| Epic Care | |
|
4721 Dallas Ranch Rd Antioch CA 94531-8811 | |
| (925) 778-0679 | |
| (925) 778-3567 |
| Full Name | Epic Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4721 Dallas Ranch Rd, Antioch, California |
| Authorized Official Name and Position | Bimal J. Patel (PRESIDENT) |
| Authorized Official Contact | 9257780679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Care 2345 Country Hills Dr Ste 100 Antioch CA 94509-7319 Ph: (925) 418-0279 | Epic Care 4721 Dallas Ranch Rd Antioch CA 94531-8811 Ph: (925) 778-0679 |
| NPI Number | 1780107797 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 5890053094 |
|---|---|
| Medicare Enrollment ID | O20171215002809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780107797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
| Provider Name | Harley Stuart Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619939436 PECOS PAC ID: 6901707090 Enrollment ID: I20040120001090 |
| Provider Name | Deepak Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184727182 PECOS PAC ID: 6002709839 Enrollment ID: I20040205000635 |
| Provider Name | Vladimar A Titov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982666905 PECOS PAC ID: 6204828809 Enrollment ID: I20040401001835 |
| Provider Name | Ruby Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164459335 PECOS PAC ID: 7719966241 Enrollment ID: I20040716001169 |
| Provider Name | Jana Tomsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346308798 PECOS PAC ID: 5496724965 Enrollment ID: I20040930000876 |
| Provider Name | Tyler Kang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164691820 PECOS PAC ID: 8729040761 Enrollment ID: I20041101001122 |
| Provider Name | Rupert Roupen Horoupian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184686156 PECOS PAC ID: 6103880844 Enrollment ID: I20041112000962 |
| Provider Name | Rock C Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174601256 PECOS PAC ID: 3072585447 Enrollment ID: I20051004001112 |
| Provider Name | Eric A Dovichi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376570960 PECOS PAC ID: 7911916242 Enrollment ID: I20060414000127 |
| Provider Name | Shoba Kankipati |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1356392781 PECOS PAC ID: 7416968433 Enrollment ID: I20060505000257 |
| Provider Name | Phillip C Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467489674 PECOS PAC ID: 3173553021 Enrollment ID: I20060720000136 |
| Provider Name | Gregory Andrew Broderick Villa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376571562 PECOS PAC ID: 2668475229 Enrollment ID: I20060821000328 |
| Provider Name | Chih Hsin C Wen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477517084 PECOS PAC ID: 9638125784 Enrollment ID: I20060824000331 |
| Provider Name | Teresa Hyunsuk Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386663433 PECOS PAC ID: 9335143916 Enrollment ID: I20060913000383 |
| Provider Name | Lisa Bailey |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1861462251 PECOS PAC ID: 5092716399 Enrollment ID: I20070130000354 |
| Provider Name | Ying Fung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326077736 PECOS PAC ID: 4789787029 Enrollment ID: I20070307000359 |
| Provider Name | Annie Po Wah Lai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548202740 PECOS PAC ID: 4688777931 Enrollment ID: I20070307000382 |
| Provider Name | Jane H Wardzinska |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093732935 PECOS PAC ID: 9537257803 Enrollment ID: I20071120000434 |
| Provider Name | Nimisha Mishra-shukla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487843942 PECOS PAC ID: 1658452263 Enrollment ID: I20080121000151 |
| Provider Name | Kenneth C Hsiao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265427975 PECOS PAC ID: 8224009535 Enrollment ID: I20080304000926 |
| Provider Name | Ravinder K Arora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952307720 PECOS PAC ID: 0547166787 Enrollment ID: I20080616000681 |
| Provider Name | John T Ganey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215935713 PECOS PAC ID: 7810893054 Enrollment ID: I20080616000698 |
| Provider Name | Ostap G Melnyk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205834702 PECOS PAC ID: 2365348505 Enrollment ID: I20080616000717 |
| Provider Name | Bimal T Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841298221 PECOS PAC ID: 0749186989 Enrollment ID: I20080618000637 |
| Provider Name | Robin I Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629249438 PECOS PAC ID: 5698847671 Enrollment ID: I20080708000596 |
| Provider Name | Gordon W Wong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235172446 PECOS PAC ID: 5698843050 Enrollment ID: I20081013000191 |
| Provider Name | Ravinder Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174618425 PECOS PAC ID: 9436210234 Enrollment ID: I20081211000850 |
| Provider Name | Steven M Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518073030 PECOS PAC ID: 2163491614 Enrollment ID: I20081213000076 |
