| Memorialcare Medical Foundation | |
|
17360 Brookhurst St Fountain Valley CA 92708-3720 | |
| (877) 696-3622 | |
| Not Available |
| Full Name | Memorialcare Medical Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 17360 Brookhurst St, Fountain Valley, California |
| Authorized Official Name and Position | Laurie Sicaeros (COO/VP PHYSICIAN INTEGRATION) |
| Authorized Official Contact | 8776963622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorialcare Medical Foundation 17360 Brookhurst St Fountain Valley CA 92708-3720 Ph: (877) 696-3622 | Memorialcare Medical Foundation 17360 Brookhurst St Fountain Valley CA 92708-3720 Ph: (877) 696-3622 |
| NPI Number | 1205167350 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 8729277314 |
|---|---|
| Medicare Enrollment ID | O20110113000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205167350 | NPI | - | NPPES |
| Provider Name | Andrew J Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877842 PECOS PAC ID: 6305750464 Enrollment ID: I20031113000728 |
| Provider Name | Ali Ghazvini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104865153 PECOS PAC ID: 5890699128 Enrollment ID: I20031119000984 |
| Provider Name | Philip D Kouros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972608677 PECOS PAC ID: 7012811060 Enrollment ID: I20031121000505 |
| Provider Name | Alexander S Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083658884 PECOS PAC ID: 1951207323 Enrollment ID: I20031208001089 |
| Provider Name | Hosam Mohamad Moustafa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760418149 PECOS PAC ID: 6901700830 Enrollment ID: I20031217000309 |
| Provider Name | Nasrin Damoui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841295326 PECOS PAC ID: 4981505476 Enrollment ID: I20040116001047 |
| Provider Name | Kourosh Nourisamie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124000757 PECOS PAC ID: 0244131340 Enrollment ID: I20040120000587 |
| Provider Name | Hervey Segall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114968328 PECOS PAC ID: 1759282841 Enrollment ID: I20040120001078 |
| Provider Name | Maria Cecil Dungo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235101874 PECOS PAC ID: 7719889666 Enrollment ID: I20040122000457 |
| Provider Name | Robert O Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578524468 PECOS PAC ID: 5991607285 Enrollment ID: I20040126000956 |
| Provider Name | Patrick K Griffith |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1437186285 PECOS PAC ID: 5496648529 Enrollment ID: I20040209000607 |
| Provider Name | Jeffrey Allen Dobkin |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1215919147 PECOS PAC ID: 2062316987 Enrollment ID: I20040213000419 |
| Provider Name | Amir M Abolhoda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891875951 PECOS PAC ID: 5597659037 Enrollment ID: I20040213000424 |
| Provider Name | Keith R Burnett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326009200 PECOS PAC ID: 2264330398 Enrollment ID: I20040217000325 |
| Provider Name | Bradford S Curtis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932190568 PECOS PAC ID: 2668368556 Enrollment ID: I20040226000718 |
| Provider Name | Pelma R Tabrizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568497998 PECOS PAC ID: 9830085521 Enrollment ID: I20040227000779 |
| Provider Name | Carey A Cullinane |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1801846548 PECOS PAC ID: 4284523044 Enrollment ID: I20040311000632 |
| Provider Name | John W Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720048291 PECOS PAC ID: 8527950567 Enrollment ID: I20040325001402 |
| Provider Name | Kenneth K Tram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700875911 PECOS PAC ID: 1759273659 Enrollment ID: I20040325001772 |
| Provider Name | David K Chun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932199213 PECOS PAC ID: 6103818703 Enrollment ID: I20040401001842 |
| Provider Name | Vikram S Marfatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609825579 PECOS PAC ID: 9032102017 Enrollment ID: I20040406000469 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942241187 PECOS PAC ID: 0941297196 Enrollment ID: I20040428001585 |
| Provider Name | Son C Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144204231 PECOS PAC ID: 6002804622 Enrollment ID: I20040503001595 |
| Provider Name | Andy N Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174583033 PECOS PAC ID: 7113916990 Enrollment ID: I20040507000494 |
| Provider Name | David R Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922089135 PECOS PAC ID: 1052392073 Enrollment ID: I20040526000778 |
| Provider Name | Maria Silvia Martinez-wikefeldt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164554846 PECOS PAC ID: 8628052545 Enrollment ID: I20040616001565 |
| Provider Name | Shilpa J Gaikwad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508991050 PECOS PAC ID: 0244215994 Enrollment ID: I20040618000818 |
| Provider Name | Mimi Van T Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184605628 PECOS PAC ID: 7517942527 Enrollment ID: I20040623000670 |
| Provider Name | Nancy F Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205994092 PECOS PAC ID: 4082699814 Enrollment ID: I20040623001662 |
| Provider Name | Parastoo Patricia Faraz-eslami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245328889 PECOS PAC ID: 7618953365 Enrollment ID: I20040624001682 |
| Provider Name | Peter V Dangvu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063453330 PECOS PAC ID: 0840277190 Enrollment ID: I20040702001287 |
| Provider Name | Ian E Bare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700827326 PECOS PAC ID: 7113904269 Enrollment ID: I20040706001392 |
| Provider Name | Mahmood Mirbagheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952300261 PECOS PAC ID: 0042298812 Enrollment ID: I20040708001088 |
| Provider Name | Ihong Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104822535 PECOS PAC ID: 8022097880 Enrollment ID: I20040715000631 |
| Provider Name | Patricia A Evans |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760488126 PECOS PAC ID: 2264412162 Enrollment ID: I20040721001578 |
| Provider Name | Inchel Yeam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346341344 PECOS PAC ID: 0941272074 Enrollment ID: I20040810000492 |
| Provider Name | Chienwei T Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992795256 PECOS PAC ID: 8527033307 Enrollment ID: I20040826000913 |
| Provider Name | Michael Arata |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922024942 PECOS PAC ID: 2466341300 Enrollment ID: I20040916001390 |
| Provider Name | Melissa E Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215976840 PECOS PAC ID: 6002875119 Enrollment ID: I20041005000832 |
| Provider Name | Carla S Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184787046 PECOS PAC ID: 6901867936 Enrollment ID: I20041025000819 |
| Provider Name | Monica C Aszterbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689737942 PECOS PAC ID: 4981665817 Enrollment ID: I20041025001028 |
| Provider Name | Mohammad B Rahimi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609971290 PECOS PAC ID: 0345202503 Enrollment ID: I20041029000744 |
| Provider Name | Edward A Wagner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487799474 PECOS PAC ID: 1456313527 Enrollment ID: I20041101000504 |
| Provider Name | Andrew S Malatskey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881747756 PECOS PAC ID: 8022072347 Enrollment ID: I20041116001267 |
| Provider Name | Melissa J Rosin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942399589 PECOS PAC ID: 5092779926 Enrollment ID: I20041118001274 |
| Provider Name | Kousha Zarnegar |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1326082876 PECOS PAC ID: 2264497122 Enrollment ID: I20041119001113 |
| Provider Name | Faramarz Payandeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346250701 PECOS PAC ID: 6800852823 Enrollment ID: I20041201001045 |
| Provider Name | Sherief Hassan Gamie |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1033131982 PECOS PAC ID: 2567429749 Enrollment ID: I20041220000602 |
| Provider Name | Maher Eldadah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497784243 PECOS PAC ID: 9335107986 Enrollment ID: I20041229000244 |
| Provider Name | Charles O Murphy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487693735 PECOS PAC ID: 4981652864 Enrollment ID: I20050106001076 |
| Provider Name | David F Jesse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093730061 PECOS PAC ID: 9436102209 Enrollment ID: I20050222000567 |
| Provider Name | David Perkowski |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942226279 PECOS PAC ID: 8022061449 Enrollment ID: I20050228000259 |
| Provider Name | Leslie Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629127972 PECOS PAC ID: 7416904065 Enrollment ID: I20050405001308 |
| Provider Name | Vu Q Phan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831247667 PECOS PAC ID: 7012955339 Enrollment ID: I20050418001311 |
| Provider Name | Lamia Kadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942366638 PECOS PAC ID: 7517905664 Enrollment ID: I20050420000387 |
