California Phs Pc | |
5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8714 | |
(855) 434-7763 | |
(949) 281-5550 |
Full Name | California Phs Pc |
---|---|
Speciality | Family Medicine |
Location | 5 Hutton Centre Dr Ste 950, Santa Ana, California |
Authorized Official Name and Position | Angelica Leyla Soto (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8554347763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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California Phs Pc 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8714 Ph: (855) 434-7763 | California Phs Pc 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8714 Ph: (855) 434-7763 |
NPI Number | 1649932781 |
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Provider Enumeration Date | 10/06/2021 |
Last Update Date | 08/21/2024 |
Medicare PECOS PAC ID | 2062808645 |
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Medicare Enrollment ID | O20220407001048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649932781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Angela J Lamotte |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538166764 PECOS PAC ID: 7416853619 Enrollment ID: I20031209000668 |
Provider Name | Mark Daryl Canty |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962573626 PECOS PAC ID: 0840180113 Enrollment ID: I20040318001601 |
Provider Name | Valerie Grant |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1922041102 PECOS PAC ID: 8921093303 Enrollment ID: I20040416000339 |
Provider Name | William G Ayoub |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639137425 PECOS PAC ID: 4284684457 Enrollment ID: I20050125001025 |
Provider Name | Sarita Satpathy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1124051552 PECOS PAC ID: 7911928239 Enrollment ID: I20051214000928 |
Provider Name | Julie L Dutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013136423 PECOS PAC ID: 3971669847 Enrollment ID: I20090227000435 |
Provider Name | James S Pratty |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528049608 PECOS PAC ID: 4587695416 Enrollment ID: I20091222000364 |
Provider Name | Denise M Reppenhagen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760703136 PECOS PAC ID: 5597949230 Enrollment ID: I20110405000346 |
Provider Name | Jeffrey John Thomas |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1932337136 PECOS PAC ID: 7315101003 Enrollment ID: I20120608000288 |
Provider Name | Genevieve Buenaflor |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1417094277 PECOS PAC ID: 6800052838 Enrollment ID: I20120719000356 |
Provider Name | John M Geiss |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20130529000756 |
Provider Name | Don David Palencia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538144241 PECOS PAC ID: 2769429554 Enrollment ID: I20140423001560 |
Provider Name | Michael Cutler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871620518 PECOS PAC ID: 5991618399 Enrollment ID: I20141203002533 |
Provider Name | Scott Wayne Perrenod |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063523470 PECOS PAC ID: 7618288101 Enrollment ID: I20150803002140 |
Provider Name | Christa Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508252537 PECOS PAC ID: 2365745981 Enrollment ID: I20160114001485 |
Provider Name | Kristina M Carpenter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952741985 PECOS PAC ID: 2264728666 Enrollment ID: I20160912001363 |
Provider Name | Lashunda Kelley Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477962595 PECOS PAC ID: 9436371275 Enrollment ID: I20160920002707 |
Provider Name | Andrew Imparato |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1720400971 PECOS PAC ID: 1951680420 Enrollment ID: I20161128001933 |
Provider Name | Daevrissa Jimenez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841739950 PECOS PAC ID: 9032496443 Enrollment ID: I20170511001200 |
Provider Name | Iziegbe Garuba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356879878 PECOS PAC ID: 7517236680 Enrollment ID: I20170705001322 |
Provider Name | Nicole Diane Frankle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467729525 PECOS PAC ID: 5496013716 Enrollment ID: I20171214001484 |
Provider Name | Alexi Yarashevich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306340831 PECOS PAC ID: 6406119304 Enrollment ID: I20180405002071 |
Provider Name | Brenna C Shatswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568953560 PECOS PAC ID: 5496003832 Enrollment ID: I20180801002899 |
Provider Name | Joey Wong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699126730 PECOS PAC ID: 4981940145 Enrollment ID: I20190108003373 |
Provider Name | Richard Rodriguez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588198352 PECOS PAC ID: 9436582541 Enrollment ID: I20191204000196 |
Provider Name | Casey Goodman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477901221 PECOS PAC ID: 5890023659 Enrollment ID: I20191204000315 |
Provider Name | Sherry Watts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346809316 PECOS PAC ID: 7618309089 Enrollment ID: I20200427001260 |
Provider Name | Agatha Osuji |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932663630 PECOS PAC ID: 4981035003 Enrollment ID: I20200505002251 |
Provider Name | Zarina Khabibulina |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639732258 PECOS PAC ID: 3375968852 Enrollment ID: I20200730002611 |
Provider Name | Sarah Lockwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972193217 PECOS PAC ID: 1052725249 Enrollment ID: I20210129001110 |
Provider Name | Robert D Ferrera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578718938 PECOS PAC ID: 1355759028 Enrollment ID: I20210417000012 |
Provider Name | Anthony Yniguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871185686 PECOS PAC ID: 2769882331 Enrollment ID: I20210618000780 |
Provider Name | Kelly Stephen Powell |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1821442666 PECOS PAC ID: 4082909338 Enrollment ID: I20210629001983 |
