damoun Rezai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619300761 PECOS PAC ID: 1254641863 Enrollment ID: I20160907001501 |
Provider Name | Patric Schine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427091628 PECOS PAC ID: 3375623234 Enrollment ID: I20160913001193 |
Provider Name | Munjal Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962866624 PECOS PAC ID: 3274814777 Enrollment ID: I20161221000167 |
Provider Name | Sharareh Gandy |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1730310723 PECOS PAC ID: 3779857222 Enrollment ID: I20170921001548 |
Provider Name | Maricel V Delacruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700314978 PECOS PAC ID: 8729352943 Enrollment ID: I20170926003056 |
Provider Name | Ivy H Cao |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528474103 PECOS PAC ID: 4789959628 Enrollment ID: I20171003006885 |
Provider Name | Evan W Schwenk |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649616020 PECOS PAC ID: 8224279906 Enrollment ID: I20180115000231 |
Provider Name | Ann M Ala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083948012 PECOS PAC ID: 8426318767 Enrollment ID: I20180207000926 |
Provider Name | Russell L Simon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659624948 PECOS PAC ID: 8224390380 Enrollment ID: I20180329002126 |
Provider Name | Jayne Ranee R Antolin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306351689 PECOS PAC ID: 0547523581 Enrollment ID: I20180404002011 |
Provider Name | Jorge Armando Otanez Cervantes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457734675 PECOS PAC ID: 8729341615 Enrollment ID: I20180405001330 |
Provider Name | Patrick J Halili |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528567427 PECOS PAC ID: 2365706082 Enrollment ID: I20180504002014 |
Provider Name | Kenneth T Acha |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174900211 PECOS PAC ID: 9830445584 Enrollment ID: I20180710003510 |
Provider Name | Ahmed Al-tameemi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134513211 PECOS PAC ID: 1052627114 Enrollment ID: I20181019001692 |
Provider Name | Kenneth M Soda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447387477 PECOS PAC ID: 1951357615 Enrollment ID: I20190115002906 |
Provider Name | William Timothy Ward |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831571934 PECOS PAC ID: 6002112976 Enrollment ID: I20190131002898 |
Provider Name | Mario A Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740792795 PECOS PAC ID: 6002154416 Enrollment ID: I20190211000928 |
Provider Name | Silas Gyimah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639522006 PECOS PAC ID: 5193065977 Enrollment ID: I20190313002199 |
Provider Name | Guillermo Saenz Zavala |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720475478 PECOS PAC ID: 1658613450 Enrollment ID: I20190426000962 |
Provider Name | Cathleen E Shaffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720587561 PECOS PAC ID: 4880936111 Enrollment ID: I20190507000180 |
Provider Name | Linda C Njoku |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144754763 PECOS PAC ID: 4880927094 Enrollment ID: I20190603002124 |
Provider Name | Sylvia A Searleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366958092 PECOS PAC ID: 4183957129 Enrollment ID: I20190606002452 |
Provider Name | Reyna Acela Reynaga-vargas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407356918 PECOS PAC ID: 1052644507 Enrollment ID: I20190614002117 |
Provider Name | Fiyinfoluwa O Fawibe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932586344 PECOS PAC ID: 4587995337 Enrollment ID: I20191009003149 |
Provider Name | Richard A Arcelao |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386093359 PECOS PAC ID: 7810284767 Enrollment ID: I20191118000094 |
Provider Name | Daniela Zurita |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124480884 PECOS PAC ID: 1456784651 Enrollment ID: I20191202001121 |
Provider Name | Wesley William Detwiler |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275686537 PECOS PAC ID: 2961838792 Enrollment ID: I20200214000064 |
Provider Name | Joilyn C Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114557170 PECOS PAC ID: 1951739341 Enrollment ID: I20200318001414 |
Provider Name | James A Radford |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023188026 PECOS PAC ID: 4385645233 Enrollment ID: I20200408001918 |
Provider Name | Jodiann T Ledford |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881910149 PECOS PAC ID: 3870810047 Enrollment ID: I20200709000659 |
Provider Name | Troy Kurz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154862357 PECOS PAC ID: 9739503822 Enrollment ID: I20200722001726 |
