| Logan Heights Family Health Center | |
|
1809 National Ave San Diego CA 92113-2113 | |
| (619) 515-2300 | |
| (619) 234-2447 |
| Full Name | Logan Heights Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1809 National Ave, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CFO) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Heights Family Health Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | Logan Heights Family Health Center 1809 National Ave San Diego CA 92113-2113 Ph: (619) 515-2300 |
| NPI Number | 1447281936 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20040204000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447281936 | NPI | - | NPPES |
| FHC11890F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 08000113 (California) | Primary |
| Provider Name | Jeoffry Bruce Gordon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649263682 PECOS PAC ID: 9335043504 Enrollment ID: I20031125000937 |
| Provider Name | Marc K Gehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306800180 PECOS PAC ID: 3274436076 Enrollment ID: I20040129000520 |
| Provider Name | Martha A Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114957289 PECOS PAC ID: 2961395868 Enrollment ID: I20040204000967 |
| Provider Name | Sullyvan W Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770549206 PECOS PAC ID: 6608769450 Enrollment ID: I20040205000215 |
| Provider Name | Lynna R Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295730984 PECOS PAC ID: 4486540333 Enrollment ID: I20040226000490 |
| Provider Name | Kelli Christine Karches |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891997631 PECOS PAC ID: 0648255463 Enrollment ID: I20040623001579 |
| Provider Name | Jonathan Michael Licht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356321988 PECOS PAC ID: 1456337336 Enrollment ID: I20040629001728 |
| Provider Name | Stanley Arthur Amundson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003968009 PECOS PAC ID: 3779560453 Enrollment ID: I20040630001009 |
| Provider Name | Yvonne S Mcclamroch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477603694 PECOS PAC ID: 5193703411 Enrollment ID: I20040712001364 |
| Provider Name | Henry J Shin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780775379 PECOS PAC ID: 9739151853 Enrollment ID: I20040810000413 |
| Provider Name | David J Najafi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396715991 PECOS PAC ID: 4284606823 Enrollment ID: I20040812000725 |
| Provider Name | Suja D Dubois |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013976612 PECOS PAC ID: 9436125010 Enrollment ID: I20040903001129 |
| Provider Name | Patricia A Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588677314 PECOS PAC ID: 6406822865 Enrollment ID: I20040907001184 |
| Provider Name | Eric Stephen Skoblar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770509036 PECOS PAC ID: 4880661008 Enrollment ID: I20040915001125 |
| Provider Name | Uyen-thao Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891720355 PECOS PAC ID: 8628034972 Enrollment ID: I20041208000329 |
| Provider Name | Renee I Smilde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427010594 PECOS PAC ID: 4587621032 Enrollment ID: I20041215001073 |
| Provider Name | Amy Rosenbaum-welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790906196 PECOS PAC ID: 6406814953 Enrollment ID: I20041229001047 |
| Provider Name | Monica A Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841275328 PECOS PAC ID: 8022066018 Enrollment ID: I20050106000377 |
| Provider Name | Kristin J Brownell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134232259 PECOS PAC ID: 5395794192 Enrollment ID: I20050119000633 |
| Provider Name | Michelle C Higginson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114955879 PECOS PAC ID: 9436104692 Enrollment ID: I20050321000730 |
| Provider Name | Maithe Fabiola Tamayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487748430 PECOS PAC ID: 7214984269 Enrollment ID: I20050401000729 |
| Provider Name | Jan M Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477689404 PECOS PAC ID: 4486695475 Enrollment ID: I20050519000891 |
| Provider Name | Cheri J Hausman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730237645 PECOS PAC ID: 0941241822 Enrollment ID: I20050520000537 |
| Provider Name | Thai Curtis Nguyen-cleary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467442624 PECOS PAC ID: 1951343342 Enrollment ID: I20050525001091 |
| Provider Name | Catherine T Frenette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417935081 PECOS PAC ID: 0143264127 Enrollment ID: I20050611000004 |
| Provider Name | David J Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578672606 PECOS PAC ID: 9436044047 Enrollment ID: I20050615000348 |
| Provider Name | Leopoldo E Valdivia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457393100 PECOS PAC ID: 7719923820 Enrollment ID: I20050629000413 |
| Provider Name | Facika Tafara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609808187 PECOS PAC ID: 7517994106 Enrollment ID: I20050726000320 |
| Provider Name | Christina M Tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417981036 PECOS PAC ID: 3274561816 Enrollment ID: I20050803000859 |
| Provider Name | Elizabeth T Cerrone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932147329 PECOS PAC ID: 0840229407 Enrollment ID: I20050804000689 |
| Provider Name | Richard I Blum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043310030 PECOS PAC ID: 3072544576 Enrollment ID: I20050824000851 |
| Provider Name | Jan A Sebring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295750339 PECOS PAC ID: 3678507142 Enrollment ID: I20050923000424 |
| Provider Name | Joel F Trambley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033136791 PECOS PAC ID: 8820023401 Enrollment ID: I20051003000397 |
| Provider Name | James Y Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265495691 PECOS PAC ID: 7618902081 Enrollment ID: I20051004001114 |
| Provider Name | Kara A Reinke |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457469041 PECOS PAC ID: 2466470828 Enrollment ID: I20051104000270 |
| Provider Name | Laura E Coulson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447308424 PECOS PAC ID: 6608895610 Enrollment ID: I20051118000733 |
| Provider Name | Taikeun Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831175918 PECOS PAC ID: 7618999848 Enrollment ID: I20051230000447 |
| Provider Name | Khawla H Suleiman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659303121 PECOS PAC ID: 3274547286 Enrollment ID: I20060130000353 |
| Provider Name | Michael A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548205719 PECOS PAC ID: 9133133143 Enrollment ID: I20060130000392 |
| Provider Name | Brooke E Ray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760557136 PECOS PAC ID: 0042226607 Enrollment ID: I20060306000753 |
| Provider Name | Steven F Ritter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356556021 PECOS PAC ID: 2668481607 Enrollment ID: I20060419000389 |
| Provider Name | Kenneth Griffiths |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760563068 PECOS PAC ID: 6901839117 Enrollment ID: I20061209000100 |
| Provider Name | Jehrib M Cabarlo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770661340 PECOS PAC ID: 3072514504 Enrollment ID: I20070125000127 |
| Provider Name | Andrea C Corry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255489571 PECOS PAC ID: 7416059738 Enrollment ID: I20070216000336 |
| Provider Name | Mary Susan Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033116652 PECOS PAC ID: 8729182977 Enrollment ID: I20070328000694 |
| Provider Name | Geraldine R Mccollum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154303477 PECOS PAC ID: 2860596814 Enrollment ID: I20070330000257 |
| Provider Name | Minh Hanh T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548313786 PECOS PAC ID: 2466557152 Enrollment ID: I20070425000545 |
| Provider Name | Sarah B Briere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265469563 PECOS PAC ID: 0042316044 Enrollment ID: I20070508000665 |
| Provider Name | Cynthia L Mangene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548292626 PECOS PAC ID: 6103923818 Enrollment ID: I20070514000650 |
| Provider Name | Glenn A Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164457966 PECOS PAC ID: 1153420062 Enrollment ID: I20070618000486 |
| Provider Name | Mark Bulgarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235162066 PECOS PAC ID: 0749210920 Enrollment ID: I20070703000682 |
| Provider Name | Peter M Hoagland |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1629059779 PECOS PAC ID: 5193795847 Enrollment ID: I20070713000760 |
| Provider Name | Victor C Coelho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407904428 PECOS PAC ID: 6800988023 Enrollment ID: I20070817000311 |
| Provider Name | Tracie L Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275680738 PECOS PAC ID: 9335234046 Enrollment ID: I20070926000689 |
| Provider Name | Steven P Santoyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154395440 PECOS PAC ID: 5991890790 Enrollment ID: I20071008000451 |
| Provider Name | Janice Lim Lau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952453300 PECOS PAC ID: 3375639305 Enrollment ID: I20071022000425 |
| Provider Name | Susan M Glockner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184686495 PECOS PAC ID: 8123116761 Enrollment ID: I20071115000593 |
| Provider Name | Paul N Hazelbaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831106103 PECOS PAC ID: 9739279332 Enrollment ID: I20071219000801 |
| Provider Name | Paul E Hubley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568496974 PECOS PAC ID: 0143303206 Enrollment ID: I20080212000644 |
| Provider Name | Blake R Shaw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649206541 PECOS PAC ID: 5496845984 Enrollment ID: I20080221000618 |
| Provider Name | Tomonori Fukui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366519670 PECOS PAC ID: 3577648161 Enrollment ID: I20080306000390 |
| Provider Name | Karen H Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285830505 PECOS PAC ID: 4082793468 Enrollment ID: I20080509000634 |
| Provider Name | Garrick Tong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831361278 PECOS PAC ID: 8921177189 Enrollment ID: I20080514000736 |
| Provider Name | Judith Lynn Hettig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396815866 PECOS PAC ID: 2668545278 Enrollment ID: I20080715000692 |
| Provider Name | Luis Alfonso Molina |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902052590 PECOS PAC ID: 0749357408 Enrollment ID: I20080922000419 |
| Provider Name | Tuyet T Lather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467668053 PECOS PAC ID: 3476621798 Enrollment ID: I20081014000083 |
| Provider Name | Pamela M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770558967 PECOS PAC ID: 5597824813 Enrollment ID: I20081031000330 |
| Provider Name | Bahghi Keflezighi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124210844 PECOS PAC ID: 0143380170 Enrollment ID: I20081120000884 |
| Provider Name | Remedios Babanto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669520011 PECOS PAC ID: 3577623420 Enrollment ID: I20081121000266 |
| Provider Name | Cindy M Jaime |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568655785 PECOS PAC ID: 1153482427 Enrollment ID: I20081204000612 |
| Provider Name | Marylupe Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134147457 PECOS PAC ID: 2567524275 Enrollment ID: I20081215000193 |
| Provider Name | Renaldo Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609865740 PECOS PAC ID: 4082776760 Enrollment ID: I20081215000797 |
| Provider Name | Eric B Dahms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306808464 PECOS PAC ID: 0840352225 Enrollment ID: I20081218000410 |
| Provider Name | Martin Olsen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730247990 PECOS PAC ID: 3173685385 Enrollment ID: I20081223000247 |
| Provider Name | Majid Taghizadeh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750590600 PECOS PAC ID: 1557424470 Enrollment ID: I20090120000206 |
| Provider Name | Frederic Rene Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265582605 PECOS PAC ID: 7911064795 Enrollment ID: I20090323000225 |
| Provider Name | Ali Delbakhsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154365872 PECOS PAC ID: 5294799383 Enrollment ID: I20090408000079 |
| Provider Name | Ralph Ascher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275543258 PECOS PAC ID: 9537218839 Enrollment ID: I20090515000273 |
| Provider Name | Mary Thickstun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437354875 PECOS PAC ID: 2163572793 Enrollment ID: I20090602000600 |
| Provider Name | Jamison D Feramisco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043410871 PECOS PAC ID: 4688724602 Enrollment ID: I20090615000077 |
| Provider Name | Pamela M Resnikoff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841252533 PECOS PAC ID: 9537211297 Enrollment ID: I20090710000485 |
| Provider Name | Steven A Yung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689636656 PECOS PAC ID: 1153474069 Enrollment ID: I20090724000340 |
| Provider Name | Natalie N Voskanian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376721217 PECOS PAC ID: 8426102310 Enrollment ID: I20090811000676 |
| Provider Name | Yana Gepshtein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396956512 PECOS PAC ID: 8224182928 Enrollment ID: I20090814000303 |
| Provider Name | Andrew B Cummins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699917096 PECOS PAC ID: 1557416278 Enrollment ID: I20090902000228 |
| Provider Name | Hilda Mcadams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396838082 PECOS PAC ID: 5092860510 Enrollment ID: I20090908000239 |
| Provider Name | Dixie L Galapon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174646301 PECOS PAC ID: 9739226176 Enrollment ID: I20091016000468 |
| Provider Name | Maya Vijayaraghavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790969616 PECOS PAC ID: 9436296712 Enrollment ID: I20091019000230 |
| Provider Name | Maureen C Terrazano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942341920 PECOS PAC ID: 0749327013 Enrollment ID: I20091020000386 |
| Provider Name | Megan E Mcgarvey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255563565 PECOS PAC ID: 4183762875 Enrollment ID: I20091118000263 |
| Provider Name | Josephine L Vonherzen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821171133 PECOS PAC ID: 3476523978 Enrollment ID: I20091125000418 |
| Provider Name | Natasha H Lubrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720312051 PECOS PAC ID: 0345380440 Enrollment ID: I20091222000260 |
| Provider Name | Richard Rojas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538318811 PECOS PAC ID: 1355491101 Enrollment ID: I20091230000450 |
| Provider Name | Jaganath S Glassman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558409771 PECOS PAC ID: 6204971922 Enrollment ID: I20100305000670 |
| Provider Name | Pushpa N Vadivel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558515445 PECOS PAC ID: 1355470527 Enrollment ID: I20100526000532 |
| Provider Name | Jennifer M Johnson-patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811973555 PECOS PAC ID: 4880724913 Enrollment ID: I20100616000015 |
| Provider Name | Alan J Zieg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699790634 PECOS PAC ID: 9234261173 Enrollment ID: I20100713000423 |
| Provider Name | Claudio O Cabrejos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033133483 PECOS PAC ID: 9638202849 Enrollment ID: I20100809000134 |
| Provider Name | Arthur James Cardones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962436451 PECOS PAC ID: 5597889634 Enrollment ID: I20100826000669 |
