Housecall Doctors Medical Group Inc | |
3800 Kilroy Airport Way Ste 270 Long Beach CA 90806-2497 | |
(949) 366-1053 | |
(949) 916-0387 |
Full Name | Housecall Doctors Medical Group Inc |
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Speciality | Family Medicine |
Location | 3800 Kilroy Airport Way Ste 270, Long Beach, California |
Authorized Official Name and Position | Archita Sood (PRESIDENT) |
Authorized Official Contact | 9493661053 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Housecall Doctors Medical Group Inc 3800 Kilroy Airport Way Ste 270 Long Beach CA 90806-2497 Ph: (949) 366-1053 | Housecall Doctors Medical Group Inc 3800 Kilroy Airport Way Ste 270 Long Beach CA 90806-2497 Ph: (949) 366-1053 |
NPI Number | 1033164017 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 01/17/2024 |
Medicare PECOS PAC ID | 6103802855 |
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Medicare Enrollment ID | O20040624001654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033164017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | CNC329272 (California) | Primary |
Provider Name | Rita M Grijalva |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568423317 PECOS PAC ID: 8729974662 Enrollment ID: I20040226000396 |
Provider Name | Cheryl A Villasenor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952356925 PECOS PAC ID: 5991759029 Enrollment ID: I20050310000723 |
Provider Name | Kasra Morshedizadeh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528078672 PECOS PAC ID: 4486651205 Enrollment ID: I20061108000433 |
Provider Name | Corazon E Francisco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063513000 PECOS PAC ID: 1557466935 Enrollment ID: I20070412000586 |
Provider Name | Anna Yeung |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1043418619 PECOS PAC ID: 9537250329 Enrollment ID: I20070808000562 |
Provider Name | Patricia A Maciog |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063436509 PECOS PAC ID: 6507948882 Enrollment ID: I20080124000696 |
Provider Name | Caroline E Oh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184894974 PECOS PAC ID: 5799840005 Enrollment ID: I20090220000426 |
Provider Name | Joyce Baxter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295802031 PECOS PAC ID: 8820142433 Enrollment ID: I20090817000585 |
Provider Name | Brian T Shaw |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356674493 PECOS PAC ID: 1254470800 Enrollment ID: I20091120000397 |
Provider Name | Pooya Mobasseri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356670657 PECOS PAC ID: 3870628142 Enrollment ID: I20100312000204 |
Provider Name | Susan C Mccomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467626663 PECOS PAC ID: 1557492543 Enrollment ID: I20100708000991 |
Provider Name | Jennifer P. Fernando |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346259611 PECOS PAC ID: 4688798051 Enrollment ID: I20100908000290 |
Provider Name | Norman Edward Vinn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568417525 PECOS PAC ID: 5991781643 Enrollment ID: I20101117001238 |
Provider Name | Martina Consuelo G Sheftic |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750458766 PECOS PAC ID: 1456531235 Enrollment ID: I20110210001064 |
Provider Name | Vanessa Vinn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588966352 PECOS PAC ID: 4789854027 Enrollment ID: I20110824000616 |
Provider Name | Dawn M Gross |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053434985 PECOS PAC ID: 2769653823 Enrollment ID: I20110921000265 |
Provider Name | Blake A Wylie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922314145 PECOS PAC ID: 5092978551 Enrollment ID: I20120519000001 |
Provider Name | Lorene Ausman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215182340 PECOS PAC ID: 4183876824 Enrollment ID: I20130103000066 |
Provider Name | Nuri Park |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003955667 PECOS PAC ID: 0749410041 Enrollment ID: I20140306001633 |
Provider Name | An Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669729513 PECOS PAC ID: 6507085537 Enrollment ID: I20140924000212 |
Provider Name | Colleen Reeves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902060908 PECOS PAC ID: 4587884838 Enrollment ID: I20141008001683 |
Provider Name | Julienne N Tropel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588942759 PECOS PAC ID: 4587885660 Enrollment ID: I20141015001644 |
Provider Name | Gabriel Sanchez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174896500 PECOS PAC ID: 8123340478 Enrollment ID: I20141124000775 |
Provider Name | Kathleen Pulcino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114337839 PECOS PAC ID: 7012211881 Enrollment ID: I20160215002781 |
Provider Name | Elnaz Shahabi-abney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144660879 PECOS PAC ID: 6507155397 Enrollment ID: I20160518000844 |
Provider Name | Samantha S Halit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760727606 PECOS PAC ID: 0446542443 Enrollment ID: I20160712002663 |
Provider Name | Ruth F Herdy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760931448 PECOS PAC ID: 1153601802 Enrollment ID: I20161215000310 |