| Provider Name | Tighe R Ohanrahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316977846 PECOS PAC ID: 4688722804 Enrollment ID: I20090428000262 |
| Provider Name | Gopal Sachdeva |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447449509 PECOS PAC ID: 8729131388 Enrollment ID: I20090729000373 |
| Provider Name | Sudhathi Chichili |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730394891 PECOS PAC ID: 2961596531 Enrollment ID: I20091120000137 |
| Provider Name | Jiyon Choi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144437567 PECOS PAC ID: 4880736768 Enrollment ID: I20100115000559 |
| Provider Name | Sara J Reinganum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083647523 PECOS PAC ID: 3678609641 Enrollment ID: I20100329000958 |
| Provider Name | Swati Andhavarapu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225258668 PECOS PAC ID: 5193851913 Enrollment ID: I20100331000969 |
| Provider Name | Aye T Khyne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659533982 PECOS PAC ID: 2567591084 Enrollment ID: I20100521000291 |
| Provider Name | Michael Bonham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245569623 PECOS PAC ID: 3779613963 Enrollment ID: I20100615000314 |
| Provider Name | Kuang-hwa Kenneth Chao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073721569 PECOS PAC ID: 1355431107 Enrollment ID: I20100826000881 |
| Provider Name | Zahora N Ally |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306839915 PECOS PAC ID: 8527098102 Enrollment ID: I20101004000402 |
| Provider Name | Bassam Said |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831118652 PECOS PAC ID: 1355537069 Enrollment ID: I20101119001095 |
| Provider Name | Steven Albert Stanten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285697698 PECOS PAC ID: 5799819074 Enrollment ID: I20101214000834 |
| Provider Name | Giovanni Begossi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053460873 PECOS PAC ID: 8022189158 Enrollment ID: I20101230000460 |
| Provider Name | Ajay Kumar Upadhyay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104888155 PECOS PAC ID: 0244364529 Enrollment ID: I20110118000545 |
| Provider Name | Stacey Teicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629194170 PECOS PAC ID: 1850570599 Enrollment ID: I20110126000908 |
| Provider Name | Donna Saba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467655639 PECOS PAC ID: 5597940106 Enrollment ID: I20110426000264 |
| Provider Name | Prasad Pillai |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1023174380 PECOS PAC ID: 2163691429 Enrollment ID: I20110803000593 |
| Provider Name | Srikanth A Reddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649440744 PECOS PAC ID: 9830360932 Enrollment ID: I20110921000690 |
| Provider Name | Gautam Prasad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275755621 PECOS PAC ID: 7214102680 Enrollment ID: I20111213000862 |
| Provider Name | Madhu B Shetti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780885517 PECOS PAC ID: 7113184375 Enrollment ID: I20120131000723 |
| Provider Name | Uma G Swamy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427377431 PECOS PAC ID: 5799819827 Enrollment ID: I20120227000213 |
| Provider Name | Diane Kwan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992913859 PECOS PAC ID: 9032379227 Enrollment ID: I20120326000616 |
| Provider Name | Valery Uhl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760608897 PECOS PAC ID: 9133389943 Enrollment ID: I20120330000593 |
| Provider Name | Janet M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538390687 PECOS PAC ID: 4082877170 Enrollment ID: I20120530000480 |
| Provider Name | Christina Schuld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851663884 PECOS PAC ID: 1850556119 Enrollment ID: I20120711000581 |
| Provider Name | Natalie Alane Marshall |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366445470 PECOS PAC ID: 3870683352 Enrollment ID: I20121119000577 |
| Provider Name | Christian N Kirman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003090267 PECOS PAC ID: 1951472398 Enrollment ID: I20121219000410 |
| Provider Name | Qaiser Niaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528056389 PECOS PAC ID: 1254386220 Enrollment ID: I20130117000059 |
| Provider Name | Margaret Seaver |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386753127 PECOS PAC ID: 5294980538 Enrollment ID: I20130312000469 |
| Provider Name | Patrick R Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760638118 PECOS PAC ID: 5496994584 Enrollment ID: I20130621000110 |
| Provider Name | Eric Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124261722 PECOS PAC ID: 7113166190 Enrollment ID: I20130624000444 |
| Provider Name | Mariam P Korah |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083891543 PECOS PAC ID: 1456591528 Enrollment ID: I20130712000673 |
