| East Campus Hospitalist Medical Group, Inc. | |
|
6655 Alvarado Rd San Diego CA 92120-5208 | |
| (619) 229-3172 | |
| Not Available |
| Full Name | East Campus Hospitalist Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6655 Alvarado Rd, San Diego, California |
| Authorized Official Name and Position | Mark R Bell (CEO) |
| Authorized Official Contact | 4242411546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Campus Hospitalist Medical Group, Inc. 898 N Pacific Coast Hwy Ste 600 El Segundo CA 90245-2747 Ph: (310) 321-0143 | East Campus Hospitalist Medical Group, Inc. 6655 Alvarado Rd San Diego CA 92120-5208 Ph: (619) 229-3172 |
| NPI Number | 1184490385 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 7113361593 |
|---|---|
| Medicare Enrollment ID | O20240214001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184490385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Afshin A Nahavandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518935808 PECOS PAC ID: 9830099712 Enrollment ID: I20040914001069 |
| Provider Name | Hazem Mohamed Yassin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649238809 PECOS PAC ID: 1557356250 Enrollment ID: I20080805000200 |
| Provider Name | Tsehaye U Seare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184725798 PECOS PAC ID: 4183661986 Enrollment ID: I20110512000179 |
| Provider Name | Ali A Fadhil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407110109 PECOS PAC ID: 5193954329 Enrollment ID: I20170203001833 |
| Provider Name | Zina A Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962799189 PECOS PAC ID: 0244469450 Enrollment ID: I20170516001381 |
| Provider Name | Samantha Mason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639470529 PECOS PAC ID: 0446412589 Enrollment ID: I20170712002383 |
| Provider Name | Manuel Robert Brasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083127088 PECOS PAC ID: 3678833340 Enrollment ID: I20180129002245 |
| Provider Name | Haider Aldiwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396130696 PECOS PAC ID: 3870895709 Enrollment ID: I20190412001615 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20191018000408 |
| Provider Name | Zain T Jabri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891159620 PECOS PAC ID: 7719221241 Enrollment ID: I20191112002520 |
| Provider Name | Nadiya Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710419262 PECOS PAC ID: 9436572419 Enrollment ID: I20200709000956 |
| Provider Name | Krishna Pakanati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770870867 PECOS PAC ID: 1759502503 Enrollment ID: I20210122002577 |
| Provider Name | Armen Malkhasian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992293211 PECOS PAC ID: 3870845886 Enrollment ID: I20210913001887 |
| Provider Name | Marko G Markov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821004516 PECOS PAC ID: 5890791669 Enrollment ID: I20220317000601 |
| Provider Name | Shawn Fazel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861444986 PECOS PAC ID: 4082659149 Enrollment ID: I20220321001908 |
| Provider Name | Hamoudi S. Farraji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487115317 PECOS PAC ID: 8628456563 Enrollment ID: I20220603002134 |
| Provider Name | Wasim Mouazzen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326542010 PECOS PAC ID: 1254710254 Enrollment ID: I20220622001871 |
| Provider Name | Ahmed Malik Safaa Al Shawwaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619321098 PECOS PAC ID: 4880939586 Enrollment ID: I20220623001961 |
| Provider Name | Meredith A Glivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205504479 PECOS PAC ID: 9335520626 Enrollment ID: I20220718002866 |
| Provider Name | Shawn Mo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679873 PECOS PAC ID: 2668856667 Enrollment ID: I20220824003366 |
| Provider Name | Narasa R Madam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891109690 PECOS PAC ID: 8426322983 Enrollment ID: I20221209000404 |
| Provider Name | Saad Alkhider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447712062 PECOS PAC ID: 0042689713 Enrollment ID: I20221220001250 |
| Provider Name | Maritsa Scoulos Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497287700 PECOS PAC ID: 0143586289 Enrollment ID: I20230106001149 |
| Provider Name | Aileen Afshar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134689946 PECOS PAC ID: 6507237542 Enrollment ID: I20230130001532 |
| Provider Name | Saiyid-naufal Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790122307 PECOS PAC ID: 5092038760 Enrollment ID: I20230203000188 |
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