Provider Name | Ahmad Zayed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720500929 PECOS PAC ID: 3476970104 Enrollment ID: I20200826003011 |
Provider Name | Oluwamuyiwa Bolonduro |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215216965 PECOS PAC ID: 1850605619 Enrollment ID: I20200924001235 |
Provider Name | Aaron A Caminos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093249229 PECOS PAC ID: 9739508060 Enrollment ID: I20201006000438 |
Provider Name | Steven T Huerta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558607440 PECOS PAC ID: 2769893163 Enrollment ID: I20201116000772 |
Provider Name | Suzanne Charlotte Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083225569 PECOS PAC ID: 0143632307 Enrollment ID: I20201210003117 |
Provider Name | Michele E Archambeault |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851645824 PECOS PAC ID: 2062826274 Enrollment ID: I20210202001861 |
Provider Name | Maritza Bojorquez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942783014 PECOS PAC ID: 3173939634 Enrollment ID: I20210308001259 |
Provider Name | Christine Au |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487230843 PECOS PAC ID: 3678972346 Enrollment ID: I20210528002231 |
Provider Name | Gizzele Victoria Del Rosario Valencia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881201721 PECOS PAC ID: 2365842267 Enrollment ID: I20210615001338 |
Provider Name | Huong N Huynh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518457761 PECOS PAC ID: 0941600548 Enrollment ID: I20210618002117 |
Provider Name | Monica Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578104360 PECOS PAC ID: 4284035445 Enrollment ID: I20210624002875 |
Provider Name | Angelica Paola Beltran |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518489855 PECOS PAC ID: 6608277256 Enrollment ID: I20210702000988 |
Provider Name | Megan A Ward |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1356722201 PECOS PAC ID: 7719283662 Enrollment ID: I20210712003373 |
Provider Name | Catherine M Roland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811016579 PECOS PAC ID: 0941364616 Enrollment ID: I20210720002963 |
Provider Name | Christopher M Day |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184121253 PECOS PAC ID: 1759784689 Enrollment ID: I20210729000949 |
Provider Name | Jasmin M Brown |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1508277245 PECOS PAC ID: 8224431168 Enrollment ID: I20210729001308 |
Provider Name | Maureen N. Muoneke |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033101654 PECOS PAC ID: 6204829393 Enrollment ID: I20210804001694 |
Provider Name | Victoria Malkhasyan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689038499 PECOS PAC ID: 1951705151 Enrollment ID: I20210810003596 |
Provider Name | Jose Banuelos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972165660 PECOS PAC ID: 1456758192 Enrollment ID: I20210923001592 |
Provider Name | Sally A Villanueva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427713569 PECOS PAC ID: 5294126983 Enrollment ID: I20220107001220 |
Provider Name | Amanda N Zora |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457729485 PECOS PAC ID: 6406240985 Enrollment ID: I20220225002311 |
Provider Name | Emma J Bermudez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275296360 PECOS PAC ID: 5092109298 Enrollment ID: I20220304001194 |
Provider Name | Linda L Tatum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265025845 PECOS PAC ID: 0143614172 Enrollment ID: I20220308001300 |
Provider Name | William E Daniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679705693 PECOS PAC ID: 8820136948 Enrollment ID: I20220323002789 |
Provider Name | Jason Ira Halperin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952626228 PECOS PAC ID: 1355652777 Enrollment ID: I20231103003514 |
Dap Health - Woolcott Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Palm Canyon Dr Ste 212, Borrego Springs, CA 92004 Phone: 760-767-5112 Fax: 760-767-5613 | |
Dap Health - Borrego Springs Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Yaqui Pass Rd, Borrego Springs, CA 92004 Phone: 760-767-5051 Fax: 760-767-4552 | |
Borrego Stat Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 587 Palm Canyon Dr # 215, Borrego Springs, CA 92004 Phone: 760-837-0321 Fax: 760-837-9114 | |
Woolcott Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Palm Canyon Drive, Suite 212, Borrego Springs, CA 92004 Phone: 760-767-5112 Fax: 760-767-5613 | |
Borrego Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Palm Canyon Dr., Ste. C, Borrego Springs, CA 92004 Phone: 760-767-4777 Fax: 760-767-4690 |