| Provider Name | Charles B Smoot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245490358 PECOS PAC ID: 3476679994 Enrollment ID: I20100921001541 |
| Provider Name | Kishore V Gaddipati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720114093 PECOS PAC ID: 5597860460 Enrollment ID: I20100924000634 |
| Provider Name | Christopher Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477711521 PECOS PAC ID: 7719003425 Enrollment ID: I20100929001510 |
| Provider Name | Sarah A Schneider |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326282237 PECOS PAC ID: 6800088196 Enrollment ID: I20101005000589 |
| Provider Name | Julie M Nadeau Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275609760 PECOS PAC ID: 8527252733 Enrollment ID: I20101102000455 |
| Provider Name | Cecile Matip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811162787 PECOS PAC ID: 5294867412 Enrollment ID: I20101104001250 |
| Provider Name | David M Dobos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548318348 PECOS PAC ID: 8224224175 Enrollment ID: I20101118000336 |
| Provider Name | Summer Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487964235 PECOS PAC ID: 6800083296 Enrollment ID: I20101210000771 |
| Provider Name | Josef B Zwass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407915002 PECOS PAC ID: 7113107038 Enrollment ID: I20110210000276 |
| Provider Name | Khalil J Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225231582 PECOS PAC ID: 6901961259 Enrollment ID: I20110415000617 |
| Provider Name | Nadeen Hosein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912051715 PECOS PAC ID: 0143406298 Enrollment ID: I20110525000584 |
| Provider Name | Dana A Reddy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144538778 PECOS PAC ID: 0143407031 Enrollment ID: I20110601000551 |
| Provider Name | Carol Hastanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861648461 PECOS PAC ID: 9931386687 Enrollment ID: I20110606000305 |
| Provider Name | John M Dodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770510489 PECOS PAC ID: 1355529579 Enrollment ID: I20110616000745 |
| Provider Name | Richard Merino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174628317 PECOS PAC ID: 1759309727 Enrollment ID: I20110620000388 |
| Provider Name | Noemi Arrieta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912223496 PECOS PAC ID: 4082885942 Enrollment ID: I20110926000450 |
| Provider Name | Allison Melanie Loeffler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700073962 PECOS PAC ID: 0345414959 Enrollment ID: I20111116000919 |
| Provider Name | Joyce Kellawon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780795476 PECOS PAC ID: 8527152040 Enrollment ID: I20120110000048 |
| Provider Name | Gabrielle M Cerda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407887748 PECOS PAC ID: 3476716705 Enrollment ID: I20120523000406 |
| Provider Name | Charlene A Buechner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376663831 PECOS PAC ID: 2769645308 Enrollment ID: I20120601000278 |
| Provider Name | Elvira P Sipin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477759892 PECOS PAC ID: 3274798228 Enrollment ID: I20120626000326 |
| Provider Name | Joe A Sepulveda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306165402 PECOS PAC ID: 2466617287 Enrollment ID: I20120629000111 |
| Provider Name | Paul J Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053553339 PECOS PAC ID: 6305001769 Enrollment ID: I20120710000358 |
| Provider Name | Vicki Lynn Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699759134 PECOS PAC ID: 7517123110 Enrollment ID: I20120726000323 |
| Provider Name | Ashraf F Fanous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083830350 PECOS PAC ID: 4284729872 Enrollment ID: I20121003000418 |
| Provider Name | Rebeca Sandoval |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023242120 PECOS PAC ID: 4789855123 Enrollment ID: I20121023000287 |
| Provider Name | Yuhee Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629289400 PECOS PAC ID: 8921154279 Enrollment ID: I20121024000055 |
| Provider Name | Jennifer J. Winesburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811162456 PECOS PAC ID: 8123270618 Enrollment ID: I20121207000407 |
| Provider Name | Meena R Narayanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508170697 PECOS PAC ID: 6800049636 Enrollment ID: I20130103000430 |
| Provider Name | Tsuh Yin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093803520 PECOS PAC ID: 4284657727 Enrollment ID: I20130107000144 |
| Provider Name | Russ C Pisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952413098 PECOS PAC ID: 2961593330 Enrollment ID: I20130114000118 |
| Provider Name | Lisa Lipschitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649208711 PECOS PAC ID: 4082851043 Enrollment ID: I20130510000200 |
| Provider Name | Ebrahim Mohamedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528051216 PECOS PAC ID: 1456253319 Enrollment ID: I20130514000266 |
| Provider Name | Sandra Marissa Cervantes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073701041 PECOS PAC ID: 8123266749 Enrollment ID: I20130521000301 |
| Provider Name | Mary Jo Navarrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235160490 PECOS PAC ID: 7113166802 Enrollment ID: I20130610000127 |
| Provider Name | Christina A Forzani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902939630 PECOS PAC ID: 3173764016 Enrollment ID: I20130718000738 |
| Provider Name | Okechuku R Nwanganga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285984450 PECOS PAC ID: 0446492375 Enrollment ID: I20130806000430 |
| Provider Name | Ruth L Millican |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346472305 PECOS PAC ID: 0648412866 Enrollment ID: I20130816000576 |
| Provider Name | Suriti Kundu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326132754 PECOS PAC ID: 2365685500 Enrollment ID: I20130906000778 |
| Provider Name | Carly Santos Blalack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871801803 PECOS PAC ID: 2769617844 Enrollment ID: I20131025000818 |
| Provider Name | Jennifer S Fuller Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225463730 PECOS PAC ID: 7517192214 Enrollment ID: I20131105002041 |
| Provider Name | Denise L Chapin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952737033 PECOS PAC ID: 8123254646 Enrollment ID: I20131111001425 |
| Provider Name | Melissa Yelanich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881905362 PECOS PAC ID: 4082840137 Enrollment ID: I20131119000602 |
| Provider Name | Tania L Rivera |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336346972 PECOS PAC ID: 4981855913 Enrollment ID: I20131219000865 |
| Provider Name | Robin Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487688099 PECOS PAC ID: 4284862855 Enrollment ID: I20140107000448 |
| Provider Name | Rocio Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396053369 PECOS PAC ID: 0941438303 Enrollment ID: I20140109000502 |
| Provider Name | Maria Regina Abesa Delozier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497071443 PECOS PAC ID: 0042448094 Enrollment ID: I20140121000283 |
| Provider Name | Payman I Khalighi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396897880 PECOS PAC ID: 2668635202 Enrollment ID: I20140124001644 |
| Provider Name | Iara Del Mar Melendez-berrios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740514249 PECOS PAC ID: 8527293349 Enrollment ID: I20140127000806 |
| Provider Name | Christian B Ramers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381385 PECOS PAC ID: 3072680529 Enrollment ID: I20140204001834 |
| Provider Name | Melissa M Macy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326488719 PECOS PAC ID: 1658501341 Enrollment ID: I20140225000777 |
| Provider Name | Colleen V Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285875427 PECOS PAC ID: 2264581792 Enrollment ID: I20140408001176 |
| Provider Name | Laura Boston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174553259 PECOS PAC ID: 9638301971 Enrollment ID: I20140421000216 |
| Provider Name | Carla Antola Lardizabal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568654101 PECOS PAC ID: 1456485572 Enrollment ID: I20140509000629 |
| Provider Name | Christine Thorne |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1003251901 PECOS PAC ID: 8820211048 Enrollment ID: I20140515001279 |
| Provider Name | Conni Zoellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942546114 PECOS PAC ID: 0547483497 Enrollment ID: I20140521001322 |
| Provider Name | Lauren Gannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003012733 PECOS PAC ID: 8224251095 Enrollment ID: I20140523000476 |
| Provider Name | Sally Alassil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982044483 PECOS PAC ID: 1052535853 Enrollment ID: I20140703002034 |
| Provider Name | Murat Kaygusuz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578531885 PECOS PAC ID: 9436153228 Enrollment ID: I20140708000979 |
| Provider Name | Jill S Blumenthal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336308378 PECOS PAC ID: 2769608322 Enrollment ID: I20140717001290 |
| Provider Name | Mary K Lewinski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659535094 PECOS PAC ID: 8022234517 Enrollment ID: I20140718000011 |
| Provider Name | Jessica L Thackaberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134478910 PECOS PAC ID: 4082831110 Enrollment ID: I20140813000175 |
| Provider Name | Joseph S Fielding |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235577560 PECOS PAC ID: 4486874120 Enrollment ID: I20141001001883 |
| Provider Name | Kaili Ji Shumilak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831489855 PECOS PAC ID: 3476773672 Enrollment ID: I20141010001898 |
| Provider Name | Matya A Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154400315 PECOS PAC ID: 5294837118 Enrollment ID: I20141112000923 |
| Provider Name | Aracely Bonilla Navarrete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922208032 PECOS PAC ID: 5193912673 Enrollment ID: I20141208001729 |
| Provider Name | Maria Brasil-delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891904389 PECOS PAC ID: 8022331362 Enrollment ID: I20141217002904 |
| Provider Name | Veronica Nicole Palomino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255569083 PECOS PAC ID: 5890018550 Enrollment ID: I20150105000567 |
| Provider Name | Hani M Atallah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104169655 PECOS PAC ID: 2062736127 Enrollment ID: I20150120000786 |
| Provider Name | Jatinder Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912141391 PECOS PAC ID: 5496079196 Enrollment ID: I20150129001644 |
| Provider Name | Jason Nikzad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508121674 PECOS PAC ID: 7012167554 Enrollment ID: I20150204001787 |
| Provider Name | Kathy Khaing |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912219155 PECOS PAC ID: 5799000253 Enrollment ID: I20150204002546 |
| Provider Name | Joseph Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437499704 PECOS PAC ID: 6103141239 Enrollment ID: I20150213000326 |
| Provider Name | Maria-christina Silveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619249141 PECOS PAC ID: 0244555233 Enrollment ID: I20150216000812 |
| Provider Name | Audrey Blaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629311964 PECOS PAC ID: 6002132735 Enrollment ID: I20150224000572 |
| Provider Name | Gavin N Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609033182 PECOS PAC ID: 1850533779 Enrollment ID: I20150303002438 |
| Provider Name | David S Sosa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013308675 PECOS PAC ID: 6709103427 Enrollment ID: I20150317002861 |
| Provider Name | Courtney Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629487285 PECOS PAC ID: 1658699046 Enrollment ID: I20150415000903 |
| Provider Name | Ava L Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164496386 PECOS PAC ID: 2668579822 Enrollment ID: I20150423002396 |
| Provider Name | Min Chung-park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578557260 PECOS PAC ID: 5294054151 Enrollment ID: I20150428001144 |
| Provider Name | Aaron A Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538505425 PECOS PAC ID: 9830401199 Enrollment ID: I20150630001359 |
| Provider Name | Melanie Swan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871934414 PECOS PAC ID: 1759693310 Enrollment ID: I20150710000020 |
| Provider Name | Chase Billotte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689064214 PECOS PAC ID: 4880907369 Enrollment ID: I20150714000696 |
| Provider Name | Vartan N Garibyan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790084143 PECOS PAC ID: 5395069520 Enrollment ID: I20150721003336 |
| Provider Name | Tessa Marcelle Buchan Antalan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427346758 PECOS PAC ID: 2668785205 Enrollment ID: I20150724011640 |
| Provider Name | Viviana O Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497987713 PECOS PAC ID: 1456665959 Enrollment ID: I20150728005012 |
| Provider Name | Sonya Megert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487925889 PECOS PAC ID: 7911211230 Enrollment ID: I20150730013382 |
| Provider Name | Alexander Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467714436 PECOS PAC ID: 7810201829 Enrollment ID: I20150805006605 |
| Provider Name | Mary L Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588893564 PECOS PAC ID: 5799926747 Enrollment ID: I20150806010405 |
| Provider Name | Mimi E Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568758928 PECOS PAC ID: 4183938921 Enrollment ID: I20150806011378 |
| Provider Name | Carolyn M Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609101997 PECOS PAC ID: 0042358509 Enrollment ID: I20150807015578 |
| Provider Name | Liliana Uribe-bruce |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689010324 PECOS PAC ID: 0547575839 Enrollment ID: I20150814014807 |
| Provider Name | Elizabeth Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326296351 PECOS PAC ID: 1658686811 Enrollment ID: I20150817002374 |
| Provider Name | Steven Michael Schmerber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295172856 PECOS PAC ID: 5991010068 Enrollment ID: I20150818006081 |
| Provider Name | Marvin W Zahler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134380710 PECOS PAC ID: 8426363391 Enrollment ID: I20150820012556 |
| Provider Name | Joseph Sleiman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093976748 PECOS PAC ID: 5294041869 Enrollment ID: I20150827000099 |
| Provider Name | Edith Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567678 PECOS PAC ID: 7214243898 Enrollment ID: I20150827000347 |
| Provider Name | Richard Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093050858 PECOS PAC ID: 4789990235 Enrollment ID: I20150831000398 |
| Provider Name | Marsha Spitzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851323315 PECOS PAC ID: 4385950724 Enrollment ID: I20150901000424 |
| Provider Name | Wendy Pavlovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740467299 PECOS PAC ID: 0143472399 Enrollment ID: I20150901003391 |
| Provider Name | Marcia Faustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013354190 PECOS PAC ID: 9133435258 Enrollment ID: I20150903000480 |
| Provider Name | Ibrahim Sawaya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770660987 PECOS PAC ID: 1850607888 Enrollment ID: I20150904001381 |
| Provider Name | Gilberto Zayas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508174970 PECOS PAC ID: 4587971403 Enrollment ID: I20150909002843 |
| Provider Name | William J Moss |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003182395 PECOS PAC ID: 4587971817 Enrollment ID: I20150917002653 |
| Provider Name | Mark E Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346337904 PECOS PAC ID: 0244201176 Enrollment ID: I20150917002832 |