| Provider Name | Christopher J Welty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750571360 PECOS PAC ID: 9537300413 Enrollment ID: I20130719000409 |
| Provider Name | Eugenia Kang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124280672 PECOS PAC ID: 3274776281 Enrollment ID: I20130823000270 |
| Provider Name | Min Yan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447499710 PECOS PAC ID: 8820211980 Enrollment ID: I20140519002175 |
| Provider Name | Wilson Tong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427261437 PECOS PAC ID: 1254477326 Enrollment ID: I20140630000121 |
| Provider Name | Karen M Goodwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497902308 PECOS PAC ID: 0648423897 Enrollment ID: I20140703002161 |
| Provider Name | Shwetha Anand |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700079035 PECOS PAC ID: 9032377023 Enrollment ID: I20140731002793 |
| Provider Name | Carolyn Bernstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306146568 PECOS PAC ID: 9830319425 Enrollment ID: I20141002000776 |
| Provider Name | Shoko Emily Abe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609178136 PECOS PAC ID: 9436337128 Enrollment ID: I20141118002239 |
| Provider Name | Ernest N Lo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538482328 PECOS PAC ID: 2668505132 Enrollment ID: I20141121002381 |
| Provider Name | Sukhwant Nikki Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285839209 PECOS PAC ID: 8527122894 Enrollment ID: I20141125002531 |
| Provider Name | Aileen A Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053616482 PECOS PAC ID: 2466695622 Enrollment ID: I20141205000663 |
| Provider Name | Salvador G Guevara |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336427939 PECOS PAC ID: 0840514063 Enrollment ID: I20150116002096 |
| Provider Name | Irene Jiashin Lo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083956213 PECOS PAC ID: 9739307570 Enrollment ID: I20150615002473 |
| Provider Name | Bao D Dao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033349485 PECOS PAC ID: 0840412847 Enrollment ID: I20150714000995 |
| Provider Name | Mekenna Renee Mroskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134517303 PECOS PAC ID: 7214233949 Enrollment ID: I20160418001970 |
| Provider Name | Akshiv Malhotra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629381819 PECOS PAC ID: 7719120377 Enrollment ID: I20160727002996 |
| Provider Name | Crystal Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518253012 PECOS PAC ID: 9436444163 Enrollment ID: I20160819001770 |
| Provider Name | Yaroon G Kochito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942610464 PECOS PAC ID: 2264752013 Enrollment ID: I20170110002317 |
| Provider Name | Anjali T Sibley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750580080 PECOS PAC ID: 4688853831 Enrollment ID: I20170613001254 |
| Provider Name | James D Mitchell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700057569 PECOS PAC ID: 4284803131 Enrollment ID: I20170619002182 |
| Provider Name | Rosemary M Atchity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407214323 PECOS PAC ID: 0840563813 Enrollment ID: I20171129001570 |
| Provider Name | Azure Gail Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811334915 PECOS PAC ID: 1557663630 Enrollment ID: I20180302001547 |
| Provider Name | Dawud O Lankford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063750099 PECOS PAC ID: 2668780479 Enrollment ID: I20180312000585 |
| Provider Name | Myrna Ayde Castelazo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407290513 PECOS PAC ID: 7719241041 Enrollment ID: I20180514000617 |
| Provider Name | Rafik Zarifa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073855607 PECOS PAC ID: 0446515605 Enrollment ID: I20180517002939 |
| Provider Name | Michael Taylor-cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992062319 PECOS PAC ID: 1850661430 Enrollment ID: I20180621002318 |
| Provider Name | Katie Dee Vasconez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609389550 PECOS PAC ID: 7517215031 Enrollment ID: I20180731002543 |
| Provider Name | Lee Ann Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366606238 PECOS PAC ID: 6800144379 Enrollment ID: I20180801000258 |
| Provider Name | Kruthika Proddatoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679955694 PECOS PAC ID: 1557610797 Enrollment ID: I20180821001435 |
| Provider Name | Vivian Letran |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1184981029 PECOS PAC ID: 1951685239 Enrollment ID: I20180919002108 |
| Provider Name | Anthony Ning-tai Chan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285070235 PECOS PAC ID: 6709014103 Enrollment ID: I20180920003525 |
| Provider Name | Carolyn M Bhakta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740509264 PECOS PAC ID: 8022239847 Enrollment ID: I20181113002609 |
| Provider Name | Suguna Chirla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124105176 PECOS PAC ID: 1850465865 Enrollment ID: I20190222001183 |
