| Epic Medical Group,inc | |
|
4940 Van Nuys Blvd Ste 200 Sherman Oaks CA 91403-1700 | |
| (818) 528-1260 | |
| Not Available |
| Full Name | Epic Medical Group,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4940 Van Nuys Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Sundeep Bhatia (PRESIDENT) |
| Authorized Official Contact | 8185281260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Medical Group,inc 4955 Van Nuys Blvd Ste 308 Sherman Oaks CA 91403-1811 Ph: (818) 528-1260 | Epic Medical Group,inc 4940 Van Nuys Blvd Ste 200 Sherman Oaks CA 91403-1700 Ph: (818) 528-1260 |
| NPI Number | 1295178689 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 03/12/2024 |
| Medicare PECOS PAC ID | 4385883958 |
|---|---|
| Medicare Enrollment ID | O20130612000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295178689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy J Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457356479 PECOS PAC ID: 7214990308 Enrollment ID: I20041109001174 |
| Provider Name | Iman Afrooz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497938039 PECOS PAC ID: 6406917715 Enrollment ID: I20081204000995 |
| Provider Name | Oleg Liakhovetski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154584316 PECOS PAC ID: 5395808281 Enrollment ID: I20090121000140 |
| Provider Name | Raj Balasundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083840367 PECOS PAC ID: 2466647599 Enrollment ID: I20101115000391 |
| Provider Name | Keino A Rutherford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497807853 PECOS PAC ID: 0345438008 Enrollment ID: I20101221001136 |
| Provider Name | Edmond V Derderian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114258944 PECOS PAC ID: 2668651340 Enrollment ID: I20110127000049 |
| Provider Name | Anna Carchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881903797 PECOS PAC ID: 5991975757 Enrollment ID: I20110908001872 |
| Provider Name | Sam S Nuthalapaty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972758787 PECOS PAC ID: 7315134152 Enrollment ID: I20111108000674 |
| Provider Name | Parviz Gholami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740462464 PECOS PAC ID: 7315075546 Enrollment ID: I20140311001586 |
| Provider Name | Jeffrey John Crudo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508987371 PECOS PAC ID: 5092767897 Enrollment ID: I20150507002116 |
| Provider Name | Santa Kerzuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801157235 PECOS PAC ID: 8325354830 Enrollment ID: I20150828001818 |
| Provider Name | Antonio G Topacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518225325 PECOS PAC ID: 3779726708 Enrollment ID: I20160208000672 |
| Provider Name | Desirae A Mutuc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215393384 PECOS PAC ID: 2264721695 Enrollment ID: I20160525000435 |
| Provider Name | Gregory Andonian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942648118 PECOS PAC ID: 0143446260 Enrollment ID: I20160714002542 |
| Provider Name | Annahita Pourmand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649615881 PECOS PAC ID: 0840583670 Enrollment ID: I20160801001423 |
| Provider Name | Noel Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821441114 PECOS PAC ID: 7517253297 Enrollment ID: I20160906002064 |
| Provider Name | Cheryl R Catalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275089641 PECOS PAC ID: 0345528345 Enrollment ID: I20161026001034 |
| Provider Name | Jhoette A Dumlao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104110105 PECOS PAC ID: 9537382965 Enrollment ID: I20161128002395 |
| Provider Name | Christopher Gerard Negrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083157606 PECOS PAC ID: 6608158621 Enrollment ID: I20170126000515 |
| Provider Name | James Conrad J Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586870 PECOS PAC ID: 9436437829 Enrollment ID: I20170303002043 |
| Provider Name | Hilda L Riderer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710358791 PECOS PAC ID: 6406127877 Enrollment ID: I20170802003601 |
| Provider Name | Lauren Wilstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909473 PECOS PAC ID: 5294009049 Enrollment ID: I20170919000066 |
| Provider Name | Gloria Nonisa Quioan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255738100 PECOS PAC ID: 1052670585 Enrollment ID: I20180109001073 |
| Provider Name | James Q Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093111387 PECOS PAC ID: 3678833704 Enrollment ID: I20180208002867 |
| Provider Name | Aaron Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104349869 PECOS PAC ID: 3971863093 Enrollment ID: I20180212000726 |
| Provider Name | Chi Hang Cheang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609200146 PECOS PAC ID: 0547532541 Enrollment ID: I20180308000294 |
| Provider Name | Andrew Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871092254 PECOS PAC ID: 8729341524 Enrollment ID: I20180409001458 |
| Provider Name | Imran M Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134535792 PECOS PAC ID: 9436422649 Enrollment ID: I20180417002557 |
| Provider Name | Dmitriy A Tretiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861993412 PECOS PAC ID: 0648526004 Enrollment ID: I20180627003631 |
| Provider Name | Alexandria S Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221125 PECOS PAC ID: 9133470933 Enrollment ID: I20180918001705 |
| Provider Name | Bishoy G Kamel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992169643 PECOS PAC ID: 4981949211 Enrollment ID: I20181214001280 |
| Provider Name | Andrea L Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962976019 PECOS PAC ID: 7214277656 Enrollment ID: I20190320003000 |
| Provider Name | Hambartsoum Mekharian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265095921 PECOS PAC ID: 6800121005 Enrollment ID: I20190710002478 |
| Provider Name | Emilia Wobga-pasiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407219033 PECOS PAC ID: 2769781103 Enrollment ID: I20190712002937 |
| Provider Name | Joel Quijano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235583410 PECOS PAC ID: 9133410996 Enrollment ID: I20190816002121 |
| Provider Name | Sivareddy Tegulapalle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245302660 PECOS PAC ID: 2062541840 Enrollment ID: I20190920001247 |
| Provider Name | Benjamin F Chou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487001590 PECOS PAC ID: 3971848045 Enrollment ID: I20191002001136 |
| Provider Name | Monica Abigail Arellano Keh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750930707 PECOS PAC ID: 0749512648 Enrollment ID: I20191025001497 |
| Provider Name | Daniel Laurence Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265087290 PECOS PAC ID: 6305278235 Enrollment ID: I20191114003521 |
| Provider Name | Thuan P Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982086898 PECOS PAC ID: 3870848963 Enrollment ID: I20200413002902 |
| Provider Name | Ronald Phillip Bataclan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134753445 PECOS PAC ID: 7719308600 Enrollment ID: I20200601002789 |
| Provider Name | Jason Wiguna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346731767 PECOS PAC ID: 6507289485 Enrollment ID: I20200710001373 |
| Provider Name | Huyen Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952833451 PECOS PAC ID: 0143598714 Enrollment ID: I20200804002878 |
| Provider Name | Ahmad Al Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235592924 PECOS PAC ID: 3375975105 Enrollment ID: I20200902002102 |
| Provider Name | Ashley Proal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114378114 PECOS PAC ID: 3476833559 Enrollment ID: I20210415002050 |
| Provider Name | Jose Fernando Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053897561 PECOS PAC ID: 7517369804 Enrollment ID: I20210708002967 |
| Provider Name | Berj Dermendjian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225488851 PECOS PAC ID: 1850686668 Enrollment ID: I20210713003808 |
| Provider Name | Jafar A Ayyad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255863841 PECOS PAC ID: 9234400789 Enrollment ID: I20210816001133 |
| Provider Name | Kevin Jan Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023505591 PECOS PAC ID: 6002212925 Enrollment ID: I20210901000905 |
| Provider Name | Garrett Lee Shriver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114589363 PECOS PAC ID: 1658764576 Enrollment ID: I20220216002553 |
| Provider Name | Emory S Winship |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265871693 PECOS PAC ID: 4789946633 Enrollment ID: I20220225002005 |
| Provider Name | James Patrick Heath Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235756321 PECOS PAC ID: 8527452952 Enrollment ID: I20220301002531 |
| Provider Name | Candy Grace Jacome De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548924012 PECOS PAC ID: 1951796143 Enrollment ID: I20220325001080 |
| Provider Name | Abdel Karim Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124644752 PECOS PAC ID: 1658757133 Enrollment ID: I20221006002087 |
| Provider Name | Mohammad Modassir Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356963185 PECOS PAC ID: 8325497910 Enrollment ID: I20231207002585 |
| Provider Name | Ludivina A De Dios-del Mundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699437939 PECOS PAC ID: 1658716105 Enrollment ID: I20240223003722 |
| Provider Name | Adrian Singson Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538928767 PECOS PAC ID: 7517309867 Enrollment ID: I20240531001912 |
Gary Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4835 Van Nuys Blvd Ste 109, Sherman Oaks, CA 91403 Phone: 818-905-9586 Fax: 818-905-0130 | |
Joey Brett Md A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13320 Riverside Dr, Suite 104, Sherman Oaks, CA 91423 Phone: 818-789-0034 Fax: 818-789-0042 | |
Ali Sheybani Medical Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4955 Van Nuys Blvd, Suite 405, Sherman Oaks, CA 91403 Phone: 818-464-4870 Fax: 818-464-4877 | |
Alberto X. Campain, M.d., A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1090 Fax: 818-528-1099 | |
Maximum Care Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd, Suite 306, Sherman Oaks, CA 91403 Phone: 818-426-0886 | |
Peter P. Koenig, M.d., Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1222 Fax: 828-528-1225 | |
Health West Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14417 Burbank Blvd, Sherman Oaks, CA 91401 Phone: 818-786-3318 |