| Provider Name | Erin Fortune |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801088422 PECOS PAC ID: 1850608191 Enrollment ID: I20150917003057 |
| Provider Name | Rebecca Anne Staben |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932269198 PECOS PAC ID: 7315174364 Enrollment ID: I20150921000642 |
| Provider Name | Jeremy Dane Sporrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639439656 PECOS PAC ID: 3577870609 Enrollment ID: I20150922001109 |
| Provider Name | Jodi Sebso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538484316 PECOS PAC ID: 9234446253 Enrollment ID: I20150923001149 |
| Provider Name | Roselyn J Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205019510 PECOS PAC ID: 4880759034 Enrollment ID: I20150925000383 |
| Provider Name | Yuliya E Proosaselts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952747875 PECOS PAC ID: 7517275431 Enrollment ID: I20150925002346 |
| Provider Name | Andrew Adamian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497122873 PECOS PAC ID: 2769790021 Enrollment ID: I20151006002359 |
| Provider Name | Alonso Cardenas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811212145 PECOS PAC ID: 6002124260 Enrollment ID: I20151007003232 |
| Provider Name | Deborah Birnbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639308265 PECOS PAC ID: 3274841432 Enrollment ID: I20151007003264 |
| Provider Name | Yolanda Cardenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073511143 PECOS PAC ID: 4183810013 Enrollment ID: I20151009002125 |
| Provider Name | Maddiha Payami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336484104 PECOS PAC ID: 4587973326 Enrollment ID: I20151019001766 |
| Provider Name | Michael Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869145 PECOS PAC ID: 1951610260 Enrollment ID: I20151027000856 |
| Provider Name | Julius Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700143799 PECOS PAC ID: 5799095485 Enrollment ID: I20151109002366 |
| Provider Name | Deborah A Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255574612 PECOS PAC ID: 3971739988 Enrollment ID: I20151123000710 |
| Provider Name | Teresa Aldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912304569 PECOS PAC ID: 9830499771 Enrollment ID: I20151130000528 |
| Provider Name | Beverly Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285772392 PECOS PAC ID: 7012217680 Enrollment ID: I20151203002316 |
| Provider Name | Corey M Carson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245599778 PECOS PAC ID: 9133442528 Enrollment ID: I20151210001270 |
| Provider Name | Van Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215363247 PECOS PAC ID: 2567698905 Enrollment ID: I20151217002107 |
| Provider Name | Michelle M O'leary Searles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407229172 PECOS PAC ID: 7113229246 Enrollment ID: I20160107000066 |
| Provider Name | Justina Tseng |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346276540 PECOS PAC ID: 7719935519 Enrollment ID: I20160107000433 |
| Provider Name | Celia C Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245635564 PECOS PAC ID: 0547563959 Enrollment ID: I20160119001628 |
| Provider Name | Freddy Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124440524 PECOS PAC ID: 4981907664 Enrollment ID: I20160129002372 |
| Provider Name | Perlita Amada Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174810972 PECOS PAC ID: 8628205804 Enrollment ID: I20160211000889 |
| Provider Name | Jessica R Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578993788 PECOS PAC ID: 6709005465 Enrollment ID: I20160301001739 |
| Provider Name | Daniel M Corman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629339593 PECOS PAC ID: 8123324001 Enrollment ID: I20160303001067 |
| Provider Name | Mai Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629339304 PECOS PAC ID: 5395041776 Enrollment ID: I20160310001538 |
| Provider Name | Jessica C Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992950232 PECOS PAC ID: 5698932861 Enrollment ID: I20160315001050 |
| Provider Name | Nathan Bohy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255656617 PECOS PAC ID: 1951607050 Enrollment ID: I20160316001325 |
| Provider Name | Sophia A Khawly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144573056 PECOS PAC ID: 5698913754 Enrollment ID: I20160316002137 |
| Provider Name | Juanita Salazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912938325 PECOS PAC ID: 0547568438 Enrollment ID: I20160412000659 |
| Provider Name | Prardhana Challapalli Burbano De Lara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447578182 PECOS PAC ID: 1355649815 Enrollment ID: I20160415001813 |
| Provider Name | Courtney Jeanne Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952419202 PECOS PAC ID: 2466544366 Enrollment ID: I20160422000325 |
| Provider Name | Brenda Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508125410 PECOS PAC ID: 5991004178 Enrollment ID: I20160422001767 |
| Provider Name | John D Chico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407170038 PECOS PAC ID: 9436389681 Enrollment ID: I20160426002067 |
| Provider Name | Daniel Rosenbaum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093735359 PECOS PAC ID: 7416256169 Enrollment ID: I20160430000006 |
| Provider Name | Nilam Bansal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396012969 PECOS PAC ID: 4981847787 Enrollment ID: I20160513001161 |
| Provider Name | Rhoda G Carino Diokno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629109483 PECOS PAC ID: 5597054569 Enrollment ID: I20160513001262 |
| Provider Name | Samer Kanno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013271147 PECOS PAC ID: 8527282458 Enrollment ID: I20160516000566 |
| Provider Name | Michael C Arena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093976649 PECOS PAC ID: 9436310901 Enrollment ID: I20160527000379 |
| Provider Name | Nora Khatib |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538487756 PECOS PAC ID: 3971813429 Enrollment ID: I20160602001354 |
| Provider Name | Tracy Papathakis Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891101754 PECOS PAC ID: 8325331523 Enrollment ID: I20160726001769 |
| Provider Name | Stephanie Jacobson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508966458 PECOS PAC ID: 4284689381 Enrollment ID: I20160810001263 |
| Provider Name | Priti Ojha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760897284 PECOS PAC ID: 2769776376 Enrollment ID: I20160816002219 |
| Provider Name | Nicole M Ayson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013278704 PECOS PAC ID: 7012202294 Enrollment ID: I20160826001584 |
| Provider Name | Steven M Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801230297 PECOS PAC ID: 3375839889 Enrollment ID: I20160909001169 |
| Provider Name | Ashkan Vafadaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659634517 PECOS PAC ID: 6002102449 Enrollment ID: I20160909002578 |
| Provider Name | Constance Chace |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154682953 PECOS PAC ID: 3870889108 Enrollment ID: I20160912002605 |
| Provider Name | Kelly A O'bryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093882698 PECOS PAC ID: 7315233566 Enrollment ID: I20160914001527 |
| Provider Name | Jose Gregorio Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194184242 PECOS PAC ID: 5991092660 Enrollment ID: I20160922002836 |
| Provider Name | Silvia Urbina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588930895 PECOS PAC ID: 4284921735 Enrollment ID: I20160927000881 |
| Provider Name | Vicki J Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225009376 PECOS PAC ID: 8426070350 Enrollment ID: I20160928000523 |
| Provider Name | Sheena Ogando |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649564295 PECOS PAC ID: 7517254972 Enrollment ID: I20160928001997 |
| Provider Name | Julie Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619210614 PECOS PAC ID: 5395032775 Enrollment ID: I20160928002531 |
| Provider Name | Lauren Ez Steele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780028340 PECOS PAC ID: 8224326459 Enrollment ID: I20161004001287 |
| Provider Name | Carmen Gabriela Liera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275895443 PECOS PAC ID: 2365730504 Enrollment ID: I20161004001453 |
| Provider Name | Said Sana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184697559 PECOS PAC ID: 6800828104 Enrollment ID: I20161004002507 |
| Provider Name | Dexter A Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740465541 PECOS PAC ID: 7012139660 Enrollment ID: I20161005002544 |
| Provider Name | Esperanza Eusebio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639543994 PECOS PAC ID: 1153619721 Enrollment ID: I20161013002479 |
| Provider Name | Leticia Bustamante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609058924 PECOS PAC ID: 6406134402 Enrollment ID: I20161026001179 |
| Provider Name | Alison C Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770674202 PECOS PAC ID: 8628253994 Enrollment ID: I20161028002078 |
| Provider Name | Gurpreet Sihota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659715852 PECOS PAC ID: 6709164528 Enrollment ID: I20161031000666 |
| Provider Name | Lisa Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235576059 PECOS PAC ID: 4688952344 Enrollment ID: I20161031002345 |
| Provider Name | Bill Chou |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730448101 PECOS PAC ID: 3476785973 Enrollment ID: I20161104001504 |
| Provider Name | Richardo Amaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437445566 PECOS PAC ID: 5092094763 Enrollment ID: I20161121001322 |
| Provider Name | Thaghar M Oda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063835692 PECOS PAC ID: 2163701723 Enrollment ID: I20161122002302 |
| Provider Name | Sajiv Chandradas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720350465 PECOS PAC ID: 8325328131 Enrollment ID: I20161214000948 |
| Provider Name | Sheila Gleason |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366641813 PECOS PAC ID: 1658651377 Enrollment ID: I20161214002033 |
| Provider Name | Lysistrati Alimonos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619397031 PECOS PAC ID: 4082923487 Enrollment ID: I20161220001221 |
| Provider Name | Kacie G Brumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518333483 PECOS PAC ID: 7911288311 Enrollment ID: I20161222001389 |
| Provider Name | Elizabeth Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992046890 PECOS PAC ID: 3779864178 Enrollment ID: I20161222001627 |
| Provider Name | Jessica Stemler Chavarria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407391808 PECOS PAC ID: 4880975291 Enrollment ID: I20161223000266 |
| Provider Name | Barbara Saul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891869301 PECOS PAC ID: 7113057787 Enrollment ID: I20170120001803 |
| Provider Name | Abigail Maria Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932462785 PECOS PAC ID: 7719297563 Enrollment ID: I20170201002471 |
| Provider Name | Darinka Aragon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114347291 PECOS PAC ID: 6204132442 Enrollment ID: I20170222002947 |
| Provider Name | Ria C Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437695079 PECOS PAC ID: 1052695764 Enrollment ID: I20170224000649 |
| Provider Name | Eric Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710110416 PECOS PAC ID: 5193009660 Enrollment ID: I20170228001925 |
| Provider Name | Naseem Reghabi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225573421 PECOS PAC ID: 7315221827 Enrollment ID: I20170301000834 |
| Provider Name | Sandra Shan Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083963094 PECOS PAC ID: 1557645959 Enrollment ID: I20170302002384 |
| Provider Name | Regina H Connell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639380249 PECOS PAC ID: 7810271228 Enrollment ID: I20170303000237 |
| Provider Name | Manijeh Ghasemi-varnamkhasti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740449727 PECOS PAC ID: 7719128057 Enrollment ID: I20170412001658 |
| Provider Name | Elly Hann |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649721150 PECOS PAC ID: 9234418054 Enrollment ID: I20170425001987 |
| Provider Name | Adriana G Celiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972956514 PECOS PAC ID: 6608153713 Enrollment ID: I20170427000872 |
| Provider Name | Jennifer Sagun Asuncion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083056279 PECOS PAC ID: 9830466127 Enrollment ID: I20170516001977 |
| Provider Name | Jennifer Ann Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811449077 PECOS PAC ID: 2365719408 Enrollment ID: I20170522001352 |
| Provider Name | Tanya Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558710038 PECOS PAC ID: 2365719358 Enrollment ID: I20170523000635 |
| Provider Name | Cindy Hope Loeb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619108511 PECOS PAC ID: 8022385012 Enrollment ID: I20170523000912 |
| Provider Name | Rajeshwari Nagaraja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932495777 PECOS PAC ID: 7618114513 Enrollment ID: I20170525001045 |
| Provider Name | Ritu Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720374788 PECOS PAC ID: 2769790047 Enrollment ID: I20170530000695 |
| Provider Name | Heather Lippert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093991663 PECOS PAC ID: 7719254234 Enrollment ID: I20170602002352 |
| Provider Name | Kathleen A Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831551035 PECOS PAC ID: 4082912704 Enrollment ID: I20170619000911 |
| Provider Name | Philip Lee Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447678834 PECOS PAC ID: 7517237142 Enrollment ID: I20170714000645 |
| Provider Name | Elias Toubia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740701481 PECOS PAC ID: 8527338086 Enrollment ID: I20170717003156 |
| Provider Name | Kelsey L Kloberdanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235672502 PECOS PAC ID: 7618248451 Enrollment ID: I20170811002725 |
| Provider Name | Randa Gorges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285079509 PECOS PAC ID: 0244502722 Enrollment ID: I20170817002613 |
| Provider Name | Cecilia L Hipolito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770999773 PECOS PAC ID: 7416229927 Enrollment ID: I20170817003949 |
| Provider Name | William Michael Collins |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417361973 PECOS PAC ID: 6406175918 Enrollment ID: I20170818001344 |
| Provider Name | Ali Abdallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649699968 PECOS PAC ID: 5890098933 Enrollment ID: I20170818003097 |
| Provider Name | Najwan Noori Al Ani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275948473 PECOS PAC ID: 5597037416 Enrollment ID: I20170828000274 |
| Provider Name | Esther M. Molnar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831456896 PECOS PAC ID: 4284859216 Enrollment ID: I20170831002065 |
| Provider Name | Happy Eskander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578907291 PECOS PAC ID: 7416258017 Enrollment ID: I20170831002213 |
| Provider Name | Juan Carlos Fernandez Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194115568 PECOS PAC ID: 1153620695 Enrollment ID: I20170831003059 |
| Provider Name | Kristina Paal Mouradian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891234464 PECOS PAC ID: 6305110644 Enrollment ID: I20170925003006 |
| Provider Name | Sudha Amatya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790830511 PECOS PAC ID: 0143594366 Enrollment ID: I20170926003219 |
| Provider Name | Ramtin Kouchak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891218350 PECOS PAC ID: 3274808225 Enrollment ID: I20171002002309 |
| Provider Name | Deepthi Kesanapalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487948584 PECOS PAC ID: 8820363666 Enrollment ID: I20171004003437 |
