Careconnectmd Georgia Pc | |
16162 Beach Blvd Ste 100 Huntington Beach CA 92647-3828 | |
(888) 789-9585 | |
(562) 803-4500 |
Full Name | Careconnectmd Georgia Pc |
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Speciality | Family Medicine |
Location | 16162 Beach Blvd Ste 100, Huntington Beach, California |
Authorized Official Name and Position | Ujjwala Shah Dheeriya (CEO) |
Authorized Official Contact | 8887899585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Careconnectmd Georgia Pc 16162 Beach Blvd Ste 100 Huntington Beach CA 92647-3828 Ph: (888) 789-9585 | Careconnectmd Georgia Pc 16162 Beach Blvd Ste 100 Huntington Beach CA 92647-3828 Ph: (888) 789-9585 |
NPI Number | 1063034387 |
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Provider Enumeration Date | 05/08/2020 |
Last Update Date | 05/08/2020 |
Medicare PECOS PAC ID | 5890115190 |
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Medicare Enrollment ID | O20201026000194 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063034387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mary Mckinley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023003993 PECOS PAC ID: 0446163240 Enrollment ID: I20031107000483 |
Provider Name | William D Taylor |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1083619670 PECOS PAC ID: 8022004829 Enrollment ID: I20040426000093 |
Provider Name | Laura D Mullis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427002294 PECOS PAC ID: 9830146083 Enrollment ID: I20050331000454 |
Provider Name | Shelley H Pool |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699784520 PECOS PAC ID: 1951306182 Enrollment ID: I20060922000007 |
Provider Name | Laurence A Beer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639267479 PECOS PAC ID: 2365546900 Enrollment ID: I20070409000405 |
Provider Name | Amanda R White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760538656 PECOS PAC ID: 3375635576 Enrollment ID: I20070817000135 |
Provider Name | Diana K Sodiq |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1073791190 PECOS PAC ID: 8022143049 Enrollment ID: I20100316000813 |
Provider Name | Christina Daniels Tyler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871666404 PECOS PAC ID: 6204964943 Enrollment ID: I20100517000599 |
Provider Name | Albert Warren |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871770412 PECOS PAC ID: 0749311611 Enrollment ID: I20100622000492 |
Provider Name | Amanda K Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528393253 PECOS PAC ID: 9739212853 Enrollment ID: I20100727000018 |
Provider Name | Urviben R Patel |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1306053731 PECOS PAC ID: 4183817349 Enrollment ID: I20101020000264 |
Provider Name | Ericka D Swilling-nobles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164738357 PECOS PAC ID: 9133301021 Enrollment ID: I20110314000998 |
Provider Name | Amar Mohan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578724886 PECOS PAC ID: 5294904991 Enrollment ID: I20110815000745 |
Provider Name | Zuhair Ahmed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881913309 PECOS PAC ID: 5799919676 Enrollment ID: I20131008001276 |
Provider Name | Alexcia N James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003242108 PECOS PAC ID: 8325275472 Enrollment ID: I20150113002143 |
Provider Name | Maisara Kobaisy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841590908 PECOS PAC ID: 2062738297 Enrollment ID: I20150306000980 |
Provider Name | Amy G Sargent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447641550 PECOS PAC ID: 8123346285 Enrollment ID: I20150421002169 |
Provider Name | Yolanda C Scott |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1831480045 PECOS PAC ID: 3072824101 Enrollment ID: I20150616002515 |
Provider Name | Hila Oren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558733261 PECOS PAC ID: 8527378546 Enrollment ID: I20151117002563 |
Provider Name | Ashley Ruth Head |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295109452 PECOS PAC ID: 4688970882 Enrollment ID: I20160315001209 |
Provider Name | Sufiyan M Patwa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366882136 PECOS PAC ID: 0042446437 Enrollment ID: I20160914000251 |
Provider Name | Shannon D. Coffee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932650173 PECOS PAC ID: 5092097808 Enrollment ID: I20170130003105 |
Provider Name | Roberta A Walters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053840959 PECOS PAC ID: 6103190491 Enrollment ID: I20170926001310 |
Provider Name | Marsha Davette Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144745514 PECOS PAC ID: 7810263423 Enrollment ID: I20171026002351 |
Provider Name | Myrna Gacusan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174976088 PECOS PAC ID: 1658620489 Enrollment ID: I20180827003660 |
Provider Name | Elizabeth Courtney Albers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477047769 PECOS PAC ID: 8224380290 Enrollment ID: I20181003001018 |
Provider Name | Rahul M Hooda |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1578634390 PECOS PAC ID: 1153354139 Enrollment ID: I20181121002077 |
Provider Name | Charlotte David |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700358140 PECOS PAC ID: 0143560664 Enrollment ID: I20190320001689 |
Provider Name | Christen S Weber |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619395506 PECOS PAC ID: 7618219502 Enrollment ID: I20190424002033 |
Provider Name | Ameet Kumar |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548667934 PECOS PAC ID: 2961773585 Enrollment ID: I20190503000579 |
Provider Name | Melina Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003374885 PECOS PAC ID: 5698008068 Enrollment ID: I20190618000840 |
Provider Name | Emily Elizabeth Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063053478 PECOS PAC ID: 4587096086 Enrollment ID: I20191122000068 |
Provider Name | Faizan Shaikh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376904292 PECOS PAC ID: 6800170663 Enrollment ID: I20191228000151 |
Provider Name | Mellen K Townsend |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003462284 PECOS PAC ID: 8224464383 Enrollment ID: I20200207002498 |
Provider Name | Thomas Stephen Powell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487036224 PECOS PAC ID: 4688968563 Enrollment ID: I20200313002063 |
Provider Name | Leslie Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881231538 PECOS PAC ID: 9739517046 Enrollment ID: I20200320000881 |
Provider Name | Bolanle Olayinka Babajide-gbenga |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275184715 PECOS PAC ID: 1759710577 Enrollment ID: I20200330003710 |
Provider Name | Deven Graham Szadek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134756570 PECOS PAC ID: 0941639447 Enrollment ID: I20200403003147 |
Provider Name | Brittney D Chasteen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346870656 PECOS PAC ID: 2365873643 Enrollment ID: I20200521000795 |
Provider Name | Brandi Josette Roberson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962010660 PECOS PAC ID: 7810314663 Enrollment ID: I20200825003725 |
Provider Name | George E Fields |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457387482 PECOS PAC ID: 3173413994 Enrollment ID: I20201026000551 |
Provider Name | Ujjwala S Dheeriya |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770508582 PECOS PAC ID: 7911950936 Enrollment ID: I20201124002133 |
Provider Name | Vamsi Kanagala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952712788 PECOS PAC ID: 8325305311 Enrollment ID: I20201208003286 |
Provider Name | Benitra D Tripp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821637331 PECOS PAC ID: 5890107163 Enrollment ID: I20201209003028 |
Provider Name | Ida Mayaka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578160560 PECOS PAC ID: 3678985652 Enrollment ID: I20201216000585 |
Provider Name | Andrea Carole Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184220139 PECOS PAC ID: 2668884438 Enrollment ID: I20201220000022 |
Provider Name | Tonya C Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255937017 PECOS PAC ID: 0941612527 Enrollment ID: I20201227000012 |
Provider Name | Alma Grewal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184743239 PECOS PAC ID: 9032250949 Enrollment ID: I20201228001761 |
Provider Name | Uzoma Anaba |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1942568233 PECOS PAC ID: 6002186087 Enrollment ID: I20210228000022 |
Provider Name | Kayla Bailey Smiley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841873932 PECOS PAC ID: 5991114316 Enrollment ID: I20210513003129 |
Provider Name | Allison Barnwell Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598377764 PECOS PAC ID: 1052717121 Enrollment ID: I20210915001551 |
Provider Name | Elizabeth Davis Callahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629748579 PECOS PAC ID: 4789081183 Enrollment ID: I20210928002344 |
Provider Name | Selina Jordan Boggan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407427727 PECOS PAC ID: 3577961895 Enrollment ID: I20211018000441 |
Provider Name | Celestin Akelyn Ekokobe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467049577 PECOS PAC ID: 6608268818 Enrollment ID: I20220120002517 |
Provider Name | Petra S Abram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568136505 PECOS PAC ID: 1658764774 Enrollment ID: I20220211001449 |
Provider Name | Michelle Brack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235769985 PECOS PAC ID: 7315332988 Enrollment ID: I20220317000528 |
Provider Name | Priti V Jindal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003850322 PECOS PAC ID: 3375592322 Enrollment ID: I20220329000694 |
Provider Name | Danielle Bruce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962029132 PECOS PAC ID: 5092102103 Enrollment ID: I20220420000102 |
Provider Name | Erica Jaime Moret Willems |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255071379 PECOS PAC ID: 0941697817 Enrollment ID: I20220422001354 |
Provider Name | William Patton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417670662 PECOS PAC ID: 3577949254 Enrollment ID: I20221004000516 |
V. Morkjaroenpong, Md.inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20932 Brookhurst St, 105, Huntington Beach, CA 92646 Phone: 714-962-2497 | |
Duddey Chiropractic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6090 Warner Ave, Huntington Beach, CA 92647 Phone: 714-377-0078 Fax: 714-377-0922 | |
Procare Work Injury Center & Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18582 Beach Blvd Ste 23a, Huntington Beach, CA 92648 Phone: 714-964-4442 Fax: 714-963-3780 | |
Cryocareusa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18600 Main St, Huntington Beach, CA 92648 Phone: 714-369-8155 | |
Landmark Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7755 Center Ave Ste 700, Huntington Beach, CA 92647 Phone: 657-400-5180 | |
Newport Huntington Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19582 Beach Blvd, Ste 205, Huntington Beach, CA 92648 Phone: 714-378-2401 |