Concentra Urgent Care | |
6033 West Century Blvd Suite 200 Los Angeles CA 90045 | |
(310) 258-0684 | |
(310) 215-0783 |
Full Name | Concentra Urgent Care |
---|---|
Speciality | Clinic/Center |
Location | 6033 West Century Blvd, Los Angeles, California |
Authorized Official Name and Position | Jeffrey Wainstein (PRESIDENT) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Concentra Urgent Care 5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 Ph: (972) 364-8000 | Concentra Urgent Care 6033 West Century Blvd Suite 200 Los Angeles CA 90045 Ph: (310) 258-0684 |
NPI Number | 1750573622 |
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Provider Enumeration Date | 08/15/2007 |
Last Update Date | 06/14/2016 |
Medicare PECOS PAC ID | 5799854303 |
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Medicare Enrollment ID | O20080522000420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750573622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Deborah L De Mott |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124040084 PECOS PAC ID: 6901710722 Enrollment ID: I20031117000413 |
Provider Name | Mark D Allison |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164471223 PECOS PAC ID: 7315847092 Enrollment ID: I20040109000825 |
Provider Name | Janet Lynn Brown |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1467532952 PECOS PAC ID: 5597659722 Enrollment ID: I20040210000305 |
Provider Name | Zafar Parvez |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1750392361 PECOS PAC ID: 8921997677 Enrollment ID: I20040311001212 |
Provider Name | Cynthia A Purviance |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851370555 PECOS PAC ID: 2062301088 Enrollment ID: I20040317000805 |
Provider Name | Brent C Jackson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1346229382 PECOS PAC ID: 2365332483 Enrollment ID: I20040319000981 |
Provider Name | Shirley X Xu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790791945 PECOS PAC ID: 7416848239 Enrollment ID: I20040322001671 |
Provider Name | Michael C Chiang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528280906 PECOS PAC ID: 1456347889 Enrollment ID: I20040421001876 |
Provider Name | Gregory S Mynko |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1225046568 PECOS PAC ID: 8729075064 Enrollment ID: I20040428000768 |
Provider Name | Amitabh Prakash |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730120700 PECOS PAC ID: 2668462862 Enrollment ID: I20040528001354 |
Provider Name | Julia R Nyquist |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205813771 PECOS PAC ID: 3779560750 Enrollment ID: I20040707000986 |
Provider Name | Joseph Behymer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922043108 PECOS PAC ID: 0042287245 Enrollment ID: I20040917000632 |
Provider Name | Vikram Khanna |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821071986 PECOS PAC ID: 7113987090 Enrollment ID: I20041014000898 |
Provider Name | William E Marshall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699767830 PECOS PAC ID: 4082670914 Enrollment ID: I20041202000782 |
Provider Name | Kavita Sinha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831110832 PECOS PAC ID: 9830087972 Enrollment ID: I20050214001008 |
Provider Name | Luis P Nugent |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144289646 PECOS PAC ID: 1052366721 Enrollment ID: I20050315000836 |
Provider Name | Farzaneh Virginia Maghsoudy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831207737 PECOS PAC ID: 7113956525 Enrollment ID: I20050805000617 |
Provider Name | Brent Harris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487630497 PECOS PAC ID: 4789616772 Enrollment ID: I20050910000244 |
Provider Name | Keith Wresch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346276813 PECOS PAC ID: 8527085133 Enrollment ID: I20051101001144 |
Provider Name | Shamsunder P Samant |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699716779 PECOS PAC ID: 6406860774 Enrollment ID: I20060126000310 |
Provider Name | Gurmander S Kohli |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1225066962 PECOS PAC ID: 7113934886 Enrollment ID: I20060321000655 |
Provider Name | Aram Bonni |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104859164 PECOS PAC ID: 5294754768 Enrollment ID: I20060621000370 |
Provider Name | Aundrea Wilson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770506529 PECOS PAC ID: 4385647718 Enrollment ID: I20060824000190 |
Provider Name | Lydia M Green |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952336752 PECOS PAC ID: 7810991676 Enrollment ID: I20060908000398 |
Provider Name | Barry Huang |
---|---|
Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1316961550 PECOS PAC ID: 0941208854 Enrollment ID: I20061130000473 |
Provider Name | Neil Chatterjee |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1265554695 PECOS PAC ID: 6709984438 Enrollment ID: I20070604000769 |
Provider Name | Chinyere I Amadi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639284003 PECOS PAC ID: 1850486663 Enrollment ID: I20071008000593 |
Provider Name | Fariba Vesali |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1679526701 PECOS PAC ID: 5698706240 Enrollment ID: I20071015000467 |
Provider Name | Lorraine Sunday |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1558407197 PECOS PAC ID: 9234211293 Enrollment ID: I20080129000734 |
Provider Name | Michele Martinez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205939204 PECOS PAC ID: 2769553239 Enrollment ID: I20080611000720 |
Provider Name | Pamela S Porter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366481178 PECOS PAC ID: 2264590397 Enrollment ID: I20081018000197 |
Provider Name | John Giddens |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417934803 PECOS PAC ID: 2163409616 Enrollment ID: I20090219000438 |
Provider Name | Cary Manoogian |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1306819271 PECOS PAC ID: 7810054616 Enrollment ID: I20090323000419 |
Provider Name | Tony S Hunt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851416010 PECOS PAC ID: 0547327389 Enrollment ID: I20090324000292 |
Provider Name | Shoaib U Naqvi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033235486 PECOS PAC ID: 6002964038 Enrollment ID: I20090501000203 |
Provider Name | Michele D Borgeson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1396700936 PECOS PAC ID: 9739262411 Enrollment ID: I20090511000108 |
Provider Name | Alan M Spira |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1194726075 PECOS PAC ID: 0547332918 Enrollment ID: I20090522000373 |
Provider Name | Debra L Hilburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235253733 PECOS PAC ID: 2264582485 Enrollment ID: I20090610000280 |
Provider Name | Alexander O Francini |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1437186467 PECOS PAC ID: 5193877678 Enrollment ID: I20090714000431 |
Provider Name | Ganna L Breland |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1316141898 PECOS PAC ID: 2163574518 Enrollment ID: I20090715000323 |
Provider Name | Doug S Plata |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447376611 PECOS PAC ID: 3577615806 Enrollment ID: I20090717000445 |
Provider Name | Lawrence S Pohl |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1992774228 PECOS PAC ID: 8527111673 Enrollment ID: I20090806000549 |
Provider Name | Ashish Bhalla |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184701104 PECOS PAC ID: 8123172871 Enrollment ID: I20090815000054 |
Provider Name | John C Foster |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1487857488 PECOS PAC ID: 2163578907 Enrollment ID: I20090921000529 |
Provider Name | Daner Reider |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1568557437 PECOS PAC ID: 5799831103 Enrollment ID: I20090925000174 |
Provider Name | Marlowe B Magallanes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346460847 PECOS PAC ID: 0446313324 Enrollment ID: I20090930000498 |
Provider Name | William B Downs |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1851593636 PECOS PAC ID: 9436295615 Enrollment ID: I20090930000717 |
Provider Name | Jonathan Rosenson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1467605972 PECOS PAC ID: 9335285477 Enrollment ID: I20091005000183 |
Provider Name | Gary Dean Hatcher |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1669593141 PECOS PAC ID: 2961548987 Enrollment ID: I20091006000207 |
Provider Name | Valerie L Youngblood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538397815 PECOS PAC ID: 6002956646 Enrollment ID: I20091212000088 |
Provider Name | Luis E Rivera |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1922133388 PECOS PAC ID: 4385789114 Enrollment ID: I20100304000755 |
Provider Name | Olina E Harwer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174536726 PECOS PAC ID: 6002950581 Enrollment ID: I20100316000853 |
Provider Name | Lester Montante Deguzman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255345567 PECOS PAC ID: 3375567357 Enrollment ID: I20100726000334 |
Provider Name | Seleaina A Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871790444 PECOS PAC ID: 5597881052 Enrollment ID: I20100922000469 |
Provider Name | Zizhuang Li |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1578762704 PECOS PAC ID: 9830265180 Enrollment ID: I20101013001176 |
Provider Name | Kenten Pey-kuen Wang |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20101109001202 |
Provider Name | Seung Chang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073603460 PECOS PAC ID: 7012102155 Enrollment ID: I20101115000580 |
Provider Name | Fauzia Rahman Basit |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114099934 PECOS PAC ID: 7618157405 Enrollment ID: I20110210001213 |
Provider Name | Matthew J Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306159918 PECOS PAC ID: 1052593597 Enrollment ID: I20110304000649 |
Provider Name | John D Sheppard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992857114 PECOS PAC ID: 6305020371 Enrollment ID: I20110415000448 |
Provider Name | Daniel A Gonzalez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023196763 PECOS PAC ID: 5294919130 Enrollment ID: I20110418000508 |
Provider Name | Bella Agrawal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073630588 PECOS PAC ID: 6901083328 Enrollment ID: I20110610000392 |
Provider Name | Avni Pandya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
Provider Name | Julie Elana Kaltgrad |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1235444068 PECOS PAC ID: 9739354242 Enrollment ID: I20111212000938 |
Provider Name | Gustavo Diaz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1538122635 PECOS PAC ID: 1254374713 Enrollment ID: I20111213000435 |
Provider Name | Brian Thomas Mitchell |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639451149 PECOS PAC ID: 0547435778 Enrollment ID: I20111215000828 |
Provider Name | Akunna Ugo Ogbu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780858829 PECOS PAC ID: 3577725845 Enrollment ID: I20120502000554 |
Provider Name | David Y Lung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326315284 PECOS PAC ID: 0547413643 Enrollment ID: I20130123000073 |
Provider Name | Kristian L Brown |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1023272051 PECOS PAC ID: 7416193735 Enrollment ID: I20130411000211 |
