| Hospitalist Medicine Physicians Of California - San Leandro, Pc | |
|
1415 E Kincaid St Mount Vernon WA 98274-4126 | |
| (360) 424-4111 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of California - San Leandro, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1415 E Kincaid St, Mount Vernon, Washington |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of California - San Leandro, Pc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of California - San Leandro, Pc 1415 E Kincaid St Mount Vernon WA 98274-4126 Ph: (360) 424-4111 |
| NPI Number | 1689210874 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 8224466172 |
|---|---|
| Medicare Enrollment ID | O20200309000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689210874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald G Spielmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487618500 PECOS PAC ID: 9234107624 Enrollment ID: I20040923000192 |
| Provider Name | Ellen T Ang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184620759 PECOS PAC ID: 6800855123 Enrollment ID: I20041004000470 |
| Provider Name | Allen L Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528035565 PECOS PAC ID: 7719925593 Enrollment ID: I20050421000972 |
| Provider Name | Brent L Herr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982670881 PECOS PAC ID: 5698775740 Enrollment ID: I20070113000157 |
| Provider Name | Cheryl A Kubisty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780602490 PECOS PAC ID: 4385736990 Enrollment ID: I20070827000529 |
| Provider Name | Peggy E Gurrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568558153 PECOS PAC ID: 6002985280 Enrollment ID: I20080514000061 |
| Provider Name | Herbert E Stickle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699736637 PECOS PAC ID: 8325141591 Enrollment ID: I20090420000172 |
| Provider Name | Malik F Fuimaono |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487884573 PECOS PAC ID: 7113063413 Enrollment ID: I20090929000655 |
| Provider Name | Masoud S Taleghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114117330 PECOS PAC ID: 3375635550 Enrollment ID: I20091111000069 |
| Provider Name | Abdullah Oz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083692412 PECOS PAC ID: 3678568995 Enrollment ID: I20110110000311 |
| Provider Name | Catherine M Bjerum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275616021 PECOS PAC ID: 2365441524 Enrollment ID: I20121108000441 |
| Provider Name | Samira Bahrainy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447446901 PECOS PAC ID: 4688818909 Enrollment ID: I20130926000169 |
| Provider Name | Omar Naji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20130930000441 |
| Provider Name | Jeffrey Wells Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487088738 PECOS PAC ID: 0941247928 Enrollment ID: I20131001000308 |
| Provider Name | Brandy Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982032629 PECOS PAC ID: 6800026519 Enrollment ID: I20140225001342 |
| Provider Name | Mihret Mebrat Asressahegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609164292 PECOS PAC ID: 8729206545 Enrollment ID: I20140820000468 |
| Provider Name | Robert William Cooney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851533137 PECOS PAC ID: 1355597949 Enrollment ID: I20150821014654 |
| Provider Name | Tamas Ungar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891040572 PECOS PAC ID: 2769792597 Enrollment ID: I20151106002373 |
| Provider Name | Jongwoo Song |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073944732 PECOS PAC ID: 7416252218 Enrollment ID: I20160216001160 |
| Provider Name | Gurdev Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376599431 PECOS PAC ID: 2365421393 Enrollment ID: I20160615002394 |
| Provider Name | Liang Du |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912347758 PECOS PAC ID: 0941593701 Enrollment ID: I20160801002139 |
| Provider Name | Christopher Earl Spooner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891803417 PECOS PAC ID: 3476553892 Enrollment ID: I20160802001548 |
| Provider Name | Tony George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912291873 PECOS PAC ID: 4284922709 Enrollment ID: I20161014001800 |
| Provider Name | Precious L Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477819159 PECOS PAC ID: 6103136163 Enrollment ID: I20161213000453 |
| Provider Name | Yirgalem A Tiruneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235540485 PECOS PAC ID: 0143500769 Enrollment ID: I20161216000946 |
| Provider Name | Robert P Zipper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689694515 PECOS PAC ID: 3476588443 Enrollment ID: I20170109002052 |
| Provider Name | Aruna A Hawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578901567 PECOS PAC ID: 8820372667 Enrollment ID: I20170223000465 |
| Provider Name | Navroop K Nagra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720494347 PECOS PAC ID: 2860778024 Enrollment ID: I20170424002440 |
| Provider Name | Navdeep Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968337 PECOS PAC ID: 9830488071 Enrollment ID: I20170628002395 |
| Provider Name | Michelle Anh Mai Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366988560 PECOS PAC ID: 8224301718 Enrollment ID: I20170905002582 |
| Provider Name | Kristen L Kilcrease |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841603511 PECOS PAC ID: 5294093167 Enrollment ID: I20171222000963 |
| Provider Name | Hannah J Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093036071 PECOS PAC ID: 4284877424 Enrollment ID: I20180315001210 |
| Provider Name | Ryan B Trinh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851704563 PECOS PAC ID: 2668699224 Enrollment ID: I20180924003396 |
| Provider Name | Andrew R Quisumbing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679951008 PECOS PAC ID: 6002122322 Enrollment ID: I20181030000428 |
| Provider Name | Nicka Khalilova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598102204 PECOS PAC ID: 2860626348 Enrollment ID: I20181127001881 |
| Provider Name | Nazia A Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952783771 PECOS PAC ID: 1557677887 Enrollment ID: I20181220002435 |
| Provider Name | Mina Walaa Yousef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124478086 PECOS PAC ID: 4981997947 Enrollment ID: I20190418001444 |
| Provider Name | Lesley Anne Portugal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023498532 PECOS PAC ID: 7012267057 Enrollment ID: I20190422002136 |
| Provider Name | Corey P Mccart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972965069 PECOS PAC ID: 9830482587 Enrollment ID: I20190925000520 |
| Provider Name | Daniel J Rona-hartzog |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376906941 PECOS PAC ID: 4587956438 Enrollment ID: I20191122001599 |
| Provider Name | Amil Rafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669785804 PECOS PAC ID: 4880812452 Enrollment ID: I20191226001504 |
| Provider Name | Quynh-lan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184064149 PECOS PAC ID: 1951697895 Enrollment ID: I20200206003028 |
| Provider Name | Debapriya De |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215136197 PECOS PAC ID: 5496849465 Enrollment ID: I20200512001639 |
| Provider Name | Venkataraman Palabindala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114158367 PECOS PAC ID: 3375791312 Enrollment ID: I20200602000382 |
| Provider Name | Priyanka Attri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023490059 PECOS PAC ID: 9830469949 Enrollment ID: I20200701002358 |
| Provider Name | Josef Edrik Keith Abiog Bautista |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700131125 PECOS PAC ID: 4789802919 Enrollment ID: I20200714001167 |
| Provider Name | Malik Ahmed Nizamuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235663063 PECOS PAC ID: 7012252232 Enrollment ID: I20200817001399 |
| Provider Name | Angela Solji Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730582321 PECOS PAC ID: 8325468184 Enrollment ID: I20210331002431 |
| Provider Name | Sean Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841729449 PECOS PAC ID: 6305184342 Enrollment ID: I20210408001962 |
| Provider Name | Anthony Sebastian Montuno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841639622 PECOS PAC ID: 4789933607 Enrollment ID: I20210507002121 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20210602002398 |
| Provider Name | Mahshid Sarrami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114562659 PECOS PAC ID: 6406285824 Enrollment ID: I20210608002272 |
| Provider Name | Meera Ramachandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740307529 PECOS PAC ID: 5092954073 Enrollment ID: I20210628002715 |
| Provider Name | Douglas Eugene Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497252415 PECOS PAC ID: 5496009037 Enrollment ID: I20210628003496 |
| Provider Name | Shannon Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376035105 PECOS PAC ID: 7315279940 Enrollment ID: I20210720003613 |
| Provider Name | Michael Dumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285945964 PECOS PAC ID: 4385768118 Enrollment ID: I20210721002103 |
| Provider Name | Shahed M Jameel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902002850 PECOS PAC ID: 0648466631 Enrollment ID: I20210805000635 |
| Provider Name | May Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497049217 PECOS PAC ID: 5698097673 Enrollment ID: I20210820003121 |
| Provider Name | Christopher H. Crudder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184112393 PECOS PAC ID: 1658625298 Enrollment ID: I20211006002161 |
| Provider Name | Negalign T Nigussie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154815801 PECOS PAC ID: 6103170915 Enrollment ID: I20211206001649 |
| Provider Name | Nicole Baumgartner - Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003266396 PECOS PAC ID: 4880921287 Enrollment ID: I20220118002185 |
| Provider Name | Chelsea Marie Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790447753 PECOS PAC ID: 5294129961 Enrollment ID: I20220222002046 |
| Provider Name | Liza Rodriguez Jimenez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346222049 PECOS PAC ID: 1456315563 Enrollment ID: I20220713001392 |
| Provider Name | Zakaria Ibrahim Sharif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013570159 PECOS PAC ID: 7517294812 Enrollment ID: I20220725002597 |
| Provider Name | Vicky Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407596 PECOS PAC ID: 4688093867 Enrollment ID: I20220729001139 |
| Provider Name | Nicholas Peter Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487217345 PECOS PAC ID: 9032440029 Enrollment ID: I20220804003045 |
| Provider Name | Matthew Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225691363 PECOS PAC ID: 5991032674 Enrollment ID: I20220815000680 |
| Provider Name | Katherine Stafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033775218 PECOS PAC ID: 2062894025 Enrollment ID: I20220826000803 |
| Provider Name | Jinesh Raj Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760047369 PECOS PAC ID: 3274917885 Enrollment ID: I20220831001942 |
| Provider Name | Derek Johanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598329237 PECOS PAC ID: 3577947738 Enrollment ID: I20220907002213 |
| Provider Name | John S Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354925 PECOS PAC ID: 1557580883 Enrollment ID: I20221227002292 |
Sea Mar Chc Mt Vernon Sud - College Way Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 E College Way, Mount Vernon, WA 98273 Phone: 360-428-8912 Fax: 360-424-6288 | |
Sea Mar Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N 18th St Ste A, Mount Vernon, WA 98273 Phone: 360-588-5570 Fax: 360-588-5562 | |
Skagit Regional Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-424-2522 | |
Flexi-care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E College Way, Mount Vernon, WA 98273 Phone: 360-770-2687 Fax: 855-450-1005 | |
Palliative Care Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Freeway Dr, Suite A, Mount Vernon, WA 98273 Phone: 360-814-5550 Fax: 360-814-5591 | |
Valley Roots Family Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 W. Division St., Mount Vernon, WA 98273 Phone: 360-428-1884 Fax: 360-428-1889 | |
Skagit Valley Medical Center Inc, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 |