| Provider Name | Sarah A Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245645076 PECOS PAC ID: 8426323072 Enrollment ID: I20171006001202 |
| Provider Name | Marci Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174981500 PECOS PAC ID: 4183908825 Enrollment ID: I20171006001813 |
| Provider Name | Mariel L. Janowsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386039188 PECOS PAC ID: 9537434105 Enrollment ID: I20171006002056 |
| Provider Name | Shuang Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689093684 PECOS PAC ID: 9234404856 Enrollment ID: I20171009000760 |
| Provider Name | Julie Rizwana Islam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750780516 PECOS PAC ID: 0840565370 Enrollment ID: I20171009001925 |
| Provider Name | Jennifer Chilyn Li Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818768 PECOS PAC ID: 1951594639 Enrollment ID: I20171009002764 |
| Provider Name | Alicia Maria Kodsi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932514353 PECOS PAC ID: 7214202712 Enrollment ID: I20171010001222 |
| Provider Name | Zachary S Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326453119 PECOS PAC ID: 1557636867 Enrollment ID: I20171011003370 |
| Provider Name | Reem Ali Abu Libdeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972985158 PECOS PAC ID: 6507131778 Enrollment ID: I20171013002980 |
| Provider Name | Neeza Hassan Kamil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568740983 PECOS PAC ID: 6002059136 Enrollment ID: I20171016003438 |
| Provider Name | Samar Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811394869 PECOS PAC ID: 7911273719 Enrollment ID: I20171023002587 |
| Provider Name | Michael N Palanca |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033663109 PECOS PAC ID: 8224933957 Enrollment ID: I20171025001513 |
| Provider Name | William David Cordes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174942544 PECOS PAC ID: 3375819907 Enrollment ID: I20171025002715 |
| Provider Name | Tammy Chee Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457879132 PECOS PAC ID: 9234405895 Enrollment ID: I20171026000213 |
| Provider Name | Helen Anne Hayden Wade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366951105 PECOS PAC ID: 5799051264 Enrollment ID: I20171027001929 |
| Provider Name | Kayla Leeanne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604414 PECOS PAC ID: 1254697493 Enrollment ID: I20171103002853 |
| Provider Name | Johnny Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932622156 PECOS PAC ID: 0143586230 Enrollment ID: I20171106001705 |
| Provider Name | Amber Jo Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174905855 PECOS PAC ID: 4880951490 Enrollment ID: I20171206000741 |
| Provider Name | Kelly Marie Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033493747 PECOS PAC ID: 2668646233 Enrollment ID: I20171206000935 |
| Provider Name | Harris Omar Niazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174905871 PECOS PAC ID: 6103183694 Enrollment ID: I20171208002570 |
| Provider Name | Alexandra Grace Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735883 PECOS PAC ID: 1759649288 Enrollment ID: I20171211001238 |
| Provider Name | Armdabi Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043622459 PECOS PAC ID: 7416215967 Enrollment ID: I20171211002585 |
| Provider Name | Subha L Amatya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861837221 PECOS PAC ID: 9133487523 Enrollment ID: I20171212001713 |
| Provider Name | Jacqueline Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649685074 PECOS PAC ID: 6204194673 Enrollment ID: I20171213002508 |
| Provider Name | Gretchen L Broman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922421288 PECOS PAC ID: 9032349774 Enrollment ID: I20171213003186 |
| Provider Name | Daniel Samano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003263963 PECOS PAC ID: 6608133111 Enrollment ID: I20180105001399 |
| Provider Name | Jonathan Philip Igo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215476643 PECOS PAC ID: 9234414111 Enrollment ID: I20180119002140 |
| Provider Name | Marisa C Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083870463 PECOS PAC ID: 1254690035 Enrollment ID: I20180124002621 |
| Provider Name | Mohamed Abdelazim Baiou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447542659 PECOS PAC ID: 4981917432 Enrollment ID: I20180205001361 |
| Provider Name | Aichel Nateras |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093197543 PECOS PAC ID: 4789944786 Enrollment ID: I20180213001539 |
| Provider Name | Tynan Wyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306231840 PECOS PAC ID: 2062773898 Enrollment ID: I20180219001570 |
| Provider Name | Keegan Andrew Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417471459 PECOS PAC ID: 7315208816 Enrollment ID: I20180226000755 |
| Provider Name | Meghan Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316452303 PECOS PAC ID: 4587926183 Enrollment ID: I20180320000265 |
| Provider Name | Albert Modad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629453691 PECOS PAC ID: 7911269162 Enrollment ID: I20180327003148 |
| Provider Name | Rachel Quinn Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558659797 PECOS PAC ID: 9830451889 Enrollment ID: I20180403000436 |
| Provider Name | Shellye L Sledge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912436239 PECOS PAC ID: 2961764949 Enrollment ID: I20180403001734 |
| Provider Name | Skyler S Galindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730446808 PECOS PAC ID: 5597045393 Enrollment ID: I20180420001040 |
| Provider Name | Keri A Abdullah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699840587 PECOS PAC ID: 8426312182 Enrollment ID: I20180503002147 |
| Provider Name | Karim Waguih Ghobrial-sedky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093746836 PECOS PAC ID: 3375575509 Enrollment ID: I20180518002397 |
| Provider Name | Hayley Ann Avol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245641521 PECOS PAC ID: 3375837404 Enrollment ID: I20180523002004 |
| Provider Name | Rosalie B Beverly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457388944 PECOS PAC ID: 3375556798 Enrollment ID: I20180529002876 |
| Provider Name | Roman Sapozhnikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558672535 PECOS PAC ID: 3870778566 Enrollment ID: I20180530001481 |
| Provider Name | Judith Aness Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932696960 PECOS PAC ID: 4486909447 Enrollment ID: I20180614001530 |
| Provider Name | Jie Liu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780066472 PECOS PAC ID: 2264787878 Enrollment ID: I20180622002224 |
| Provider Name | Kendell R Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285028191 PECOS PAC ID: 5991051328 Enrollment ID: I20180627002097 |
| Provider Name | Edward J Erbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952318289 PECOS PAC ID: 2365636560 Enrollment ID: I20180702003540 |
| Provider Name | Diana P Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013200617 PECOS PAC ID: 3072869957 Enrollment ID: I20180706001966 |
| Provider Name | Deborah Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740772870 PECOS PAC ID: 3971859802 Enrollment ID: I20180709001125 |
| Provider Name | Stephanie Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699126367 PECOS PAC ID: 1759637457 Enrollment ID: I20180711001668 |
| Provider Name | Monique S Montigny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689797326 PECOS PAC ID: 0143306233 Enrollment ID: I20180726003578 |
| Provider Name | Karina Marie Vesco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902112857 PECOS PAC ID: 5799032355 Enrollment ID: I20180727002030 |
| Provider Name | Melissa Robyn Sachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649760356 PECOS PAC ID: 0345597910 Enrollment ID: I20180727002454 |
| Provider Name | Annie Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912384025 PECOS PAC ID: 0143500132 Enrollment ID: I20180806003155 |
| Provider Name | Brandon Scott Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013399559 PECOS PAC ID: 5890044705 Enrollment ID: I20180824001867 |
| Provider Name | Asha Patel Raj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003293507 PECOS PAC ID: 5294084166 Enrollment ID: I20180827000968 |
| Provider Name | Shavon C Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053682773 PECOS PAC ID: 2769733732 Enrollment ID: I20181002000383 |
| Provider Name | Austin Henry Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609260520 PECOS PAC ID: 6901158724 Enrollment ID: I20181005001690 |
| Provider Name | Leslie Nobuko Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528578713 PECOS PAC ID: 7719239490 Enrollment ID: I20181008001344 |
| Provider Name | Lauren Mills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013354976 PECOS PAC ID: 4981956430 Enrollment ID: I20181010002379 |
| Provider Name | Stephanie Lin Constantino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366824971 PECOS PAC ID: 3173875663 Enrollment ID: I20181011000255 |
| Provider Name | Luz Adriana Yee Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316325020 PECOS PAC ID: 2860744372 Enrollment ID: I20181011000870 |
| Provider Name | Natasha Fewkes Carter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033539184 PECOS PAC ID: 1355693789 Enrollment ID: I20181011001985 |
| Provider Name | Shannon R Bell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760877302 PECOS PAC ID: 6800160904 Enrollment ID: I20181012001761 |
| Provider Name | Teresita De Jesus Castellanos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598165441 PECOS PAC ID: 6103179205 Enrollment ID: I20181018002401 |
| Provider Name | Jessica Dawn Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932680006 PECOS PAC ID: 1557614344 Enrollment ID: I20181024001808 |
| Provider Name | Renil Marie Rodriguez Martinez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477817757 PECOS PAC ID: 0840544748 Enrollment ID: I20181113000295 |
| Provider Name | Antonio C Christophy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871897678 PECOS PAC ID: 0749410249 Enrollment ID: I20181119000823 |
| Provider Name | Venesha Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710498035 PECOS PAC ID: 5496009813 Enrollment ID: I20181121000045 |
| Provider Name | Jennifer Ann George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215402177 PECOS PAC ID: 9335493683 Enrollment ID: I20181126003330 |
| Provider Name | Mashia Ghods |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558703868 PECOS PAC ID: 6406190560 Enrollment ID: I20181130002056 |
| Provider Name | Ashley Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275905622 PECOS PAC ID: 8729322342 Enrollment ID: I20181207000790 |
| Provider Name | Nancy El-moghrabi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144767211 PECOS PAC ID: 4587947221 Enrollment ID: I20181210002872 |
| Provider Name | Jessica Andrea Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215346887 PECOS PAC ID: 3577808849 Enrollment ID: I20181214002965 |
| Provider Name | Bianca M Page |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649787607 PECOS PAC ID: 7012253453 Enrollment ID: I20190107001613 |
| Provider Name | Jhosmara Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982848594 PECOS PAC ID: 5991041923 Enrollment ID: I20190114000839 |
| Provider Name | Gustavo A Salcido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245739580 PECOS PAC ID: 2860739455 Enrollment ID: I20190118002479 |
| Provider Name | Ashley N Uy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174059760 PECOS PAC ID: 4183962244 Enrollment ID: I20190214002275 |
| Provider Name | Roberto David Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710316450 PECOS PAC ID: 5395084669 Enrollment ID: I20190304002125 |
| Provider Name | Leah B Aguirre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306151998 PECOS PAC ID: 9830438837 Enrollment ID: I20190311000584 |
| Provider Name | Joe I Sasson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700138559 PECOS PAC ID: 9537408430 Enrollment ID: I20190311000715 |
| Provider Name | Milind Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194161406 PECOS PAC ID: 3274872130 Enrollment ID: I20190312000420 |
| Provider Name | Steven J Arias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831482892 PECOS PAC ID: 8325388044 Enrollment ID: I20190315002191 |
| Provider Name | Lynda R Ariella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073518965 PECOS PAC ID: 3971843574 Enrollment ID: I20190318002910 |
| Provider Name | Wendy Aguirre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205946282 PECOS PAC ID: 1254671878 Enrollment ID: I20190319000853 |
| Provider Name | Patricia A Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700200888 PECOS PAC ID: 3173863537 Enrollment ID: I20190321000253 |
| Provider Name | Radomir M Avila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487937330 PECOS PAC ID: 6800136177 Enrollment ID: I20190322002072 |
| Provider Name | Kevin Matthew Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700314952 PECOS PAC ID: 4688915432 Enrollment ID: I20190404002319 |
| Provider Name | Joseph Robert Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225424823 PECOS PAC ID: 5193006302 Enrollment ID: I20190404002494 |
| Provider Name | Ngoc Bich Jade Xuan Tran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558799973 PECOS PAC ID: 4981945730 Enrollment ID: I20190404002679 |
| Provider Name | Elisa Sonia Silvestro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548302011 PECOS PAC ID: 8022236223 Enrollment ID: I20190405000844 |
| Provider Name | Diane Jazmin Dy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467807560 PECOS PAC ID: 5193066892 Enrollment ID: I20190405002039 |
| Provider Name | Yuin-wah Lum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942764477 PECOS PAC ID: 2567703077 Enrollment ID: I20190410002338 |
| Provider Name | Maria Teresa Weickert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758984 PECOS PAC ID: 8628319001 Enrollment ID: I20190411002808 |
| Provider Name | Alan Bond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881927184 PECOS PAC ID: 2163763558 Enrollment ID: I20190412000258 |
| Provider Name | Kathy Lynn Rozell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578603973 PECOS PAC ID: 7618218017 Enrollment ID: I20190412000607 |
| Provider Name | Leah Marie Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952722431 PECOS PAC ID: 6901147230 Enrollment ID: I20190412002121 |
| Provider Name | Shabina Lallani Skiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205118650 PECOS PAC ID: 6507107836 Enrollment ID: I20190413000005 |
| Provider Name | Barbara Ford Rosenfarb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447477781 PECOS PAC ID: 1850632191 Enrollment ID: I20190415000280 |
| Provider Name | Brandon David Waugh |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1619459187 PECOS PAC ID: 1153662408 Enrollment ID: I20190415000630 |
| Provider Name | Kelly Marie Mc Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851544340 PECOS PAC ID: 1355682618 Enrollment ID: I20190415001092 |
| Provider Name | Bruce L Thiessen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841541984 PECOS PAC ID: 5193066470 Enrollment ID: I20190415001912 |
| Provider Name | Coral Harriman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417373069 PECOS PAC ID: 7517208895 Enrollment ID: I20190415002048 |
| Provider Name | Tamara Halperin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992139166 PECOS PAC ID: 3870834096 Enrollment ID: I20190416000934 |
| Provider Name | Srividya Narasimhan Sampath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275892754 PECOS PAC ID: 2567703663 Enrollment ID: I20190417001586 |