Provider Name | Rikki S Martinez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053545442 PECOS PAC ID: 5395981310 Enrollment ID: I20130418000128 |
Provider Name | Anika Yousefian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710277058 PECOS PAC ID: 3476794520 Enrollment ID: I20130801000206 |
Provider Name | Yong Sik Kim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033317565 PECOS PAC ID: 2264615376 Enrollment ID: I20130826000557 |
Provider Name | Amy L Rahm |
---|---|
Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
Provider Identifiers | NPI Number: 1659581957 PECOS PAC ID: 2466522040 Enrollment ID: I20131021000689 |
Provider Name | Basem R Farag |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457441974 PECOS PAC ID: 9537394598 Enrollment ID: I20131028001735 |
Provider Name | Arleen Sta. Maria Comiso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811337470 PECOS PAC ID: 5991930422 Enrollment ID: I20131108000662 |
Provider Name | Anousheh N Ashouri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336305036 PECOS PAC ID: 3274769898 Enrollment ID: I20131203001714 |
Provider Name | Sherene C Nagarajah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710917539 PECOS PAC ID: 8729124797 Enrollment ID: I20131231001783 |
Provider Name | Vithya Sairam |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1043472210 PECOS PAC ID: 5799913828 Enrollment ID: I20140116000725 |
Provider Name | James Applebury |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1275850836 PECOS PAC ID: 6103055199 Enrollment ID: I20140218000315 |
Provider Name | Agnes Gitau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962832089 PECOS PAC ID: 2769613520 Enrollment ID: I20140320001957 |
Provider Name | Kathy Le |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1699973727 PECOS PAC ID: 5294872503 Enrollment ID: I20140417001057 |
Provider Name | Cristian A Santizo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497071385 PECOS PAC ID: 1456520477 Enrollment ID: I20140509001636 |
Provider Name | Angelina Caserta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659629061 PECOS PAC ID: 3476799602 Enrollment ID: I20140929000587 |
Provider Name | Robert W Hennessy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699765412 PECOS PAC ID: 6103892997 Enrollment ID: I20140930000815 |
Provider Name | Pooyan Badihian Sadeghi |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1619203866 PECOS PAC ID: 8820219629 Enrollment ID: I20141020002493 |
Provider Name | Tamara Sherri Robinson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396911772 PECOS PAC ID: 2769604172 Enrollment ID: I20141119000070 |
Provider Name | Michael R. Land |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1184057291 PECOS PAC ID: 8921328964 Enrollment ID: I20150514002576 |
Provider Name | Jackson S Alparce |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427162437 PECOS PAC ID: 7517279813 Enrollment ID: I20150630001784 |
Provider Name | Julian Restrepo |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1902240344 PECOS PAC ID: 5991018111 Enrollment ID: I20150717000090 |
Provider Name | Reza Khodaverdian |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20150729010087 |
Provider Name | Laura Kai Quaye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902299191 PECOS PAC ID: 6406160480 Enrollment ID: I20150804005837 |
Provider Name | Mandeep Singh Sehmbey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225346026 PECOS PAC ID: 2860708328 Enrollment ID: I20150828000205 |
Provider Name | Sonia Sanga |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720346091 PECOS PAC ID: 9739496142 Enrollment ID: I20150917001545 |
Provider Name | Elham Siman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407268626 PECOS PAC ID: 5991013534 Enrollment ID: I20151001002053 |
Provider Name | Brett H Schussel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770821241 PECOS PAC ID: 6103052386 Enrollment ID: I20151019002111 |
Provider Name | Allen Wang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922215540 PECOS PAC ID: 8123185840 Enrollment ID: I20151207000795 |
Provider Name | Karin Yien |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1437549060 PECOS PAC ID: 5092016543 Enrollment ID: I20151229000847 |
Provider Name | Maryam Gulraiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154688612 PECOS PAC ID: 8820390792 Enrollment ID: I20160108001643 |
Provider Name | Jeffrey S Wick |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1891795092 PECOS PAC ID: 6608768270 Enrollment ID: I20160203002526 |
Provider Name | Supneet Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730514340 PECOS PAC ID: 9931406980 Enrollment ID: I20160318001090 |
Provider Name | Si Chen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467794180 PECOS PAC ID: 8022317270 Enrollment ID: I20160422000700 |
Provider Name | Travis R Nesbit |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316381692 PECOS PAC ID: 9032414156 Enrollment ID: I20160512002432 |
Provider Name | Rupal S Sidhu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114033594 PECOS PAC ID: 2769442946 Enrollment ID: I20160601002564 |
Provider Name | Peter F Keenan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699068601 PECOS PAC ID: 2264406859 Enrollment ID: I20160609000722 |
Provider Name | Joseph E Benson |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1790892594 PECOS PAC ID: 2860717741 Enrollment ID: I20160621002047 |
Provider Name | Diane A Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962810440 PECOS PAC ID: 0042431975 Enrollment ID: I20160719000972 |
Provider Name | Sadegh Saki |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063671717 PECOS PAC ID: 4486943461 Enrollment ID: I20160722001913 |
Provider Name | Monica San Basilio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033587126 PECOS PAC ID: 9830409721 Enrollment ID: I20160726002184 |
Provider Name | Amos K Ladouceur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033413265 PECOS PAC ID: 1759674641 Enrollment ID: I20160729002070 |
Provider Name | Chester Tung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588907901 PECOS PAC ID: 0143544890 Enrollment ID: I20160923000993 |
Provider Name | Steven Friend |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932289774 PECOS PAC ID: 5597052092 Enrollment ID: I20160927002753 |
Provider Name | Masooma Mujeeb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821459785 PECOS PAC ID: 0345538401 Enrollment ID: I20161005003096 |
Provider Name | Diane M Gilliland |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144294927 PECOS PAC ID: 2860780715 Enrollment ID: I20161010002169 |
Provider Name | Charles P Blackshear |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1114362175 PECOS PAC ID: 7719266634 Enrollment ID: I20161117001088 |
Provider Name | Grace Hillard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720492648 PECOS PAC ID: 5799004990 Enrollment ID: I20170210001053 |
Provider Name | Tara Kantharaj |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033552401 PECOS PAC ID: 5496030504 Enrollment ID: I20170331001006 |
Provider Name | Jennifer Dion-gokan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831634708 PECOS PAC ID: 5991081291 Enrollment ID: I20170422000225 |
Provider Name | Christopher John N Co |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679704969 PECOS PAC ID: 7810026440 Enrollment ID: I20170509001584 |
Provider Name | Onome A Ogaga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952833063 PECOS PAC ID: 6507143021 Enrollment ID: I20170509003025 |
Provider Name | Karla Talavera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417377607 PECOS PAC ID: 5395015291 Enrollment ID: I20170726001413 |
Provider Name | Thomas K Mogensen |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1578865671 PECOS PAC ID: 4587938436 Enrollment ID: I20170915003184 |
Provider Name | Theresa Nwaoha-ezekwo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326573494 PECOS PAC ID: 6204100852 Enrollment ID: I20170920000966 |
Provider Name | Monica Manering |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790225225 PECOS PAC ID: 9739445040 Enrollment ID: I20171101003418 |
Provider Name | Clarinda G Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578081055 PECOS PAC ID: 4385902832 Enrollment ID: I20171211002309 |
Provider Name | Gabriel Alejandro Villachica |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861925976 PECOS PAC ID: 6305104639 Enrollment ID: I20171214001975 |
Provider Name | Mundi L Attinasi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1790876282 PECOS PAC ID: 8820358385 Enrollment ID: I20180201002868 |
Provider Name | Debra Kay Cooper |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144261249 PECOS PAC ID: 9133033715 Enrollment ID: I20180206000625 |
Provider Name | Sanjeev Puri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730420399 PECOS PAC ID: 0547570871 Enrollment ID: I20180307001366 |
Provider Name | Marichelle S Masilang-cupino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376044602 PECOS PAC ID: 9335403567 Enrollment ID: I20180515003093 |
Provider Name | Nicole J Odonnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043708456 PECOS PAC ID: 5092079285 Enrollment ID: I20180516002634 |
Provider Name | Mahvash R Soltani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407354392 PECOS PAC ID: 1254687940 Enrollment ID: I20180711001412 |
Provider Name | Amber M Ruiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396235024 PECOS PAC ID: 7810244951 Enrollment ID: I20180720002004 |
Provider Name | Abhishek Kulkarni |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699180703 PECOS PAC ID: 5193074755 Enrollment ID: I20180815003395 |
Provider Name | Nancy D Downey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578051017 PECOS PAC ID: 5698024198 Enrollment ID: I20180816001342 |
Provider Name | John A Barone |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1982616116 PECOS PAC ID: 9638457260 Enrollment ID: I20181128003287 |
Provider Name | Jimmy Tam Huy Pham |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1982087391 PECOS PAC ID: 1052620234 Enrollment ID: I20181205001466 |
Provider Name | Melissa S Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639681000 PECOS PAC ID: 0042555757 Enrollment ID: I20181228001150 |
Provider Name | Lucila Angeli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790179273 PECOS PAC ID: 9931498078 Enrollment ID: I20190206001345 |
Provider Name | Bruce K Hoang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699874826 PECOS PAC ID: 2961740808 Enrollment ID: I20190219000891 |
Provider Name | Stephen Paul Leibham |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366451593 PECOS PAC ID: 0749572642 Enrollment ID: I20190226002373 |
Provider Name | Larry Barnhart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659461465 PECOS PAC ID: 9739420522 Enrollment ID: I20190403002970 |
Provider Name | Hai P Lam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639546054 PECOS PAC ID: 5799026555 Enrollment ID: I20190404002766 |
Provider Name | Michael Brian Lee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285845651 PECOS PAC ID: 9638410319 Enrollment ID: I20190405001116 |
Provider Name | Stephanie T Hawkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033486519 PECOS PAC ID: 2163702432 Enrollment ID: I20190408000520 |
Provider Name | John Edwin Cross |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1205989985 PECOS PAC ID: 8628215332 Enrollment ID: I20190408001194 |
Provider Name | Julius Batac Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285145409 PECOS PAC ID: 7113268772 Enrollment ID: I20190408002478 |
Provider Name | Tien-hoa Ko |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1912915489 PECOS PAC ID: 0042551624 Enrollment ID: I20190409000272 |
Provider Name | Tania Grivas |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1760787444 PECOS PAC ID: 2466628300 Enrollment ID: I20190411000150 |
Provider Name | Zachary John Paul |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1235526021 PECOS PAC ID: 1254672694 Enrollment ID: I20190411000925 |
Provider Name | Brian Cameron Buder |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1477844405 PECOS PAC ID: 3577804673 Enrollment ID: I20190417001541 |
Provider Name | Syed F Saquib |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700970340 PECOS PAC ID: 4385930684 Enrollment ID: I20190417002059 |
Provider Name | Gaby Jean Abdo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356457790 PECOS PAC ID: 3375848450 Enrollment ID: I20190417002672 |
Provider Name | Bernard Mcdermott |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821101841 PECOS PAC ID: 2860787066 Enrollment ID: I20190418001045 |
Provider Name | Diana M Johns |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639213564 PECOS PAC ID: 1658678768 Enrollment ID: I20190418002566 |
Provider Name | Leslie M Kalman |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609165992 PECOS PAC ID: 5799027488 Enrollment ID: I20190429002642 |
Provider Name | Aye Min-than Aung |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730672056 PECOS PAC ID: 6608119680 Enrollment ID: I20190514002077 |
Provider Name | Maria Bella Yabut Ramirez |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1164547055 PECOS PAC ID: 7113213430 Enrollment ID: I20190516000290 |
Provider Name | Maribel Ratuita Gabriel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780053850 PECOS PAC ID: 6305189150 Enrollment ID: I20190517000407 |
Provider Name | Prakriti Prashanta Janz-navarro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467808758 PECOS PAC ID: 9830432533 Enrollment ID: I20190521001973 |
Provider Name | Tabitha Crane |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689020448 PECOS PAC ID: 5294068946 Enrollment ID: I20190611003740 |
Provider Name | Steven A Leusch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356906424 PECOS PAC ID: 0143553859 Enrollment ID: I20190612002020 |
Provider Name | Peter J Heitke |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1114004801 PECOS PAC ID: 4486942224 Enrollment ID: I20190627003084 |
Provider Name | Sonny Young |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043521008 PECOS PAC ID: 8022308451 Enrollment ID: I20190628002487 |
Provider Name | Begum Serena Sezer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891157939 PECOS PAC ID: 3173857844 Enrollment ID: I20190628002928 |
Provider Name | Gregg A Kasting |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1831481225 PECOS PAC ID: 0143500686 Enrollment ID: I20190628002930 |
Provider Name | Betty J Van Horn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427483056 PECOS PAC ID: 2163756792 Enrollment ID: I20190701002222 |
Provider Name | Shaheen Zakaria |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1093736159 PECOS PAC ID: 4789653635 Enrollment ID: I20190708002458 |
Provider Name | Deirdre Alice Mazzetto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023580446 PECOS PAC ID: 9830425925 Enrollment ID: I20190726002136 |
Provider Name | Maria Bolinao Braren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568976660 PECOS PAC ID: 8426385006 Enrollment ID: I20190805001800 |
Provider Name | Carlos Garrett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992714257 PECOS PAC ID: 7214221845 Enrollment ID: I20190812003096 |
Provider Name | Joy Iwuchukwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972962819 PECOS PAC ID: 3577839885 Enrollment ID: I20190813002729 |
Provider Name | Gurinder Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588837660 PECOS PAC ID: 4385880251 Enrollment ID: I20190819004107 |
Provider Name | Joshua John Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497007785 PECOS PAC ID: 8224365465 Enrollment ID: I20190828001897 |
Provider Name | Jamileh K Hanna |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023497138 PECOS PAC ID: 6709115553 Enrollment ID: I20190904002661 |
Provider Name | Bruce E Sands |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073611190 PECOS PAC ID: 9436120227 Enrollment ID: I20191008001395 |
Provider Name | Jaishri Ramesh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750413589 PECOS PAC ID: 6507197928 Enrollment ID: I20191015003006 |
Provider Name | Akhil B Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457617714 PECOS PAC ID: 1850608233 Enrollment ID: I20191031002084 |
Provider Name | Jeevan Singh Sall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457872244 PECOS PAC ID: 5496087728 Enrollment ID: I20191105003261 |
Provider Name | Logan P Marcus |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1518353887 PECOS PAC ID: 9335471606 Enrollment ID: I20191106001613 |
Provider Name | Ozioma A Enworom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225685902 PECOS PAC ID: 6204268428 Enrollment ID: I20191108001816 |
Provider Name | Mary Vic Amor Mendija Bustillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851661276 PECOS PAC ID: 9133551914 Enrollment ID: I20191115002457 |
Provider Name | Omeed Moalikyar |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1285022426 PECOS PAC ID: 6204260136 Enrollment ID: I20191230002066 |
Provider Name | Thomas Gerald Quick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821325317 PECOS PAC ID: 8224921408 Enrollment ID: I20200117000602 |
Provider Name | Marc Jeremy G Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912464074 PECOS PAC ID: 9032449251 Enrollment ID: I20200207002358 |
Provider Name | Cesar Reis |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1215255385 PECOS PAC ID: 3779919733 Enrollment ID: I20200211001212 |
Provider Name | Reza Khodaverdian |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20200316002758 |
Provider Name | Audrey E Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639653447 PECOS PAC ID: 8426486655 Enrollment ID: I20200320002281 |
Provider Name | Patrick Ignacio |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1255542536 PECOS PAC ID: 7416071931 Enrollment ID: I20200322000064 |
Provider Name | Yunkyung Heo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881135705 PECOS PAC ID: 5890126502 Enrollment ID: I20200513002474 |
Provider Name | Keena Lucretia Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780136820 PECOS PAC ID: 1052734803 Enrollment ID: I20200713000710 |
Provider Name | Lord L Addo-yirenkyi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588140008 PECOS PAC ID: 3678999109 Enrollment ID: I20200814001115 |
Provider Name | Rasha Saeed |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1093071052 PECOS PAC ID: 2668899519 Enrollment ID: I20200824003288 |
Provider Name | Estelita Ouano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679520449 PECOS PAC ID: 9830410158 Enrollment ID: I20200930001702 |
Provider Name | Louis S Batch |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1699866004 PECOS PAC ID: 1254663875 Enrollment ID: I20201008000901 |
Provider Name | Yeranui Stepanyan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437784873 PECOS PAC ID: 7810316007 Enrollment ID: I20201008000987 |
Provider Name | Kaishauna Guidry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659726206 PECOS PAC ID: 1658791272 Enrollment ID: I20201021001234 |
Provider Name | Miao Yu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427586882 PECOS PAC ID: 4587083696 Enrollment ID: I20201026002267 |
Provider Name | Uju P Ezeamama |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316462724 PECOS PAC ID: 2860745742 Enrollment ID: I20201110002250 |
Provider Name | Eric Drell Amster |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1265665913 PECOS PAC ID: 6103238621 Enrollment ID: I20201207001791 |
Provider Name | Tim Dockman |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992090088 PECOS PAC ID: 4486066958 Enrollment ID: I20201208001144 |
Provider Name | Thomas J Mackey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144518689 PECOS PAC ID: 8123259322 Enrollment ID: I20201229000194 |
Provider Name | Tracy Canonizado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447858139 PECOS PAC ID: 7517370372 Enrollment ID: I20210115001523 |
Provider Name | Chelsea Stinemetz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740813310 PECOS PAC ID: 0244644516 Enrollment ID: I20210127002366 |
Provider Name | Vivian Nguyen Duong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801402912 PECOS PAC ID: 0547674855 Enrollment ID: I20210128000423 |
Provider Name | Leonard Reynold Costantini |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700266764 PECOS PAC ID: 7810302551 Enrollment ID: I20210210002964 |
Provider Name | Roya Zamanian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346612116 PECOS PAC ID: 4385918648 Enrollment ID: I20210310003016 |
Provider Name | Stewart R Logan |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538656202 PECOS PAC ID: 5991055469 Enrollment ID: I20210409001430 |
Provider Name | Paula Go Moreno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396215943 PECOS PAC ID: 4789092784 Enrollment ID: I20210412001623 |
Provider Name | Thao Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528650629 PECOS PAC ID: 3274942685 Enrollment ID: I20210513003049 |
Provider Name | Benilda Oliquino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477164051 PECOS PAC ID: 6507275948 Enrollment ID: I20210514000918 |
Provider Name | Arian Kakar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871167346 PECOS PAC ID: 0840699526 Enrollment ID: I20210528002310 |
Provider Name | Kwame Boateng Agyeman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821521527 PECOS PAC ID: 9931509569 Enrollment ID: I20210617002970 |
Provider Name | Jungrak Hong |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154670446 PECOS PAC ID: 6204138597 Enrollment ID: I20210712002199 |
Provider Name | Ani Angela Bznouni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841803905 PECOS PAC ID: 7113320359 Enrollment ID: I20210726000807 |
Provider Name | Hyekung Thrane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215460001 PECOS PAC ID: 3678977220 Enrollment ID: I20210804003107 |
Provider Name | David Rios |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1336552900 PECOS PAC ID: 4082019815 Enrollment ID: I20210817003183 |
Provider Name | Sachin Anujeet Singh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700478211 PECOS PAC ID: 5092110338 Enrollment ID: I20210824002638 |
Provider Name | Roger Evan Fox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063639045 PECOS PAC ID: 8224433313 Enrollment ID: I20210827001704 |
Provider Name | Adenike Awolola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184263733 PECOS PAC ID: 7315343050 Enrollment ID: I20210907000205 |
Provider Name | Iqra Maqsood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295403699 PECOS PAC ID: 5698172237 Enrollment ID: I20210923001791 |
Provider Name | Siena Elisa Ona |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1174963458 PECOS PAC ID: 5294034369 Enrollment ID: I20210928003199 |
Provider Name | Rey Kenneth Manzano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528735339 PECOS PAC ID: 9133517055 Enrollment ID: I20211026003090 |
Provider Name | Esther Davila |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144714619 PECOS PAC ID: 2860735701 Enrollment ID: I20211110002767 |
Provider Name | Charles Bunag |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952999187 PECOS PAC ID: 9537558689 Enrollment ID: I20211111002375 |
Provider Name | Shalla Ahmed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851765549 PECOS PAC ID: 1850782293 Enrollment ID: I20211220001484 |
Provider Name | Noor Dythavon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518435379 PECOS PAC ID: 4486059367 Enrollment ID: I20211221002571 |
Provider Name | Janet Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497157473 PECOS PAC ID: 0244555878 Enrollment ID: I20220105001524 |
Provider Name | Shenwan Wang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457027815 PECOS PAC ID: 8820482896 Enrollment ID: I20220308002917 |
Provider Name | Constance M Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063994275 PECOS PAC ID: 3971643073 Enrollment ID: I20220325001214 |
Provider Name | Shahrzad Forat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265799522 PECOS PAC ID: 6305093105 Enrollment ID: I20220329001252 |
Provider Name | Marlisha Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669028734 PECOS PAC ID: 0840520581 Enrollment ID: I20220412001058 |
Provider Name | Simran Chhabra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679165013 PECOS PAC ID: 9739575143 Enrollment ID: I20220412002812 |
Provider Name | April Arra Mendoza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821228503 PECOS PAC ID: 5890182919 Enrollment ID: I20220420000622 |
Provider Name | Cybill Navarro |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538659396 PECOS PAC ID: 9931509478 Enrollment ID: I20220425002147 |
Provider Name | Jodi Michelle Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467056184 PECOS PAC ID: 3870970718 Enrollment ID: I20220516002141 |
Provider Name | Karen Storlie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336117399 PECOS PAC ID: 4284639832 Enrollment ID: I20220519001602 |
Provider Name | Charles Brandsmeier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891214763 PECOS PAC ID: 1557627718 Enrollment ID: I20220624002604 |
Provider Name | Mary Dunning Garofalo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255731915 PECOS PAC ID: 2961882360 Enrollment ID: I20220701000663 |
Provider Name | Booil Kim |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1508250804 PECOS PAC ID: 1254711575 Enrollment ID: I20220705001694 |
Provider Name | Amy Quynhphi Phan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053040329 PECOS PAC ID: 0143601070 Enrollment ID: I20220722001893 |
Provider Name | Kevin Wesley Chang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770044174 PECOS PAC ID: 4486989522 Enrollment ID: I20220802000622 |
Provider Name | Elvin Kasimoglu-tran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992349765 PECOS PAC ID: 0345624359 Enrollment ID: I20220824003580 |
Provider Name | Connie Y Tan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679211015 PECOS PAC ID: 8527442607 Enrollment ID: I20220909000134 |
Provider Name | Xi Zhai |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1083148050 PECOS PAC ID: 5294064077 Enrollment ID: I20220909001894 |
Provider Name | Kristina Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073121018 PECOS PAC ID: 1951786995 Enrollment ID: I20220912003230 |
Provider Name | Bryan Edward Long |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1700013638 PECOS PAC ID: 9234514621 Enrollment ID: I20220921002358 |
Provider Name | Kenyawn Judea Simmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265659247 PECOS PAC ID: 0547645855 Enrollment ID: I20220921004013 |
Provider Name | Malinda Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326542424 PECOS PAC ID: 0143584383 Enrollment ID: I20221012003010 |
Provider Name | Sirorat Krogstad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427770213 PECOS PAC ID: 5991171332 Enrollment ID: I20221026001271 |
Provider Name | Trisha Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518613033 PECOS PAC ID: 4688041403 Enrollment ID: I20221108003133 |
Provider Name | Bridgette Francois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972925238 PECOS PAC ID: 7618345240 Enrollment ID: I20221201001713 |
Provider Name | Vincent Z Lee |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1376975995 PECOS PAC ID: 3476958398 Enrollment ID: I20221212002237 |
Provider Name | John Neumann |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1003349432 PECOS PAC ID: 4587034145 Enrollment ID: I20221223001343 |
Provider Name | Safa Maharsi |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1942761598 PECOS PAC ID: 3779954417 Enrollment ID: I20230117002149 |
Provider Name | Mary Moore |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1629321229 PECOS PAC ID: 5991614612 Enrollment ID: I20230202001840 |
Provider Name | Latoya Butts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083324248 PECOS PAC ID: 8426420175 Enrollment ID: I20230207001600 |
Provider Name | Reza Fazl Alizadeh |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1336643550 PECOS PAC ID: 6608248042 Enrollment ID: I20230210000846 |
Provider Name | Jinhee Park |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437315827 PECOS PAC ID: 9739580234 Enrollment ID: I20230221002963 |
Provider Name | Franckency Francois Fils-aime |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447909684 PECOS PAC ID: 2264805134 Enrollment ID: I20230224001610 |
Provider Name | Christine C Holman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710683388 PECOS PAC ID: 6002289717 Enrollment ID: I20230228001784 |
Provider Name | Joshua Cortes De Sagun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871290734 PECOS PAC ID: 9234502709 Enrollment ID: I20230302002965 |
Provider Name | Annabel Tabianan Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760880264 PECOS PAC ID: 0345614723 Enrollment ID: I20230327001183 |
Provider Name | James Daffin Senechal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780662106 PECOS PAC ID: 1153567219 Enrollment ID: I20230412002203 |
Provider Name | Alexis Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942933460 PECOS PAC ID: 0446615066 Enrollment ID: I20230503000927 |
Provider Name | Brighid Hayes Simmons |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1063757755 PECOS PAC ID: 3870991854 Enrollment ID: I20230518003574 |
Provider Name | Dionisio T Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831835594 PECOS PAC ID: 9436533064 Enrollment ID: I20230519002463 |
Provider Name | Nichole Graciela Anguiano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477252146 PECOS PAC ID: 4486010261 Enrollment ID: I20230522000219 |
Provider Name | William Comer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003505629 PECOS PAC ID: 0345607537 Enrollment ID: I20230602000893 |
Provider Name | Omowunmi M Abioro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891399820 PECOS PAC ID: 6608233622 Enrollment ID: I20230607001195 |
Provider Name | Daphnee Emmanuela Germain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588325492 PECOS PAC ID: 0648637546 Enrollment ID: I20230608001302 |
Provider Name | Michael Silvers |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1649225863 PECOS PAC ID: 6204809809 Enrollment ID: I20230713002599 |
Provider Name | Eva A Meyers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568443075 PECOS PAC ID: 9638539901 Enrollment ID: I20230718002699 |
Provider Name | Puja Regmi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356029490 PECOS PAC ID: 4183086184 Enrollment ID: I20230808001278 |
Provider Name | Jordan Zilavy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184294431 PECOS PAC ID: 9133524176 Enrollment ID: I20230811002699 |
Provider Name | Usha Rengarajan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1053491910 PECOS PAC ID: 4284717000 Enrollment ID: I20230816004283 |
Provider Name | Gregory Todd Thier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922088558 PECOS PAC ID: 5799149761 Enrollment ID: I20230908001546 |
Provider Name | Jean Chung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538945324 PECOS PAC ID: 4688028236 Enrollment ID: I20230929002954 |
Provider Name | Job Miller Mendez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730877432 PECOS PAC ID: 6406202555 Enrollment ID: I20231025001693 |
Provider Name | Soyeon J Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346923380 PECOS PAC ID: 5890142863 Enrollment ID: I20231113002563 |
Provider Name | Stephanie Fagbemi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366095135 PECOS PAC ID: 3173972395 Enrollment ID: I20231213003885 |
Provider Name | Nicole M Januik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558604595 PECOS PAC ID: 8022259647 Enrollment ID: I20240109004766 |
Provider Name | Vipina Bhaktadasan Nair |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1871055392 PECOS PAC ID: 7012246465 Enrollment ID: I20240117000984 |
Provider Name | Tasnim Masood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144008277 PECOS PAC ID: 7517319841 Enrollment ID: I20240122004566 |
Provider Name | Gurpreet Kaur Sidhu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043872195 PECOS PAC ID: 8022460328 Enrollment ID: I20240123002156 |
Provider Name | Ryan Pilones Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922883545 PECOS PAC ID: 4486007622 Enrollment ID: I20240124002395 |
Provider Name | Victoria Udongwo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962820738 PECOS PAC ID: 2769606177 Enrollment ID: I20240216000385 |
Provider Name | Patrick Honeycutt |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1952966012 PECOS PAC ID: 1850634833 Enrollment ID: I20240216000823 |
Provider Name | Dai Apollo Tran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467552885 PECOS PAC ID: 3476804972 Enrollment ID: I20240222004066 |
Provider Name | Sarbjeet Kaur Thind |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023797198 PECOS PAC ID: 6608214606 Enrollment ID: I20240410001517 |
Provider Name | Glenn Derit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619571726 PECOS PAC ID: 9537459284 Enrollment ID: I20240416001869 |
Provider Name | Lilian Ongeri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699366815 PECOS PAC ID: 0648686758 Enrollment ID: I20240418003747 |
Provider Name | Irina Gaal |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730309360 PECOS PAC ID: 0446690150 Enrollment ID: I20240429002055 |
Provider Name | Nicola Juanita Mckellop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538600549 PECOS PAC ID: 5193002681 Enrollment ID: I20240514002495 |
Provider Name | Mohini Pankaj Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104681428 PECOS PAC ID: 6305288911 Enrollment ID: I20240529000674 |
Provider Name | Whitley Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336775261 PECOS PAC ID: 0345623997 Enrollment ID: I20240612002442 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |