| Hoag Clinic | |
|
510 Superior Ave Ste 290 Newport Beach CA 92663-3664 | |
| (949) 764-5700 | |
| (949) 764-5820 |
| Full Name | Hoag Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 Superior Ave Ste 290, Newport Beach, California |
| Authorized Official Name and Position | Andrew Guarni (SENIOR VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 9497648444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoag Clinic 510 Superior Ave Ste 290 Newport Beach CA 92663-3664 Ph: (949) 764-5700 | Hoag Clinic 510 Superior Ave Ste 290 Newport Beach CA 92663-3664 Ph: (949) 764-5700 |
| NPI Number | 1942799523 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 11/14/2022 |
| Medicare PECOS PAC ID | 3274872064 |
|---|---|
| Medicare Enrollment ID | O20190221001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942799523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Matthew Arredondo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952476848 PECOS PAC ID: 1355255704 Enrollment ID: I20031118001154 |
| Provider Name | Laurence B Pearl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386618841 PECOS PAC ID: 8325942949 Enrollment ID: I20031124000821 |
| Provider Name | Jesus M Valadez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144221839 PECOS PAC ID: 9436057759 Enrollment ID: I20031223000744 |
| Provider Name | Leila Yasrebi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790863686 PECOS PAC ID: 7719888353 Enrollment ID: I20040116000722 |
| Provider Name | Mercedes Tomioka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275639262 PECOS PAC ID: 8123920964 Enrollment ID: I20040122001000 |
| Provider Name | Teresa H Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598752974 PECOS PAC ID: 0648173724 Enrollment ID: I20040127001243 |
| Provider Name | Christina D Schwindt |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1366522518 PECOS PAC ID: 9234032756 Enrollment ID: I20040130000670 |
| Provider Name | Stanley A Wasbin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477590016 PECOS PAC ID: 4082508387 Enrollment ID: I20040209000887 |
| Provider Name | Steven C S Luh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053368084 PECOS PAC ID: 3779479894 Enrollment ID: I20040225000921 |
| Provider Name | Lincoln M Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801895180 PECOS PAC ID: 4981590924 Enrollment ID: I20040225001090 |
| Provider Name | Pelma R Tabrizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568497998 PECOS PAC ID: 9830085521 Enrollment ID: I20040227000779 |
| Provider Name | Laura C Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205961646 PECOS PAC ID: 7517854110 Enrollment ID: I20040228000475 |
| Provider Name | David C Lagrew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487601357 PECOS PAC ID: 5294625562 Enrollment ID: I20040318001609 |
| Provider Name | Michael B Hurwitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437179595 PECOS PAC ID: 1355233180 Enrollment ID: I20040326000877 |
| Provider Name | Jennifer R Keiner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508863887 PECOS PAC ID: 3870587165 Enrollment ID: I20040409000668 |
| Provider Name | David Michael Burtzo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336168814 PECOS PAC ID: 9032104104 Enrollment ID: I20040417000592 |
| Provider Name | Van T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487697843 PECOS PAC ID: 2062402019 Enrollment ID: I20040513000415 |
| Provider Name | Richard I Oxman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487704789 PECOS PAC ID: 6103806195 Enrollment ID: I20040721000773 |
| Provider Name | Julie R Matsuura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861441917 PECOS PAC ID: 9335129162 Enrollment ID: I20040722000740 |
| Provider Name | Steven R Beanes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043231533 PECOS PAC ID: 8527031855 Enrollment ID: I20040816000847 |
| Provider Name | Glen J Barbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710035761 PECOS PAC ID: 4789659269 Enrollment ID: I20040827001199 |
| Provider Name | Babak N Rad |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821013046 PECOS PAC ID: 2668447186 Enrollment ID: I20040831000769 |
| Provider Name | Monica C Aszterbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689737942 PECOS PAC ID: 4981665817 Enrollment ID: I20041025001028 |
| Provider Name | Bena Teo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548283914 PECOS PAC ID: 4688630551 Enrollment ID: I20041202001078 |
| Provider Name | Jeffrey S Yoshida |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922106657 PECOS PAC ID: 4082662150 Enrollment ID: I20050105000453 |
| Provider Name | Lisa B Sherwood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811081706 PECOS PAC ID: 6204884943 Enrollment ID: I20050110000185 |
| Provider Name | Corrine H Giesemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730115601 PECOS PAC ID: 3173566577 Enrollment ID: I20050607000483 |
| Provider Name | Justin Liao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336183771 PECOS PAC ID: 2860438397 Enrollment ID: I20050706000421 |
| Provider Name | Daryl P Pearlstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831118140 PECOS PAC ID: 6305875337 Enrollment ID: I20050809001138 |
| Provider Name | Susan Elizabeth Lea Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568572535 PECOS PAC ID: 9133158934 Enrollment ID: I20050811000713 |
| Provider Name | Michael A Waldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184663932 PECOS PAC ID: 5294768156 Enrollment ID: I20050913000198 |
| Provider Name | Danette R Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245282557 PECOS PAC ID: 9830122357 Enrollment ID: I20050915000327 |
| Provider Name | Joomo Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619954898 PECOS PAC ID: 6406876168 Enrollment ID: I20051130000240 |
| Provider Name | Phuong T Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801838750 PECOS PAC ID: 7911929500 Enrollment ID: I20051222000794 |
| Provider Name | Dorothy J Marquez-maneja |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750473187 PECOS PAC ID: 1052327517 Enrollment ID: I20060221000902 |
| Provider Name | Michael Haga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194747824 PECOS PAC ID: 6204844376 Enrollment ID: I20060330000700 |
| Provider Name | Sara S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912944166 PECOS PAC ID: 3577571413 Enrollment ID: I20060404000166 |
| Provider Name | Colleen L Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982647517 PECOS PAC ID: 2961410816 Enrollment ID: I20060404000245 |
| Provider Name | Au Hai Bui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699970632 PECOS PAC ID: 2961411780 Enrollment ID: I20060406000129 |
| Provider Name | Mary Jean Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871515601 PECOS PAC ID: 5597775841 Enrollment ID: I20060501000621 |
| Provider Name | Larisa Zeltser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780622720 PECOS PAC ID: 4486667474 Enrollment ID: I20060714000267 |
| Provider Name | Morris M Ahdoot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992748420 PECOS PAC ID: 2769495274 Enrollment ID: I20060731000390 |
| Provider Name | Pantea Mozayeni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043279722 PECOS PAC ID: 2365446655 Enrollment ID: I20060828000552 |
| Provider Name | Burak M Ozgur |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205877651 PECOS PAC ID: 4981609435 Enrollment ID: I20060915000581 |
| Provider Name | Terry Fan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700825312 PECOS PAC ID: 0244237378 Enrollment ID: I20061101000531 |
| Provider Name | Kathleen A Boos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316983448 PECOS PAC ID: 6406891605 Enrollment ID: I20070205000638 |
| Provider Name | Sina Firouzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083707608 PECOS PAC ID: 5193827228 Enrollment ID: I20070220000836 |
| Provider Name | Lisa M T Worsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851320840 PECOS PAC ID: 3375647332 Enrollment ID: I20070330000292 |
| Provider Name | Michael K Louie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538294798 PECOS PAC ID: 9335248640 Enrollment ID: I20070627000695 |
| Provider Name | Kenneth A James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497782213 PECOS PAC ID: 3971601170 Enrollment ID: I20070702000577 |
| Provider Name | Amanda D Moy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245454776 PECOS PAC ID: 1951402064 Enrollment ID: I20070719000383 |
| Provider Name | Peter C Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063475242 PECOS PAC ID: 4082705165 Enrollment ID: I20070802000728 |
| Provider Name | Felix Y Horng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578586046 PECOS PAC ID: 7618068602 Enrollment ID: I20070806000413 |
| Provider Name | Tannaz Meisami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932304482 PECOS PAC ID: 6608967633 Enrollment ID: I20070806000720 |
| Provider Name | Richard C Harano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235185695 PECOS PAC ID: 9739271388 Enrollment ID: I20070827000875 |
| Provider Name | Adam S Kanter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770791709 PECOS PAC ID: 4587750450 Enrollment ID: I20071023000841 |
| Provider Name | Tse Ling Fong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144230996 PECOS PAC ID: 2264513589 Enrollment ID: I20080112000139 |
| Provider Name | Jill M Panitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023089380 PECOS PAC ID: 7012098791 Enrollment ID: I20080118000678 |
| Provider Name | Emily W Grigsby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861524415 PECOS PAC ID: 0840378782 Enrollment ID: I20080417000604 |
| Provider Name | Terra R Safer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598894172 PECOS PAC ID: 6103904719 Enrollment ID: I20080423000220 |
| Provider Name | Lisa Abaid |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295943132 PECOS PAC ID: 0749254233 Enrollment ID: I20080925000434 |
| Provider Name | Jinwen I Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417149790 PECOS PAC ID: 6204904428 Enrollment ID: I20081001000313 |
| Provider Name | Rachael Krause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548437809 PECOS PAC ID: 1456429703 Enrollment ID: I20081014000298 |
| Provider Name | David H Liang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104966373 PECOS PAC ID: 8820156862 Enrollment ID: I20081021000339 |
| Provider Name | Grace E Kong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386836336 PECOS PAC ID: 4688733561 Enrollment ID: I20081106000670 |
| Provider Name | Ken R Iwaoka |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346263670 PECOS PAC ID: 9830250265 Enrollment ID: I20081204000135 |
| Provider Name | Maily T Creamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417164450 PECOS PAC ID: 6800958133 Enrollment ID: I20081222000231 |
| Provider Name | Sevitlana Safaei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013065812 PECOS PAC ID: 2961416821 Enrollment ID: I20090120000038 |
| Provider Name | John C Storch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275577975 PECOS PAC ID: 7810044120 Enrollment ID: I20090402000160 |
| Provider Name | Lewis M Moss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568490332 PECOS PAC ID: 2769530245 Enrollment ID: I20090512000094 |
| Provider Name | Chrystene A Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710123609 PECOS PAC ID: 7012060635 Enrollment ID: I20090729000868 |
| Provider Name | Linda H Chung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053314211 PECOS PAC ID: 8628981685 Enrollment ID: I20090831000435 |
| Provider Name | Vinita J Speir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558542837 PECOS PAC ID: 7214082999 Enrollment ID: I20090901000623 |
| Provider Name | Navid Geula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487820577 PECOS PAC ID: 4082769286 Enrollment ID: I20090910000525 |
| Provider Name | Thao Minh Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619113503 PECOS PAC ID: 0941347256 Enrollment ID: I20091019000584 |
| Provider Name | David L Sodaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659460947 PECOS PAC ID: 8224165303 Enrollment ID: I20100421000605 |
| Provider Name | Adam Michael Blatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942451992 PECOS PAC ID: 6800923442 Enrollment ID: I20100429001077 |
| Provider Name | Tammy R Wegrzyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801123914 PECOS PAC ID: 7214067438 Enrollment ID: I20100615000718 |
| Provider Name | Tara E Seery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043415961 PECOS PAC ID: 6608942412 Enrollment ID: I20100625000724 |
| Provider Name | Anthony Caffarelli |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851587356 PECOS PAC ID: 7517099674 Enrollment ID: I20100726000237 |
| Provider Name | Alberto Mendivil |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801097662 PECOS PAC ID: 8123152683 Enrollment ID: I20100819000251 |
| Provider Name | William K Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902133424 PECOS PAC ID: 5698899797 Enrollment ID: I20100826000209 |
| Provider Name | Robert R Torrey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114105947 PECOS PAC ID: 6406970045 Enrollment ID: I20100902000797 |
| Provider Name | Alexander Shadid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851457766 PECOS PAC ID: 6103941364 Enrollment ID: I20100913000487 |
| Provider Name | Maria Felicia H Marcos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194043448 PECOS PAC ID: 4880719871 Enrollment ID: I20100914001103 |
| Provider Name | Martin Joseph Fee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124008537 PECOS PAC ID: 8527158765 Enrollment ID: I20100923000433 |
| Provider Name | Robert Carroll |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295875854 PECOS PAC ID: 8123058435 Enrollment ID: I20101005000142 |
| Provider Name | Son T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215941778 PECOS PAC ID: 4486554136 Enrollment ID: I20101012000118 |
| Provider Name | Nichole R Matlick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982891396 PECOS PAC ID: 2163614777 Enrollment ID: I20101013001198 |
| Provider Name | Regina Y Mojica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134290166 PECOS PAC ID: 5890980122 Enrollment ID: I20101112000357 |
| Provider Name | Norene J Norris-walsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952350225 PECOS PAC ID: 4183692932 Enrollment ID: I20101208000708 |
| Provider Name | Alireza Raboubi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821201013 PECOS PAC ID: 8325194186 Enrollment ID: I20101210000150 |
| Provider Name | Susan Ann Mendelsohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740248939 PECOS PAC ID: 9638147481 Enrollment ID: I20101214000745 |
| Provider Name | Amy X Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245430396 PECOS PAC ID: 2668660481 Enrollment ID: I20101221000626 |
| Provider Name | Nelson A Garcia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932257995 PECOS PAC ID: 4183812928 Enrollment ID: I20101221000878 |
| Provider Name | John Vincent Brown |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659313633 PECOS PAC ID: 5092891259 Enrollment ID: I20110103000788 |
| Provider Name | Mary C Otoole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790743748 PECOS PAC ID: 1557339306 Enrollment ID: I20110118000466 |
| Provider Name | Daniel A Ng |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1265523351 PECOS PAC ID: 1355438276 Enrollment ID: I20110128000462 |
| Provider Name | Brian M Koperek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306894191 PECOS PAC ID: 8729056577 Enrollment ID: I20110131000375 |
| Provider Name | Marc Winter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891744157 PECOS PAC ID: 5991773749 Enrollment ID: I20110215000934 |
| Provider Name | Ann Marie Raffo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043278021 PECOS PAC ID: 9537137385 Enrollment ID: I20110218000107 |
| Provider Name | Mehri Khatibi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730380718 PECOS PAC ID: 5496936650 Enrollment ID: I20110221000757 |
| Provider Name | Carolyn Patchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326259334 PECOS PAC ID: 1850574344 Enrollment ID: I20110321000856 |
| Provider Name | Nancy J Councelbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275635013 PECOS PAC ID: 9234313628 Enrollment ID: I20110408000529 |
| Provider Name | Randa Serag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043403215 PECOS PAC ID: 7214112572 Enrollment ID: I20110502000080 |
| Provider Name | Jennifer L Birkhauser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942435433 PECOS PAC ID: 9234316092 Enrollment ID: I20110602000542 |
| Provider Name | Sally Marie Wonderly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780636092 PECOS PAC ID: 9830377969 Enrollment ID: I20110620000672 |
| Provider Name | Julie L Palmisano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962654780 PECOS PAC ID: 4284829953 Enrollment ID: I20110713000460 |
| Provider Name | Colin I. Joyo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124186754 PECOS PAC ID: 3577731736 Enrollment ID: I20110714000568 |
| Provider Name | Krystal H Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710001763 PECOS PAC ID: 5890882930 Enrollment ID: I20110714000677 |
| Provider Name | Heidi Cough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477705481 PECOS PAC ID: 8123298312 Enrollment ID: I20110825000482 |
| Provider Name | Brooke A Hargrove |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679712848 PECOS PAC ID: 3476724790 Enrollment ID: I20110919000212 |
| Provider Name | Chaitali Singh Nangia |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1669425286 PECOS PAC ID: 0547246043 Enrollment ID: I20111208000415 |
| Provider Name | Monica Mita |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760450043 PECOS PAC ID: 7315949591 Enrollment ID: I20111212000265 |
| Provider Name | Zwi Steindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184616153 PECOS PAC ID: 6507031713 Enrollment ID: I20120222000262 |
| Provider Name | Nancy C Love |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427332030 PECOS PAC ID: 2466611314 Enrollment ID: I20120312000826 |
| Provider Name | Roya Rakhshani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962414003 PECOS PAC ID: 8527227164 Enrollment ID: I20120316000616 |
| Provider Name | Kim T Lam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750684718 PECOS PAC ID: 2062675937 Enrollment ID: I20120514000346 |
| Provider Name | Alain Catalin Mita |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285602565 PECOS PAC ID: 8022112861 Enrollment ID: I20120612000108 |
| Provider Name | Kimberly A Dejong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598053381 PECOS PAC ID: 6800050352 Enrollment ID: I20120612000658 |
| Provider Name | Cindy Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194044271 PECOS PAC ID: 1658535703 Enrollment ID: I20120621000153 |
| Provider Name | Victoria K Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275554941 PECOS PAC ID: 2365547700 Enrollment ID: I20120710000734 |
| Provider Name | Inguna Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952620833 PECOS PAC ID: 9931355146 Enrollment ID: I20120803000233 |
| Provider Name | Catherine B Ngo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558531129 PECOS PAC ID: 0446406268 Enrollment ID: I20120810000386 |
| Provider Name | Jenny Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417142183 PECOS PAC ID: 6406003672 Enrollment ID: I20120822000524 |
| Provider Name | Demetra Bastas-bratkic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538237177 PECOS PAC ID: 2567610876 Enrollment ID: I20120911000699 |
| Provider Name | Nancy A Kazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366690778 PECOS PAC ID: 8426207853 Enrollment ID: I20120928000654 |
| Provider Name | Jody K Lai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750411831 PECOS PAC ID: 1557519733 Enrollment ID: I20121010000504 |
| Provider Name | Lisa M Karamardian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922053644 PECOS PAC ID: 4385892553 Enrollment ID: I20121023000667 |
| Provider Name | Rhonda M Flora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720160583 PECOS PAC ID: 5193973360 Enrollment ID: I20121023000742 |
| Provider Name | Hong Z Shune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912942319 PECOS PAC ID: 3173774429 Enrollment ID: I20121113000688 |
| Provider Name | Tochukwu O Onyekwuluje |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740215854 PECOS PAC ID: 0042124380 Enrollment ID: I20121114000217 |
| Provider Name | Christine Field |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326282344 PECOS PAC ID: 1658522966 Enrollment ID: I20121114000611 |
| Provider Name | Elizabeth Yanni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780857003 PECOS PAC ID: 2668623992 Enrollment ID: I20121115000136 |
| Provider Name | Caroline Hwang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003090085 PECOS PAC ID: 0941374375 Enrollment ID: I20121121000477 |
| Provider Name | Gayathri Sadashiva Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912215351 PECOS PAC ID: 2365694791 Enrollment ID: I20121212000234 |
| Provider Name | Erin S Ohara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871882266 PECOS PAC ID: 9830341874 Enrollment ID: I20121220000180 |
| Provider Name | Jacqueline Marie Leon Leon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629398490 PECOS PAC ID: 6709037930 Enrollment ID: I20130206000216 |
| Provider Name | Evangeline D Chu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780692145 PECOS PAC ID: 4183879240 Enrollment ID: I20130222000055 |
| Provider Name | Jamie B Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275871246 PECOS PAC ID: 9234384611 Enrollment ID: I20130311000223 |
| Provider Name | Clare A Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154434447 PECOS PAC ID: 1951364264 Enrollment ID: I20130314000413 |
| Provider Name | Jing Fon Moy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629206768 PECOS PAC ID: 8123263183 Enrollment ID: I20130321000283 |
| Provider Name | Brian Paik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053506527 PECOS PAC ID: 6800033374 Enrollment ID: I20130501000340 |
| Provider Name | Euguene S Yim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952622417 PECOS PAC ID: 6800037649 Enrollment ID: I20130722000066 |
| Provider Name | Ani Bergman Baghdassarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679899033 PECOS PAC ID: 1456592526 Enrollment ID: I20130801000376 |
| Provider Name | Magdalena M Al-saad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962781351 PECOS PAC ID: 0042483810 Enrollment ID: I20130815000779 |
| Provider Name | Yong Sik Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033317565 PECOS PAC ID: 2264615376 Enrollment ID: I20130826000557 |
| Provider Name | Daniel Nadeau |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215902226 PECOS PAC ID: 4688604176 Enrollment ID: I20130906000808 |
| Provider Name | Angelika Priestley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326221409 PECOS PAC ID: 4688720717 Enrollment ID: I20130911000284 |
| Provider Name | Robert G Louis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033312608 PECOS PAC ID: 6507092921 Enrollment ID: I20131113001139 |
| Provider Name | Aditi Springstubb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884910 PECOS PAC ID: 6406083674 Enrollment ID: I20131213000731 |
| Provider Name | Saru Sachdeva |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841470630 PECOS PAC ID: 8325276207 Enrollment ID: I20140123000364 |
| Provider Name | Joann E Escalante-alviz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841625712 PECOS PAC ID: 5496985038 Enrollment ID: I20140227001922 |
| Provider Name | Sheetal S Gavankar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750524328 PECOS PAC ID: 9537312905 Enrollment ID: I20140318000637 |
| Provider Name | Danny Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336466747 PECOS PAC ID: 3375775521 Enrollment ID: I20140422001789 |
| Provider Name | Nady I Eskarous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164476347 PECOS PAC ID: 0446249007 Enrollment ID: I20140516000880 |
| Provider Name | Asha M Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639478191 PECOS PAC ID: 0345464996 Enrollment ID: I20140620002253 |
| Provider Name | Ya Ju Peralta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528484755 PECOS PAC ID: 8921223447 Enrollment ID: I20140625001377 |
| Provider Name | Sarah S Teymoorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518147396 PECOS PAC ID: 8628115987 Enrollment ID: I20140822000843 |
| Provider Name | Courtney L Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437567153 PECOS PAC ID: 6305066218 Enrollment ID: I20140926002329 |
| Provider Name | Jeffrey C. Bassett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174718399 PECOS PAC ID: 3678720224 Enrollment ID: I20141008001969 |
| Provider Name | Kaylinne A Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083029292 PECOS PAC ID: 9436370376 Enrollment ID: I20141018000242 |
| Provider Name | Mary Y Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124048202 PECOS PAC ID: 2769487875 Enrollment ID: I20141030002669 |
| Provider Name | Sharmeline K Curameng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891116588 PECOS PAC ID: 9133341159 Enrollment ID: I20141106002042 |
| Provider Name | Kerry Christina Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073829131 PECOS PAC ID: 8224250261 Enrollment ID: I20141106002575 |
| Provider Name | Annie S Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699087213 PECOS PAC ID: 6204158561 Enrollment ID: I20141124001219 |
| Provider Name | Gina D Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306172424 PECOS PAC ID: 8224260781 Enrollment ID: I20141206000040 |
| Provider Name | Yasmin Pepping |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992147896 PECOS PAC ID: 3870816267 Enrollment ID: I20141215002148 |
| Provider Name | Amy Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427212034 PECOS PAC ID: 6002066289 Enrollment ID: I20150203000914 |
| Provider Name | Joanne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689621005 PECOS PAC ID: 3375433311 Enrollment ID: I20150317001781 |
| Provider Name | Victoria E Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215327077 PECOS PAC ID: 1850619750 Enrollment ID: I20150403000963 |
| Provider Name | Wonae Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508022450 PECOS PAC ID: 8426377615 Enrollment ID: I20150511001360 |
| Provider Name | My Phuong Pham Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104218494 PECOS PAC ID: 7416276522 Enrollment ID: I20150512000031 |
| Provider Name | Jessica C Mangonon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962769968 PECOS PAC ID: 0547580599 Enrollment ID: I20150515000001 |
| Provider Name | Virginia L Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568856292 PECOS PAC ID: 0042530685 Enrollment ID: I20150521000656 |
| Provider Name | Rebecca C Dominguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972728046 PECOS PAC ID: 7719079821 Enrollment ID: I20150528000331 |
| Provider Name | Javier A Longoria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538397765 PECOS PAC ID: 0345467312 Enrollment ID: I20150616002855 |
| Provider Name | Molly M Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831585272 PECOS PAC ID: 4688985278 Enrollment ID: I20150623003121 |
| Provider Name | Lena B Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467741728 PECOS PAC ID: 5395057244 Enrollment ID: I20150706002725 |
| Provider Name | Sarin Prakobwanakit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477828820 PECOS PAC ID: 7810200029 Enrollment ID: I20150716003076 |
| Provider Name | Ireena J Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467842054 PECOS PAC ID: 6800109976 Enrollment ID: I20150717001938 |
| Provider Name | Kristina Mori |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487815288 PECOS PAC ID: 3779896659 Enrollment ID: I20150721002485 |
| Provider Name | Elizabeth R Raskin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730359431 PECOS PAC ID: 4284708678 Enrollment ID: I20150729009569 |
| Provider Name | Jennifer Marie Lapointe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952703233 PECOS PAC ID: 9739494121 Enrollment ID: I20150813011297 |
| Provider Name | Mandeep Singh Sehmbey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225346026 PECOS PAC ID: 2860708328 Enrollment ID: I20150828000205 |
| Provider Name | Joseph M Weiland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356765465 PECOS PAC ID: 0345556577 Enrollment ID: I20150902000468 |
| Provider Name | Cambria A Judd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740549278 PECOS PAC ID: 7113243866 Enrollment ID: I20150903001191 |
| Provider Name | Scott Gerold Ahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558674523 PECOS PAC ID: 9032426481 Enrollment ID: I20150916003199 |
| Provider Name | Charles J De Mesa |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1396064408 PECOS PAC ID: 5799093506 Enrollment ID: I20150928002850 |
| Provider Name | Roopa Dillikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932447893 PECOS PAC ID: 4385952407 Enrollment ID: I20151008002578 |
| Provider Name | Sharon A Hoier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437537388 PECOS PAC ID: 0244549798 Enrollment ID: I20151022002493 |
| Provider Name | Donald Moy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922429513 PECOS PAC ID: 9537478052 Enrollment ID: I20151023002570 |
| Provider Name | Paul Korc |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922243161 PECOS PAC ID: 0648589887 Enrollment ID: I20151029001676 |
| Provider Name | Nora Dervartanian Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245619295 PECOS PAC ID: 5799085692 Enrollment ID: I20151125001434 |
| Provider Name | Rachel N Zabaneh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982897468 PECOS PAC ID: 9830491117 Enrollment ID: I20160104000843 |
| Provider Name | Kristy L Tolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578591426 PECOS PAC ID: 4880996891 Enrollment ID: I20160107003090 |
| Provider Name | Katherine Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265720551 PECOS PAC ID: 4385876598 Enrollment ID: I20160114000383 |
| Provider Name | Jennifer M Eitel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568588622 PECOS PAC ID: 6204139835 Enrollment ID: I20160114001730 |
| Provider Name | Meigan M Everts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457348039 PECOS PAC ID: 3476799255 Enrollment ID: I20160204002407 |
| Provider Name | Dana Rose Homer-bertrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578821914 PECOS PAC ID: 4981843273 Enrollment ID: I20160310001213 |
| Provider Name | Amit K Hiteshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316203250 PECOS PAC ID: 4688973266 Enrollment ID: I20160503001969 |
| Provider Name | Nicholas D Reese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730455015 PECOS PAC ID: 8628368404 Enrollment ID: I20160607001442 |
| Provider Name | Tyler Joseph Mcatee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518307461 PECOS PAC ID: 0042503310 Enrollment ID: I20160725000650 |
| Provider Name | Rukhsana Mohamedali Serang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780023754 PECOS PAC ID: 4981998051 Enrollment ID: I20160811002798 |
| Provider Name | Urvi Pradeep Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730477142 PECOS PAC ID: 3375843980 Enrollment ID: I20160815001956 |
| Provider Name | Anne E Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104141753 PECOS PAC ID: 9234372806 Enrollment ID: I20160901001747 |
| Provider Name | Chester Tung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588907901 PECOS PAC ID: 0143544890 Enrollment ID: I20160923000993 |
| Provider Name | Renee Tran Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760804157 PECOS PAC ID: 6002104569 Enrollment ID: I20161017000478 |
| Provider Name | Estrellita E Delavega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700045341 PECOS PAC ID: 3375845217 Enrollment ID: I20161017001300 |
| Provider Name | Deeba F Kazempoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972055945 PECOS PAC ID: 0143502427 Enrollment ID: I20170120002373 |
| Provider Name | Xinyi Qian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508314402 PECOS PAC ID: 4587946694 Enrollment ID: I20170125002849 |
| Provider Name | Lee Yee Win |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164834339 PECOS PAC ID: 4183906084 Enrollment ID: I20170130002504 |
| Provider Name | Nicolle S Underwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881821122 PECOS PAC ID: 8921381336 Enrollment ID: I20170209001106 |
| Provider Name | Diana Kazempoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801342258 PECOS PAC ID: 9436435591 Enrollment ID: I20170404002648 |
| Provider Name | Yaser Homsi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790943983 PECOS PAC ID: 5395991459 Enrollment ID: I20170501001469 |
| Provider Name | Michael Joseph Demeure |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629041579 PECOS PAC ID: 2567466659 Enrollment ID: I20170518002167 |
| Provider Name | Jeremiah W Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164747853 PECOS PAC ID: 8921255159 Enrollment ID: I20170606000022 |
| Provider Name | Mary Anne Galang Lomboy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811067556 PECOS PAC ID: 4981973310 Enrollment ID: I20170628002236 |
| Provider Name | Mandeep K Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578738365 PECOS PAC ID: 9638213200 Enrollment ID: I20170629001837 |
| Provider Name | Chih-kuan Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700901139 PECOS PAC ID: 5092084301 Enrollment ID: I20170629002222 |
| Provider Name | Peggy Tse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477508869 PECOS PAC ID: 5395014583 Enrollment ID: I20170630002477 |
| Provider Name | Elaine Gan Yong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528138260 PECOS PAC ID: 4486923042 Enrollment ID: I20170713000965 |
| Provider Name | Adrian Bohdan Dobrowolsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740579796 PECOS PAC ID: 0244532315 Enrollment ID: I20170718000961 |
| Provider Name | Danielle Winkler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245339787 PECOS PAC ID: 6709156722 Enrollment ID: I20170725001611 |
| Provider Name | Clarissa M Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417486143 PECOS PAC ID: 1355612938 Enrollment ID: I20170731002135 |
| Provider Name | Jessica Currens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427421791 PECOS PAC ID: 7214208180 Enrollment ID: I20170810002853 |
| Provider Name | Tiffany Lee Beck |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1619144151 PECOS PAC ID: 4082870928 Enrollment ID: I20170817001997 |
| Provider Name | Amanda Khosravi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386058014 PECOS PAC ID: 0547532004 Enrollment ID: I20170817002048 |
| Provider Name | Tawny Minna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649666298 PECOS PAC ID: 2163795980 Enrollment ID: I20170830001003 |
| Provider Name | Faryal Arif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770995664 PECOS PAC ID: 9537448899 Enrollment ID: I20170912001521 |
| Provider Name | John C Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346660081 PECOS PAC ID: 6709159775 Enrollment ID: I20170913003366 |
| Provider Name | Ronald Frank Wolf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649369935 PECOS PAC ID: 3678667250 Enrollment ID: I20170925001058 |
| Provider Name | Arlene Bravo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528488350 PECOS PAC ID: 4486928736 Enrollment ID: I20170925003520 |
| Provider Name | Tracy A Pantig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326466285 PECOS PAC ID: 5890060024 Enrollment ID: I20171013001289 |
| Provider Name | Mrinal Dhar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417275256 PECOS PAC ID: 8325234271 Enrollment ID: I20171013002785 |
| Provider Name | Karenna A Dickerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295952810 PECOS PAC ID: 6800948811 Enrollment ID: I20171017003428 |
| Provider Name | Raymond K Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518372093 PECOS PAC ID: 8325305915 Enrollment ID: I20171207000623 |
| Provider Name | Millie J Surati-tantod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063672145 PECOS PAC ID: 9638341084 Enrollment ID: I20171211001433 |
| Provider Name | Sahar Naderi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861893976 PECOS PAC ID: 2860784584 Enrollment ID: I20180108003090 |
| Provider Name | Tasha V Kalra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821433079 PECOS PAC ID: 6608135868 Enrollment ID: I20180115000787 |
| Provider Name | Stephen A Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295284834 PECOS PAC ID: 2860771557 Enrollment ID: I20180122002842 |
| Provider Name | Samaan Sattarzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497172720 PECOS PAC ID: 8426277534 Enrollment ID: I20180124002751 |
| Provider Name | Jennifer Jan Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214886 PECOS PAC ID: 9537429865 Enrollment ID: I20180207000810 |
| Provider Name | John Aldrich N Alejandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891242293 PECOS PAC ID: 2264700343 Enrollment ID: I20180212001256 |
| Provider Name | Patricia Lo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467719146 PECOS PAC ID: 0941515977 Enrollment ID: I20180326002136 |
| Provider Name | Andy Luu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417494717 PECOS PAC ID: 7618230228 Enrollment ID: I20180412002765 |
| Provider Name | Sara Etemad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043623499 PECOS PAC ID: 2062708159 Enrollment ID: I20180618003252 |
| Provider Name | Asad Ali Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477710440 PECOS PAC ID: 1355631136 Enrollment ID: I20180618003257 |
| Provider Name | Ariel Causey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326595406 PECOS PAC ID: 3476809831 Enrollment ID: I20180627003604 |
| Provider Name | Aarathi Rangachar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790999795 PECOS PAC ID: 9436407376 Enrollment ID: I20180808002977 |
| Provider Name | Hang My Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184017477 PECOS PAC ID: 4587974621 Enrollment ID: I20180821003217 |
| Provider Name | Eric W Stevens |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215314430 PECOS PAC ID: 2769731652 Enrollment ID: I20180827001814 |
| Provider Name | Nazanin Kashani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467976837 PECOS PAC ID: 4688923493 Enrollment ID: I20180827003046 |
| Provider Name | Laura E Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710389648 PECOS PAC ID: 5395095707 Enrollment ID: I20180906000035 |
| Provider Name | Charlie Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427591577 PECOS PAC ID: 3375894199 Enrollment ID: I20180918002414 |
| Provider Name | Steven Yi Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467831131 PECOS PAC ID: 7113278722 Enrollment ID: I20180920002200 |
| Provider Name | Anne K Narayan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851544100 PECOS PAC ID: 8022360452 Enrollment ID: I20181011002229 |
| Provider Name | Bridget Ozman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629185012 PECOS PAC ID: 1658444005 Enrollment ID: I20181012000273 |
| Provider Name | Todd Macauley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669859203 PECOS PAC ID: 8820340078 Enrollment ID: I20181016002890 |
| Provider Name | Kimberly Diana Mary Lank |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265886345 PECOS PAC ID: 1850643040 Enrollment ID: I20181017000647 |
| Provider Name | Kristine H Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104820547 PECOS PAC ID: 9537403878 Enrollment ID: I20181127003474 |
| Provider Name | Mercedes J Szpunar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912312380 PECOS PAC ID: 0547504581 Enrollment ID: I20181203002304 |
| Provider Name | Marcus Steven Angulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486568 PECOS PAC ID: 4789974213 Enrollment ID: I20181207001347 |
| Provider Name | Tien T K Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508348632 PECOS PAC ID: 9436495728 Enrollment ID: I20190108000484 |
| Provider Name | Mita N Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518461771 PECOS PAC ID: 0941547350 Enrollment ID: I20190123002740 |
| Provider Name | Hien Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134603483 PECOS PAC ID: 7810234267 Enrollment ID: I20190123004072 |
| Provider Name | Ravi Jeram Kankotia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275996613 PECOS PAC ID: 9133466345 Enrollment ID: I20190125002195 |
| Provider Name | Paiyuam Asnaashari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790131043 PECOS PAC ID: 5799022612 Enrollment ID: I20190130000466 |
| Provider Name | Lucila Angeli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790179273 PECOS PAC ID: 9931498078 Enrollment ID: I20190206001345 |
| Provider Name | Sheila Z Dejbakhsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831509553 PECOS PAC ID: 3678811817 Enrollment ID: I20190213000645 |
| Provider Name | Kevin John Riutzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497101281 PECOS PAC ID: 1658626023 Enrollment ID: I20190226003466 |
| Provider Name | Monica Lynn Toten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992227193 PECOS PAC ID: 3173863412 Enrollment ID: I20190322000842 |
| Provider Name | Christine Marie Panganiban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417310558 PECOS PAC ID: 6103168869 Enrollment ID: I20190429001434 |
| Provider Name | Sekboppa Sor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376005934 PECOS PAC ID: 6507109253 Enrollment ID: I20190520002716 |
| Provider Name | Alison Rae Wu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548422744 PECOS PAC ID: 8921254277 Enrollment ID: I20190624000646 |
| Provider Name | Eric Nghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417466368 PECOS PAC ID: 0345574968 Enrollment ID: I20190701001798 |
| Provider Name | Anny T Wu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891115564 PECOS PAC ID: 9739466087 Enrollment ID: I20190715002967 |
| Provider Name | Allen Gabriel Murga |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124386370 PECOS PAC ID: 1355678533 Enrollment ID: I20190809002923 |
| Provider Name | Kristina Rose Hagopian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174999015 PECOS PAC ID: 0345579249 Enrollment ID: I20190830002324 |
| Provider Name | Sharon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073649 PECOS PAC ID: 4688903172 Enrollment ID: I20190909002732 |
| Provider Name | William Oh |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1598100323 PECOS PAC ID: 4082960737 Enrollment ID: I20190927001873 |
| Provider Name | Natalie Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790207215 PECOS PAC ID: 5597017780 Enrollment ID: I20191002000951 |
| Provider Name | Kelly Gleason Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518454222 PECOS PAC ID: 4385991314 Enrollment ID: I20191011000638 |
| Provider Name | Jeevan Singh Sall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457872244 PECOS PAC ID: 5496087728 Enrollment ID: I20191105003261 |
| Provider Name | Sneha R Chintamaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710341474 PECOS PAC ID: 2567894868 Enrollment ID: I20191106003345 |
| Provider Name | Antonio Javier Covarrubias |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679834907 PECOS PAC ID: 0143511832 Enrollment ID: I20191113001609 |
| Provider Name | Vivian Khanh Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982125969 PECOS PAC ID: 7416389465 Enrollment ID: I20191113003045 |
| Provider Name | Vijay R Karia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205042173 PECOS PAC ID: 1951433994 Enrollment ID: I20191125001814 |
| Provider Name | Wei Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750743969 PECOS PAC ID: 4789979162 Enrollment ID: I20191209002485 |
| Provider Name | Alexa E Gozali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407309594 PECOS PAC ID: 2264866722 Enrollment ID: I20191217001089 |
| Provider Name | Shawn Kaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588027288 PECOS PAC ID: 4587098058 Enrollment ID: I20191217001343 |
| Provider Name | Thomas Christopher Schreiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881248961 PECOS PAC ID: 5294169330 Enrollment ID: I20191226002075 |
| Provider Name | Rupali M Saraiya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518380922 PECOS PAC ID: 0941585459 Enrollment ID: I20200225002717 |
| Provider Name | Sridevi Karumari Prasatham Kalyanasundaram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164950085 PECOS PAC ID: 2365870888 Enrollment ID: I20200317000724 |
| Provider Name | Ameer K Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578060737 PECOS PAC ID: 5496183873 Enrollment ID: I20200318001002 |
| Provider Name | Jonathan Fan Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043796402 PECOS PAC ID: 8820427560 Enrollment ID: I20200401002173 |
| Provider Name | Erin Bryn Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639408040 PECOS PAC ID: 4688709975 Enrollment ID: I20200403003002 |
| Provider Name | Elizabeth Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235789181 PECOS PAC ID: 9638508773 Enrollment ID: I20200410001495 |
| Provider Name | Manish Saha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619201167 PECOS PAC ID: 1052595899 Enrollment ID: I20200413003242 |
| Provider Name | Jennifer Ang Lim-quevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210504 PECOS PAC ID: 6002246618 Enrollment ID: I20200422003343 |
| Provider Name | Vy Dam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639664725 PECOS PAC ID: 7113357559 Enrollment ID: I20200425000191 |
| Provider Name | Frederick Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760017479 PECOS PAC ID: 0345671970 Enrollment ID: I20200514000170 |
| Provider Name | Hind Al-azawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598116915 PECOS PAC ID: 8729409842 Enrollment ID: I20200528000537 |
| Provider Name | Melissa Rodriguez Hagadorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093291288 PECOS PAC ID: 8628499399 Enrollment ID: I20200604001695 |
| Provider Name | James Suchy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518347897 PECOS PAC ID: 9830474782 Enrollment ID: I20200608001394 |
| Provider Name | Chantal Lunderville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700264736 PECOS PAC ID: 6406278399 Enrollment ID: I20200623001481 |
| Provider Name | Natisha Nicole Jensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821072828 PECOS PAC ID: 8921048067 Enrollment ID: I20200701000373 |
| Provider Name | Wayland Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457886095 PECOS PAC ID: 7911321047 Enrollment ID: I20200722003186 |
| Provider Name | Nikki Zahabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437506847 PECOS PAC ID: 8426472283 Enrollment ID: I20200727001644 |
| Provider Name | Min Jung Lee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295050508 PECOS PAC ID: 1153569561 Enrollment ID: I20200731001810 |
| Provider Name | Jessy Marion Padiernos Tsang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871022673 PECOS PAC ID: 2668899287 Enrollment ID: I20200827002879 |
| Provider Name | Joseph T. Ling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558894139 PECOS PAC ID: 8325465966 Enrollment ID: I20200827003491 |
| Provider Name | Erica Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124652805 PECOS PAC ID: 9032536024 Enrollment ID: I20200908000692 |
| Provider Name | Jennifer M Galich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073960175 PECOS PAC ID: 6901224997 Enrollment ID: I20200908001325 |
| Provider Name | Thu N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114422888 PECOS PAC ID: 6406274117 Enrollment ID: I20200911002817 |
| Provider Name | Brian Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346583242 PECOS PAC ID: 5597046714 Enrollment ID: I20200922001813 |
| Provider Name | Gary Allan Ulaner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073730727 PECOS PAC ID: 3971658832 Enrollment ID: I20200925002581 |
| Provider Name | Floragrace P Surell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265966386 PECOS PAC ID: 0345515672 Enrollment ID: I20200930003615 |
| Provider Name | Kayla Ramsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235668104 PECOS PAC ID: 7315367265 Enrollment ID: I20201015001331 |
| Provider Name | Magdalena Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508047 PECOS PAC ID: 0547670366 Enrollment ID: I20201106001419 |
| Provider Name | Julie Soria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386409 PECOS PAC ID: 9436569845 Enrollment ID: I20201112002872 |
| Provider Name | Nathaniel Gregg Denicola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225205651 PECOS PAC ID: 3779752860 Enrollment ID: I20201123001980 |
| Provider Name | Shawnna Boyd-morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689717829 PECOS PAC ID: 4486066784 Enrollment ID: I20201210000740 |
| Provider Name | Simone Kayla Parmenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457993156 PECOS PAC ID: 4688087638 Enrollment ID: I20210112000568 |
| Provider Name | Jade Ashton Ferrante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200273 PECOS PAC ID: 0749694479 Enrollment ID: I20210120002706 |
| Provider Name | Ngan Nhu Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497931125 PECOS PAC ID: 7315351970 Enrollment ID: I20210122001759 |
| Provider Name | Marlena Girouard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548857162 PECOS PAC ID: 6002220803 Enrollment ID: I20210205000339 |
| Provider Name | Cody James Bielski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932635620 PECOS PAC ID: 9436563202 Enrollment ID: I20210208000838 |
| Provider Name | Sonam D Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578031423 PECOS PAC ID: 1456766211 Enrollment ID: I20210209002143 |
| Provider Name | Ahad Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477020246 PECOS PAC ID: 5991046799 Enrollment ID: I20210416000998 |
| Provider Name | Stephanie Michelle Armas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174147581 PECOS PAC ID: 6800297136 Enrollment ID: I20210624001391 |
| Provider Name | Nicole M Ridolfi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477916633 PECOS PAC ID: 2860758620 Enrollment ID: I20210713002096 |
| Provider Name | Antonio Castaneda |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447618376 PECOS PAC ID: 6901209261 Enrollment ID: I20210723001126 |
| Provider Name | Audra J Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528694957 PECOS PAC ID: 9234532490 Enrollment ID: I20210726001544 |
| Provider Name | Savitha Bharadwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760470926 PECOS PAC ID: 0840198669 Enrollment ID: I20210811004261 |
| Provider Name | Katherine Sherman Blevins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609295658 PECOS PAC ID: 2062816051 Enrollment ID: I20210812003680 |
| Provider Name | Long Khanh Hua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376046185 PECOS PAC ID: 1557765484 Enrollment ID: I20210813001733 |
| Provider Name | Kevin Howard Schachter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013411636 PECOS PAC ID: 1850796756 Enrollment ID: I20210816001516 |
| Provider Name | Nicole Bender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730225418 PECOS PAC ID: 8123423951 Enrollment ID: I20210817002957 |
| Provider Name | Eric Khau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437654134 PECOS PAC ID: 6103221932 Enrollment ID: I20210817003049 |
| Provider Name | Roger Sur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902300221 PECOS PAC ID: 3476958109 Enrollment ID: I20210818003596 |
| Provider Name | Salman Okour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265691505 PECOS PAC ID: 6507094950 Enrollment ID: I20210902001210 |
| Provider Name | Diane Q Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538799820 PECOS PAC ID: 5890191001 Enrollment ID: I20210913002278 |
| Provider Name | Simone Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477829612 PECOS PAC ID: 8527465525 Enrollment ID: I20210917000736 |
| Provider Name | Apoorva Ananth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558866863 PECOS PAC ID: 5799196317 Enrollment ID: I20210921004024 |
| Provider Name | Alexander Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770190340 PECOS PAC ID: 8628466927 Enrollment ID: I20211019000548 |
| Provider Name | Alireza Amirpour |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275997900 PECOS PAC ID: 3476880543 Enrollment ID: I20211021001393 |
| Provider Name | Sameena Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538659677 PECOS PAC ID: 3870840671 Enrollment ID: I20211026001304 |
| Provider Name | Karissa Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396236873 PECOS PAC ID: 4880093483 Enrollment ID: I20211102000844 |
| Provider Name | Timothy Mark Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1881988962 PECOS PAC ID: 7618366097 Enrollment ID: I20211105002401 |
| Provider Name | Jared John Szymanski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558778274 PECOS PAC ID: 2961776281 Enrollment ID: I20211109002415 |
| Provider Name | Vi Burgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437828290 PECOS PAC ID: 3375933583 Enrollment ID: I20211202000840 |
| Provider Name | Parisa Shirkhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164188975 PECOS PAC ID: 9830589829 Enrollment ID: I20211206002801 |
| Provider Name | Ramadurgam Poliki Monica Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225460884 PECOS PAC ID: 6305122128 Enrollment ID: I20211210001979 |
| Provider Name | John W Mcneil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003340126 PECOS PAC ID: 7214355643 Enrollment ID: I20211222000955 |
| Provider Name | Diana Doan-nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225792369 PECOS PAC ID: 6507258431 Enrollment ID: I20220126001227 |
| Provider Name | Krystle J Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366107039 PECOS PAC ID: 9436542768 Enrollment ID: I20220209002807 |
| Provider Name | Lorene B Wiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104270255 PECOS PAC ID: 5294023388 Enrollment ID: I20220218002008 |
| Provider Name | Mallory Munroe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619636941 PECOS PAC ID: 9032503792 Enrollment ID: I20220223002706 |
| Provider Name | Huyn Kyung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326700790 PECOS PAC ID: 0941694418 Enrollment ID: I20220225001832 |
| Provider Name | Julie Marie Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831792753 PECOS PAC ID: 5799170973 Enrollment ID: I20220325000982 |
| Provider Name | Joanna Elizabeth Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043984545 PECOS PAC ID: 9739575069 Enrollment ID: I20220413000596 |
| Provider Name | Thomas N Wang |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1467563486 PECOS PAC ID: 0244232908 Enrollment ID: I20220418001022 |
| Provider Name | Diane Dao Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578068474 PECOS PAC ID: 7719374339 Enrollment ID: I20220429001686 |
| Provider Name | Marie S Sharpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164955118 PECOS PAC ID: 9931587763 Enrollment ID: I20220607000161 |
| Provider Name | Joseph Sabula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669146114 PECOS PAC ID: 6305225277 Enrollment ID: I20220623001207 |
| Provider Name | Samuel Hyrum Barlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770042004 PECOS PAC ID: 2567842032 Enrollment ID: I20220630002526 |
| Provider Name | Pooja Motwani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134315880 PECOS PAC ID: 2365531449 Enrollment ID: I20220718003598 |
| Provider Name | Daphne Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154743417 PECOS PAC ID: 3375773922 Enrollment ID: I20220720002814 |
| Provider Name | Vivian T Aranez |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699032805 PECOS PAC ID: 1355657719 Enrollment ID: I20220802003579 |
| Provider Name | Anjali Ranade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295294544 PECOS PAC ID: 3577946953 Enrollment ID: I20220817002759 |
| Provider Name | Kathryn P Cardoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518427749 PECOS PAC ID: 0840673273 Enrollment ID: I20220818000936 |
| Provider Name | Hanson Zhao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891297990 PECOS PAC ID: 5991114563 Enrollment ID: I20220818001512 |
| Provider Name | David J Benjamin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821450396 PECOS PAC ID: 1850652918 Enrollment ID: I20220901000951 |
| Provider Name | Stephanie Da Silva Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801392899 PECOS PAC ID: 0840674214 Enrollment ID: I20220902000755 |
| Provider Name | Benjamin Goldenson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588053458 PECOS PAC ID: 5395129415 Enrollment ID: I20220908001393 |
| Provider Name | Aaron Ritter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154633808 PECOS PAC ID: 1850693870 Enrollment ID: I20220912001013 |
| Provider Name | Steven Q Wang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265511968 PECOS PAC ID: 7911004726 Enrollment ID: I20220913000670 |
| Provider Name | John Jeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275094872 PECOS PAC ID: 0143606806 Enrollment ID: I20221003003071 |
| Provider Name | Aaron J Przybysz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518226232 PECOS PAC ID: 7113234378 Enrollment ID: I20221004002192 |
| Provider Name | Joshua Resa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992117691 PECOS PAC ID: 2466679998 Enrollment ID: I20221010003080 |
| Provider Name | Anisha Jivraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649732579 PECOS PAC ID: 2163898164 Enrollment ID: I20221017001041 |
| Provider Name | Elizabeth Kraft |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1174978571 PECOS PAC ID: 3375919186 Enrollment ID: I20221019002616 |
| Provider Name | Andrea Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790201655 PECOS PAC ID: 6709253115 Enrollment ID: I20221027001465 |
| Provider Name | Nura Sobhanian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366933772 PECOS PAC ID: 5698163020 Enrollment ID: I20221107002076 |
| Provider Name | Amir Mohsen Jourabchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184159337 PECOS PAC ID: 0648647339 Enrollment ID: I20221109002728 |
| Provider Name | David Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578022810 PECOS PAC ID: 6406224872 Enrollment ID: I20221116002761 |
| Provider Name | Christine G Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154042885 PECOS PAC ID: 1052789039 Enrollment ID: I20221122003518 |
| Provider Name | Christopher H Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417334004 PECOS PAC ID: 3375816283 Enrollment ID: I20221223000418 |
| Provider Name | Claire Suh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831760941 PECOS PAC ID: 8022489541 Enrollment ID: I20230120000604 |
| Provider Name | Allison Renee Heinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407314669 PECOS PAC ID: 3173865177 Enrollment ID: I20230126000968 |
| Provider Name | Stacy Tse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306338579 PECOS PAC ID: 7517338494 Enrollment ID: I20230201001499 |
| Provider Name | Zaynab Madani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285293092 PECOS PAC ID: 0941672513 Enrollment ID: I20230207003447 |
| Provider Name | Evan Wu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891149126 PECOS PAC ID: 5799034773 Enrollment ID: I20230214002607 |
| Provider Name | Claire Schloemer Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669198024 PECOS PAC ID: 3779956701 Enrollment ID: I20230222001780 |
| Provider Name | Carlos Becerra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235171281 PECOS PAC ID: 3870517444 Enrollment ID: I20230303002151 |
| Provider Name | Gilan Angeles Magdangal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538830765 PECOS PAC ID: 6800269283 Enrollment ID: I20230306001885 |
| Provider Name | Seethal Motamarri |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245729128 PECOS PAC ID: 5597168054 Enrollment ID: I20230410000752 |
| Provider Name | Karen Lee Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922764885 PECOS PAC ID: 5991170607 Enrollment ID: I20230412000198 |
| Provider Name | Erin Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720585086 PECOS PAC ID: 0749655330 Enrollment ID: I20230413000486 |
| Provider Name | Ciara Knerr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639839525 PECOS PAC ID: 3173998499 Enrollment ID: I20230418002049 |
| Provider Name | Catherine Van Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558828848 PECOS PAC ID: 7315302569 Enrollment ID: I20230424000964 |
| Provider Name | Angela Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275935975 PECOS PAC ID: 3375887078 Enrollment ID: I20230424001138 |
| Provider Name | Erica Taylor Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528769619 PECOS PAC ID: 6103281217 Enrollment ID: I20230425000856 |
| Provider Name | Kristin Michelle Mountford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598354714 PECOS PAC ID: 9335505981 Enrollment ID: I20230524000546 |
| Provider Name | Ho Phong Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992046056 PECOS PAC ID: 4183940158 Enrollment ID: I20230619001816 |
| Provider Name | Arezou Nazary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063033298 PECOS PAC ID: 4981063013 Enrollment ID: I20230706003612 |
| Provider Name | Yasaman Safarpour |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1548729312 PECOS PAC ID: 0042679979 Enrollment ID: I20230710002493 |
| Provider Name | Jose Vicens Villafana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285989715 PECOS PAC ID: 4880826460 Enrollment ID: I20230711001816 |
| Provider Name | Maria Anasis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871948133 PECOS PAC ID: 8426419532 Enrollment ID: I20230804000663 |
| Provider Name | Simon Khagi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710121165 PECOS PAC ID: 1557688181 Enrollment ID: I20230817001479 |
| Provider Name | Ryan Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214073 PECOS PAC ID: 3173757499 Enrollment ID: I20230823003990 |
| Provider Name | Samuel Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780063644 PECOS PAC ID: 1052669629 Enrollment ID: I20230824000894 |
| Provider Name | Brian Minh Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396372678 PECOS PAC ID: 8820451644 Enrollment ID: I20230828001093 |
| Provider Name | Jared Forrester |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760801260 PECOS PAC ID: 6507253234 Enrollment ID: I20230912004238 |
| Provider Name | Rashmi Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396007068 PECOS PAC ID: 0941579528 Enrollment ID: I20230918002469 |
| Provider Name | Cecilia T Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962031294 PECOS PAC ID: 4981058245 Enrollment ID: I20230921000187 |
| Provider Name | Anh Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528687282 PECOS PAC ID: 9830511047 Enrollment ID: I20230922002714 |
| Provider Name | Sharmeen Mahmood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639603236 PECOS PAC ID: 2567729635 Enrollment ID: I20230925001460 |
| Provider Name | Andrew James Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205465135 PECOS PAC ID: 9032564422 Enrollment ID: I20231004001943 |
| Provider Name | Helya Peyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407410731 PECOS PAC ID: 0446614762 Enrollment ID: I20231012002864 |
| Provider Name | Monica Levine |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1285868208 PECOS PAC ID: 4486904901 Enrollment ID: I20231016001020 |
| Provider Name | Michelle Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225642903 PECOS PAC ID: 0446601520 Enrollment ID: I20240112003595 |
| Provider Name | Tina Pattara-lau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467748319 PECOS PAC ID: 4284941584 Enrollment ID: I20240313003067 |
| Provider Name | Michael Paul Mays |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780722322 PECOS PAC ID: 1759556384 Enrollment ID: I20240326003809 |
| Provider Name | Jonathan Dau |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467809608 PECOS PAC ID: 1052649597 Enrollment ID: I20240326004093 |
| Provider Name | Jennifer Ard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639606692 PECOS PAC ID: 7113261041 Enrollment ID: I20240415002003 |
| Provider Name | Sameen Naqvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093343436 PECOS PAC ID: 5991144313 Enrollment ID: I20240418002079 |
| Provider Name | Kathyrina Lucy Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790419521 PECOS PAC ID: 2961842372 Enrollment ID: I20240502001778 |
| Provider Name | Jooha Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710669189 PECOS PAC ID: 9133661283 Enrollment ID: I20240605000827 |
| Provider Name | Nathan Jungwon Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336847797 PECOS PAC ID: 1052853801 Enrollment ID: I20240607000955 |
Novin World Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 Placentia Ave Ste 99, Newport Beach, CA 92663 Phone: 310-270-6112 | |
Tanya M. Phares, Do, Mph Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 369 San Miguel Dr Ste 200, Newport Beach, CA 92660 Phone: 949-423-3530 | |
Christopher Evan Lee Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Superior Ave Ste 290, Newport Beach, CA 92663 Phone: 949-645-6244 Fax: 949-645-4824 | |
Newport Beach Comprehensive Care Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 Placentia Ave, Suite 102, Newport Beach, CA 92663 Phone: 949-574-1091 Fax: 949-574-1097 | |
Sos Children & Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Placentia Ave Ste 107, Newport Beach, CA 92663 Phone: 949-270-2100 Fax: 949-650-4458 | |
Arogya Med Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20311 Sw Acacia St Ste 100, Newport Beach, CA 92660 Phone: 562-569-0678 | |
Aditi Correa Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Hospital Rd Ste 221, Newport Beach, CA 92663 Phone: 949-346-4016 |