| Provider Name | Mariana Badra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619251873 PECOS PAC ID: 1052653136 Enrollment ID: I20190422002224 |
| Provider Name | Francis M. Ysla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578978854 PECOS PAC ID: 6608173109 Enrollment ID: I20190424000982 |
| Provider Name | Jenny Huang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710473608 PECOS PAC ID: 4284976176 Enrollment ID: I20190424001869 |
| Provider Name | Michelle Nicole Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669672978 PECOS PAC ID: 6204077423 Enrollment ID: I20190426002333 |
| Provider Name | Laura Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568612943 PECOS PAC ID: 4082956750 Enrollment ID: I20190429001567 |
| Provider Name | Rebecca Elise Bacharach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225442643 PECOS PAC ID: 5698084226 Enrollment ID: I20190430000378 |
| Provider Name | Sandra Dalonzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841797644 PECOS PAC ID: 4385986017 Enrollment ID: I20190430001127 |
| Provider Name | Wendy Lee Dan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700224037 PECOS PAC ID: 5193067825 Enrollment ID: I20190430001178 |
| Provider Name | Ruth Nguyen Do |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841687043 PECOS PAC ID: 9537401260 Enrollment ID: I20190430001233 |
| Provider Name | Yo Ishida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225154081 PECOS PAC ID: 3476895111 Enrollment ID: I20190430001608 |
| Provider Name | Minerva Morales-moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841337565 PECOS PAC ID: 6002158748 Enrollment ID: I20190430001668 |
| Provider Name | Hala Abdullahi Sheikh-mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972946770 PECOS PAC ID: 7315289964 Enrollment ID: I20190430002339 |
| Provider Name | Martha Jasso-ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871772020 PECOS PAC ID: 7214279868 Enrollment ID: I20190430002440 |
| Provider Name | Tyler Edwards Morrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912391814 PECOS PAC ID: 9234407271 Enrollment ID: I20190501000004 |
| Provider Name | Jesse Raia Qualliotine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003239948 PECOS PAC ID: 9739421165 Enrollment ID: I20190503001258 |
| Provider Name | Jennifer Kay Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740765866 PECOS PAC ID: 3971845298 Enrollment ID: I20190506002611 |
| Provider Name | Kellsie Ann Michael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306065032 PECOS PAC ID: 7416299789 Enrollment ID: I20190507002063 |
| Provider Name | Sandrine J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073909651 PECOS PAC ID: 7315211489 Enrollment ID: I20190508003425 |
| Provider Name | Paloma Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689139396 PECOS PAC ID: 1254674260 Enrollment ID: I20190515000154 |
| Provider Name | Gregory Scott Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578943858 PECOS PAC ID: 8325356983 Enrollment ID: I20190517000807 |
| Provider Name | Jason P Van Dyke |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1487658720 PECOS PAC ID: 5294721254 Enrollment ID: I20190521002360 |
| Provider Name | Lauren Cullen Vincent |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053757997 PECOS PAC ID: 5799028270 Enrollment ID: I20190524001526 |
| Provider Name | Rebekah I Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326243833 PECOS PAC ID: 2062574114 Enrollment ID: I20190607000703 |
| Provider Name | Dane P Crockford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780031831 PECOS PAC ID: 2668705302 Enrollment ID: I20190611003122 |
| Provider Name | Agnes Nicolas Hajek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083815187 PECOS PAC ID: 8820321391 Enrollment ID: I20190615000258 |
| Provider Name | April Pearl Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356749949 PECOS PAC ID: 6800120866 Enrollment ID: I20190625001170 |
| Provider Name | Gauri T Syal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194201566 PECOS PAC ID: 6608100698 Enrollment ID: I20190625002596 |
| Provider Name | Kathleen H Maietta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487128617 PECOS PAC ID: 8628302643 Enrollment ID: I20190625003910 |
| Provider Name | Crystal Lyn Knapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306217625 PECOS PAC ID: 4981939329 Enrollment ID: I20190708002663 |
| Provider Name | Pranjali P Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538544721 PECOS PAC ID: 6305171513 Enrollment ID: I20190710002667 |
| Provider Name | Kate C Lewison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194159384 PECOS PAC ID: 3870828940 Enrollment ID: I20190711001098 |
| Provider Name | Christine Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568656619 PECOS PAC ID: 4789919853 Enrollment ID: I20190711001105 |
| Provider Name | Mark Anthony Knight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851573554 PECOS PAC ID: 7810222999 Enrollment ID: I20190711001321 |
| Provider Name | Carrie Michelle Garrigus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497115596 PECOS PAC ID: 0345533667 Enrollment ID: I20190711002544 |
| Provider Name | Austin Mandoyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841726148 PECOS PAC ID: 4981939014 Enrollment ID: I20190711003301 |
| Provider Name | Sarah Nicole Goldfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134686744 PECOS PAC ID: 5890020747 Enrollment ID: I20190715001373 |
| Provider Name | Myra Sepulveda Buby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093747511 PECOS PAC ID: 1759430341 Enrollment ID: I20190716003430 |
| Provider Name | Elyse Ann Galles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356790232 PECOS PAC ID: 7214263375 Enrollment ID: I20190726001002 |
| Provider Name | Rakesh Popli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063874121 PECOS PAC ID: 9436485455 Enrollment ID: I20190730000870 |
| Provider Name | Alexander Sullivan Meilan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285097162 PECOS PAC ID: 6507192465 Enrollment ID: I20190730003173 |
| Provider Name | Teah O Caine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972966679 PECOS PAC ID: 4183950967 Enrollment ID: I20190731004079 |
| Provider Name | Tiana Mathieson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144725268 PECOS PAC ID: 0042547234 Enrollment ID: I20190812000272 |
| Provider Name | Mustafa A Alwash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679936439 PECOS PAC ID: 8921346966 Enrollment ID: I20190815001683 |
| Provider Name | Peter B Burns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891727533 PECOS PAC ID: 0648211300 Enrollment ID: I20190820002028 |
| Provider Name | Kerin Orbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114256690 PECOS PAC ID: 4981854759 Enrollment ID: I20190823002732 |
| Provider Name | May Lou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710324710 PECOS PAC ID: 5395074157 Enrollment ID: I20190904002893 |
| Provider Name | Cristhian Elizabeth Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407200942 PECOS PAC ID: 7416241971 Enrollment ID: I20190906001453 |
| Provider Name | Maria Cristina Mendez Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356902795 PECOS PAC ID: 6901136530 Enrollment ID: I20190925001563 |
| Provider Name | Dana Lenore Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689060063 PECOS PAC ID: 5991042244 Enrollment ID: I20190926000359 |
| Provider Name | Diane N Guerrero |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639725146 PECOS PAC ID: 2365773462 Enrollment ID: I20191003001393 |
| Provider Name | Hulbert Do |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679733760 PECOS PAC ID: 2163668609 Enrollment ID: I20191004000314 |
| Provider Name | Darius T Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164941415 PECOS PAC ID: 1254662273 Enrollment ID: I20191004003239 |
| Provider Name | Tanen St Clair-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487040739 PECOS PAC ID: 5193014488 Enrollment ID: I20191017000688 |
| Provider Name | Ashley Rina Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609368000 PECOS PAC ID: 7416288790 Enrollment ID: I20191017002060 |
| Provider Name | Sarahi Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174909071 PECOS PAC ID: 1557692787 Enrollment ID: I20191018001514 |
| Provider Name | Deborah Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780110114 PECOS PAC ID: 2264763416 Enrollment ID: I20191018002487 |
| Provider Name | Tu-phuong Thi Dompor-tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093179921 PECOS PAC ID: 0941532022 Enrollment ID: I20191022001759 |
| Provider Name | Nancy Valdez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932181971 PECOS PAC ID: 4082612395 Enrollment ID: I20191022001880 |
| Provider Name | Myrna Yaritza Cardona |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477760759 PECOS PAC ID: 6800103458 Enrollment ID: I20191022003028 |
| Provider Name | Tiffanie Thomen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154703718 PECOS PAC ID: 9739473026 Enrollment ID: I20191022003452 |
| Provider Name | Jean Shiraki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144684382 PECOS PAC ID: 7719273168 Enrollment ID: I20191024000971 |
| Provider Name | Tienna Stephanie Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194976225 PECOS PAC ID: 7315279148 Enrollment ID: I20191029001220 |
| Provider Name | Edna C Burgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134591167 PECOS PAC ID: 9032541230 Enrollment ID: I20191108001211 |
| Provider Name | Christine Gottung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134597123 PECOS PAC ID: 4880026954 Enrollment ID: I20191111001177 |
| Provider Name | Zain T Jabri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891159620 PECOS PAC ID: 7719221241 Enrollment ID: I20191112002520 |
| Provider Name | Travis James De Mik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629277322 PECOS PAC ID: 1254559560 Enrollment ID: I20191113003412 |
| Provider Name | Ana O Contreras-cerrillo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114221819 PECOS PAC ID: 2567894108 Enrollment ID: I20191119003279 |
| Provider Name | Yaneli Mayra Pinedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710361712 PECOS PAC ID: 5890127310 Enrollment ID: I20191120003315 |
| Provider Name | James Schweikert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487047668 PECOS PAC ID: 0648602003 Enrollment ID: I20191123000100 |
| Provider Name | Suzan Qusay Mahdai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598015679 PECOS PAC ID: 8123332111 Enrollment ID: I20191204001082 |
| Provider Name | Shiva Hashem |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952950776 PECOS PAC ID: 7719310515 Enrollment ID: I20191210000527 |
| Provider Name | Jacqueline Marie Fajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215342118 PECOS PAC ID: 8325471907 Enrollment ID: I20191212001638 |
| Provider Name | Lorien Michelle Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356906259 PECOS PAC ID: 5092148676 Enrollment ID: I20191212002195 |
| Provider Name | Melanie A Rebello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578922795 PECOS PAC ID: 9537594791 Enrollment ID: I20200115002653 |
| Provider Name | Keith E Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538704002 PECOS PAC ID: 9234565896 Enrollment ID: I20200130002126 |
| Provider Name | Kevin Hoang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790339216 PECOS PAC ID: 9739515057 Enrollment ID: I20200205001784 |
| Provider Name | George Patrick Cummings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497236384 PECOS PAC ID: 5890030100 Enrollment ID: I20200211001926 |
| Provider Name | Kelly Thao Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255799276 PECOS PAC ID: 3375979107 Enrollment ID: I20200213002934 |
| Provider Name | Amy Alfaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609326859 PECOS PAC ID: 5193152882 Enrollment ID: I20200218002529 |
| Provider Name | Rebecca Eileen Romero Huber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174960686 PECOS PAC ID: 0446687172 Enrollment ID: I20200219000681 |
| Provider Name | Patricia Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326524364 PECOS PAC ID: 3577990068 Enrollment ID: I20200221002350 |
| Provider Name | Florena Culas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346874971 PECOS PAC ID: 4284062779 Enrollment ID: I20200316002101 |
| Provider Name | Michelle L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992773758 PECOS PAC ID: 0244317741 Enrollment ID: I20200325000300 |
| Provider Name | Devesh Jalan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083092134 PECOS PAC ID: 0345572590 Enrollment ID: I20200327002343 |
| Provider Name | Nezer B Belen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386120723 PECOS PAC ID: 5193154854 Enrollment ID: I20200331002460 |
| Provider Name | Natalie J Bailey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962997643 PECOS PAC ID: 7911336219 Enrollment ID: I20200408001795 |
| Provider Name | James A Radford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023188026 PECOS PAC ID: 4385645233 Enrollment ID: I20200408001918 |
| Provider Name | Eugene D. Cataquiz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356453898 PECOS PAC ID: 3779912985 Enrollment ID: I20200408003395 |
| Provider Name | Paul A Vanportfliet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982885158 PECOS PAC ID: 5890124044 Enrollment ID: I20200409000566 |
| Provider Name | Amira Sheikh Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831583079 PECOS PAC ID: 1759698640 Enrollment ID: I20200415002395 |
| Provider Name | Chelsea Marie Rouleau Brauns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205333010 PECOS PAC ID: 8921438847 Enrollment ID: I20200416002986 |
| Provider Name | Adam Christopher Bortner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811491749 PECOS PAC ID: 3072943992 Enrollment ID: I20200416003256 |
| Provider Name | Jackielyn Sabangan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447749494 PECOS PAC ID: 6204266851 Enrollment ID: I20200422000677 |
| Provider Name | Maribel Marin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992341762 PECOS PAC ID: 8022439314 Enrollment ID: I20200521001698 |
| Provider Name | Fernando Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386195535 PECOS PAC ID: 5193003861 Enrollment ID: I20200617002710 |
| Provider Name | Adrianna J Dangremond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508802828 PECOS PAC ID: 8628000544 Enrollment ID: I20200625001764 |
| Provider Name | Kristy Buterbaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346615838 PECOS PAC ID: 5991128498 Enrollment ID: I20200630002394 |
| Provider Name | Caroline Tamas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982003760 PECOS PAC ID: 6709209125 Enrollment ID: I20200701003229 |
| Provider Name | Mackenzie L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629581764 PECOS PAC ID: 0345663134 Enrollment ID: I20200713002227 |
| Provider Name | Tracy E Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215469028 PECOS PAC ID: 8527481266 Enrollment ID: I20200714000433 |
| Provider Name | Katherine Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831557024 PECOS PAC ID: 7214232735 Enrollment ID: I20200715002598 |
| Provider Name | Eric M Debbold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144726415 PECOS PAC ID: 4385068881 Enrollment ID: I20200716002530 |
| Provider Name | Jordan Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699121749 PECOS PAC ID: 4587087168 Enrollment ID: I20200721002538 |
| Provider Name | Zephyr D Dworsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427443803 PECOS PAC ID: 8527482231 Enrollment ID: I20200727003685 |