Provider Name | Amy Ruth Cullen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992865281 PECOS PAC ID: 0143362186 Enrollment ID: I20170313001540 |
Provider Name | Rebecca Mcann Kuhn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659819803 PECOS PAC ID: 9638455355 Enrollment ID: I20170412001936 |
Provider Name | Arash J Nikamal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427393784 PECOS PAC ID: 3971730573 Enrollment ID: I20170601002770 |
Provider Name | Chalice Ann Addis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306359146 PECOS PAC ID: 8527325695 Enrollment ID: I20171127003137 |
Provider Name | Erin Watts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497268429 PECOS PAC ID: 2062779036 Enrollment ID: I20171129001312 |
Provider Name | Jose Luis Bautista Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518460435 PECOS PAC ID: 9739443334 Enrollment ID: I20180508000426 |
Provider Name | Agnes Arorong Esteva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619482718 PECOS PAC ID: 2163774563 Enrollment ID: I20181012002244 |
Provider Name | George L Olarte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497242762 PECOS PAC ID: 5991040289 Enrollment ID: I20181213002923 |
Provider Name | Kathy Rochelle O'kelley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801107313 PECOS PAC ID: 4284974734 Enrollment ID: I20190319002544 |
Provider Name | Johnne Leoncio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578060786 PECOS PAC ID: 6608116942 Enrollment ID: I20190322000935 |
Provider Name | Falicia Rochelle Stock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669944963 PECOS PAC ID: 3476888041 Enrollment ID: I20190718002307 |
Provider Name | Makeda Leticia Goodnight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366956708 PECOS PAC ID: 7719215128 Enrollment ID: I20190822004194 |
Provider Name | Gamiel Alamares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700391190 PECOS PAC ID: 0648603829 Enrollment ID: I20191202000635 |
Provider Name | Shellie D Graves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043869738 PECOS PAC ID: 2365876869 Enrollment ID: I20191216001251 |
Provider Name | Archita Sood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184913600 PECOS PAC ID: 6507083698 Enrollment ID: I20200122002321 |
Provider Name | Music Vernola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053954610 PECOS PAC ID: 1951736636 Enrollment ID: I20200128000424 |
Provider Name | Sol Enriquez Estrella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265976021 PECOS PAC ID: 7214363803 Enrollment ID: I20200129002656 |
Provider Name | Paul Bixenstine |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912342783 PECOS PAC ID: 1759638927 Enrollment ID: I20200131001404 |
Provider Name | Evelyn Wangsa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407303753 PECOS PAC ID: 6608294038 Enrollment ID: I20200916001111 |
Provider Name | Ma Kristel De Mesa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437753274 PECOS PAC ID: 4284048315 Enrollment ID: I20210201000281 |
Provider Name | Olafeyide O Ojeisekhoba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669098430 PECOS PAC ID: 4587079439 Enrollment ID: I20210226001296 |
Provider Name | John Paul Yee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174040570 PECOS PAC ID: 1052677036 Enrollment ID: I20210317002752 |
Provider Name | Kristen Michele Prusa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477120582 PECOS PAC ID: 7719385780 Enrollment ID: I20211005001622 |
Provider Name | Brandon Scott Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356011936 PECOS PAC ID: 9739579459 Enrollment ID: I20211210001917 |
Provider Name | Maricel Deveza Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174292874 PECOS PAC ID: 2769873645 Enrollment ID: I20220104000628 |
Provider Name | Jennifer Leigh Winters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770108151 PECOS PAC ID: 3577956127 Enrollment ID: I20220203001812 |
Provider Name | Shiho Kojima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902564396 PECOS PAC ID: 5496142101 Enrollment ID: I20220427003195 |
Provider Name | Erin Elizabeth Hermes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194451864 PECOS PAC ID: 9032594031 Enrollment ID: I20220912001854 |
Provider Name | Scott Alexander Mezei |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730723388 PECOS PAC ID: 2668854910 Enrollment ID: I20221212001584 |
Provider Name | Jamie Ann Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396081360 PECOS PAC ID: 4688811748 Enrollment ID: I20230821003187 |
Provider Name | Jennifer R Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912568502 PECOS PAC ID: 1850749755 Enrollment ID: I20231204001661 |
Provider Name | Joel Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104391200 PECOS PAC ID: 3779933015 Enrollment ID: I20231228001336 |
Provider Name | Julie E Ola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295205557 PECOS PAC ID: 5890145189 Enrollment ID: I20231228003300 |
Provider Name | Laura R Oglesby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639850423 PECOS PAC ID: 4385096031 Enrollment ID: I20240117004885 |
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