| Carbon Health Medical Group Of California Pc | |
|
2920 Telegraph Ave Berkeley CA 94705-2031 | |
| (510) 686-3621 | |
| Not Available |
| Full Name | Carbon Health Medical Group Of California Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2920 Telegraph Ave, Berkeley, California |
| Authorized Official Name and Position | Kaitlin Boyle (DIRECTOR) |
| Authorized Official Contact | 3036015392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Health Medical Group Of California Pc 2100 Franklin St Ste 355 Oakland CA 94612-3140 Ph: () - | Carbon Health Medical Group Of California Pc 2920 Telegraph Ave Berkeley CA 94705-2031 Ph: (510) 686-3621 |
| NPI Number | 1417294232 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 9032340047 |
|---|---|
| Medicare Enrollment ID | O20140314001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417294232 | NPI | - | NPPES |
| Provider Name | Naveenpal S Bhatti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700961463 PECOS PAC ID: 3779497755 Enrollment ID: I20031113000853 |
| Provider Name | Joel S Kahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255371423 PECOS PAC ID: 0648179317 Enrollment ID: I20040102000278 |
| Provider Name | Harlan Gibbs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007119 PECOS PAC ID: 7012816523 Enrollment ID: I20040105000203 |
| Provider Name | Madhu Chatwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215993894 PECOS PAC ID: 5294637583 Enrollment ID: I20040126000925 |
| Provider Name | Alicia Haglund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760449581 PECOS PAC ID: 0042109001 Enrollment ID: I20040316001065 |
| Provider Name | Sujal Mandavia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992791164 PECOS PAC ID: 0042204687 Enrollment ID: I20040415000710 |
| Provider Name | Arnold S Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487682514 PECOS PAC ID: 6901878800 Enrollment ID: I20040811000416 |
| Provider Name | Mark Sidney Penner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689602500 PECOS PAC ID: 8022081025 Enrollment ID: I20040817001477 |
| Provider Name | Rajiv Pramanik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346323094 PECOS PAC ID: 7113987017 Enrollment ID: I20041014001064 |
| Provider Name | Stephen M Daquino |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1346351665 PECOS PAC ID: 8325009582 Enrollment ID: I20041020001345 |
| Provider Name | Joey Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538137013 PECOS PAC ID: 7012971419 Enrollment ID: I20041116000399 |
| Provider Name | Marco R Randazzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972545952 PECOS PAC ID: 3476517392 Enrollment ID: I20041118001246 |
| Provider Name | Kellie J Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164477683 PECOS PAC ID: 0042276891 Enrollment ID: I20041203000570 |
| Provider Name | Henry M Schumaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326083197 PECOS PAC ID: 5193781698 Enrollment ID: I20041207000274 |
| Provider Name | Diane M Birnbaumer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821159310 PECOS PAC ID: 2163488362 Enrollment ID: I20041209000225 |
| Provider Name | Steven Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043313992 PECOS PAC ID: 6901863281 Enrollment ID: I20041217000839 |
| Provider Name | Khoi A Lam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891740940 PECOS PAC ID: 2264483304 Enrollment ID: I20050204000804 |
| Provider Name | Kenneth Jung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093730426 PECOS PAC ID: 0143272807 Enrollment ID: I20050210000868 |
| Provider Name | Harry B Andrews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295865426 PECOS PAC ID: 3870539455 Enrollment ID: I20050705000991 |
| Provider Name | Neal S Dickler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902936149 PECOS PAC ID: 8628014131 Enrollment ID: I20050706001128 |
| Provider Name | Siu-ping Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437128055 PECOS PAC ID: 7113954462 Enrollment ID: I20050719000756 |
| Provider Name | Gregory L Wakeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679663777 PECOS PAC ID: 6507893096 Enrollment ID: I20050726001186 |
| Provider Name | Tom L Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669547006 PECOS PAC ID: 6204864887 Enrollment ID: I20050803001255 |
| Provider Name | Kurt Bernhard Popke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700999463 PECOS PAC ID: 8729006184 Enrollment ID: I20051104000276 |
| Provider Name | Christopher L Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
| Provider Name | Sarita Satpathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124051552 PECOS PAC ID: 7911928239 Enrollment ID: I20051214000928 |
| Provider Name | Kwan Chun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801986955 PECOS PAC ID: 3375558125 Enrollment ID: I20060215000217 |
| Provider Name | Meenesh A Bhimani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598712069 PECOS PAC ID: 6204844947 Enrollment ID: I20060322000548 |
| Provider Name | Marcella M Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902858483 PECOS PAC ID: 5395748602 Enrollment ID: I20060804000365 |
| Provider Name | Brian D Mcbeth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811962475 PECOS PAC ID: 8921070533 Enrollment ID: I20061003000318 |
| Provider Name | Erick Ruiz Miranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669597167 PECOS PAC ID: 9335231398 Enrollment ID: I20070822000601 |
| Provider Name | Anne M Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396785853 PECOS PAC ID: 7416040589 Enrollment ID: I20070906000469 |
| Provider Name | Andrelyn C Almario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124233176 PECOS PAC ID: 7012006745 Enrollment ID: I20071204000355 |
| Provider Name | Elizabeth A Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538233895 PECOS PAC ID: 4880694546 Enrollment ID: I20080115000213 |
| Provider Name | Sonia Sadarangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396930657 PECOS PAC ID: 7012099377 Enrollment ID: I20080125000615 |
| Provider Name | Patrick P Hand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336175397 PECOS PAC ID: 5890864524 Enrollment ID: I20080520000767 |
| Provider Name | Abner C Vilches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487834669 PECOS PAC ID: 1355410770 Enrollment ID: I20080527000181 |
| Provider Name | Caesar Djavaherian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790760551 PECOS PAC ID: 3577654417 Enrollment ID: I20080922000228 |
