| Community Medicine Inc. | |
|
301 N Main St Santa Ana CA 92701-4852 | |
| (714) 547-6641 | |
| (714) 547-6641 |
| Full Name | Community Medicine Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Habib J Hashmani (CEO/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5626022508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medicine Inc. 8800 Alondra Blvd Ste C Bellflower CA 90706-4355 Ph: (562) 602-2508 | Community Medicine Inc. 301 N Main St Santa Ana CA 92701-4852 Ph: (714) 547-6641 |
| NPI Number | 1578136834 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 4183904717 |
|---|---|
| Medicare Enrollment ID | O20161216001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578136834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Shireen S Alwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982870291 PECOS PAC ID: 2466587696 Enrollment ID: I20100312000864 |
| Provider Name | Shehnaz N Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215039631 PECOS PAC ID: 6709961063 Enrollment ID: I20100520000398 |
| Provider Name | Pensri Smithedajkul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528137809 PECOS PAC ID: 1759562606 Enrollment ID: I20110224000752 |
| Provider Name | Ebrahim Duel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659386027 PECOS PAC ID: 5496917627 Enrollment ID: I20120503000484 |
| Provider Name | Audrey Y Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922166297 PECOS PAC ID: 5193143501 Enrollment ID: I20200917000903 |
| Provider Name | Karima A Gulwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003475286 PECOS PAC ID: 7416210570 Enrollment ID: I20221122002239 |
| Provider Name | Nanor Mary Kechichian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093413437 PECOS PAC ID: 3375908973 Enrollment ID: I20230504001283 |
| Provider Name | Sujin Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083479984 PECOS PAC ID: 8022458926 Enrollment ID: I20240425001655 |
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