Provider Name | Heghine H Muradyan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235795436 PECOS PAC ID: 3072907336 Enrollment ID: I20220302001496 |
Provider Name | Kristeen H Candelaria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902389240 PECOS PAC ID: 2961898028 Enrollment ID: I20220330000575 |
Provider Name | Joey Asfahan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639706211 PECOS PAC ID: 4183005341 Enrollment ID: I20220719001856 |
Provider Name | Daphne Andre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154743417 PECOS PAC ID: 3375773922 Enrollment ID: I20220720002814 |
Provider Name | Amabelle Aguelo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710616735 PECOS PAC ID: 8123401460 Enrollment ID: I20220818001721 |
Provider Name | Leenah H Khayat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023743986 PECOS PAC ID: 3971987967 Enrollment ID: I20220824002796 |
Provider Name | Rhea M Mulvina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407505464 PECOS PAC ID: 1254715659 Enrollment ID: I20220902002410 |
Provider Name | Minh V Le |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306579172 PECOS PAC ID: 3870978935 Enrollment ID: I20220910000383 |
Provider Name | Cristiaan Geronimo Medina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730831330 PECOS PAC ID: 6800812512 Enrollment ID: I20220921000766 |
Provider Name | Narine Kharikyan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073231239 PECOS PAC ID: 3779968953 Enrollment ID: I20220924000162 |
Provider Name | Kristina Mikell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154040111 PECOS PAC ID: 4880070986 Enrollment ID: I20220927001911 |
Provider Name | Abigail Marapao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013636851 PECOS PAC ID: 8426427741 Enrollment ID: I20221208002073 |
Provider Name | April Aloiau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811532047 PECOS PAC ID: 7315317559 Enrollment ID: I20230103002784 |
Provider Name | Endalanesh Tsegaye Hailu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629788948 PECOS PAC ID: 2961872197 Enrollment ID: I20230105000498 |
Provider Name | Mayranush Aslibekyan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538893151 PECOS PAC ID: 5496126625 Enrollment ID: I20230125002030 |
Provider Name | Miriam Etienne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336761378 PECOS PAC ID: 0547631574 Enrollment ID: I20230130000895 |
Provider Name | Reyna Montoya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508531302 PECOS PAC ID: 8527439421 Enrollment ID: I20230131001684 |
Provider Name | Laurene M Bandolin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053025239 PECOS PAC ID: 0648642306 Enrollment ID: I20230207002459 |
Provider Name | Narinder Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841867439 PECOS PAC ID: 8325410996 Enrollment ID: I20230207003345 |
Provider Name | Christina Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790499218 PECOS PAC ID: 1759753098 Enrollment ID: I20230214001610 |
Provider Name | Harikrishna Ambati |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154998730 PECOS PAC ID: 5890168850 Enrollment ID: I20230222002936 |
Provider Name | Jessica J Ruano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568106995 PECOS PAC ID: 6901279694 Enrollment ID: I20230228000877 |
Provider Name | Brian Cooper |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20230502001105 |
Provider Name | Peter Do Wei |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134707680 PECOS PAC ID: 8022476118 Enrollment ID: I20230622000119 |
Provider Name | Huyen Thi Mong Mai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801558739 PECOS PAC ID: 8729449624 Enrollment ID: I20230725000998 |
Provider Name | Stephanie Pukini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003509241 PECOS PAC ID: 5991168205 Enrollment ID: I20230901002057 |
Provider Name | Leah Naomi Mccarty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013601384 PECOS PAC ID: 3779939087 Enrollment ID: I20231023003087 |
Provider Name | Jennifer Mandhai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134686207 PECOS PAC ID: 1456771062 Enrollment ID: I20231110001214 |
Provider Name | Kelly Straight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952916660 PECOS PAC ID: 9133579543 Enrollment ID: I20231227003169 |
Provider Name | Devin Thomas Warnshuis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801564620 PECOS PAC ID: 4486099207 Enrollment ID: I20240301002830 |
Provider Name | Joanne Nguyen Lam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457043317 PECOS PAC ID: 1557708260 Enrollment ID: I20240318000859 |
Provider Name | Lisa Tomlinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598547713 PECOS PAC ID: 8426496852 Enrollment ID: I20240404002156 |
Provider Name | Marsha-gail Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023546579 PECOS PAC ID: 3678913977 Enrollment ID: I20240503001393 |
Provider Name | William B. Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457542979 PECOS PAC ID: 5890237804 Enrollment ID: I20240605003788 |
Hurtt Family Health Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100b N Tustin Ave Ste Adf, Santa Ana, CA 92705 Phone: 714-247-4300 Fax: 714-259-1598 | |
Chirohealthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 W Mcfadden Ave Ste E, Santa Ana, CA 92704 Phone: 714-531-8478 Fax: 714-531-8475 | |
Birthchoice Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 N Sycamore St, St. 200, Santa Ana, CA 92701 Phone: 714-836-5447 Fax: 714-836-1855 | |
Marco M Zahedi Md A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 N Tustin Ave Ste 222, Santa Ana, CA 92705 Phone: 949-371-9862 Fax: 866-439-4879 | |
Celebrating Life Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1444 S Main St, Santa Ana, CA 92707 Phone: 949-866-3600 | |
Children's Hospital Of Orange County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 S Main St, Santa Ana, CA 92701 Phone: 714-289-4800 | |
Hca-phs-family Health Clinic-dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 W 17th St, Ste # 101l, Santa Ana, CA 92706 Phone: 714-567-6214 Fax: 714-834-8361 |