| Provider Name | Jennifer Raer Israel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821539180 PECOS PAC ID: 8921422668 Enrollment ID: I20200728000952 |
| Provider Name | Leticia Janel Juarez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508393778 PECOS PAC ID: 4385912146 Enrollment ID: I20200728003055 |
| Provider Name | Arthur D Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023639176 PECOS PAC ID: 8022433028 Enrollment ID: I20200807002331 |
| Provider Name | Jodi B Nagelberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720474141 PECOS PAC ID: 8921384116 Enrollment ID: I20200820001255 |
| Provider Name | Sarah Margaret Fiedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356959043 PECOS PAC ID: 0143647974 Enrollment ID: I20200820001561 |
| Provider Name | Kayva Crawford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396241824 PECOS PAC ID: 6800213547 Enrollment ID: I20200826003619 |
| Provider Name | Monica Lisette Melgar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629432174 PECOS PAC ID: 6103243787 Enrollment ID: I20200827001430 |
| Provider Name | Brittney R Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952852808 PECOS PAC ID: 9436438074 Enrollment ID: I20200827001877 |
| Provider Name | Farhoud Faraji |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699271197 PECOS PAC ID: 3971920463 Enrollment ID: I20200828001764 |
| Provider Name | Fernando Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972917672 PECOS PAC ID: 9133546146 Enrollment ID: I20200903003546 |
| Provider Name | Kirsten Ann Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801329776 PECOS PAC ID: 3577981307 Enrollment ID: I20200910002869 |
| Provider Name | Kim Thien Vuong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831624048 PECOS PAC ID: 9638597297 Enrollment ID: I20200914001289 |
| Provider Name | Griselda Higuera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447589809 PECOS PAC ID: 7618395963 Enrollment ID: I20200917002731 |
| Provider Name | Sabrina Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548792815 PECOS PAC ID: 5890113963 Enrollment ID: I20200922002504 |
| Provider Name | Amanda Rose Ji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750745493 PECOS PAC ID: 4880013754 Enrollment ID: I20200925000572 |
| Provider Name | Annie N Larrow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417344128 PECOS PAC ID: 2567881246 Enrollment ID: I20200929003269 |
| Provider Name | Maysun Khan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033519632 PECOS PAC ID: 6305265869 Enrollment ID: I20201001002912 |
| Provider Name | Rylee E Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457887911 PECOS PAC ID: 2668891086 Enrollment ID: I20201002001964 |
| Provider Name | Navya M Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083069611 PECOS PAC ID: 9234558610 Enrollment ID: I20201005001228 |
| Provider Name | Sasha Giselle Llamas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356713739 PECOS PAC ID: 3173943255 Enrollment ID: I20201009002164 |
| Provider Name | Sonia Sapra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952751711 PECOS PAC ID: 2567882616 Enrollment ID: I20201012002072 |
| Provider Name | Stuart Wayne Krittman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174964399 PECOS PAC ID: 9931529740 Enrollment ID: I20201016000981 |
| Provider Name | Hyun Bae Chun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083118988 PECOS PAC ID: 2466872114 Enrollment ID: I20201019000749 |
| Provider Name | Tricia E Valenzuela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346776358 PECOS PAC ID: 2466863717 Enrollment ID: I20201118001135 |
| Provider Name | Kimberly L Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326447897 PECOS PAC ID: 4981927290 Enrollment ID: I20201119003272 |
| Provider Name | Michael G. Younes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508954652 PECOS PAC ID: 4284696105 Enrollment ID: I20201123002909 |
| Provider Name | Monica Mae Vidaurrazaga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346628310 PECOS PAC ID: 5799021796 Enrollment ID: I20201124002381 |
| Provider Name | Lagina R Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558897009 PECOS PAC ID: 1355752239 Enrollment ID: I20201125000566 |
| Provider Name | Matthew Patrick Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942456124 PECOS PAC ID: 1951467869 Enrollment ID: I20201130000500 |
| Provider Name | Ali Shooshtari Alavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356856694 PECOS PAC ID: 9739590472 Enrollment ID: I20201201001493 |
| Provider Name | Rashmi Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679937619 PECOS PAC ID: 1153612916 Enrollment ID: I20201224000090 |
| Provider Name | Ahmad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982983557 PECOS PAC ID: 0648443440 Enrollment ID: I20210104002145 |
| Provider Name | Aisha Omorodion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629500301 PECOS PAC ID: 1355688631 Enrollment ID: I20210127000937 |
| Provider Name | Tae Hyun Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508918178 PECOS PAC ID: 5597995407 Enrollment ID: I20210128001600 |
| Provider Name | Carmen Sonia Aguilar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912482142 PECOS PAC ID: 1254746357 Enrollment ID: I20210224000174 |
| Provider Name | Anya Katzina Mancillas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528698057 PECOS PAC ID: 6406261478 Enrollment ID: I20210225000847 |
| Provider Name | Roman John Marciniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326579210 PECOS PAC ID: 4587070677 Enrollment ID: I20210316001187 |
| Provider Name | Andrea Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326346198 PECOS PAC ID: 9739597253 Enrollment ID: I20210422001991 |
| Provider Name | Austin Geoffrey Bagingito |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942705637 PECOS PAC ID: 6103235429 Enrollment ID: I20210517001641 |
| Provider Name | Lizeth Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124457023 PECOS PAC ID: 3779982491 Enrollment ID: I20210601001170 |
| Provider Name | Daniel Gallares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245689488 PECOS PAC ID: 1951630813 Enrollment ID: I20210617000665 |
| Provider Name | Rosa Kim Le |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477092633 PECOS PAC ID: 9537569108 Enrollment ID: I20210618000953 |
| Provider Name | Sagar Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164780052 PECOS PAC ID: 8921328600 Enrollment ID: I20210707001637 |
| Provider Name | Ahmed Mayet Abdulrahim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619040292 PECOS PAC ID: 3971905928 Enrollment ID: I20210713002313 |
| Provider Name | Kevin Diep |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083117865 PECOS PAC ID: 8628470606 Enrollment ID: I20210713003580 |
| Provider Name | Kristen Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407410533 PECOS PAC ID: 5890198410 Enrollment ID: I20210720002870 |
| Provider Name | Elizabeth A Passot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902412885 PECOS PAC ID: 6507269818 Enrollment ID: I20210723003100 |
| Provider Name | Diana Le |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184112864 PECOS PAC ID: 7214330356 Enrollment ID: I20210727001065 |
| Provider Name | Christopher M Day |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184121253 PECOS PAC ID: 1759784689 Enrollment ID: I20210729000949 |
| Provider Name | Priti Nagnur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316289929 PECOS PAC ID: 9335542281 Enrollment ID: I20210729001624 |
| Provider Name | Sarah Margaret Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508210311 PECOS PAC ID: 8921402702 Enrollment ID: I20210802003559 |
| Provider Name | Ann Colleen Nasvytis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124221254 PECOS PAC ID: 5395076392 Enrollment ID: I20210813000874 |
| Provider Name | Christene Vancott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124130224 PECOS PAC ID: 5395632061 Enrollment ID: I20210817003998 |
| Provider Name | Waseem M Khader |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1124476270 PECOS PAC ID: 6002230760 Enrollment ID: I20210818001833 |
| Provider Name | Javad John Fatollahi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467987321 PECOS PAC ID: 2961773858 Enrollment ID: I20210818003008 |
| Provider Name | Kusi Hilda Peralta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669856365 PECOS PAC ID: 5991100612 Enrollment ID: I20210818003219 |
| Provider Name | Michelle Elizabeth Doscas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306343421 PECOS PAC ID: 5991100448 Enrollment ID: I20210820001096 |
| Provider Name | Deepthi Sudhakar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811307051 PECOS PAC ID: 2365848256 Enrollment ID: I20210831003546 |
| Provider Name | Jasmine Nguyen Pham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891388708 PECOS PAC ID: 1355747288 Enrollment ID: I20210903002093 |
| Provider Name | Ashlee R. Schlesier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578093779 PECOS PAC ID: 6204232796 Enrollment ID: I20210908003761 |
| Provider Name | Varsha Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891283214 PECOS PAC ID: 6305243718 Enrollment ID: I20210928002974 |
| Provider Name | Belinda Daniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760913446 PECOS PAC ID: 0648668640 Enrollment ID: I20211025001282 |
| Provider Name | Rebeca Villalobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184224396 PECOS PAC ID: 7113316399 Enrollment ID: I20211109001748 |
| Provider Name | Jesica Fernanda Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184157620 PECOS PAC ID: 4183901887 Enrollment ID: I20211119001492 |
| Provider Name | Michelle Ann Polich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780118018 PECOS PAC ID: 5193093268 Enrollment ID: I20211214002759 |
| Provider Name | Joseph Lai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568891794 PECOS PAC ID: 5890063135 Enrollment ID: I20211216001742 |
| Provider Name | Andrew Satera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265861629 PECOS PAC ID: 6800010737 Enrollment ID: I20211220000929 |
| Provider Name | Maria Bahramzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588141865 PECOS PAC ID: 9234520370 Enrollment ID: I20211227000853 |
| Provider Name | Chelsea Margaret Thouvenot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083076129 PECOS PAC ID: 6800287954 Enrollment ID: I20211227001225 |
| Provider Name | Debolina Ghosh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508340266 PECOS PAC ID: 0244621316 Enrollment ID: I20211228000671 |
| Provider Name | Tia J Dorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285074740 PECOS PAC ID: 5294968988 Enrollment ID: I20211229002176 |
| Provider Name | Michelle A Godinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336694660 PECOS PAC ID: 4082006523 Enrollment ID: I20220113001625 |
| Provider Name | Devesh Madhav Vashishtha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194220434 PECOS PAC ID: 4284026311 Enrollment ID: I20220121000746 |
| Provider Name | Magan Anne Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811378557 PECOS PAC ID: 8921310400 Enrollment ID: I20220221001837 |
| Provider Name | Minh Gia Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720575566 PECOS PAC ID: 9234524380 Enrollment ID: I20220328001413 |
| Provider Name | Lauren Elyse Hanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053392035 PECOS PAC ID: 0749262376 Enrollment ID: I20220414001977 |
| Provider Name | Brianna Elizabeth Roll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518526177 PECOS PAC ID: 4284021379 Enrollment ID: I20220419002622 |
| Provider Name | Louie Humberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558823625 PECOS PAC ID: 2365839420 Enrollment ID: I20220420002286 |
| Provider Name | Mikhael Dwight Andaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780189209 PECOS PAC ID: 3577950492 Enrollment ID: I20220425000424 |
| Provider Name | Jordan C Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821572249 PECOS PAC ID: 1153714274 Enrollment ID: I20220513002233 |
| Provider Name | Jae Sang Oh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235612599 PECOS PAC ID: 4385022631 Enrollment ID: I20220527001884 |
| Provider Name | Cynthia Vanessa Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174105589 PECOS PAC ID: 0042699258 Enrollment ID: I20220617002448 |
| Provider Name | Laura Winfrey Plue |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053461541 PECOS PAC ID: 6709265713 Enrollment ID: I20220622002261 |
| Provider Name | Patricia Ann Murphy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598151425 PECOS PAC ID: 7416336110 Enrollment ID: I20220627003250 |
| Provider Name | Rujing Shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710446539 PECOS PAC ID: 8527448158 Enrollment ID: I20220629001282 |
| Provider Name | Rodrigo N Franco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952736043 PECOS PAC ID: 1153550884 Enrollment ID: I20220721000855 |
| Provider Name | Inderpreet Singh Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891256780 PECOS PAC ID: 0042691990 Enrollment ID: I20220722002833 |
| Provider Name | Renda Said Dawud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033131941 PECOS PAC ID: 5799750725 Enrollment ID: I20220725000527 |
| Provider Name | Hooman Tabarsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821518333 PECOS PAC ID: 2163804949 Enrollment ID: I20220727001489 |
| Provider Name | Alexander N. Prevallet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659833556 PECOS PAC ID: 0244612638 Enrollment ID: I20220802000833 |
| Provider Name | Quynh Giao T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467912600 PECOS PAC ID: 6204218647 Enrollment ID: I20220802002973 |
| Provider Name | Brenda Ann Heflin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700510328 PECOS PAC ID: 5092197061 Enrollment ID: I20220808001973 |
| Provider Name | Mohammed Alshammary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194217539 PECOS PAC ID: 4587919816 Enrollment ID: I20220810002091 |
| Provider Name | Riya B Luhar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235665662 PECOS PAC ID: 2163793043 Enrollment ID: I20220829002757 |
| Provider Name | Rebecca Lauren Lach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679137780 PECOS PAC ID: 2466836119 Enrollment ID: I20220830003786 |
| Provider Name | Pragyan Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861846206 PECOS PAC ID: 6507153657 Enrollment ID: I20220906002768 |
| Provider Name | Donia Ahadian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689238560 PECOS PAC ID: 0446634745 Enrollment ID: I20220906002819 |
| Provider Name | Tania Marie Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285196311 PECOS PAC ID: 7113301250 Enrollment ID: I20220908001811 |
| Provider Name | Tyler Robert Seybert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225533292 PECOS PAC ID: 9739437799 Enrollment ID: I20220919001492 |
| Provider Name | Morgan Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891359154 PECOS PAC ID: 7517342058 Enrollment ID: I20220919002952 |
| Provider Name | Leslie Jesus Hille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477920221 PECOS PAC ID: 9537544986 Enrollment ID: I20220921000698 |
| Provider Name | Johanna E Gerwer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043742588 PECOS PAC ID: 8325423502 Enrollment ID: I20220924000132 |
| Provider Name | Benjamin Tyler Ostrander |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427414499 PECOS PAC ID: 8729464953 Enrollment ID: I20220926002068 |
| Provider Name | Priyanka Parag Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518521798 PECOS PAC ID: 3779969852 Enrollment ID: I20220927000954 |
| Provider Name | Sabah Noori Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194388637 PECOS PAC ID: 8921484056 Enrollment ID: I20220927003042 |
