| Datnguyen Md Inc | |
|
9855 Erma Rd Ste 133 San Diego CA 92131-1092 | |
| (760) 656-5523 | |
| Not Available |
| Full Name | Datnguyen Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9855 Erma Rd Ste 133, San Diego, California |
| Authorized Official Name and Position | Dat William Nguyen (PRESIDENT) |
| Authorized Official Contact | 8662842771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Datnguyen Md Inc Po Box 8005 Rancho Santa Fe CA 92067-8005 Ph: (858) 349-3760 | Datnguyen Md Inc 9855 Erma Rd Ste 133 San Diego CA 92131-1092 Ph: (760) 656-5523 |
| NPI Number | 1215977723 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 06/17/2024 |
| Medicare PECOS PAC ID | 4587668736 |
|---|---|
| Medicare Enrollment ID | O20060831000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215977723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A83262 (California) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dat W Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386626448 PECOS PAC ID: 8224018700 Enrollment ID: I20040723001097 |
| Provider Name | John D Beckes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639118912 PECOS PAC ID: 2264466036 Enrollment ID: I20050921000444 |
| Provider Name | Benjamin Gross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124053665 PECOS PAC ID: 1759308984 Enrollment ID: I20051027000604 |
| Provider Name | Shota Gurchumelidze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821284449 PECOS PAC ID: 0941381628 Enrollment ID: I20080118000669 |
| Provider Name | Wilfredo R Abesamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754832 PECOS PAC ID: 3870686116 Enrollment ID: I20110407000130 |
| Provider Name | Mary C Gessner-peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861662884 PECOS PAC ID: 9638200033 Enrollment ID: I20110607000169 |
| Provider Name | Jimi O Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477751667 PECOS PAC ID: 7315111408 Enrollment ID: I20111130000256 |
| Provider Name | Kourosh Khamooshian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659523975 PECOS PAC ID: 9133253958 Enrollment ID: I20130502000050 |
| Provider Name | Charles Nguyen-than Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821243759 PECOS PAC ID: 2860533767 Enrollment ID: I20131120001740 |
| Provider Name | Silpa R Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013386432 PECOS PAC ID: 1153630173 Enrollment ID: I20151014001017 |
| Provider Name | Markus Ploesser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669662755 PECOS PAC ID: 9638458268 Enrollment ID: I20161122000924 |
| Provider Name | Rizalina Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811430820 PECOS PAC ID: 1254564594 Enrollment ID: I20170627001542 |
| Provider Name | Manuel Robert Brasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083127088 PECOS PAC ID: 3678833340 Enrollment ID: I20180129002245 |
| Provider Name | Maria Agnes Austria Sado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104339225 PECOS PAC ID: 9032471347 Enrollment ID: I20180327000948 |
| Provider Name | Eiad Sabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796734 PECOS PAC ID: 7416190525 Enrollment ID: I20190424003212 |
| Provider Name | Thomas Ward-mckinlay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346778081 PECOS PAC ID: 1355619016 Enrollment ID: I20190625000963 |
| Provider Name | Sukhjit K Mann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972149706 PECOS PAC ID: 2264867282 Enrollment ID: I20200122001838 |
| Provider Name | Jeffensen Jay Timacdog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083103956 PECOS PAC ID: 5890105076 Enrollment ID: I20201028002170 |
| Provider Name | Sasha Katrina Recht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851057087 PECOS PAC ID: 8729472105 Enrollment ID: I20220301000721 |
| Provider Name | Rani Barba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912571944 PECOS PAC ID: 1456733351 Enrollment ID: I20220809000192 |
| Provider Name | Marilou Marasigan Cabusao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514957 PECOS PAC ID: 1052789781 Enrollment ID: I20221130000655 |
| Provider Name | Sandee C San Mateo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609543909 PECOS PAC ID: 4385012970 Enrollment ID: I20221202000647 |
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