| Provider Name | Shradha P Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063691806 PECOS PAC ID: 7719048313 Enrollment ID: I20081201000456 |
| Provider Name | Henry Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710912100 PECOS PAC ID: 3678549961 Enrollment ID: I20081202000562 |
| Provider Name | Andres Aldrete |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679580831 PECOS PAC ID: 9436243045 Enrollment ID: I20081229000061 |
| Provider Name | Ela Grigorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598937468 PECOS PAC ID: 9537222179 Enrollment ID: I20090108000484 |
| Provider Name | Naureen Tareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699952820 PECOS PAC ID: 5698839314 Enrollment ID: I20090126000117 |
| Provider Name | Colin X Jairam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821272295 PECOS PAC ID: 7810052719 Enrollment ID: I20090209000683 |
| Provider Name | Czarina J Roxas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467676353 PECOS PAC ID: 7618068529 Enrollment ID: I20090814000628 |
| Provider Name | Jodean Nicolette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962599720 PECOS PAC ID: 0941272850 Enrollment ID: I20090902000253 |
| Provider Name | Saba Haq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669460085 PECOS PAC ID: 4688684913 Enrollment ID: I20091103000090 |
| Provider Name | Cecily Fitzgerald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275761959 PECOS PAC ID: 3375682859 Enrollment ID: I20091121000106 |
| Provider Name | Gul Iram Anwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225234974 PECOS PAC ID: 9537209903 Enrollment ID: I20091215000481 |
| Provider Name | Judi Ann D Meindl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649210451 PECOS PAC ID: 5193860393 Enrollment ID: I20100226000292 |
| Provider Name | Jane A Newhard Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932210812 PECOS PAC ID: 9436285244 Enrollment ID: I20100331000898 |
| Provider Name | Shauna M Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356551220 PECOS PAC ID: 5395806327 Enrollment ID: I20100607000414 |
| Provider Name | Jason J Debonis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932307808 PECOS PAC ID: 4486847092 Enrollment ID: I20101014001310 |
| Provider Name | Meeta M Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588848410 PECOS PAC ID: 8729135520 Enrollment ID: I20101206000478 |
| Provider Name | Daniel M Sonnier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528132131 PECOS PAC ID: 0749460426 Enrollment ID: I20110212000135 |
| Provider Name | John C Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932273257 PECOS PAC ID: 9234310780 Enrollment ID: I20110217000005 |
| Provider Name | Suzanne Mello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356668370 PECOS PAC ID: 0941481303 Enrollment ID: I20110218000395 |
| Provider Name | Inna Yaskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316965353 PECOS PAC ID: 7810940707 Enrollment ID: I20110301001103 |
| Provider Name | Stanton T Emerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033184452 PECOS PAC ID: 5193911394 Enrollment ID: I20110308000892 |
| Provider Name | James D Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457304602 PECOS PAC ID: 5193619435 Enrollment ID: I20110525000783 |
| Provider Name | Rajinder K Sekhon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710117924 PECOS PAC ID: 2860679099 Enrollment ID: I20110615000502 |
| Provider Name | Mary B Gauthier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487823936 PECOS PAC ID: 2860660347 Enrollment ID: I20110728000151 |
| Provider Name | Aimee J Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093974222 PECOS PAC ID: 1254504350 Enrollment ID: I20111107000360 |
| Provider Name | Linda M Hunt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366401572 PECOS PAC ID: 4284808684 Enrollment ID: I20111121000967 |
| Provider Name | Tonja A Mundwiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306950738 PECOS PAC ID: 1456525500 Enrollment ID: I20111129000637 |
| Provider Name | Murtaza Rajabali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194969394 PECOS PAC ID: 1658546338 Enrollment ID: I20111207000742 |
| Provider Name | Ariella Jessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609161132 PECOS PAC ID: 4981871696 Enrollment ID: I20120120000689 |
| Provider Name | Venkataramana K Nalluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972786275 PECOS PAC ID: 0941493209 Enrollment ID: I20120127000235 |
| Provider Name | Punam Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154513174 PECOS PAC ID: 5294801650 Enrollment ID: I20120130000590 |
| Provider Name | Josephine Nwannekaego Agbowo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457635740 PECOS PAC ID: 8628224847 Enrollment ID: I20120803000293 |
| Provider Name | Jenny Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417142183 PECOS PAC ID: 6406003672 Enrollment ID: I20120822000524 |
| Provider Name | Michelle L Oneil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629361688 PECOS PAC ID: 9830347764 Enrollment ID: I20120918000333 |
| Provider Name | Waraporn Denjalearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669760310 PECOS PAC ID: 2769654714 Enrollment ID: I20121101000294 |
| Provider Name | Bernadette A Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104933761 PECOS PAC ID: 4981855731 Enrollment ID: I20121105000154 |
| Provider Name | Lillian Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982953329 PECOS PAC ID: 2062664576 Enrollment ID: I20121210000027 |
| Provider Name | Eric Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356515365 PECOS PAC ID: 3779775408 Enrollment ID: I20130117000173 |
| Provider Name | Ami Narayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962774935 PECOS PAC ID: 6002051133 Enrollment ID: I20130320000665 |
| Provider Name | Vien T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790024297 PECOS PAC ID: 9830337757 Enrollment ID: I20130604000466 |
| Provider Name | Lubna F Husain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164666533 PECOS PAC ID: 5890929376 Enrollment ID: I20131016001850 |
| Provider Name | Karen J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427391820 PECOS PAC ID: 4284869413 Enrollment ID: I20131024001074 |
| Provider Name | Megan L Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063672814 PECOS PAC ID: 1052547213 Enrollment ID: I20131115001553 |
| Provider Name | Allison L Devers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144308263 PECOS PAC ID: 3274531363 Enrollment ID: I20131122000862 |
| Provider Name | Maryn L Santa Maria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386814499 PECOS PAC ID: 9830321694 Enrollment ID: I20140409000779 |
| Provider Name | Justin Young |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033370945 PECOS PAC ID: 8628201506 Enrollment ID: I20140429002193 |
| Provider Name | Joanna S Josue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114356789 PECOS PAC ID: 8921231432 Enrollment ID: I20140508000941 |
| Provider Name | Deborah Lynn Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518208495 PECOS PAC ID: 4183848591 Enrollment ID: I20140604001860 |
| Provider Name | Wilson Mak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922427665 PECOS PAC ID: 2961626304 Enrollment ID: I20140605000432 |
| Provider Name | Brian John Hamway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437372273 PECOS PAC ID: 8527282300 Enrollment ID: I20140618000203 |
| Provider Name | Heather M Shumway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609166487 PECOS PAC ID: 7719101237 Enrollment ID: I20140624000002 |
| Provider Name | Andrew M O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588911879 PECOS PAC ID: 2365660065 Enrollment ID: I20140821000803 |
| Provider Name | Kalie L Dove-maguire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912273707 PECOS PAC ID: 1052532082 Enrollment ID: I20141016001177 |
| Provider Name | Irene Yi-xian Kwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508038704 PECOS PAC ID: 5890928410 Enrollment ID: I20141113001217 |
| Provider Name | Debra L Kabaivanoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831198597 PECOS PAC ID: 0446254932 Enrollment ID: I20150115002050 |
| Provider Name | Greta D Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336220482 PECOS PAC ID: 9739281726 Enrollment ID: I20150317002801 |
| Provider Name | Mary H Harton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710252648 PECOS PAC ID: 9739406703 Enrollment ID: I20150401000417 |
| Provider Name | Kaedi Rae Fehlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811079163 PECOS PAC ID: 9436323151 Enrollment ID: I20150608002201 |
| Provider Name | Adriana Aguilera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710100706 PECOS PAC ID: 9335218007 Enrollment ID: I20150729007639 |
| Provider Name | Benjamin N King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285654202 PECOS PAC ID: 6204142318 Enrollment ID: I20150904000309 |
| Provider Name | Nancy Chinwe Chuks-orji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467840850 PECOS PAC ID: 4082922737 Enrollment ID: I20150930001966 |
| Provider Name | Douglas T Beazley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386941029 PECOS PAC ID: 2163731332 Enrollment ID: I20151029001285 |
| Provider Name | Lori Katnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124499413 PECOS PAC ID: 1557661436 Enrollment ID: I20151125000614 |
| Provider Name | Jennifer N Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419742 PECOS PAC ID: 7810297371 Enrollment ID: I20151204002505 |
| Provider Name | Neeru K Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669672424 PECOS PAC ID: 8820122708 Enrollment ID: I20151230002140 |
| Provider Name | Frances T Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700120631 PECOS PAC ID: 1658676218 Enrollment ID: I20160219001858 |
| Provider Name | Evelyn E Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861642506 PECOS PAC ID: 5799081550 Enrollment ID: I20160304001310 |
| Provider Name | Niccole Blanchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996839 PECOS PAC ID: 8820395783 Enrollment ID: I20160321002569 |
| Provider Name | Euna Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184974859 PECOS PAC ID: 8820395593 Enrollment ID: I20160323001305 |
| Provider Name | Viviana E Partida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902967 PECOS PAC ID: 9931408978 Enrollment ID: I20160426001747 |
| Provider Name | Tania M Portillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124435896 PECOS PAC ID: 3375833346 Enrollment ID: I20160602002120 |
| Provider Name | Nancy Sue Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144643420 PECOS PAC ID: 5092005801 Enrollment ID: I20160607002464 |
| Provider Name | Candice C Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487017919 PECOS PAC ID: 6002107471 Enrollment ID: I20160615002709 |
| Provider Name | Elizabeth G Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548616758 PECOS PAC ID: 0648562942 Enrollment ID: I20160707000031 |
| Provider Name | Edwin Kyunghun Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487097846 PECOS PAC ID: 0648562801 Enrollment ID: I20160707002466 |
| Provider Name | Esther J Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114291291 PECOS PAC ID: 3870755275 Enrollment ID: I20160711001661 |
| Provider Name | Thomas H Heflin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568720332 PECOS PAC ID: 4183917206 Enrollment ID: I20160727002157 |
| Provider Name | Nicholas Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932546173 PECOS PAC ID: 9335432145 Enrollment ID: I20160801000518 |
| Provider Name | Roger Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801156799 PECOS PAC ID: 9537386750 Enrollment ID: I20160816002708 |
| Provider Name | Diksha Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467895201 PECOS PAC ID: 2264651777 Enrollment ID: I20160902000913 |
| Provider Name | Tracy S Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033554365 PECOS PAC ID: 5698913556 Enrollment ID: I20160914002289 |
| Provider Name | Lashunda Kelley Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477962595 PECOS PAC ID: 9436371275 Enrollment ID: I20160920002707 |
| Provider Name | Nadia S Trochanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265858146 PECOS PAC ID: 5991083511 Enrollment ID: I20161101001835 |
| Provider Name | Allison C Boyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033479894 PECOS PAC ID: 0547548133 Enrollment ID: I20161102001838 |
| Provider Name | Jenny P Choo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518272467 PECOS PAC ID: 1355621269 Enrollment ID: I20161212002101 |
| Provider Name | Amanda J Alviz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962828863 PECOS PAC ID: 6901186881 Enrollment ID: I20161213000951 |
| Provider Name | Greg John Burrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699090530 PECOS PAC ID: 9537441530 Enrollment ID: I20170127001366 |
| Provider Name | Christina M Cherneff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235671579 PECOS PAC ID: 8022391655 Enrollment ID: I20170206002003 |
| Provider Name | Janmei Delphine J Huang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245658525 PECOS PAC ID: 8628360161 Enrollment ID: I20170209000025 |
| Provider Name | Michelle Cornel Lozada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689126260 PECOS PAC ID: 1658655584 Enrollment ID: I20170221001512 |
| Provider Name | Laisner Duclos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396282190 PECOS PAC ID: 2567748106 Enrollment ID: I20170413000796 |
| Provider Name | Jessica Ann Rendin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194130906 PECOS PAC ID: 7113200635 Enrollment ID: I20170628000558 |
| Provider Name | Brie C Romines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942629217 PECOS PAC ID: 3971809948 Enrollment ID: I20170628003240 |
| Provider Name | Sio Chin Feng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245778513 PECOS PAC ID: 8820375967 Enrollment ID: I20170719001034 |
| Provider Name | Edward A Delos Trino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346773306 PECOS PAC ID: 2163793951 Enrollment ID: I20170814001035 |
| Provider Name | Teklehaimanot Abraha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013441229 PECOS PAC ID: 8628340874 Enrollment ID: I20170822004090 |
| Provider Name | Maryann Catherine Gallup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326453028 PECOS PAC ID: 9931471802 Enrollment ID: I20170828002317 |
| Provider Name | Jessica R Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831433770 PECOS PAC ID: 7315210291 Enrollment ID: I20170829003385 |
| Provider Name | Keith Castaneto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528478195 PECOS PAC ID: 4981822590 Enrollment ID: I20170927003929 |
| Provider Name | Miteshkumar Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255910 PECOS PAC ID: 2769626324 Enrollment ID: I20171020002034 |
| Provider Name | Joseph Graterol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215322870 PECOS PAC ID: 8022382076 Enrollment ID: I20171027001600 |
| Provider Name | Gretchen Debbie Genato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245603174 PECOS PAC ID: 0547528572 Enrollment ID: I20171221001721 |
| Provider Name | Devon Wolfkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346765823 PECOS PAC ID: 0648539155 Enrollment ID: I20180108003063 |
| Provider Name | Ayelet Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356870315 PECOS PAC ID: 1951662469 Enrollment ID: I20180226001241 |
| Provider Name | Jenine Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043688161 PECOS PAC ID: 9436411105 Enrollment ID: I20180315001971 |
| Provider Name | Melanie A. Pollack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659756906 PECOS PAC ID: 0345502019 Enrollment ID: I20180315001973 |
| Provider Name | Russell L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659624948 PECOS PAC ID: 8224390380 Enrollment ID: I20180329002126 |
| Provider Name | Alicia Nicole Gambetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164930640 PECOS PAC ID: 8224391834 Enrollment ID: I20180412002460 |
| Provider Name | Jenny Salud Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881097210 PECOS PAC ID: 5395967111 Enrollment ID: I20180503000557 |
| Provider Name | Kristen Lee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427346667 PECOS PAC ID: 7719122571 Enrollment ID: I20180517002215 |
| Provider Name | Alexander Mai Quan Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750776324 PECOS PAC ID: 8426303744 Enrollment ID: I20180608001887 |
| Provider Name | Louis B Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619362035 PECOS PAC ID: 3971877523 Enrollment ID: I20180613003179 |
| Provider Name | Chad Edward Mccarthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629307756 PECOS PAC ID: 9830445600 Enrollment ID: I20180709003080 |
| Provider Name | Janushe P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922494194 PECOS PAC ID: 7517214695 Enrollment ID: I20180719003882 |
| Provider Name | Lalita Poon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205328317 PECOS PAC ID: 0749537447 Enrollment ID: I20180726002342 |
| Provider Name | Atul Narayan Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417982158 PECOS PAC ID: 8022011360 Enrollment ID: I20180731004127 |
| Provider Name | Jessica Dejarnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881952406 PECOS PAC ID: 2264711746 Enrollment ID: I20180806001721 |
| Provider Name | Edward Verceles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215258371 PECOS PAC ID: 8325397003 Enrollment ID: I20180814003706 |
| Provider Name | Rochelle Lynn Polach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770099558 PECOS PAC ID: 9335499011 Enrollment ID: I20180829003331 |
| Provider Name | Fletcher Dane Munksgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992243331 PECOS PAC ID: 0042560583 Enrollment ID: I20180905000575 |
| Provider Name | Ashley Rider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366837148 PECOS PAC ID: 5092066134 Enrollment ID: I20180928000651 |
| Provider Name | Elvedina Redzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710420575 PECOS PAC ID: 9739431149 Enrollment ID: I20181012002583 |
| Provider Name | Alex D Doo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144602004 PECOS PAC ID: 8921350232 Enrollment ID: I20181016000779 |
| Provider Name | Suzanna K Sherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630334 PECOS PAC ID: 8426306093 Enrollment ID: I20181105003322 |
| Provider Name | Geraldin Romis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053819961 PECOS PAC ID: 0345594404 Enrollment ID: I20181108002765 |
| Provider Name | Tiffany Cobb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619362340 PECOS PAC ID: 5092059865 Enrollment ID: I20181205000813 |
| Provider Name | Carolina Sciambia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710425814 PECOS PAC ID: 8729322540 Enrollment ID: I20181205003098 |
| Provider Name | Sukhdeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073089074 PECOS PAC ID: 6901142066 Enrollment ID: I20190109003458 |
| Provider Name | Ethel U Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386778967 PECOS PAC ID: 5294074860 Enrollment ID: I20190226000465 |
| Provider Name | Silas Gyimah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639522006 PECOS PAC ID: 5193065977 Enrollment ID: I20190313002199 |
| Provider Name | Andry Koziol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346710464 PECOS PAC ID: 4880936715 Enrollment ID: I20190425000920 |
| Provider Name | Maribel Ratuita Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780053850 PECOS PAC ID: 6305189150 Enrollment ID: I20190517000407 |
| Provider Name | Michael Lee Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012041 PECOS PAC ID: 2163765496 Enrollment ID: I20190529003046 |
| Provider Name | Madison A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178996 PECOS PAC ID: 3072846914 Enrollment ID: I20190610000808 |
| Provider Name | Eric Nghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417466368 PECOS PAC ID: 0345574968 Enrollment ID: I20190701001798 |
| Provider Name | Jeff W Chiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104279348 PECOS PAC ID: 0547594079 Enrollment ID: I20190702003279 |
| Provider Name | Vikas Kemp Jayadeva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215464888 PECOS PAC ID: 0547500357 Enrollment ID: I20190703001502 |
| Provider Name | William T Buis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544347 PECOS PAC ID: 2163757634 Enrollment ID: I20190708000241 |
| Provider Name | Robert P Gnat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386876712 PECOS PAC ID: 4486937539 Enrollment ID: I20190717000924 |
| Provider Name | Wing Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547110 PECOS PAC ID: 4688901739 Enrollment ID: I20190812003016 |
| Provider Name | Crystine L'heraux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255838603 PECOS PAC ID: 5092043802 Enrollment ID: I20190816003144 |
| Provider Name | Grace Cha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346764370 PECOS PAC ID: 2062740780 Enrollment ID: I20190820000698 |
| Provider Name | James D Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013363589 PECOS PAC ID: 3678865318 Enrollment ID: I20190822001447 |
| Provider Name | Jeremi John Legaspina Piamonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275196081 PECOS PAC ID: 2668701434 Enrollment ID: I20190904003327 |
| Provider Name | Nicholas Mathew Orozco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477915528 PECOS PAC ID: 0547517971 Enrollment ID: I20191018000997 |
| Provider Name | Sarah Borish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508411497 PECOS PAC ID: 6507198678 Enrollment ID: I20191023002034 |
| Provider Name | Sherrie Ladegast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578920955 PECOS PAC ID: 2264764992 Enrollment ID: I20191030002578 |
| Provider Name | Erick E Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841750403 PECOS PAC ID: 0941532485 Enrollment ID: I20191101000952 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861043788 PECOS PAC ID: 8921430166 Enrollment ID: I20191108002718 |
| Provider Name | Alexandra S Takanikos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285196998 PECOS PAC ID: 5496098295 Enrollment ID: I20191114000698 |
| Provider Name | Kristen Shay Rasnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700293131 PECOS PAC ID: 9234453028 Enrollment ID: I20191114002652 |
| Provider Name | Gabriela Ramos-pamplona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164070371 PECOS PAC ID: 3072945617 Enrollment ID: I20191119003043 |
| Provider Name | Elizabeth Hisashima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821556762 PECOS PAC ID: 7618309147 Enrollment ID: I20191121000334 |
| Provider Name | Antoine Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205391356 PECOS PAC ID: 8224460787 Enrollment ID: I20191121001815 |
| Provider Name | Kristen E Peek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932481686 PECOS PAC ID: 8729387170 Enrollment ID: I20191121002306 |
| Provider Name | Victor Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851621536 PECOS PAC ID: 3274714407 Enrollment ID: I20191127002507 |
| Provider Name | Thomas Patrick Anker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871948521 PECOS PAC ID: 2365876778 Enrollment ID: I20191217003353 |
| Provider Name | Roshan Destiny Uranwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811454531 PECOS PAC ID: 4981038015 Enrollment ID: I20191226001779 |
| Provider Name | Kim Sison Anicete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023596400 PECOS PAC ID: 5496180853 Enrollment ID: I20200114001259 |
| Provider Name | Samantha Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508336983 PECOS PAC ID: 0840625992 Enrollment ID: I20200117000431 |
| Provider Name | Mariel Alvarez Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477041853 PECOS PAC ID: 5991139693 Enrollment ID: I20200131001311 |
| Provider Name | Allison K Enomoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366080517 PECOS PAC ID: 2668808148 Enrollment ID: I20200218002701 |
| Provider Name | Tong M Luong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154839645 PECOS PAC ID: 0345677399 Enrollment ID: I20200306002522 |
| Provider Name | Candice E Earp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760845606 PECOS PAC ID: 8628363371 Enrollment ID: I20200312001707 |
| Provider Name | Elayne Marye Faucett-maples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659901239 PECOS PAC ID: 4587093992 Enrollment ID: I20200407000648 |
| Provider Name | Manish Saha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619201167 PECOS PAC ID: 1052595899 Enrollment ID: I20200413003242 |
| Provider Name | Chelsea N Ozigboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609232875 PECOS PAC ID: 5890122345 Enrollment ID: I20200420001685 |
| Provider Name | Ann Camille Tadas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750928552 PECOS PAC ID: 4587094172 Enrollment ID: I20200422002167 |
| Provider Name | Michael Catausan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932326071 PECOS PAC ID: 0143312694 Enrollment ID: I20200423003630 |
| Provider Name | Trace Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730721820 PECOS PAC ID: 9436584828 Enrollment ID: I20200428000521 |
| Provider Name | Astha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427684166 PECOS PAC ID: 9830529023 Enrollment ID: I20200501001348 |
| Provider Name | Marie Claire Wimett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487803623 PECOS PAC ID: 2466873559 Enrollment ID: I20200527002319 |
| Provider Name | Adam Seth Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316300643 PECOS PAC ID: 8224375548 Enrollment ID: I20200612000688 |
| Provider Name | Esther Y Nickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164068268 PECOS PAC ID: 3375965254 Enrollment ID: I20200623000889 |
| Provider Name | Marisa Yanez Jayakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083142582 PECOS PAC ID: 7315360245 Enrollment ID: I20200709003167 |
| Provider Name | Milissa A Buriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770106007 PECOS PAC ID: 0840613600 Enrollment ID: I20200713000802 |
| Provider Name | Maria Guadalupe Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441001 PECOS PAC ID: 7012331028 Enrollment ID: I20200723002005 |
| Provider Name | Huyen Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952833451 PECOS PAC ID: 0143598714 Enrollment ID: I20200804002878 |
| Provider Name | Dylan F Ely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164926382 PECOS PAC ID: 4385060011 Enrollment ID: I20200812002066 |
| Provider Name | Robert Assibey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942739487 PECOS PAC ID: 6305262965 Enrollment ID: I20200813002657 |
| Provider Name | Jessica Michelle Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811427347 PECOS PAC ID: 5294151361 Enrollment ID: I20200819003378 |
| Provider Name | Lucia Tome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760910467 PECOS PAC ID: 6406272467 Enrollment ID: I20200820002916 |
| Provider Name | Somaly Sith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618293 PECOS PAC ID: 5799103529 Enrollment ID: I20200910003168 |
| Provider Name | Kate Fetalco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306456223 PECOS PAC ID: 3870911043 Enrollment ID: I20200921001552 |
| Provider Name | Tenisha Edmiston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295285765 PECOS PAC ID: 1557780673 Enrollment ID: I20200923000926 |
| Provider Name | Sarah Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003453762 PECOS PAC ID: 3779902804 Enrollment ID: I20200923001581 |
| Provider Name | Kimberly Joiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477085314 PECOS PAC ID: 4385911775 Enrollment ID: I20200924002815 |
| Provider Name | Jennifer Kuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811552805 PECOS PAC ID: 8628497187 Enrollment ID: I20201001002720 |
| Provider Name | Tanvir Shagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144722042 PECOS PAC ID: 3577826395 Enrollment ID: I20201025000004 |
| Provider Name | Joanna Violet Esplana De Mesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033743380 PECOS PAC ID: 8628488608 Enrollment ID: I20201103000145 |
| Provider Name | Jaimie Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083221295 PECOS PAC ID: 2466862461 Enrollment ID: I20201103000885 |
| Provider Name | Elizabeth B Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087823 PECOS PAC ID: 2961779319 Enrollment ID: I20201109002221 |
| Provider Name | Rebecca Allison Pell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477161008 PECOS PAC ID: 2961812680 Enrollment ID: I20201109003080 |
| Provider Name | Lana L Bordenkecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546833 PECOS PAC ID: 4385055318 Enrollment ID: I20201124001480 |
| Provider Name | Jessica Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952920894 PECOS PAC ID: 2961813688 Enrollment ID: I20201201000777 |
| Provider Name | Yalda Bahrani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770182388 PECOS PAC ID: 6103238464 Enrollment ID: I20201210002795 |
| Provider Name | Neelam K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619593365 PECOS PAC ID: 2668885237 Enrollment ID: I20201229001623 |
| Provider Name | Darlene Mcmiddleton Nyatui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144267642 PECOS PAC ID: 1658334982 Enrollment ID: I20210118000688 |
| Provider Name | Joseph A Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689195307 PECOS PAC ID: 7810260973 Enrollment ID: I20210126000388 |
| Provider Name | Bunny Jupiter Ryder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639734478 PECOS PAC ID: 4082028295 Enrollment ID: I20210129001902 |
| Provider Name | Zachary Reynado-sabado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548878747 PECOS PAC ID: 1951715036 Enrollment ID: I20210201002440 |
| Provider Name | Chantal Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154929883 PECOS PAC ID: 8527473883 Enrollment ID: I20210218000958 |
| Provider Name | Angela Cassagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548881618 PECOS PAC ID: 5890100705 Enrollment ID: I20210225003107 |
| Provider Name | Max Lee Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750921383 PECOS PAC ID: 6800202748 Enrollment ID: I20210301002546 |
| Provider Name | Rebecca Joe Rimka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528575602 PECOS PAC ID: 2961764352 Enrollment ID: I20210303001369 |
| Provider Name | Lena Kil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518565738 PECOS PAC ID: 3476960428 Enrollment ID: I20210318002082 |
| Provider Name | Erika Danielle Teora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588266142 PECOS PAC ID: 0042627838 Enrollment ID: I20210323000946 |
| Provider Name | Laura Ray Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547607 PECOS PAC ID: 5092122549 Enrollment ID: I20210329001479 |
| Provider Name | Sharon Kay Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790774057 PECOS PAC ID: 3779991526 Enrollment ID: I20210416000957 |
| Provider Name | Crystal Feliciano Sangalang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689130890 PECOS PAC ID: 7810305661 Enrollment ID: I20210416001134 |
| Provider Name | Loan Quynh Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881283240 PECOS PAC ID: 3678981933 Enrollment ID: I20210426002621 |
| Provider Name | Lorena Diaz-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869389 PECOS PAC ID: 6103235940 Enrollment ID: I20210507002331 |
| Provider Name | Phoebe Foo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427694298 PECOS PAC ID: 7214346527 Enrollment ID: I20210517001065 |
| Provider Name | Gerelyn Gili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023607827 PECOS PAC ID: 1254730658 Enrollment ID: I20210603002774 |
| Provider Name | Sadwika Garlapati Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205360690 PECOS PAC ID: 5698177186 Enrollment ID: I20210706003489 |
| Provider Name | Michael Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730529439 PECOS PAC ID: 9335437573 Enrollment ID: I20210714003461 |
| Provider Name | Dewayne Lee Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366061285 PECOS PAC ID: 9234531062 Enrollment ID: I20210715002028 |
| Provider Name | Serene Ahmed Tareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982137279 PECOS PAC ID: 8426451782 Enrollment ID: I20210723001086 |
| Provider Name | Heather R Nelch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447821251 PECOS PAC ID: 3577967850 Enrollment ID: I20210809002195 |
| Provider Name | Karen Dy Gange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881189975 PECOS PAC ID: 8325443997 Enrollment ID: I20210819001306 |
| Provider Name | Allison J Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548691686 PECOS PAC ID: 6608007448 Enrollment ID: I20210831001531 |
| Provider Name | Satpreet Kaur Naidu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184296428 PECOS PAC ID: 4587060090 Enrollment ID: I20210909000295 |
| Provider Name | Lovelle E Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205228699 PECOS PAC ID: 9739482563 Enrollment ID: I20210910002583 |
| Provider Name | Cindy Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679120133 PECOS PAC ID: 8426455049 Enrollment ID: I20210924001028 |
| Provider Name | Humberto Matthew Talmadge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639794639 PECOS PAC ID: 0941607451 Enrollment ID: I20210927001861 |
| Provider Name | Mohammad Aamir Abdullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477968428 PECOS PAC ID: 7719258086 Enrollment ID: I20211007003477 |
| Provider Name | Lalita N Abhyankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689092439 PECOS PAC ID: 4385918812 Enrollment ID: I20211021000403 |
| Provider Name | Victoria I Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957235 PECOS PAC ID: 8628466323 Enrollment ID: I20211029001497 |
| Provider Name | Michelle Lee Debacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932678489 PECOS PAC ID: 4880938703 Enrollment ID: I20211105000025 |
| Provider Name | Chelsea Joy Thomsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003227927 PECOS PAC ID: 7810116662 Enrollment ID: I20211213001196 |
| Provider Name | Crysten Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467052282 PECOS PAC ID: 3678964814 Enrollment ID: I20211227000531 |
| Provider Name | Ana Wong Pacis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194323121 PECOS PAC ID: 6305239096 Enrollment ID: I20220201001501 |
| Provider Name | Shaula Carbajal Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639753262 PECOS PAC ID: 2163816802 Enrollment ID: I20220223002093 |
| Provider Name | Stephanie Rigor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217909 PECOS PAC ID: 3870987365 Enrollment ID: I20220226000216 |
| Provider Name | Desirae A Segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477153278 PECOS PAC ID: 7517351042 Enrollment ID: I20220228001076 |
| Provider Name | Linda L Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265025845 PECOS PAC ID: 0143614172 Enrollment ID: I20220308001300 |
| Provider Name | Kyle D Nefzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134873656 PECOS PAC ID: 8224423595 Enrollment ID: I20220323002043 |
| Provider Name | Jennifer Melcomian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487119491 PECOS PAC ID: 5395158364 Enrollment ID: I20220516002972 |
| Provider Name | Albert H Zhou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265991103 PECOS PAC ID: 8921485533 Enrollment ID: I20220520001759 |
| Provider Name | Waheed Wahidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588311393 PECOS PAC ID: 2163801325 Enrollment ID: I20220617000476 |
| Provider Name | Charles Brandsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214763 PECOS PAC ID: 1557627718 Enrollment ID: I20220624002604 |
| Provider Name | Renzo M Corzano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669960324 PECOS PAC ID: 9032598677 Enrollment ID: I20220628001534 |
| Provider Name | Yoon Kyu Sung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851853550 PECOS PAC ID: 9133509458 Enrollment ID: I20220705001435 |
| Provider Name | Lisa Tonelli Laguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750928388 PECOS PAC ID: 6204223019 Enrollment ID: I20220728001968 |
| Provider Name | Rita G Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477764892 PECOS PAC ID: 7719031814 Enrollment ID: I20220801001135 |
| Provider Name | Allison R Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972026219 PECOS PAC ID: 2264705078 Enrollment ID: I20220802002183 |
| Provider Name | Lillian Mary Ghosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174284855 PECOS PAC ID: 1759763873 Enrollment ID: I20220804003746 |
| Provider Name | David Jacob Elkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891291506 PECOS PAC ID: 1254676257 Enrollment ID: I20220810000765 |
| Provider Name | Nnenna N Ikegbu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801077680 PECOS PAC ID: 7315328291 Enrollment ID: I20220907001737 |
| Provider Name | Sirui Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104388123 PECOS PAC ID: 2163807017 Enrollment ID: I20220914000925 |
| Provider Name | Jullian Pham Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548764400 PECOS PAC ID: 6709279458 Enrollment ID: I20220915002181 |
| Provider Name | Carrie L Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306235825 PECOS PAC ID: 5597064345 Enrollment ID: I20220926001198 |
| Provider Name | Rebecca Boyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235691999 PECOS PAC ID: 9032444856 Enrollment ID: I20220926003345 |
| Provider Name | Beth Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801531413 PECOS PAC ID: 1759767866 Enrollment ID: I20220927002510 |
| Provider Name | Kendyll R Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518484153 PECOS PAC ID: 9931515194 Enrollment ID: I20221006001247 |
| Provider Name | Katie Terese Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821519810 PECOS PAC ID: 8729464011 Enrollment ID: I20221011001273 |
| Provider Name | Meagan Ashley Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033737754 PECOS PAC ID: 2769873546 Enrollment ID: I20221013002686 |
| Provider Name | Kristine Amy Cavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588252662 PECOS PAC ID: 4284001595 Enrollment ID: I20221028002437 |
| Provider Name | Enrico Estrella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033506498 PECOS PAC ID: 8527376334 Enrollment ID: I20221102002473 |
| Provider Name | Jonathan Robert Hootman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982100798 PECOS PAC ID: 5496124224 Enrollment ID: I20221216001839 |
| Provider Name | Amanda J Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891419073 PECOS PAC ID: 6103296124 Enrollment ID: I20230106002203 |
| Provider Name | Brandi Elyse Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134836133 PECOS PAC ID: 1759752777 Enrollment ID: I20230130000763 |
| Provider Name | Daniela Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396466496 PECOS PAC ID: 2769854256 Enrollment ID: I20230209001779 |
| Provider Name | Yung A Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841955317 PECOS PAC ID: 2264805274 Enrollment ID: I20230222000730 |
| Provider Name | Naomi Morishima Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376005306 PECOS PAC ID: 2668870932 Enrollment ID: I20230227002056 |
| Provider Name | Ayobami Olufadeji |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396194726 PECOS PAC ID: 8527392554 Enrollment ID: I20230301002922 |
| Provider Name | Aaron Suzuka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477015634 PECOS PAC ID: 1254704877 Enrollment ID: I20230302000529 |
| Provider Name | Nicole Cruci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710348263 PECOS PAC ID: 5890065189 Enrollment ID: I20230308002499 |
| Provider Name | Mary Ann Reveles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164149621 PECOS PAC ID: 6103290119 Enrollment ID: I20230314002222 |
| Provider Name | Golriz Asefi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255891206 PECOS PAC ID: 6507282845 Enrollment ID: I20230322002390 |
| Provider Name | Brandon R Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316489669 PECOS PAC ID: 1658655543 Enrollment ID: I20230406002390 |
| Provider Name | Christopher James Yan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285345124 PECOS PAC ID: 2264897917 Enrollment ID: I20230502001117 |
| Provider Name | Owen Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192860 PECOS PAC ID: 2163888512 Enrollment ID: I20230510001311 |
| Provider Name | Traci R Ginsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588268528 PECOS PAC ID: 3971960048 Enrollment ID: I20230605002170 |
| Provider Name | Lillian Marie Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285391185 PECOS PAC ID: 5496112013 Enrollment ID: I20230613000688 |
| Provider Name | Katy Gene Gutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477241156 PECOS PAC ID: 4688032451 Enrollment ID: I20230627000683 |
| Provider Name | Emily Dantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538710330 PECOS PAC ID: 7517391691 Enrollment ID: I20230707001929 |
| Provider Name | Allison M Dong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609565894 PECOS PAC ID: 3971963760 Enrollment ID: I20230712000212 |
| Provider Name | Megan Elyse Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497472831 PECOS PAC ID: 0244690907 Enrollment ID: I20230713001986 |
| Provider Name | Rachel Renee Sellek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639861875 PECOS PAC ID: 0648631564 Enrollment ID: I20230725002173 |
| Provider Name | Hamid Ehsani Nia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952824872 PECOS PAC ID: 9830511120 Enrollment ID: I20230731003278 |
| Provider Name | Tracy Cornelia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346709011 PECOS PAC ID: 1355670753 Enrollment ID: I20230802003322 |
| Provider Name | Colton R Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285323295 PECOS PAC ID: 2365803558 Enrollment ID: I20230803004248 |
| Provider Name | Yves R Senat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033660535 PECOS PAC ID: 3375822976 Enrollment ID: I20230818001064 |
| Provider Name | Francisca Turen Burgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942927173 PECOS PAC ID: 9830568955 Enrollment ID: I20230830001915 |
| Provider Name | Kelley Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232387 PECOS PAC ID: 0446688782 Enrollment ID: I20230913003634 |
| Provider Name | Jocelyn Thuy Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326667072 PECOS PAC ID: 9537523105 Enrollment ID: I20230914003334 |
| Provider Name | Hannah Ames Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972253748 PECOS PAC ID: 4082090311 Enrollment ID: I20231113001985 |
| Provider Name | Kenyatta Mccrary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023736873 PECOS PAC ID: 8426433673 Enrollment ID: I20231114002664 |
| Provider Name | Melanie Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427782432 PECOS PAC ID: 4385093715 Enrollment ID: I20231211003738 |
| Provider Name | Cynthia N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235730581 PECOS PAC ID: 7719390012 Enrollment ID: I20231220004260 |
| Provider Name | Jose Marie M Lota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306515424 PECOS PAC ID: 7113363540 Enrollment ID: I20240307003767 |
| Provider Name | Annie Y Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013189869 PECOS PAC ID: 0042656134 Enrollment ID: I20240312001097 |
| Provider Name | Clinton Joseph Born |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912367814 PECOS PAC ID: 8729425814 Enrollment ID: I20240325003516 |
| Provider Name | Jeremy E Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720660293 PECOS PAC ID: 4082052899 Enrollment ID: I20240328004088 |
| Provider Name | Michelle Galet Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982311437 PECOS PAC ID: 2668812967 Enrollment ID: I20240503001419 |
| Provider Name | Norma Jean Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427630417 PECOS PAC ID: 8022450311 Enrollment ID: I20240531003509 |
| Provider Name | Ebony Hillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730822875 PECOS PAC ID: 9032651823 Enrollment ID: I20240607002285 |
| Provider Name | Patti Ngoc Lucent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073226072 PECOS PAC ID: 5890237416 Enrollment ID: I20240610003819 |
Uhs Pharmacy Uc Berkeley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Pharmacy; Room 1115, Berkeley, CA 94720 Phone: 510-642-3249 Fax: 510-642-5759 | |
Berkeley General Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3017 Telegraph Ave Ste 210, Berkeley, CA 94705 Phone: 484-432-2177 Fax: 415-680-1717 | |
American Current Care Of California, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Seventh St Ste 100, Berkeley, CA 94710 Phone: 510-845-5170 Fax: 510-845-5173 | |
Inpatient Consultants Of California, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444 | |
Inpatient Consultants Of California, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 4th St Ste 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982 | |
University Health Services, University Of California, Berkeley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Berkeley, CA 94720 Phone: 510-643-8669 Fax: 510-642-9119 | |
Shine Nee Teng Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3000 Colby St Ste 200, Berkeley, CA 94705 Phone: 510-665-8886 Fax: 510-665-8889 |