| Provider Name | Rebecca I Mcdaniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518623818 PECOS PAC ID: 6204212129 Enrollment ID: I20220929003662 |
| Provider Name | Michelle Renee Seavey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114081833 PECOS PAC ID: 7911099197 Enrollment ID: I20220930002762 |
| Provider Name | Amethyst Marie Aguero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568021913 PECOS PAC ID: 7810373651 Enrollment ID: I20221003001922 |
| Provider Name | Justin Chika Thai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093276198 PECOS PAC ID: 9739565037 Enrollment ID: I20221010001343 |
| Provider Name | Stephanie Ai Vi Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518524586 PECOS PAC ID: 1153707476 Enrollment ID: I20221010002074 |
| Provider Name | Mark Alan Hacholski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568995694 PECOS PAC ID: 4981029899 Enrollment ID: I20221012002666 |
| Provider Name | Nha Khanh Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760975833 PECOS PAC ID: 8022484211 Enrollment ID: I20221012003188 |
| Provider Name | Jasmine Pang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730836842 PECOS PAC ID: 6204202823 Enrollment ID: I20221021001188 |
| Provider Name | Jonathan Allotey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982362026 PECOS PAC ID: 9638545288 Enrollment ID: I20221021002228 |
| Provider Name | Lisa Ditsheko Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700345584 PECOS PAC ID: 7315365012 Enrollment ID: I20221024000269 |
| Provider Name | Christine Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861677023 PECOS PAC ID: 8022189224 Enrollment ID: I20221024002867 |
| Provider Name | Karen Kay Lalangan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477273084 PECOS PAC ID: 3870969355 Enrollment ID: I20221025002010 |
| Provider Name | Martha G Benitez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124521901 PECOS PAC ID: 9133596505 Enrollment ID: I20221028000396 |
| Provider Name | Charlos Vernell Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114285814 PECOS PAC ID: 8224353602 Enrollment ID: I20221028000525 |
| Provider Name | Joshua Feriante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891255907 PECOS PAC ID: 7911233267 Enrollment ID: I20221028001071 |
| Provider Name | Marina Barcellos Palma Lima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750746053 PECOS PAC ID: 8921353368 Enrollment ID: I20221031001349 |
| Provider Name | Joe Benjamin Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033647409 PECOS PAC ID: 3577823806 Enrollment ID: I20221031002614 |
| Provider Name | Clare M Mundy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033671813 PECOS PAC ID: 4486021698 Enrollment ID: I20221101000793 |
| Provider Name | Kimiko Tsuchiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629637285 PECOS PAC ID: 4789913062 Enrollment ID: I20221102001733 |
| Provider Name | Tara Marina Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972965242 PECOS PAC ID: 5395112965 Enrollment ID: I20221110002569 |
| Provider Name | Fahima Nadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770072290 PECOS PAC ID: 7214275353 Enrollment ID: I20221110003037 |
| Provider Name | Laurie Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053754333 PECOS PAC ID: 7214233709 Enrollment ID: I20221118000846 |
| Provider Name | Nadia Edith Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386990349 PECOS PAC ID: 6709254956 Enrollment ID: I20221121000602 |
| Provider Name | Janice Mai Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760916589 PECOS PAC ID: 9931577970 Enrollment ID: I20221122001737 |
| Provider Name | Takisha Kimberly Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881727386 PECOS PAC ID: 8022486083 Enrollment ID: I20221122002548 |
| Provider Name | Raquel Cornejo Pina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255893368 PECOS PAC ID: 8123496148 Enrollment ID: I20221123001284 |
| Provider Name | Mark J Beltran Lanuza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992230593 PECOS PAC ID: 7618211707 Enrollment ID: I20221123002163 |
| Provider Name | Priya Chakrabarti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326531401 PECOS PAC ID: 5193193001 Enrollment ID: I20221128001711 |
| Provider Name | Jennifer Kay Ming Yao Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255785150 PECOS PAC ID: 2961776943 Enrollment ID: I20221205002637 |
| Provider Name | Melissa Peet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154046548 PECOS PAC ID: 8224407770 Enrollment ID: I20221206001241 |
| Provider Name | Cerah Yumi Nagata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427648435 PECOS PAC ID: 2163891425 Enrollment ID: I20221207002893 |
| Provider Name | Jonathan Melton Lish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811459456 PECOS PAC ID: 7911376991 Enrollment ID: I20221214000705 |
| Provider Name | Naweed Hayat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043771710 PECOS PAC ID: 5496124497 Enrollment ID: I20221214001666 |
| Provider Name | Ivonne Berenice Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225355498 PECOS PAC ID: 5597134460 Enrollment ID: I20221215002287 |
| Provider Name | Gerald Robert Gibbons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528562204 PECOS PAC ID: 3779832159 Enrollment ID: I20221219000682 |
| Provider Name | Ryan Beau Bourgette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629489257 PECOS PAC ID: 6305215104 Enrollment ID: I20221219001312 |
| Provider Name | Simone Everett Tolmie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104572007 PECOS PAC ID: 3779952486 Enrollment ID: I20221219002068 |
| Provider Name | Anthony T Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346628880 PECOS PAC ID: 5698040798 Enrollment ID: I20221221003198 |
| Provider Name | Erika Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396462917 PECOS PAC ID: 5698145092 Enrollment ID: I20221229001387 |
| Provider Name | Matthew James Suggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326543596 PECOS PAC ID: 1658617154 Enrollment ID: I20221229002138 |
| Provider Name | Jeffrey Robert Bergstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558840850 PECOS PAC ID: 4183014285 Enrollment ID: I20230113001427 |
| Provider Name | Arleen Gell Lujan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760412431 PECOS PAC ID: 5799156410 Enrollment ID: I20230117001620 |
| Provider Name | Jose Luis Jr Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528440468 PECOS PAC ID: 7113230541 Enrollment ID: I20230117002458 |
| Provider Name | Sree Vaishnavi Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346700101 PECOS PAC ID: 2769717685 Enrollment ID: I20230119002276 |
| Provider Name | Molly Patricia Dibsy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043725930 PECOS PAC ID: 7719358027 Enrollment ID: I20230125000643 |
| Provider Name | Jane Clare Vosteen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407572217 PECOS PAC ID: 0143691220 Enrollment ID: I20230127002357 |
| Provider Name | Ayser Saad Mahmood Al-mshhdani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679008569 PECOS PAC ID: 3274878434 Enrollment ID: I20230201000375 |
| Provider Name | Marta Awdykovych |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447265137 PECOS PAC ID: 9032581905 Enrollment ID: I20230202002937 |
| Provider Name | Jamie L Sweigert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396353595 PECOS PAC ID: 7810369634 Enrollment ID: I20230203001904 |
| Provider Name | Malathy Sriskandarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427066844 PECOS PAC ID: 5698911758 Enrollment ID: I20230208000151 |
| Provider Name | David Cornejo Noriega |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1275648685 PECOS PAC ID: 0547491953 Enrollment ID: I20230213000129 |
| Provider Name | Linh Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619357993 PECOS PAC ID: 8123392214 Enrollment ID: I20230213000234 |
| Provider Name | Kristen Joy Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649757741 PECOS PAC ID: 3971848821 Enrollment ID: I20230217001640 |
| Provider Name | Andrew Tzellas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003996042 PECOS PAC ID: 8729012448 Enrollment ID: I20230217001917 |
| Provider Name | Carlos Manuel Espana |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508936709 PECOS PAC ID: 7618247537 Enrollment ID: I20230220000143 |
| Provider Name | Luay Sarsam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558744953 PECOS PAC ID: 7113209552 Enrollment ID: I20230221001840 |
| Provider Name | Emily Ycasas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033841861 PECOS PAC ID: 2961875976 Enrollment ID: I20230222000845 |
| Provider Name | Michelle S. Lough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053816496 PECOS PAC ID: 8224445010 Enrollment ID: I20230227001753 |
| Provider Name | Anand Dipakkumar Gandhi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821651779 PECOS PAC ID: 5395135503 Enrollment ID: I20230227002377 |
| Provider Name | Devin Martie Xayasomloth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134603814 PECOS PAC ID: 8022481597 Enrollment ID: I20230302003110 |
| Provider Name | Kaitlyn Em Mcdowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609431238 PECOS PAC ID: 5193198695 Enrollment ID: I20230303000969 |
| Provider Name | Kinaan Faridun Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099034 PECOS PAC ID: 9032582564 Enrollment ID: I20230303002227 |
| Provider Name | Judy Hyun Jin Jun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437785334 PECOS PAC ID: 7012380348 Enrollment ID: I20230307000990 |
| Provider Name | Ashley Lian Doruelo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033613732 PECOS PAC ID: 7214286137 Enrollment ID: I20230313001129 |
| Provider Name | Kayla Carmella Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720789415 PECOS PAC ID: 9638543325 Enrollment ID: I20230320002795 |
| Provider Name | Joanne Canio Vargas-velasco |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093965477 PECOS PAC ID: 6507230133 Enrollment ID: I20230322003127 |
| Provider Name | Maysam Riadh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801417720 PECOS PAC ID: 0143694570 Enrollment ID: I20230324002110 |
| Provider Name | John Lyle Esten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003327636 PECOS PAC ID: 5597139923 Enrollment ID: I20230324002226 |
| Provider Name | Patricia Barbara Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932665635 PECOS PAC ID: 9133517089 Enrollment ID: I20230324002493 |
| Provider Name | Miranda Lorraine Dinkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578100582 PECOS PAC ID: 9133593502 Enrollment ID: I20230327000933 |
| Provider Name | Parkash Gabriel Lalwani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811695752 PECOS PAC ID: 3173997558 Enrollment ID: I20230327001178 |
| Provider Name | Sheree Jean Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578070892 PECOS PAC ID: 1759755002 Enrollment ID: I20230328001214 |
| Provider Name | Krislyn Carolino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669171500 PECOS PAC ID: 6800260068 Enrollment ID: I20230330000576 |
| Provider Name | Stephanie Vo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518666783 PECOS PAC ID: 6406221431 Enrollment ID: I20230405001188 |
| Provider Name | Aminah Namuddu Musoke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811563117 PECOS PAC ID: 0244605160 Enrollment ID: I20230406002454 |
| Provider Name | Andy M Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104480912 PECOS PAC ID: 3274908918 Enrollment ID: I20230411000580 |
| Provider Name | Skylee Dawnn Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942804471 PECOS PAC ID: 5496168619 Enrollment ID: I20230411002961 |
| Provider Name | Karen Ashley Merriweather |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326604364 PECOS PAC ID: 1951712934 Enrollment ID: I20230414000892 |
| Provider Name | Chelsey Elizabeth Grimes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871231894 PECOS PAC ID: 5991170466 Enrollment ID: I20230414001128 |
| Provider Name | Jillana Joy Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528627098 PECOS PAC ID: 5991104739 Enrollment ID: I20230418000678 |
| Provider Name | Fabiola C. Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861951006 PECOS PAC ID: 7810352754 Enrollment ID: I20230428002203 |
| Provider Name | Naomi Vivana Rodas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770037004 PECOS PAC ID: 7517322332 Enrollment ID: I20230501002356 |
| Provider Name | Crystal Dianne Horton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114587797 PECOS PAC ID: 1951767813 Enrollment ID: I20230518001617 |
| Provider Name | Jordan Mason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619670957 PECOS PAC ID: 1052777851 Enrollment ID: I20230522000991 |
| Provider Name | Sarah Elaine Koyama |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184033821 PECOS PAC ID: 9537475108 Enrollment ID: I20230522002156 |
| Provider Name | Christine Madsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720540891 PECOS PAC ID: 9638504954 Enrollment ID: I20230522002648 |
| Provider Name | Lucilia Goncalves Portela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205055431 PECOS PAC ID: 5597856385 Enrollment ID: I20230522003184 |
| Provider Name | Rahul Fred Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619505666 PECOS PAC ID: 1850758228 Enrollment ID: I20230531002172 |
| Provider Name | Gabriel Anthony Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134786098 PECOS PAC ID: 9638537962 Enrollment ID: I20230620000778 |
| Provider Name | Adrienne Frieda Geraci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427574409 PECOS PAC ID: 6507224763 Enrollment ID: I20230620002208 |
| Provider Name | Tiago Barcelos Antonio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194159871 PECOS PAC ID: 6103284252 Enrollment ID: I20230621002657 |
| Provider Name | William Matthew Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972002210 PECOS PAC ID: 1658730874 Enrollment ID: I20230706002987 |
| Provider Name | Annu Thareja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194389817 PECOS PAC ID: 0446589253 Enrollment ID: I20230706003085 |
| Provider Name | Katie Jean Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649761149 PECOS PAC ID: 3476912346 Enrollment ID: I20230710003789 |
| Provider Name | Faizi M. Hai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639523228 PECOS PAC ID: 6406269489 Enrollment ID: I20230711003130 |
| Provider Name | Jeffrey David Bernstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124646906 PECOS PAC ID: 0840650966 Enrollment ID: I20230720000944 |
| Provider Name | Jessica C Erlich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679192793 PECOS PAC ID: 5698136406 Enrollment ID: I20230726002293 |
| Provider Name | Manpreet Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144875535 PECOS PAC ID: 0143681726 Enrollment ID: I20230728002266 |
| Provider Name | Kyle Bermejo Esguerra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790463578 PECOS PAC ID: 8820459373 Enrollment ID: I20230731002121 |
| Provider Name | Andrew Daniel Mckee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164988846 PECOS PAC ID: 4486015948 Enrollment ID: I20230731002567 |
| Provider Name | Melanie Nicole Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235640988 PECOS PAC ID: 6002277597 Enrollment ID: I20230731003796 |
| Provider Name | Nadia I Abelhad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619400801 PECOS PAC ID: 5092139931 Enrollment ID: I20230801003431 |
| Provider Name | Stephanie Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851929442 PECOS PAC ID: 2466813472 Enrollment ID: I20230807001511 |
| Provider Name | Lily Medrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710665989 PECOS PAC ID: 0244691202 Enrollment ID: I20230807003413 |
| Provider Name | Andrea L Cruz Araujo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124401435 PECOS PAC ID: 5890002992 Enrollment ID: I20230809001518 |
| Provider Name | Mandeep Singh Bajwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720615867 PECOS PAC ID: 3072975861 Enrollment ID: I20230810001697 |
| Provider Name | Michael Kenneth Wolfe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679157531 PECOS PAC ID: 9931561743 Enrollment ID: I20230810002555 |
| Provider Name | Katari Amina Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598030207 PECOS PAC ID: 4284096017 Enrollment ID: I20230810003781 |
| Provider Name | Gladys Luisa Berry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396846036 PECOS PAC ID: 8022470715 Enrollment ID: I20230811002171 |
| Provider Name | Bisma Gowani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487214888 PECOS PAC ID: 2365828118 Enrollment ID: I20230811002347 |
| Provider Name | James Harrison Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629605159 PECOS PAC ID: 0143682344 Enrollment ID: I20230821002063 |
| Provider Name | So Yeon Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881201481 PECOS PAC ID: 7315358132 Enrollment ID: I20230824003830 |
| Provider Name | Nazret Gaim Weldeghiorgis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316356884 PECOS PAC ID: 3274751367 Enrollment ID: I20230825000083 |
| Provider Name | Isabella Marie Hanulik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174151120 PECOS PAC ID: 7416310099 Enrollment ID: I20230830000539 |
| Provider Name | Eric Marvin Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033748074 PECOS PAC ID: 2062871965 Enrollment ID: I20230830003952 |
| Provider Name | Santiago Luis Ortega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952081754 PECOS PAC ID: 6305209677 Enrollment ID: I20230905000868 |
| Provider Name | Jessica Kathleen Sassic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598342529 PECOS PAC ID: 3779947965 Enrollment ID: I20230906002228 |
| Provider Name | Sara Isabel Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083123954 PECOS PAC ID: 5496119604 Enrollment ID: I20230906003216 |
| Provider Name | Sarah Darwich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942933833 PECOS PAC ID: 2163886094 Enrollment ID: I20230912000859 |
| Provider Name | Nishant Bhat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376067025 PECOS PAC ID: 5395147938 Enrollment ID: I20230915001929 |
| Provider Name | Laurel Kim Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396366050 PECOS PAC ID: 1355764416 Enrollment ID: I20230918000910 |
| Provider Name | Caitlin Ileana Breen Toney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700413218 PECOS PAC ID: 3173987583 Enrollment ID: I20230918002146 |
| Provider Name | Jocelyn Vasquez-mota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205267184 PECOS PAC ID: 8729432885 Enrollment ID: I20230925000956 |
| Provider Name | Perla Barragan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972267714 PECOS PAC ID: 1951755727 Enrollment ID: I20230927002711 |
| Provider Name | Wisdom Michelle Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467080010 PECOS PAC ID: 2466806096 Enrollment ID: I20230929002032 |
| Provider Name | Paola Lizett Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194373118 PECOS PAC ID: 3173977584 Enrollment ID: I20231003002212 |
| Provider Name | Courtney Simone Clements |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962953141 PECOS PAC ID: 4688028061 Enrollment ID: I20231004001032 |
| Provider Name | Lucas James Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376171520 PECOS PAC ID: 6204281454 Enrollment ID: I20231009002433 |
| Provider Name | Shubham Dixit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932785367 PECOS PAC ID: 4981059045 Enrollment ID: I20231009003292 |
| Provider Name | Jacqueline Nichole Struck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033698956 PECOS PAC ID: 1850746611 Enrollment ID: I20231013001874 |
| Provider Name | Anthony James Tiu Trinidad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114543246 PECOS PAC ID: 9537514187 Enrollment ID: I20231017001863 |
| Provider Name | Heena Utpal Pandya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235620147 PECOS PAC ID: 6103271655 Enrollment ID: I20231018002385 |
| Provider Name | Matthew Bryan Jeong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558982512 PECOS PAC ID: 9032540356 Enrollment ID: I20231026000430 |
| Provider Name | Joseph Cody Brainard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356942221 PECOS PAC ID: 2961858683 Enrollment ID: I20231031003231 |
| Provider Name | Chetan Girijanand Bhat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497309801 PECOS PAC ID: 7810343464 Enrollment ID: I20231102001044 |
| Provider Name | Joshua Daniel Bruhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447888284 PECOS PAC ID: 5294182374 Enrollment ID: I20231110001598 |
| Provider Name | Nina Rajesh Bihani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497376743 PECOS PAC ID: 9931520467 Enrollment ID: I20231115002462 |
| Provider Name | Lydie Dahlia Francillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720647381 PECOS PAC ID: 6608224399 Enrollment ID: I20231117002059 |
| Provider Name | Devon Lia-soan Wan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255666228 PECOS PAC ID: 3274981410 Enrollment ID: I20231128002396 |
| Provider Name | Diana Fok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487427423 PECOS PAC ID: 5294183422 Enrollment ID: I20231129001933 |
| Provider Name | Lisa Marie Newberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578041083 PECOS PAC ID: 1456709526 Enrollment ID: I20231129003771 |
| Provider Name | Megan Rose Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699138115 PECOS PAC ID: 6305138447 Enrollment ID: I20231130002314 |
| Provider Name | Sasha Dobyns Gorecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346029436 PECOS PAC ID: 3577912948 Enrollment ID: I20231211001433 |
| Provider Name | Margaret Culver Mcdermott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124604707 PECOS PAC ID: 3971952375 Enrollment ID: I20231211002604 |
| Provider Name | Safa Tokhi Yaqobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639665888 PECOS PAC ID: 2264881515 Enrollment ID: I20231212000928 |
| Provider Name | Aisha Maria Van Pratt Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821550559 PECOS PAC ID: 2961887641 Enrollment ID: I20231213000451 |
| Provider Name | Alexa Arno Vuylsteke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922880160 PECOS PAC ID: 2163871328 Enrollment ID: I20231213001279 |
| Provider Name | Stephany Sue Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174143499 PECOS PAC ID: 0446609622 Enrollment ID: I20231213001973 |
| Provider Name | Joan Marie Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386697779 PECOS PAC ID: 5991796088 Enrollment ID: I20231219000421 |
| Provider Name | Susan Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780939470 PECOS PAC ID: 5698126605 Enrollment ID: I20240103004142 |
| Provider Name | Celia Christine Cruz-elmassian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194241182 PECOS PAC ID: 6305297029 Enrollment ID: I20240108000550 |
| Provider Name | Alexis Toledo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588430888 PECOS PAC ID: 1658722251 Enrollment ID: I20240108005767 |
| Provider Name | Danielle Nicole Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477810984 PECOS PAC ID: 6103277215 Enrollment ID: I20240112001291 |
| Provider Name | Trinese Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003334160 PECOS PAC ID: 3577801604 Enrollment ID: I20240112001712 |
| Provider Name | Melanie Tam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649899816 PECOS PAC ID: 6709237845 Enrollment ID: I20240112002171 |
| Provider Name | Jenifer Lynn Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679046395 PECOS PAC ID: 1153772298 Enrollment ID: I20240112002192 |
| Provider Name | Heather Harper Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487126736 PECOS PAC ID: 2264865450 Enrollment ID: I20240115000974 |
| Provider Name | Victoria Rose Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750033890 PECOS PAC ID: 8022460005 Enrollment ID: I20240115001772 |
| Provider Name | Vanessa Maria Porras |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982257416 PECOS PAC ID: 7618329657 Enrollment ID: I20240116001683 |
| Provider Name | Alessandra Catherine Utz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992280119 PECOS PAC ID: 5193177145 Enrollment ID: I20240116001937 |
| Provider Name | Neriyah Simchah Ritblatt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902409816 PECOS PAC ID: 1557713518 Enrollment ID: I20240116002244 |
| Provider Name | Ash Tahbaz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205294543 PECOS PAC ID: 4981056876 Enrollment ID: I20240116003439 |
| Provider Name | Janine Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932279338 PECOS PAC ID: 4284818790 Enrollment ID: I20240117000717 |
| Provider Name | Kristin Kupka Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902336837 PECOS PAC ID: 8820322001 Enrollment ID: I20240117000893 |
| Provider Name | Savannah Whitney Guimond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497371835 PECOS PAC ID: 7012367204 Enrollment ID: I20240119002137 |
| Provider Name | Sharjeel Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619556180 PECOS PAC ID: 6507218096 Enrollment ID: I20240119003936 |
| Provider Name | Angela Yu-fen Chen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811027956 PECOS PAC ID: 8325491426 Enrollment ID: I20240124004958 |
| Provider Name | Kristen Janene Martin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265853899 PECOS PAC ID: 0143673202 Enrollment ID: I20240125001821 |
| Provider Name | Ruth Anne Gillis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568588325 PECOS PAC ID: 8628421781 Enrollment ID: I20240125001991 |
| Provider Name | Cynthia Jeaneen Jauregui |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003953886 PECOS PAC ID: 6305299371 Enrollment ID: I20240125002616 |
| Provider Name | Christopher A Navas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750720967 PECOS PAC ID: 3072966795 Enrollment ID: I20240130001583 |
| Provider Name | Amy Han-ching Ko |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508002577 PECOS PAC ID: 8022270487 Enrollment ID: I20240201004616 |
| Provider Name | Francis John Trapani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225519820 PECOS PAC ID: 2668815937 Enrollment ID: I20240205000759 |
| Provider Name | Maria Camila Molina Velandia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649998097 PECOS PAC ID: 6507233988 Enrollment ID: I20240205001245 |
| Provider Name | Alexis Rae Schiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467179788 PECOS PAC ID: 0143663054 Enrollment ID: I20240207004336 |
| Provider Name | Suemin Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598477093 PECOS PAC ID: 6901249614 Enrollment ID: I20240209002232 |
| Provider Name | Sean R Posada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295100691 PECOS PAC ID: 6305213299 Enrollment ID: I20240214001099 |
| Provider Name | Jennifer Narvaez Montenegro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538843552 PECOS PAC ID: 5890139950 Enrollment ID: I20240216000008 |
| Provider Name | Joshua Marc Rothman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750949624 PECOS PAC ID: 3577907682 Enrollment ID: I20240216001762 |
| Provider Name | Natalie Nicole Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821677584 PECOS PAC ID: 1355785395 Enrollment ID: I20240219001653 |
| Provider Name | Joel Alexander Gattey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487942488 PECOS PAC ID: 5890139539 Enrollment ID: I20240221001008 |
| Provider Name | Jan Eric Sales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417650169 PECOS PAC ID: 5294179958 Enrollment ID: I20240221001549 |
| Provider Name | Carlos Fabian Ontiveros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730942640 PECOS PAC ID: 8921443474 Enrollment ID: I20240223003717 |
| Provider Name | Juan Jose Ponce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649695479 PECOS PAC ID: 2769827187 Enrollment ID: I20240226001474 |
| Provider Name | Mina Naiel Askar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457939928 PECOS PAC ID: 3173968468 Enrollment ID: I20240226004131 |
| Provider Name | Christina Medina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497517908 PECOS PAC ID: 1557707148 Enrollment ID: I20240305004446 |
| Provider Name | Christina Marie Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205417797 PECOS PAC ID: 5193161511 Enrollment ID: I20240307003413 |
| Provider Name | Hammad Afif |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932845385 PECOS PAC ID: 8426494766 Enrollment ID: I20240308003676 |
| Provider Name | Alexys Maelyn Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669194437 PECOS PAC ID: 0749626703 Enrollment ID: I20240312003944 |
| Provider Name | Edward Jeffrey Hodgkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922619766 PECOS PAC ID: 1557707510 Enrollment ID: I20240312003975 |
| Provider Name | April Leann Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972945228 PECOS PAC ID: 5193952950 Enrollment ID: I20240318003803 |
| Provider Name | Daisy Samantha Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801228432 PECOS PAC ID: 5395182893 Enrollment ID: I20240320000500 |
| Provider Name | Thinh Truong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265955025 PECOS PAC ID: 2062859010 Enrollment ID: I20240326001990 |
| Provider Name | Kayla Alvine Chory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487279683 PECOS PAC ID: 6305260050 Enrollment ID: I20240329000788 |
| Provider Name | Justine Ariel Gutierrez Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851834873 PECOS PAC ID: 6002254703 Enrollment ID: I20240401000785 |
| Provider Name | Ryan Jessica Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558084855 PECOS PAC ID: 5092153148 Enrollment ID: I20240409001222 |
| Provider Name | Raquel Jacqueline Guardia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760246862 PECOS PAC ID: 0547609406 Enrollment ID: I20240411004660 |
| Provider Name | Gregory David Weygandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336728559 PECOS PAC ID: 8022458074 Enrollment ID: I20240424003534 |
| Provider Name | Suzie Soojin Hong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912534249 PECOS PAC ID: 9537509237 Enrollment ID: I20240429001665 |
| Provider Name | Preston Jeffrey Stocking |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770343352 PECOS PAC ID: 6002256757 Enrollment ID: I20240429003627 |
| Provider Name | Pranay Rag Bonagiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104403591 PECOS PAC ID: 0648610113 Enrollment ID: I20240501000472 |
| Provider Name | Nancy R. Mcginley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649765124 PECOS PAC ID: 5698116341 Enrollment ID: I20240512000044 |
| Provider Name | Brandy Marie Covarrubias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538914775 PECOS PAC ID: 8527400753 Enrollment ID: I20240520003036 |
| Provider Name | Janice Stelle Acosta-mariscal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194571984 PECOS PAC ID: 8729420153 Enrollment ID: I20240530001161 |
| Provider Name | Courtney Jade Combe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144778580 PECOS PAC ID: 8123463668 Enrollment ID: I20240531003093 |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |