| Graybill Medical Group Inc | |
|
225 East Second Ave Escondido CA 92025-4249 | |
| (760) 291-6700 | |
| (760) 737-3430 |
| Full Name | Graybill Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 225 East Second Ave, Escondido, California |
| Authorized Official Name and Position | Ryan Olsen (CEO) |
| Authorized Official Contact | 7602916700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graybill Medical Group Inc 120 Craven Rd Ste 201 San Marcos CA 92078-4237 Ph: (760) 291-6621 | Graybill Medical Group Inc 225 East Second Ave Escondido CA 92025-4249 Ph: (760) 291-6700 |
| NPI Number | 1891729745 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 10/05/2023 |
| Medicare PECOS PAC ID | 9335050517 |
|---|---|
| Medicare Enrollment ID | O20040108000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891729745 | NPI | - | NPPES |
| CC8365 | Other | CA | MEDICARE RAIL ROAD |
| GR0092120 | Medicaid | CA |
| Provider Name | Stefan Moldovan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245291624 PECOS PAC ID: 3577450600 Enrollment ID: I20040302001402 |
| Provider Name | Luca Vassalli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467451880 PECOS PAC ID: 9830087485 Enrollment ID: I20040305001170 |
| Provider Name | Mark D Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508886730 PECOS PAC ID: 9931098571 Enrollment ID: I20040406000976 |
| Provider Name | Emad D Bishay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821087511 PECOS PAC ID: 9830187889 Enrollment ID: I20040712000735 |
| Provider Name | Afshin A Nahavandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518935808 PECOS PAC ID: 9830099712 Enrollment ID: I20040914001069 |
| Provider Name | Alexander Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164620522 PECOS PAC ID: 7911976931 Enrollment ID: I20040927001139 |
| Provider Name | Charles Maletz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346453628 PECOS PAC ID: 7517926025 Enrollment ID: I20041008000627 |
| Provider Name | Kelly Elizabeth Boyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295784130 PECOS PAC ID: 4284695727 Enrollment ID: I20041019000894 |
| Provider Name | Victor H Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548295124 PECOS PAC ID: 9638130370 Enrollment ID: I20041025001222 |
| Provider Name | Isela Penunuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548295439 PECOS PAC ID: 7315903994 Enrollment ID: I20041206000527 |
| Provider Name | F Omar B Tordilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225063795 PECOS PAC ID: 2163488396 Enrollment ID: I20041208000981 |
| Provider Name | Kristin Michelle Olah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811970916 PECOS PAC ID: 9638120215 Enrollment ID: I20050201001054 |
| Provider Name | Daniel C Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629098884 PECOS PAC ID: 4385686591 Enrollment ID: I20050527000386 |
| Provider Name | David M Illich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528125754 PECOS PAC ID: 9638106875 Enrollment ID: I20050720000247 |
| Provider Name | Roy R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568487973 PECOS PAC ID: 5799718110 Enrollment ID: I20050915001109 |
| Provider Name | Jayanthi Magesh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043243793 PECOS PAC ID: 6901820612 Enrollment ID: I20060120000692 |
| Provider Name | Terri Denise Henry Barbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508966045 PECOS PAC ID: 0749383834 Enrollment ID: I20070309000358 |
| Provider Name | Aeron D Wickes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306804380 PECOS PAC ID: 9638272180 Enrollment ID: I20070321000422 |
| Provider Name | Alejandro Paz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760400386 PECOS PAC ID: 8527970284 Enrollment ID: I20070806000456 |
| Provider Name | Richard Mallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588699490 PECOS PAC ID: 9537257852 Enrollment ID: I20071119000706 |
| Provider Name | Paul V Polishuk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487648754 PECOS PAC ID: 8820170384 Enrollment ID: I20080123000699 |
| Provider Name | Robert W Orr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598734550 PECOS PAC ID: 8022041821 Enrollment ID: I20080307000368 |
| Provider Name | Mary Cueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023008083 PECOS PAC ID: 2567547425 Enrollment ID: I20080317000563 |
| Provider Name | Stephen D R Tinio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093973018 PECOS PAC ID: 6507931367 Enrollment ID: I20080813000929 |
| Provider Name | Loan T P Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063670966 PECOS PAC ID: 5799846986 Enrollment ID: I20081205000636 |
| Provider Name | Carla Soler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407836687 PECOS PAC ID: 8224191671 Enrollment ID: I20090110000133 |
| Provider Name | Rhyl Ann Fenequito Faeldonea Seruelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013177906 PECOS PAC ID: 9032269246 Enrollment ID: I20090610000141 |
| Provider Name | Ramin Sorkhi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477751535 PECOS PAC ID: 3870673270 Enrollment ID: I20090618000788 |
| Provider Name | Juan Carlos Torres Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437357852 PECOS PAC ID: 7517018856 Enrollment ID: I20090626000599 |
| Provider Name | Michael D Morelock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851457527 PECOS PAC ID: 9436232592 Enrollment ID: I20090626000600 |
| Provider Name | Veena A Prabhakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902874761 PECOS PAC ID: 7214082809 Enrollment ID: I20090903000211 |
| Provider Name | Adnan M Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285821207 PECOS PAC ID: 0941398374 Enrollment ID: I20090904000218 |
| Provider Name | Khaldoun Riad Abouelhosn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336310093 PECOS PAC ID: 0345395687 Enrollment ID: I20090909000798 |
| Provider Name | Hui- Wen Dai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609053701 PECOS PAC ID: 2567518244 Enrollment ID: I20090922000262 |
| Provider Name | Frank A Winton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750300315 PECOS PAC ID: 0547307969 Enrollment ID: I20091016000287 |
| Provider Name | David A Bridgeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134147986 PECOS PAC ID: 5991617656 Enrollment ID: I20091016000302 |
| Provider Name | Jeffrey B Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699794735 PECOS PAC ID: 1153468574 Enrollment ID: I20091016000317 |
| Provider Name | Jason Spring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114011459 PECOS PAC ID: 5991842023 Enrollment ID: I20091022000400 |
| Provider Name | Michelle R Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689822181 PECOS PAC ID: 2769522242 Enrollment ID: I20091214000467 |
| Provider Name | Vanessa M Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306871918 PECOS PAC ID: 0840333084 Enrollment ID: I20100210000238 |
| Provider Name | Emmet W Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558326801 PECOS PAC ID: 0143329565 Enrollment ID: I20100420000913 |
| Provider Name | Peter M Jenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184835407 PECOS PAC ID: 2365542438 Enrollment ID: I20100519000921 |
| Provider Name | Alan Thomas Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699784934 PECOS PAC ID: 4880727395 Enrollment ID: I20100804000976 |
| Provider Name | Brian Meyerhoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467417717 PECOS PAC ID: 7315046737 Enrollment ID: I20100921000746 |
| Provider Name | Robert Stein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922063270 PECOS PAC ID: 9234238650 Enrollment ID: I20101006001064 |
| Provider Name | Roger J Acheatel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730182619 PECOS PAC ID: 1355534587 Enrollment ID: I20101022001138 |
| Provider Name | George Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114946753 PECOS PAC ID: 4880506542 Enrollment ID: I20101101001583 |
| Provider Name | David Borecky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679591705 PECOS PAC ID: 4082526744 Enrollment ID: I20101103000625 |
| Provider Name | Lara Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043239841 PECOS PAC ID: 4981516648 Enrollment ID: I20101110000979 |
| Provider Name | Peter J Minkoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023090008 PECOS PAC ID: 9830384668 Enrollment ID: I20101111000389 |
| Provider Name | David Haffie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649252636 PECOS PAC ID: 5294920021 Enrollment ID: I20101111000494 |
| Provider Name | Anna Rita Foraci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477535466 PECOS PAC ID: 0749475572 Enrollment ID: I20101111000566 |
| Provider Name | Thomas Rastle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972522506 PECOS PAC ID: 2163334822 Enrollment ID: I20101115000719 |
| Provider Name | Neil Tarzy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427030402 PECOS PAC ID: 8921293754 Enrollment ID: I20101129000292 |
| Provider Name | Kandan Baban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285954941 PECOS PAC ID: 4880881747 Enrollment ID: I20101206000271 |
| Provider Name | Mark Haberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497780563 PECOS PAC ID: 6800708561 Enrollment ID: I20101207000215 |
| Provider Name | Gabriella G Carenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518945328 PECOS PAC ID: 6204016926 Enrollment ID: I20110211000455 |
| Provider Name | Linden J Burzell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003017906 PECOS PAC ID: 7012198567 Enrollment ID: I20110216001149 |
| Provider Name | Mark S Bibler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427048487 PECOS PAC ID: 2668408386 Enrollment ID: I20110305000018 |
| Provider Name | Oksana B Hirniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891750345 PECOS PAC ID: 5597948539 Enrollment ID: I20110329000178 |
| Provider Name | Farschad K Birdjandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205823929 PECOS PAC ID: 5395700918 Enrollment ID: I20110329000540 |
| Provider Name | Tsehaye U Seare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184725798 PECOS PAC ID: 4183661986 Enrollment ID: I20110512000179 |
| Provider Name | Rebecca A Samuels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821288069 PECOS PAC ID: 4981732526 Enrollment ID: I20110805000149 |
| Provider Name | Prashant Vaswani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528352440 PECOS PAC ID: 6709055635 Enrollment ID: I20110811000121 |
| Provider Name | Maltin Repishti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048291 PECOS PAC ID: 3779637871 Enrollment ID: I20111227000775 |
| Provider Name | Mark Leland Kadden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093784597 PECOS PAC ID: 9133174295 Enrollment ID: I20120322000560 |
| Provider Name | Azam Shamani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699906032 PECOS PAC ID: 4880856038 Enrollment ID: I20120503000639 |
| Provider Name | Dan N Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134389026 PECOS PAC ID: 8729241427 Enrollment ID: I20120516000339 |
| Provider Name | Nupur K Gosalia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528223542 PECOS PAC ID: 6204960727 Enrollment ID: I20121002000789 |
| Provider Name | Sarina Adhikary Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134377633 PECOS PAC ID: 6507058674 Enrollment ID: I20121212000112 |
| Provider Name | Farhad Farjoudi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215251822 PECOS PAC ID: 5092956938 Enrollment ID: I20130718000727 |
| Provider Name | Christie M.t. Remigio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699112748 PECOS PAC ID: 8325275746 Enrollment ID: I20131210001946 |
| Provider Name | Amir A Asgari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730484981 PECOS PAC ID: 2860622560 Enrollment ID: I20140225001093 |
| Provider Name | Amy M Marin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801234349 PECOS PAC ID: 7618109125 Enrollment ID: I20140416001307 |
| Provider Name | Trisha E Blakesley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228711 PECOS PAC ID: 3072745470 Enrollment ID: I20140417002165 |
| Provider Name | Heather M Cones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649550435 PECOS PAC ID: 6103049226 Enrollment ID: I20140519000776 |
| Provider Name | Amanda M Caparso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003046004 PECOS PAC ID: 3072795087 Enrollment ID: I20140709002729 |
| Provider Name | Mario Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124327606 PECOS PAC ID: 6608027115 Enrollment ID: I20140821000545 |
| Provider Name | Farah Hamdard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205984945 PECOS PAC ID: 8022106459 Enrollment ID: I20141121000012 |
| Provider Name | Indira Molai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992999551 PECOS PAC ID: 0042376873 Enrollment ID: I20151106001378 |
| Provider Name | Karen E Muchowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699791178 PECOS PAC ID: 2668499047 Enrollment ID: I20160518001761 |
| Provider Name | Saurabh Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790717957 PECOS PAC ID: 1153395041 Enrollment ID: I20160729001755 |
| Provider Name | Marc K Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467542175 PECOS PAC ID: 0042243008 Enrollment ID: I20160824000425 |
| Provider Name | Julia Lo Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245209071 PECOS PAC ID: 2264468032 Enrollment ID: I20160927001923 |
| Provider Name | Brenda Bebal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336508506 PECOS PAC ID: 3375831910 Enrollment ID: I20170424000429 |
| Provider Name | Jared A Brummel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225265101 PECOS PAC ID: 6901054295 Enrollment ID: I20170504002566 |
| Provider Name | Carrie Lee Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356798789 PECOS PAC ID: 5890074082 Enrollment ID: I20170721002447 |
| Provider Name | Kimberly D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811400708 PECOS PAC ID: 1759640485 Enrollment ID: I20180125001636 |
| Provider Name | Alex Joseph Crotteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063925386 PECOS PAC ID: 6608137385 Enrollment ID: I20180220001247 |
| Provider Name | Mohamad Ahmadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992207062 PECOS PAC ID: 2264794478 Enrollment ID: I20180328002840 |
| Provider Name | Iskren G Puhlev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437493160 PECOS PAC ID: 0840552915 Enrollment ID: I20180329002281 |
| Provider Name | Adnan Ameer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346554201 PECOS PAC ID: 1052675451 Enrollment ID: I20180511001306 |
| Provider Name | Yara Matta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073932133 PECOS PAC ID: 6709137524 Enrollment ID: I20180918002533 |
| Provider Name | Manshi Valluri Mallepogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538540620 PECOS PAC ID: 1557656014 Enrollment ID: I20190312001098 |
| Provider Name | Nicole Noel Silvestri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013482363 PECOS PAC ID: 0840532578 Enrollment ID: I20190430001066 |
| Provider Name | Mohammed I Mehboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518921873 PECOS PAC ID: 9638162019 Enrollment ID: I20190805001725 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20191018000408 |
| Provider Name | Youstina Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497036560 PECOS PAC ID: 6305168212 Enrollment ID: I20191104001613 |
| Provider Name | Anna Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295398717 PECOS PAC ID: 0042643272 Enrollment ID: I20191202002412 |
| Provider Name | Mariette A Macrander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679828438 PECOS PAC ID: 6608099262 Enrollment ID: I20200225002864 |
| Provider Name | Aayah Nabil Fatayerji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932552361 PECOS PAC ID: 4385062629 Enrollment ID: I20200917002618 |
| Provider Name | Manveen Bassi Sasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174902142 PECOS PAC ID: 5092012559 Enrollment ID: I20201228002055 |
| Provider Name | Jose Mari Atangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427611656 PECOS PAC ID: 4587098827 Enrollment ID: I20210225001523 |
| Provider Name | Stephen Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437644242 PECOS PAC ID: 4587063888 Enrollment ID: I20210518002239 |
| Provider Name | Karins Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720671704 PECOS PAC ID: 7810397049 Enrollment ID: I20210609003638 |
| Provider Name | Waseem M Khader |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1124476270 PECOS PAC ID: 6002230760 Enrollment ID: I20210818001833 |
| Provider Name | Aashiv Bharij |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932605615 PECOS PAC ID: 9436554896 Enrollment ID: I20210925000001 |
| Provider Name | Nicholas W Ely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770089757 PECOS PAC ID: 0446507842 Enrollment ID: I20211011001139 |
| Provider Name | Leslie Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114217254 PECOS PAC ID: 4688062268 Enrollment ID: I20211101002295 |
| Provider Name | Maricel Deveza Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174292874 PECOS PAC ID: 2769873645 Enrollment ID: I20220104000628 |
| Provider Name | Chidinma Onuigbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104337419 PECOS PAC ID: 7012333222 Enrollment ID: I20220125002339 |
| Provider Name | Enas Shammo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174086870 PECOS PAC ID: 0840526174 Enrollment ID: I20220215002626 |
| Provider Name | Angie Shammo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679110464 PECOS PAC ID: 2668800822 Enrollment ID: I20220315001973 |
| Provider Name | Elisabete Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134433717 PECOS PAC ID: 2860617263 Enrollment ID: I20220412001097 |
| Provider Name | Maryam Barangi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528626918 PECOS PAC ID: 5092196949 Enrollment ID: I20220722002651 |
| Provider Name | Jamie Kroesch Lidster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538633219 PECOS PAC ID: 5092191866 Enrollment ID: I20220930002127 |
| Provider Name | Hamid Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473162 PECOS PAC ID: 9436556149 Enrollment ID: I20230214002318 |
| Provider Name | Omar Velasco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275845570 PECOS PAC ID: 5991060188 Enrollment ID: I20230712001444 |
| Provider Name | Veronica A Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851918718 PECOS PAC ID: 3577925064 Enrollment ID: I20230815003962 |
| Provider Name | Kevin Cleary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922627827 PECOS PAC ID: 3274995766 Enrollment ID: I20230815004041 |
| Provider Name | Jefferey Raunig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043603863 PECOS PAC ID: 6305291642 Enrollment ID: I20231006000996 |
| Provider Name | Rana Safiedine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043061237 PECOS PAC ID: 5890135834 Enrollment ID: I20240502000944 |
Danicare Family Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Grand Ave Ste 100, Escondido, CA 92025 Phone: 760-294-8898 Fax: 760-294-8827 | |
Dap Health-centro Medico Escondido-1121 Washington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1121 E Washington Ave, Escondido, CA 92025 Phone: 760-871-0606 Fax: 760-871-3534 | |
Clinica Familia De Santa Maria Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 935 E Pennsylvania Ave, Escondido, CA 92025 Phone: 760-747-7512 | |
Planned Parenthood Of The Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 W Mission Ave, Escondido, CA 92025 Phone: 760-738-7770 | |
Escondido Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Ash St Ste 101, Escondido, CA 92027 Phone: 760-745-5832 Fax: 760-745-7847 | |
Centro Medico Del Carmen, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Juniper St, Escondido, CA 92025 Phone: 760-480-9051 Fax: 760-480-9054 | |
Valley Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 E Valley Pkwy, Escondido, CA 92027 Phone: 760-621-4902 Fax: 760-400-0012 |