| Provider Name | Mary Angelyn Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887455 PECOS PAC ID: 1052644382 Enrollment ID: I20190531000835 |
| Provider Name | Teera Chentanez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225230485 PECOS PAC ID: 1759559677 Enrollment ID: I20190606001400 |
| Provider Name | Ryan Nolan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265832950 PECOS PAC ID: 1052645959 Enrollment ID: I20190626003550 |
| Provider Name | Bonny Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255750568 PECOS PAC ID: 6901134089 Enrollment ID: I20190828000189 |
| Provider Name | Neha Andrea Desouza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598109324 PECOS PAC ID: 8224367818 Enrollment ID: I20190906002003 |
| Provider Name | Eunsun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508408899 PECOS PAC ID: 4486087327 Enrollment ID: I20191205003217 |
| Provider Name | Jitlada Lapma Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730743345 PECOS PAC ID: 2466885181 Enrollment ID: I20191210001834 |
| Provider Name | Christin B Destefano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124388384 PECOS PAC ID: 9537393558 Enrollment ID: I20200109002674 |
| Provider Name | Heather Michell Kurz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619515830 PECOS PAC ID: 4183051188 Enrollment ID: I20200304002187 |
| Provider Name | Huijia Joanna Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225458490 PECOS PAC ID: 7315368651 Enrollment ID: I20200522000875 |
| Provider Name | Michael Sung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225423072 PECOS PAC ID: 0547502023 Enrollment ID: I20200715000168 |
| Provider Name | Stephen L Catalya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881100832 PECOS PAC ID: 9537408059 Enrollment ID: I20200929000705 |
| Provider Name | Elaine Lee |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1619243086 PECOS PAC ID: 4880926153 Enrollment ID: I20201013002328 |
| Provider Name | Cathy H. Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710530126 PECOS PAC ID: 6507279544 Enrollment ID: I20210112000026 |
| Provider Name | Aleena Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508457912 PECOS PAC ID: 5193037513 Enrollment ID: I20210224001899 |
| Provider Name | Daniel Kaplan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225491632 PECOS PAC ID: 0446598445 Enrollment ID: I20210618000724 |
| Provider Name | Shelly Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831558329 PECOS PAC ID: 0244632974 Enrollment ID: I20210716001834 |
| Provider Name | Leann Blankenship |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659634772 PECOS PAC ID: 9133484033 Enrollment ID: I20210817002383 |
| Provider Name | Krushangi Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912266339 PECOS PAC ID: 0749529949 Enrollment ID: I20211124001393 |
| Provider Name | Salimah Valliani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861889750 PECOS PAC ID: 5890097224 Enrollment ID: I20220110000023 |
| Provider Name | Joanna Lee |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1235428475 PECOS PAC ID: 7810207016 Enrollment ID: I20220516002180 |
| Provider Name | Manav Kumar |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376074880 PECOS PAC ID: 2961882956 Enrollment ID: I20220708000523 |
| Provider Name | Carmen Lam |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1477904837 PECOS PAC ID: 1850686601 Enrollment ID: I20230227000467 |
| Provider Name | Cristiane Campelo-hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881395606 PECOS PAC ID: 7911365143 Enrollment ID: I20230621001407 |
| Provider Name | Megan Elyse Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497472831 PECOS PAC ID: 0244690907 Enrollment ID: I20230713001986 |
| Provider Name | Yi Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013621184 PECOS PAC ID: 8022467133 Enrollment ID: I20231214003330 |
Industrial Medic Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Delta Fair Blvd Ste B, Antioch, CA 94509 Phone: 925-978-4830 Fax: 925-775-4801 | |
Galen Inpatient Physician Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7200 | |
Turner Medical Therapy Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4207 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-427-8522 | |
Carbon Health East Bay Primary Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5829 Lone Tree Way # D110, Antioch, CA 94531 Phone: 925-204-3715 Fax: 888-972-1912 | |
Antioch Medical Park Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Lone Tree Way, Antioch, CA 94509 Phone: 925-754-9223 Fax: 925-754-3945 | |
Planned Parenthood Northern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 Buchanan Rd Ste C10, Antioch, CA 94509 Phone: 925-754-4550 | |
Full Care Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Lone Tree Way, Suite 104, Antioch, CA 94509 Phone: 925-755-1255 Fax: 925-755-1259 |