| Provider Name | Arnold S Rappoport |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245289925 PECOS PAC ID: 1951295864 Enrollment ID: I20050511001071 |
| Provider Name | Saar Danon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871538033 PECOS PAC ID: 8729020631 Enrollment ID: I20050601000297 |
| Provider Name | Michele E Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548242555 PECOS PAC ID: 6709828692 Enrollment ID: I20050601000971 |
| Provider Name | Ena M Kariya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588655658 PECOS PAC ID: 0042252934 Enrollment ID: I20050601001001 |
| Provider Name | Lawrence T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467461061 PECOS PAC ID: 3577507078 Enrollment ID: I20050615000740 |
| Provider Name | Naomi B Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073503314 PECOS PAC ID: 8426093303 Enrollment ID: I20050621001252 |
| Provider Name | Saghi Rokhshadfar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376573253 PECOS PAC ID: 3173569837 Enrollment ID: I20050701000946 |
| Provider Name | Anthony F Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104808443 PECOS PAC ID: 6406883677 Enrollment ID: I20050719001021 |
| Provider Name | Adam M Wass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831140938 PECOS PAC ID: 2163458647 Enrollment ID: I20050725000932 |
| Provider Name | Mahdieh Fallahtafti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700802998 PECOS PAC ID: 5597793083 Enrollment ID: I20050728000542 |
| Provider Name | Floyd G Shon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396752432 PECOS PAC ID: 3375571581 Enrollment ID: I20050729000196 |
| Provider Name | Predrag Petar Mitrevski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952412157 PECOS PAC ID: 6103857578 Enrollment ID: I20050825000358 |
| Provider Name | Anthony D Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770510760 PECOS PAC ID: 5092748459 Enrollment ID: I20050915000657 |
| Provider Name | Bonnie M Pittaluga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437135019 PECOS PAC ID: 0143254631 Enrollment ID: I20050923000632 |
| Provider Name | Stanley W Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780610014 PECOS PAC ID: 7113815697 Enrollment ID: I20051019000708 |
| Provider Name | Margaret A Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073502282 PECOS PAC ID: 4880611219 Enrollment ID: I20051025001039 |
| Provider Name | Christopher L Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
| Provider Name | Stephen M Shapiro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447208798 PECOS PAC ID: 1658399670 Enrollment ID: I20051108001133 |
| Provider Name | Kenneth A Kazenelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275539637 PECOS PAC ID: 6901899095 Enrollment ID: I20051110001007 |
| Provider Name | Lisa D Curcio |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1306846324 PECOS PAC ID: 5890710958 Enrollment ID: I20051115000296 |
| Provider Name | Albert M Tsai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700865482 PECOS PAC ID: 4789604075 Enrollment ID: I20051201000409 |
| Provider Name | Bonnie L Eklund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811978992 PECOS PAC ID: 8022002252 Enrollment ID: I20051206000619 |
| Provider Name | Cuong P Ly |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306883053 PECOS PAC ID: 9739100421 Enrollment ID: I20051208001001 |
| Provider Name | Karen D Ragland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669454823 PECOS PAC ID: 5799689618 Enrollment ID: I20051215000889 |
| Provider Name | Gail Nalls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770592768 PECOS PAC ID: 3072535749 Enrollment ID: I20051221000788 |
| Provider Name | Richard J Wasley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003868753 PECOS PAC ID: 1850313537 Enrollment ID: I20051221001088 |
| Provider Name | Banafsheh B Shaibani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740368646 PECOS PAC ID: 9436172756 Enrollment ID: I20060112000211 |
| Provider Name | Lance T Hirano |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386751576 PECOS PAC ID: 7517972060 Enrollment ID: I20060220000607 |
| Provider Name | Angela P Cherlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508890567 PECOS PAC ID: 8325054968 Enrollment ID: I20060306000641 |
| Provider Name | Joel D Barron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780644682 PECOS PAC ID: 7517974090 Enrollment ID: I20060308000163 |
| Provider Name | Satoshi Tateshima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922042068 PECOS PAC ID: 1658389226 Enrollment ID: I20060323000833 |
| Provider Name | Parag Bharadwaj |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417028184 PECOS PAC ID: 1759399819 Enrollment ID: I20060330000696 |
| Provider Name | Robert S Doomun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043221898 PECOS PAC ID: 3870502297 Enrollment ID: I20060412000789 |
| Provider Name | Josefina T Guerrero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487666996 PECOS PAC ID: 8123038973 Enrollment ID: I20060425000280 |
| Provider Name | Michael D Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144335704 PECOS PAC ID: 9739190380 Enrollment ID: I20060510000249 |
| Provider Name | Shams F Sheikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457342974 PECOS PAC ID: 7214907740 Enrollment ID: I20060627000143 |
| Provider Name | Charles K Raker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427091586 PECOS PAC ID: 7113939471 Enrollment ID: I20060705000050 |
| Provider Name | Kien-an Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033175658 PECOS PAC ID: 5890798854 Enrollment ID: I20060810000594 |
| Provider Name | Gracia Covarrubias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730119751 PECOS PAC ID: 7517962954 Enrollment ID: I20060919000212 |
| Provider Name | Lisa Elena Guerra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952346009 PECOS PAC ID: 9436154259 Enrollment ID: I20060928000330 |
| Provider Name | Gina L Posner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841303260 PECOS PAC ID: 0941206288 Enrollment ID: I20061010000707 |
| Provider Name | Praveen R Jonnala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588760979 PECOS PAC ID: 4284682410 Enrollment ID: I20061019000608 |
| Provider Name | James G Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780638650 PECOS PAC ID: 6305844127 Enrollment ID: I20061109000708 |
| Provider Name | Eric J Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104808161 PECOS PAC ID: 0042218695 Enrollment ID: I20061115000343 |
| Provider Name | Gwendolyn S Gore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811900129 PECOS PAC ID: 6709872278 Enrollment ID: I20061122000269 |
| Provider Name | Theodore Sy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003865627 PECOS PAC ID: 7911905989 Enrollment ID: I20061129000547 |
| Provider Name | Maria A Murchie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770657454 PECOS PAC ID: 2668473612 Enrollment ID: I20070118000309 |
| Provider Name | Sarah Bond-murcia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760569966 PECOS PAC ID: 4082716287 Enrollment ID: I20070219000261 |
| Provider Name | Dean Stuart Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497802318 PECOS PAC ID: 6305948480 Enrollment ID: I20070220000341 |
| Provider Name | Phyllis D Oster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902817919 PECOS PAC ID: 6901909530 Enrollment ID: I20070319000667 |
| Provider Name | G Thomas Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518967330 PECOS PAC ID: 0446354690 Enrollment ID: I20070328000705 |
| Provider Name | Lorena Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538110358 PECOS PAC ID: 4981700150 Enrollment ID: I20070503000697 |
| Provider Name | Sandra G Justen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316029390 PECOS PAC ID: 9739286154 Enrollment ID: I20070521000094 |
| Provider Name | Johanna J Hanawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265593891 PECOS PAC ID: 2668579814 Enrollment ID: I20070522000744 |
| Provider Name | Kristine S Arthur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003010950 PECOS PAC ID: 8628169778 Enrollment ID: I20070803000609 |
| Provider Name | Keith A Hurvitz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205989258 PECOS PAC ID: 8325130826 Enrollment ID: I20070828000473 |
| Provider Name | David J Sheen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407054570 PECOS PAC ID: 7517052640 Enrollment ID: I20071003000678 |
| Provider Name | Fabiola O Sianturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033313663 PECOS PAC ID: 1355431354 Enrollment ID: I20071213000875 |
| Provider Name | Jonathan B Blitzer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912967324 PECOS PAC ID: 7012007370 Enrollment ID: I20071226000481 |
| Provider Name | Vinh H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982725529 PECOS PAC ID: 2466533666 Enrollment ID: I20080114000532 |
| Provider Name | Simon G Outhwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851402002 PECOS PAC ID: 3476585910 Enrollment ID: I20080117000701 |
| Provider Name | Jill M Panitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023089380 PECOS PAC ID: 7012098791 Enrollment ID: I20080118000678 |
| Provider Name | Catherine F Gentemann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215043526 PECOS PAC ID: 6204918766 Enrollment ID: I20080123000679 |
| Provider Name | Rhonda M Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770554651 PECOS PAC ID: 4385726710 Enrollment ID: I20080124000299 |
| Provider Name | Arvind Singh Nirula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437285095 PECOS PAC ID: 6002882495 Enrollment ID: I20080201000417 |
| Provider Name | Jack F Jacoub |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528016318 PECOS PAC ID: 5991888174 Enrollment ID: I20080211000768 |
| Provider Name | Nanette U Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780655886 PECOS PAC ID: 5496838435 Enrollment ID: I20080213000594 |
| Provider Name | Thanh Van N Nguyen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508862061 PECOS PAC ID: 8022054964 Enrollment ID: I20080228000233 |
| Provider Name | Weiping Sarah W Mei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588793848 PECOS PAC ID: 0446335210 Enrollment ID: I20080304000924 |
| Provider Name | Gary M Ohashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928516 PECOS PAC ID: 9133204639 Enrollment ID: I20080307000458 |
| Provider Name | Andrea D Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144300229 PECOS PAC ID: 4880771492 Enrollment ID: I20080407000690 |
| Provider Name | Elizabeth F Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629284971 PECOS PAC ID: 9638257991 Enrollment ID: I20080428000184 |
| Provider Name | Michael L Krychman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982689725 PECOS PAC ID: 2264524446 Enrollment ID: I20080429000919 |
| Provider Name | Nilesh L Vora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790976363 PECOS PAC ID: 4183793615 Enrollment ID: I20080522000698 |
| Provider Name | Khiet C Hoang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932309614 PECOS PAC ID: 6901975408 Enrollment ID: I20080524000051 |
| Provider Name | Marjan A Pedarsani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447448873 PECOS PAC ID: 2365512910 Enrollment ID: I20080609000365 |
| Provider Name | David Shavelle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154315919 PECOS PAC ID: 7810085198 Enrollment ID: I20080610000330 |
| Provider Name | Arlene S Ing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528249430 PECOS PAC ID: 7810060175 Enrollment ID: I20080718000490 |
| Provider Name | Lilian B Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134190234 PECOS PAC ID: 5395736375 Enrollment ID: I20080723000833 |
| Provider Name | Nhon T Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992989578 PECOS PAC ID: 5395819072 Enrollment ID: I20080729000428 |
| Provider Name | Susie Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760671549 PECOS PAC ID: 5496823122 Enrollment ID: I20081008000610 |
| Provider Name | Jack B Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083885826 PECOS PAC ID: 1658439963 Enrollment ID: I20081015000153 |
| Provider Name | Trung Truong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801877170 PECOS PAC ID: 0648338798 Enrollment ID: I20081020000098 |
| Provider Name | Thanh Uyen Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679567051 PECOS PAC ID: 7618036302 Enrollment ID: I20081111000112 |
| Provider Name | Matthew K Coulson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992899918 PECOS PAC ID: 7810056397 Enrollment ID: I20081113000101 |
| Provider Name | Christina Ann Gabel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770774861 PECOS PAC ID: 5496815375 Enrollment ID: I20081121000481 |
| Provider Name | Dennis R Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144319062 PECOS PAC ID: 8224199427 Enrollment ID: I20081205000741 |
| Provider Name | Patricia Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447364872 PECOS PAC ID: 9133281397 Enrollment ID: I20081222000513 |
| Provider Name | Trong Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427221134 PECOS PAC ID: 1951463769 Enrollment ID: I20090102000160 |
| Provider Name | Muhammed K Zuhdi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740408772 PECOS PAC ID: 6507846870 Enrollment ID: I20090105000222 |
| Provider Name | Emanuela Maria Bonfoco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699959973 PECOS PAC ID: 8123181005 Enrollment ID: I20090121000047 |
| Provider Name | Jeffery J Angarola |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275519845 PECOS PAC ID: 3678637352 Enrollment ID: I20090123000491 |
| Provider Name | Marisa Desilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083815229 PECOS PAC ID: 8921059197 Enrollment ID: I20090209000080 |
| Provider Name | Elizabeth Ornelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124027040 PECOS PAC ID: 1153486303 Enrollment ID: I20090223000278 |
| Provider Name | Teresa M Thais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801000237 PECOS PAC ID: 8426113580 Enrollment ID: I20090224000686 |
| Provider Name | Kien Q Vuu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477755635 PECOS PAC ID: 6204992282 Enrollment ID: I20090226000310 |
| Provider Name | Julie D Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346407293 PECOS PAC ID: 2163588179 Enrollment ID: I20090226000569 |
| Provider Name | Robert Phillips |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033182290 PECOS PAC ID: 8921007212 Enrollment ID: I20090420000038 |
| Provider Name | Steven J Appleby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629126644 PECOS PAC ID: 4183771785 Enrollment ID: I20090420000161 |
| Provider Name | Tuan T. Lam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124290713 PECOS PAC ID: 1456409929 Enrollment ID: I20090512000032 |
| Provider Name | Arnold E Cuenca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306927371 PECOS PAC ID: 9638228661 Enrollment ID: I20090522000193 |
| Provider Name | Terence R Offenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023009586 PECOS PAC ID: 7911057492 Enrollment ID: I20090603000426 |
| Provider Name | Samuel C Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407910847 PECOS PAC ID: 8123178621 Enrollment ID: I20090603000588 |
| Provider Name | Ashkan Farhadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760423123 PECOS PAC ID: 9830104082 Enrollment ID: I20090630000029 |
| Provider Name | William John Lyons |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639139595 PECOS PAC ID: 5193876191 Enrollment ID: I20090706000184 |
| Provider Name | Milan R Sheth |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235217266 PECOS PAC ID: 3577615079 Enrollment ID: I20090714000604 |
| Provider Name | Gerardo Bustillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972631786 PECOS PAC ID: 6406908326 Enrollment ID: I20090723000225 |
| Provider Name | Seanglong Te |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629119920 PECOS PAC ID: 1456403310 Enrollment ID: I20090723000597 |
| Provider Name | Armand Widjaja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336335322 PECOS PAC ID: 3779636063 Enrollment ID: I20090804000517 |
| Provider Name | Amy K Bremner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649461120 PECOS PAC ID: 4688727886 Enrollment ID: I20090805000775 |
| Provider Name | Jun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770669319 PECOS PAC ID: 5294889796 Enrollment ID: I20090818000695 |
| Provider Name | Courtney Anne Vito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174763643 PECOS PAC ID: 5991859159 Enrollment ID: I20090821000623 |
| Provider Name | Patrick Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417938630 PECOS PAC ID: 5092851741 Enrollment ID: I20091009000202 |
| Provider Name | Lizander C Pandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881862845 PECOS PAC ID: 2264578764 Enrollment ID: I20091014000645 |
| Provider Name | Sunaina G Sehwani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841481439 PECOS PAC ID: 1052458445 Enrollment ID: I20091015000693 |
| Provider Name | Kimberly L Motta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770672123 PECOS PAC ID: 2961540091 Enrollment ID: I20091111000106 |
| Provider Name | Noreen M Hussaini |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093907198 PECOS PAC ID: 9638217540 Enrollment ID: I20091113000442 |
| Provider Name | Ziba Ranjbaran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952557951 PECOS PAC ID: 4385782903 Enrollment ID: I20091118000624 |
| Provider Name | Li Poa |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1346277605 PECOS PAC ID: 4981777109 Enrollment ID: I20091121000091 |
| Provider Name | Regan A Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558546341 PECOS PAC ID: 4587703541 Enrollment ID: I20091203000733 |
| Provider Name | Richard C Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275619983 PECOS PAC ID: 6507905585 Enrollment ID: I20091204000136 |
| Provider Name | Robert H Vu |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1205929296 PECOS PAC ID: 9133268113 Enrollment ID: I20091204000144 |
| Provider Name | Masoud H Mehraban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225269129 PECOS PAC ID: 6002956687 Enrollment ID: I20091211000304 |
| Provider Name | Fredric D Balguma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902069578 PECOS PAC ID: 5597830174 Enrollment ID: I20091211000454 |
| Provider Name | Andrew B Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134398233 PECOS PAC ID: 1254471824 Enrollment ID: I20091214000222 |
| Provider Name | Julie Marlena Vivalda |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699926543 PECOS PAC ID: 2365582640 Enrollment ID: I20091217000172 |
| Provider Name | Gary R Duckwiler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538111216 PECOS PAC ID: 9133269111 Enrollment ID: I20091223000224 |
| Provider Name | Reza Jahan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558304774 PECOS PAC ID: 5294875274 Enrollment ID: I20091223000247 |
| Provider Name | James Irving Sperber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518922236 PECOS PAC ID: 8820131402 Enrollment ID: I20100204000267 |
| Provider Name | Jeffrey B Riker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003840018 PECOS PAC ID: 7214070895 Enrollment ID: I20100204000340 |
| Provider Name | Jamie B Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073584173 PECOS PAC ID: 5294732855 Enrollment ID: I20100208000705 |
| Provider Name | John H Stasiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033100482 PECOS PAC ID: 1052455508 Enrollment ID: I20100222000294 |
| Provider Name | Mark A Cianciola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750371035 PECOS PAC ID: 2668516113 Enrollment ID: I20100222000326 |
| Provider Name | Laurie A Mortara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932216124 PECOS PAC ID: 2264577899 Enrollment ID: I20100305000832 |
| Provider Name | Craig P Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881684405 PECOS PAC ID: 9032254693 Enrollment ID: I20100308000024 |
| Provider Name | James H Ashizawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588654123 PECOS PAC ID: 8921143595 Enrollment ID: I20100308000053 |
| Provider Name | Arfa Babaknia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205826849 PECOS PAC ID: 9931244514 Enrollment ID: I20100308000130 |
| Provider Name | Scott H Greenspan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427049071 PECOS PAC ID: 5294870887 Enrollment ID: I20100308000219 |
| Provider Name | Sunayna Bakaya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679767313 PECOS PAC ID: 8628113925 Enrollment ID: I20100310000607 |
| Provider Name | Keith L Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699766188 PECOS PAC ID: 1153456231 Enrollment ID: I20100315000374 |
| Provider Name | Mark D Schafer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417948894 PECOS PAC ID: 0749176626 Enrollment ID: I20100315000415 |
| Provider Name | Kamran Haghighat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205826583 PECOS PAC ID: 0446385553 Enrollment ID: I20100315000688 |
| Provider Name | Jo Lieberman Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598756090 PECOS PAC ID: 4385779404 Enrollment ID: I20100315000760 |
| Provider Name | Angel J Yap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861668048 PECOS PAC ID: 5395800684 Enrollment ID: I20100318000436 |
| Provider Name | Stephen A Harms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447241039 PECOS PAC ID: 5395871990 Enrollment ID: I20100408000229 |
| Provider Name | Daizy K Engineer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467442897 PECOS PAC ID: 3173659778 Enrollment ID: I20100408000273 |
| Provider Name | Lucy E Suwarsa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376534628 PECOS PAC ID: 0547396046 Enrollment ID: I20100408000391 |
| Provider Name | Daisy M Tint |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649251158 PECOS PAC ID: 0143356659 Enrollment ID: I20100408000446 |
| Provider Name | George Karapetian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811988876 PECOS PAC ID: 9830225341 Enrollment ID: I20100408000487 |
| Provider Name | Saman Senaati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316938749 PECOS PAC ID: 2466588983 Enrollment ID: I20100408000519 |
| Provider Name | David Epstein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508886359 PECOS PAC ID: 2466589783 Enrollment ID: I20100419000447 |
| Provider Name | David L Sodaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659460947 PECOS PAC ID: 8224165303 Enrollment ID: I20100421000605 |
| Provider Name | Suchitra Mohindra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306828363 PECOS PAC ID: 8325175383 Enrollment ID: I20100422000647 |
| Provider Name | Carmela Yacoob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508884263 PECOS PAC ID: 8628105244 Enrollment ID: I20100429000787 |
| Provider Name | Richard Baick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740208495 PECOS PAC ID: 5294860235 Enrollment ID: I20100503000451 |
| Provider Name | Brandon B Khaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568453637 PECOS PAC ID: 2264560820 Enrollment ID: I20100503000608 |
| Provider Name | David Ross Paskil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942228697 PECOS PAC ID: 8022143064 Enrollment ID: I20100504000321 |
| Provider Name | Ricardo L Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326029505 PECOS PAC ID: 9133257678 Enrollment ID: I20100504000731 |
| Provider Name | Dung D Trinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306827670 PECOS PAC ID: 2668500059 Enrollment ID: I20100505000583 |
| Provider Name | Julie S Fallon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891785234 PECOS PAC ID: 9234267469 Enrollment ID: I20100510000453 |
| Provider Name | Antoine Mourra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447278296 PECOS PAC ID: 1759416795 Enrollment ID: I20100510000535 |
| Provider Name | Mitchell Y Watanabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528049996 PECOS PAC ID: 7810025970 Enrollment ID: I20100511000242 |
| Provider Name | Marnie Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013907377 PECOS PAC ID: 8022146182 Enrollment ID: I20100511000326 |
| Provider Name | Caithness Amy Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346576469 PECOS PAC ID: 6709914435 Enrollment ID: I20100517000517 |
| Provider Name | Bijan Movafegh Jooryabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497760219 PECOS PAC ID: 0143216879 Enrollment ID: I20100526000383 |
| Provider Name | Richard Zelner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235274259 PECOS PAC ID: 4981743903 Enrollment ID: I20100528000052 |
| Provider Name | James Feld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942228630 PECOS PAC ID: 2769517705 Enrollment ID: I20100601000129 |
| Provider Name | Eddy T Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245212588 PECOS PAC ID: 9436289881 Enrollment ID: I20100610000596 |
| Provider Name | Cheryl D Guidry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699867523 PECOS PAC ID: 0749311181 Enrollment ID: I20100628001056 |
| Provider Name | Andrew J Yoon |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1174782551 PECOS PAC ID: 9931231669 Enrollment ID: I20100715000964 |
| Provider Name | Stephanie M Wyckoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679659080 PECOS PAC ID: 4880682681 Enrollment ID: I20100728000137 |
| Provider Name | Daniel R Sternfeld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386649549 PECOS PAC ID: 7113985045 Enrollment ID: I20100728000866 |
| Provider Name | Rachael L Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639174899 PECOS PAC ID: 5294868162 Enrollment ID: I20100728001103 |
| Provider Name | Jon G Biorkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023008679 PECOS PAC ID: 4082748256 Enrollment ID: I20100810001163 |
| Provider Name | Joseph T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710209622 PECOS PAC ID: 6305970914 Enrollment ID: I20100818000855 |
| Provider Name | Jay I Sanvictores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184816688 PECOS PAC ID: 4587789987 Enrollment ID: I20100908000799 |
| Provider Name | Azadeh Farin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235304833 PECOS PAC ID: 5991820193 Enrollment ID: I20100910001008 |
| Provider Name | Sharon Do Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215105432 PECOS PAC ID: 3173649332 Enrollment ID: I20100924000318 |
| Provider Name | Ashkan Etemadian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033355235 PECOS PAC ID: 8426240680 Enrollment ID: I20101006000199 |
| Provider Name | Debra L Reigel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356418297 PECOS PAC ID: 8022200963 Enrollment ID: I20101011000131 |
| Provider Name | Pedro Jose Postigo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710997838 PECOS PAC ID: 0941492698 Enrollment ID: I20101013000394 |
| Provider Name | Eric C Bekemeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053518274 PECOS PAC ID: 0547453441 Enrollment ID: I20101025000195 |
| Provider Name | Sandra Ceverha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326093600 PECOS PAC ID: 0547454837 Enrollment ID: I20101101000309 |
| Provider Name | Chee Kan Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609820083 PECOS PAC ID: 0446444772 Enrollment ID: I20101101000933 |
| Provider Name | Regina Y Mojica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134290166 PECOS PAC ID: 5890980122 Enrollment ID: I20101112000357 |
| Provider Name | Robert Shuman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1417064221 PECOS PAC ID: 2668668328 Enrollment ID: I20101122000237 |
| Provider Name | Paul R Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568442671 PECOS PAC ID: 0648373274 Enrollment ID: I20101130000368 |
| Provider Name | Kaushalkumar Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548576580 PECOS PAC ID: 0840486981 Enrollment ID: I20101201000372 |
| Provider Name | Reza Ghetmiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053649848 PECOS PAC ID: 8022205103 Enrollment ID: I20101215000718 |
| Provider Name | Rasam M Hosseinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326092834 PECOS PAC ID: 9638107659 Enrollment ID: I20101222000652 |
| Provider Name | Annette L Mcconnaughey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851398002 PECOS PAC ID: 7911196514 Enrollment ID: I20110113000319 |
| Provider Name | Daniel M Bethencourt |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1437163904 PECOS PAC ID: 5294824280 Enrollment ID: I20110119000891 |
| Provider Name | Candace M Basich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356596092 PECOS PAC ID: 7315126695 Enrollment ID: I20110119001180 |
| Provider Name | Samuel Michael Costantini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851468771 PECOS PAC ID: 5799964698 Enrollment ID: I20110125000323 |
| Provider Name | Jeffrey Scott Luther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750487591 PECOS PAC ID: 6507046125 Enrollment ID: I20110214000554 |
| Provider Name | Abigail Sophie Fletcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700982493 PECOS PAC ID: 3870773401 Enrollment ID: I20110214000658 |
| Provider Name | Rose E Swords |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336385251 PECOS PAC ID: 6709066343 Enrollment ID: I20110214000763 |
| Provider Name | Lauren A Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376789131 PECOS PAC ID: 3072793561 Enrollment ID: I20110216000310 |
| Provider Name | Brooke Ann Laduca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790704864 PECOS PAC ID: 7719168210 Enrollment ID: I20110216000564 |
| Provider Name | Carrie Suzanne Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760588420 PECOS PAC ID: 7911188412 Enrollment ID: I20110216000654 |
| Provider Name | Priscillia Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871777243 PECOS PAC ID: 6709067036 Enrollment ID: I20110221000321 |
| Provider Name | David P Tahour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093950594 PECOS PAC ID: 7416138565 Enrollment ID: I20110222000806 |
| Provider Name | Amol Rajeev H Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689871154 PECOS PAC ID: 0941482384 Enrollment ID: I20110307000815 |
| Provider Name | Sabrina J Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272588 PECOS PAC ID: 3870775992 Enrollment ID: I20110310000909 |
| Provider Name | Falgun S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164678843 PECOS PAC ID: 0446381909 Enrollment ID: I20110329000909 |
| Provider Name | Roxann Sonia Engle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710981303 PECOS PAC ID: 5496939068 Enrollment ID: I20110405000976 |
| Provider Name | Frank J Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235299298 PECOS PAC ID: 4981694825 Enrollment ID: I20110420000466 |
| Provider Name | Young Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013113026 PECOS PAC ID: 2466637558 Enrollment ID: I20110505000463 |
| Provider Name | Michael Cooney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811950231 PECOS PAC ID: 8224942974 Enrollment ID: I20110601000259 |
| Provider Name | Catherine D Gritchen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861482143 PECOS PAC ID: 7113969387 Enrollment ID: I20110616000276 |
| Provider Name | Martin W Muth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306830211 PECOS PAC ID: 8820191455 Enrollment ID: I20110617000382 |
| Provider Name | Sarah W Kao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568660538 PECOS PAC ID: 5294913117 Enrollment ID: I20110624000043 |
| Provider Name | Aadesh Sachdeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427277136 PECOS PAC ID: 9335236728 Enrollment ID: I20110627000543 |
| Provider Name | Barry Ceverha |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972576486 PECOS PAC ID: 6305024050 Enrollment ID: I20110628000258 |
| Provider Name | Deepika S Lekawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437248846 PECOS PAC ID: 2567640063 Enrollment ID: I20110706000082 |
| Provider Name | Babak Firoozi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891734828 PECOS PAC ID: 7810939188 Enrollment ID: I20110713000192 |
| Provider Name | Shaun Prasanth Setty |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740469147 PECOS PAC ID: 9335212547 Enrollment ID: I20110713000555 |
| Provider Name | Colin I. Joyo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124186754 PECOS PAC ID: 3577731736 Enrollment ID: I20110714000568 |
| Provider Name | Khoa Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164438172 PECOS PAC ID: 2365610268 Enrollment ID: I20110720000420 |
| Provider Name | Rambod Amirnovin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629104492 PECOS PAC ID: 5193995983 Enrollment ID: I20110906000282 |
| Provider Name | Nancy Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609055300 PECOS PAC ID: 6204982317 Enrollment ID: I20110920000645 |
| Provider Name | Aditya S Prasad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154580074 PECOS PAC ID: 0547431546 Enrollment ID: I20110923000277 |
| Provider Name | Clamon Q Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144554411 PECOS PAC ID: 8325219140 Enrollment ID: I20110927000328 |
| Provider Name | Francine Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790779783 PECOS PAC ID: 2860398435 Enrollment ID: I20111011000209 |
| Provider Name | Olumide Akingbemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841510385 PECOS PAC ID: 4082886304 Enrollment ID: I20111011000274 |
| Provider Name | Mario Curti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033287537 PECOS PAC ID: 3173730322 Enrollment ID: I20111017000126 |
| Provider Name | Man R Shim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356536007 PECOS PAC ID: 9133393093 Enrollment ID: I20111111000092 |
| Provider Name | Peter Kaneshige |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508972910 PECOS PAC ID: 0042484123 Enrollment ID: I20111130000128 |
| Provider Name | Ramesh R, Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235327644 PECOS PAC ID: 7618861675 Enrollment ID: I20120109000146 |
| Provider Name | Derek M Browne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639479041 PECOS PAC ID: 4385810514 Enrollment ID: I20120110000195 |
| Provider Name | Yvonne E Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720389919 PECOS PAC ID: 9739346859 Enrollment ID: I20120201000479 |
| Provider Name | Robert Salsameda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073569497 PECOS PAC ID: 8527220235 Enrollment ID: I20120425000492 |
| Provider Name | Lalita M Komanapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578560884 PECOS PAC ID: 4587826995 Enrollment ID: I20120501000646 |
| Provider Name | Miles Merwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588702286 PECOS PAC ID: 6305009168 Enrollment ID: I20120515000642 |
| Provider Name | Wenqiang Tian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376724005 PECOS PAC ID: 3274797162 Enrollment ID: I20120605000302 |
| Provider Name | Anton G Giger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689764003 PECOS PAC ID: 3678615580 Enrollment ID: I20120611000575 |
| Provider Name | Chenita M Landry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093938417 PECOS PAC ID: 2062683188 Enrollment ID: I20120621000101 |
| Provider Name | Ameera F. F. Ismail |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124238761 PECOS PAC ID: 3173792900 Enrollment ID: I20120628000258 |
| Provider Name | Katharine Tansavatdi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518004373 PECOS PAC ID: 0143353300 Enrollment ID: I20120709000479 |
| Provider Name | Jenny Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457620528 PECOS PAC ID: 2163687468 Enrollment ID: I20120712000396 |
| Provider Name | Vinh N Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003077256 PECOS PAC ID: 4789855743 Enrollment ID: I20120727000198 |
| Provider Name | Amir H Rad |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1710262472 PECOS PAC ID: 5496911877 Enrollment ID: I20120730000784 |
| Provider Name | Jill P Aversa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972731511 PECOS PAC ID: 8325204613 Enrollment ID: I20120801000401 |
| Provider Name | Tara M Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245557545 PECOS PAC ID: 2769638964 Enrollment ID: I20120803000094 |
| Provider Name | Stacy L Chia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780873562 PECOS PAC ID: 0648426353 Enrollment ID: I20120813000629 |
| Provider Name | Suparna B Barber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053553826 PECOS PAC ID: 2860649555 Enrollment ID: I20120831000412 |
| Provider Name | Jane M Mitsumori |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073636478 PECOS PAC ID: 3779730387 Enrollment ID: I20120904000050 |
| Provider Name | Tony Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255625786 PECOS PAC ID: 3375790934 Enrollment ID: I20120904000592 |
| Provider Name | Mitchell A Berner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073745733 PECOS PAC ID: 0143477679 Enrollment ID: I20120905000703 |
| Provider Name | Elisa A Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972716918 PECOS PAC ID: 4385790963 Enrollment ID: I20120917000604 |
| Provider Name | Allen A Jahroumi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841432507 PECOS PAC ID: 7517116056 Enrollment ID: I20120927000412 |
| Provider Name | Jayanti N Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164512893 PECOS PAC ID: 4385893270 Enrollment ID: I20121010000045 |
| Provider Name | Sapna A Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477847382 PECOS PAC ID: 0648429399 Enrollment ID: I20121012000544 |
| Provider Name | Sireesha Iruvuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225245590 PECOS PAC ID: 4688843832 Enrollment ID: I20121022000174 |
| Provider Name | Klaus P Rosebrock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558389304 PECOS PAC ID: 2769632819 Enrollment ID: I20121025000490 |
| Provider Name | Emily R Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285912311 PECOS PAC ID: 2860642600 Enrollment ID: I20121101000252 |
| Provider Name | Robert J Jaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326328444 PECOS PAC ID: 8123270402 Enrollment ID: I20121213000048 |
| Provider Name | Evelina S Appleby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750681656 PECOS PAC ID: 2365694486 Enrollment ID: I20121218000068 |
| Provider Name | Kiarash Noorizadeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134246390 PECOS PAC ID: 9739249343 Enrollment ID: I20121227000148 |
| Provider Name | Pamela M Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073799300 PECOS PAC ID: 7911150875 Enrollment ID: I20130102000088 |
| Provider Name | Anne N Onyekwuluje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649210493 PECOS PAC ID: 8527086602 Enrollment ID: I20130110000492 |
| Provider Name | Jennifer L. White |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942519285 PECOS PAC ID: 9830342146 Enrollment ID: I20130118000195 |
| Provider Name | Edmond Y Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679623730 PECOS PAC ID: 4284887365 Enrollment ID: I20130124000186 |
| Provider Name | Denise G. Castellanos |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356587042 PECOS PAC ID: 7618122888 Enrollment ID: I20130220000228 |
| Provider Name | Lisa R Crane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033272901 PECOS PAC ID: 2264687235 Enrollment ID: I20130222000178 |
| Provider Name | Kenneth Spielvogel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235104605 PECOS PAC ID: 8426088642 Enrollment ID: I20130311000058 |
| Provider Name | John S Link |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245281211 PECOS PAC ID: 2769371533 Enrollment ID: I20130314000234 |
| Provider Name | Naruchon Engkatanakorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073749792 PECOS PAC ID: 3274686456 Enrollment ID: I20130513000286 |
| Provider Name | Linh H England |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609162734 PECOS PAC ID: 0941448237 Enrollment ID: I20130528000469 |
| Provider Name | Karen Kay G Alfonso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316228729 PECOS PAC ID: 9638319056 Enrollment ID: I20130709000183 |
| Provider Name | Seema Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376795617 PECOS PAC ID: 8628218526 Enrollment ID: I20130716000741 |
| Provider Name | Jason K Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780614602 PECOS PAC ID: 5193720969 Enrollment ID: I20130803000050 |
| Provider Name | Jamison R Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043517410 PECOS PAC ID: 4082856737 Enrollment ID: I20130809000371 |
| Provider Name | Marjan Karimabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073839874 PECOS PAC ID: 9234371899 Enrollment ID: I20130809000551 |
| Provider Name | Hitesh K Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053573519 PECOS PAC ID: 5698917771 Enrollment ID: I20130820000793 |
| Provider Name | Malaika E Graves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518261676 PECOS PAC ID: 0244473338 Enrollment ID: I20130820001049 |
| Provider Name | Yen H Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750519880 PECOS PAC ID: 6305089400 Enrollment ID: I20130821000115 |
| Provider Name | Jason A Dugan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750641874 PECOS PAC ID: 8022251925 Enrollment ID: I20130824000256 |
| Provider Name | Yeral Patel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134486921 PECOS PAC ID: 7719111459 Enrollment ID: I20131010002094 |
| Provider Name | Sunil T Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437310059 PECOS PAC ID: 2961637806 Enrollment ID: I20131030000530 |
| Provider Name | Helia Eragi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013283910 PECOS PAC ID: 9931334562 Enrollment ID: I20131106001384 |
| Provider Name | Gurpreet S Multani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417117979 PECOS PAC ID: 4587858436 Enrollment ID: I20131115001668 |
| Provider Name | Viktor Szeder |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174609036 PECOS PAC ID: 6406922277 Enrollment ID: I20131125000051 |
| Provider Name | Hidenori Ikuhara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598889750 PECOS PAC ID: 9234365099 Enrollment ID: I20131126001831 |
| Provider Name | Azeb Yihune |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104006238 PECOS PAC ID: 6002008612 Enrollment ID: I20131203000136 |
| Provider Name | Cathrin Hee Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093150864 PECOS PAC ID: 6507093176 Enrollment ID: I20131206000357 |
| Provider Name | Alma Magana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497819437 PECOS PAC ID: 3375770274 Enrollment ID: I20131223000817 |
| Provider Name | Ellen D Gim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861596223 PECOS PAC ID: 9537397914 Enrollment ID: I20140109001040 |
| Provider Name | Robert L Neilan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689763724 PECOS PAC ID: 1153559042 Enrollment ID: I20140123000733 |
| Provider Name | Danny A Dursun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790005080 PECOS PAC ID: 4688803349 Enrollment ID: I20140129001930 |
| Provider Name | May Nour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366679508 PECOS PAC ID: 8820227382 Enrollment ID: I20140203000147 |
| Provider Name | Zakiat Nur-darojat Jalilvand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548532658 PECOS PAC ID: 7315184058 Enrollment ID: I20140206001665 |
| Provider Name | Joann E Escalante-alviz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841625712 PECOS PAC ID: 5496985038 Enrollment ID: I20140227001922 |
| Provider Name | Tiffany K Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639519473 PECOS PAC ID: 4880825561 Enrollment ID: I20140321000991 |
| Provider Name | Yu-nan Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922382407 PECOS PAC ID: 7719110840 Enrollment ID: I20140428000072 |
| Provider Name | Erick Leopoldo Montero |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033439005 PECOS PAC ID: 1658404694 Enrollment ID: I20140520000310 |
| Provider Name | Constantinos Chrysostomou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801868658 PECOS PAC ID: 4981622750 Enrollment ID: I20140610000674 |
| Provider Name | Jeremy Paul La Motte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275504409 PECOS PAC ID: 8123076742 Enrollment ID: I20140611001748 |
| Provider Name | Mary Lou L David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245467992 PECOS PAC ID: 2062536543 Enrollment ID: I20140611002110 |
| Provider Name | David P Juice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952637019 PECOS PAC ID: 2769606268 Enrollment ID: I20140623002118 |
| Provider Name | Peyman Borghei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972798791 PECOS PAC ID: 3779708219 Enrollment ID: I20140625002496 |
| Provider Name | Hoa H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427285394 PECOS PAC ID: 2365692019 Enrollment ID: I20140702001869 |
| Provider Name | Rachit R Doshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548555394 PECOS PAC ID: 9638395247 Enrollment ID: I20140716001989 |
| Provider Name | Ruthann A Devera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790043289 PECOS PAC ID: 0143446583 Enrollment ID: I20140721002434 |
| Provider Name | Maryam Yazdanshenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548555212 PECOS PAC ID: 2769608934 Enrollment ID: I20140723002757 |
| Provider Name | Robert S Hanser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982675427 PECOS PAC ID: 4385669589 Enrollment ID: I20140730001513 |
| Provider Name | Albert Wong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841429586 PECOS PAC ID: 8426276650 Enrollment ID: I20140828002443 |
| Provider Name | David C Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548526346 PECOS PAC ID: 9335367382 Enrollment ID: I20140904001202 |
| Provider Name | Mimi S Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164684973 PECOS PAC ID: 4587883475 Enrollment ID: I20140908001279 |
| Provider Name | Atul K Munjal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023240579 PECOS PAC ID: 1052435468 Enrollment ID: I20140929002078 |
| Provider Name | Michael T Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184915001 PECOS PAC ID: 1153541842 Enrollment ID: I20140930003218 |
| Provider Name | Michael L Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942543814 PECOS PAC ID: 6204056831 Enrollment ID: I20141002002549 |
| Provider Name | Mary Y Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124048202 PECOS PAC ID: 2769487875 Enrollment ID: I20141030002669 |
| Provider Name | Leah T Riha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558629097 PECOS PAC ID: 9739301805 Enrollment ID: I20141106000072 |
| Provider Name | Ali Khoynezhad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659329209 PECOS PAC ID: 5294749222 Enrollment ID: I20141106000951 |
| Provider Name | Jenifer P. Aaronson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053607119 PECOS PAC ID: 5799007985 Enrollment ID: I20141124002527 |
| Provider Name | Corinne M Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396060950 PECOS PAC ID: 7214185321 Enrollment ID: I20141222001779 |
| Provider Name | Paul A Genser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154410629 PECOS PAC ID: 5799008348 Enrollment ID: I20150106002244 |
| Provider Name | Nishchal Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962712729 PECOS PAC ID: 6103140041 Enrollment ID: I20150123000946 |
| Provider Name | Ana K Melgar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245525005 PECOS PAC ID: 0547584492 Enrollment ID: I20150123001066 |
| Provider Name | Ali Y Hamidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518254663 PECOS PAC ID: 8921237181 Enrollment ID: I20150126002025 |
| Provider Name | James P Morley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194814525 PECOS PAC ID: 0244554087 Enrollment ID: I20150127000000 |
| Provider Name | Sara K Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932334745 PECOS PAC ID: 9234454083 Enrollment ID: I20150219000638 |
| Provider Name | Andrew L Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437470465 PECOS PAC ID: 3971734237 Enrollment ID: I20150317002421 |
| Provider Name | Deborah A Binning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972727865 PECOS PAC ID: 1951628056 Enrollment ID: I20150331000338 |
| Provider Name | Rachel M Sirignano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952691370 PECOS PAC ID: 2668790312 Enrollment ID: I20150409001912 |
| Provider Name | Fatimah Zada Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053727982 PECOS PAC ID: 8729200522 Enrollment ID: I20150604002477 |
| Provider Name | Ryan W Chiu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306107743 PECOS PAC ID: 7618298217 Enrollment ID: I20150608002857 |
| Provider Name | Mery Jien Oman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417212465 PECOS PAC ID: 0941511091 Enrollment ID: I20150616002992 |
| Provider Name | Sara J Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952718447 PECOS PAC ID: 7517279334 Enrollment ID: I20150708001700 |
| Provider Name | Kevin Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356633572 PECOS PAC ID: 7012239775 Enrollment ID: I20150720002631 |
| Provider Name | Brian P Hauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982674438 PECOS PAC ID: 7113994039 Enrollment ID: I20150723009445 |
| Provider Name | Ben Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649392028 PECOS PAC ID: 3779684584 Enrollment ID: I20150805008731 |
| Provider Name | Fazilath Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962429571 PECOS PAC ID: 4981706074 Enrollment ID: I20150814012627 |
| Provider Name | Elana M Craemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750645289 PECOS PAC ID: 0143535054 Enrollment ID: I20150820010655 |
| Provider Name | Priyal P Dholakiya |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1912165259 PECOS PAC ID: 5890944607 Enrollment ID: I20150827001283 |
| Provider Name | Jimmy Johannes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275837205 PECOS PAC ID: 0345556841 Enrollment ID: I20150828001415 |
| Provider Name | Veronica D Contreras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275866568 PECOS PAC ID: 0749597789 Enrollment ID: I20150923001813 |
| Provider Name | Thuy D Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619344868 PECOS PAC ID: 6901113992 Enrollment ID: I20150924000474 |
| Provider Name | Valerie Thi Van |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932585866 PECOS PAC ID: 7113235854 Enrollment ID: I20150930001383 |
| Provider Name | Melissa Siew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780096099 PECOS PAC ID: 7618286329 Enrollment ID: I20151020002779 |
| Provider Name | Camilo Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518357474 PECOS PAC ID: 2668782764 Enrollment ID: I20151102001228 |
| Provider Name | Allison A Molinski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891032751 PECOS PAC ID: 2466762521 Enrollment ID: I20151103000275 |
| Provider Name | Jacqueline Malekirad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972892750 PECOS PAC ID: 7618278201 Enrollment ID: I20151228001122 |
| Provider Name | Frances T Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700120631 PECOS PAC ID: 1658676218 Enrollment ID: I20160219001858 |
| Provider Name | Arturo J Aguilar |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659596435 PECOS PAC ID: 5395938765 Enrollment ID: I20160224001126 |
| Provider Name | Ava Azimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023252483 PECOS PAC ID: 8022288760 Enrollment ID: I20160310001750 |
| Provider Name | Nihal E Abdulla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750585345 PECOS PAC ID: 5193893949 Enrollment ID: I20160316002312 |
| Provider Name | Tri Minh Ngo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073804837 PECOS PAC ID: 1456658004 Enrollment ID: I20160324001570 |
| Provider Name | Miao C Yu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255466413 PECOS PAC ID: 2163729534 Enrollment ID: I20160330000771 |
| Provider Name | Julie Anne Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376830117 PECOS PAC ID: 8820396005 Enrollment ID: I20160421001235 |
| Provider Name | Judy A Picazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093866543 PECOS PAC ID: 3072812262 Enrollment ID: I20160421001678 |
| Provider Name | Mahmoud Shoib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952532350 PECOS PAC ID: 0143486894 Enrollment ID: I20160428002029 |
| Provider Name | Katie Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700231370 PECOS PAC ID: 4183913908 Enrollment ID: I20160518001720 |
| Provider Name | Billy T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255656963 PECOS PAC ID: 1658661400 Enrollment ID: I20160607000677 |
| Provider Name | Thomas Jiang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861719486 PECOS PAC ID: 4284926353 Enrollment ID: I20160711000679 |
| Provider Name | Shylee B Tiamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053779322 PECOS PAC ID: 9133413149 Enrollment ID: I20160812001353 |
| Provider Name | Bardia Sadr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912398785 PECOS PAC ID: 3971897992 Enrollment ID: I20160812001604 |
| Provider Name | Mykola Onyshchenko |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821342775 PECOS PAC ID: 3476849415 Enrollment ID: I20160831000692 |
| Provider Name | Tiffany J Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669816617 PECOS PAC ID: 1850687716 Enrollment ID: I20160901002103 |
| Provider Name | Alex Budiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700229721 PECOS PAC ID: 8325334881 Enrollment ID: I20160908002563 |
| Provider Name | Elizabeth H West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912254749 PECOS PAC ID: 3577870526 Enrollment ID: I20160908002719 |
| Provider Name | Joshua D Snodgrass |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447516513 PECOS PAC ID: 9830404797 Enrollment ID: I20161007000973 |
| Provider Name | Lynda Y Lopez-freyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730425695 PECOS PAC ID: 0244528115 Enrollment ID: I20161007001498 |
| Provider Name | Annita Mae Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861800971 PECOS PAC ID: 2961718804 Enrollment ID: I20161024002484 |
| Provider Name | Alvin Zantua Merilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421458 PECOS PAC ID: 8325327323 Enrollment ID: I20161115001948 |
| Provider Name | Erin Morikawa Wong Sause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790963072 PECOS PAC ID: 1456630003 Enrollment ID: I20161122001737 |
| Provider Name | Elsa Otero-salazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346384682 PECOS PAC ID: 6901186238 Enrollment ID: I20161202001756 |
| Provider Name | Ghe S Rosales-vong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922418466 PECOS PAC ID: 5294026340 Enrollment ID: I20161228001370 |
| Provider Name | Maria A Gillamac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598207110 PECOS PAC ID: 9234411828 Enrollment ID: I20170113001914 |
| Provider Name | Oluyemisi Olubi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942496096 PECOS PAC ID: 0941348288 Enrollment ID: I20170116000631 |
| Provider Name | Narjes Ferjani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265664940 PECOS PAC ID: 7517003635 Enrollment ID: I20170123002411 |
| Provider Name | Thuy Nacion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437423506 PECOS PAC ID: 2668755687 Enrollment ID: I20170216001428 |
| Provider Name | Sindu Alexander |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1811120371 PECOS PAC ID: 0143504068 Enrollment ID: I20170221001314 |
| Provider Name | Christopher Y Yee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891012860 PECOS PAC ID: 3173808680 Enrollment ID: I20170324001283 |
| Provider Name | Sheila Marie Puatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477095149 PECOS PAC ID: 4082998166 Enrollment ID: I20170410002774 |
| Provider Name | Manijeh Ghasemi-varnamkhasti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740449727 PECOS PAC ID: 7719128057 Enrollment ID: I20170412001658 |
| Provider Name | Lisa M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083985832 PECOS PAC ID: 2163726019 Enrollment ID: I20170501001861 |
| Provider Name | Christine Grace Panopio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558808527 PECOS PAC ID: 4981981610 Enrollment ID: I20170508000802 |
| Provider Name | Ali Gholamrezanezhad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851653968 PECOS PAC ID: 5799052205 Enrollment ID: I20170602002092 |
| Provider Name | Gary G Tse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043577570 PECOS PAC ID: 7113295627 Enrollment ID: I20170623001732 |
| Provider Name | Carrie M Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467992115 PECOS PAC ID: 1759650187 Enrollment ID: I20170628001977 |
| Provider Name | Navid Shams Javani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790104800 PECOS PAC ID: 5799079364 Enrollment ID: I20170717003310 |
| Provider Name | Rachel Hargrove |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871812727 PECOS PAC ID: 1951603356 Enrollment ID: I20170717003335 |
| Provider Name | Amir Kasra Iranmahboob |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992063358 PECOS PAC ID: 2668742636 Enrollment ID: I20170724003709 |
| Provider Name | Diana Naderi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184042608 PECOS PAC ID: 3577854611 Enrollment ID: I20170804002168 |
| Provider Name | Sarah Fang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588084081 PECOS PAC ID: 0345538369 Enrollment ID: I20170809003781 |
| Provider Name | Trucvy H Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427462159 PECOS PAC ID: 8729359690 Enrollment ID: I20170810003047 |
| Provider Name | Sina J. Milani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558771188 PECOS PAC ID: 6709157530 Enrollment ID: I20170811002297 |
| Provider Name | Gail Frances Liezl Abcede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902216872 PECOS PAC ID: 3678793205 Enrollment ID: I20170815003900 |
| Provider Name | Eric Morley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588930085 PECOS PAC ID: 7719259290 Enrollment ID: I20170817002527 |
| Provider Name | John Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841267366 PECOS PAC ID: 6406982776 Enrollment ID: I20170920000994 |
| Provider Name | Vy Kieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849842 PECOS PAC ID: 3678847290 Enrollment ID: I20170920003813 |
| Provider Name | Julie M. Balan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593666 PECOS PAC ID: 3678848892 Enrollment ID: I20171013000946 |
| Provider Name | Elizabeth Kay Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164955639 PECOS PAC ID: 1557637774 Enrollment ID: I20171016002051 |
| Provider Name | Daniel Corneliu Buda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700974698 PECOS PAC ID: 8426954314 Enrollment ID: I20171031002071 |
| Provider Name | Regina Mariano Baldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376055749 PECOS PAC ID: 3678839164 Enrollment ID: I20171116001696 |
| Provider Name | Vaya W Tanamai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689916835 PECOS PAC ID: 4284923533 Enrollment ID: I20171117001822 |
| Provider Name | Subha L Amatya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861837221 PECOS PAC ID: 9133487523 Enrollment ID: I20171212001713 |
| Provider Name | Yujie Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851732846 PECOS PAC ID: 9638437973 Enrollment ID: I20171214002615 |
| Provider Name | Zavier Shawkat Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255677134 PECOS PAC ID: 1951661909 Enrollment ID: I20180212002444 |
| Provider Name | Hassan A Chahine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518326933 PECOS PAC ID: 9739449521 Enrollment ID: I20180216002001 |
| Provider Name | Helen Elaine Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548243694 PECOS PAC ID: 8921907635 Enrollment ID: I20180221002991 |
| Provider Name | Richard A Koff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447517255 PECOS PAC ID: 6709147093 Enrollment ID: I20180301001133 |
| Provider Name | Anthony Jaeyun Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346496494 PECOS PAC ID: 5597832584 Enrollment ID: I20180307001264 |
| Provider Name | Michelle C Deflorimonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295255826 PECOS PAC ID: 6800159666 Enrollment ID: I20180410001700 |
| Provider Name | Elizabeth G Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770098378 PECOS PAC ID: 0244593614 Enrollment ID: I20180417002326 |
| Provider Name | Elizabeth T Tirpak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306342860 PECOS PAC ID: 9234493511 Enrollment ID: I20180514002960 |
| Provider Name | Emilia Sue Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790005494 PECOS PAC ID: 9234484262 Enrollment ID: I20180615000964 |
| Provider Name | Sara Etemad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043623499 PECOS PAC ID: 2062708159 Enrollment ID: I20180618003252 |
| Provider Name | David Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194139253 PECOS PAC ID: 9133493331 Enrollment ID: I20180717001631 |
| Provider Name | Van Quoc Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851786156 PECOS PAC ID: 0143577940 Enrollment ID: I20180725002044 |
| Provider Name | Amy H Ni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144615642 PECOS PAC ID: 3476827544 Enrollment ID: I20180731000767 |
| Provider Name | Gloria Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932589108 PECOS PAC ID: 6901180074 Enrollment ID: I20180803001289 |
| Provider Name | Jae Wook Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558624957 PECOS PAC ID: 3678899622 Enrollment ID: I20180803002255 |
| Provider Name | Tiffany K Leung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740691427 PECOS PAC ID: 3870861818 Enrollment ID: I20180803002788 |
| Provider Name | Mahsa Rezaei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457731747 PECOS PAC ID: 4587948674 Enrollment ID: I20180822003818 |
| Provider Name | Nazanin Kashani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467976837 PECOS PAC ID: 4688923493 Enrollment ID: I20180827003046 |
| Provider Name | Alaa Beydoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841552833 PECOS PAC ID: 4385942770 Enrollment ID: I20180828000083 |
| Provider Name | Briana J Livingston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992116388 PECOS PAC ID: 7911287081 Enrollment ID: I20180828001257 |
| Provider Name | Vina Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013250497 PECOS PAC ID: 9830471523 Enrollment ID: I20180831001981 |
| Provider Name | Anh Q Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710373774 PECOS PAC ID: 5395095582 Enrollment ID: I20180910001687 |
| Provider Name | Deborah Karm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124431374 PECOS PAC ID: 7517248776 Enrollment ID: I20180918001365 |
| Provider Name | Nguyen Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447661889 PECOS PAC ID: 9739430562 Enrollment ID: I20180918002805 |
| Provider Name | Ali Syed Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821471442 PECOS PAC ID: 5698026235 Enrollment ID: I20180920003370 |
| Provider Name | Shervin Fouladi Rad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114287497 PECOS PAC ID: 4284940883 Enrollment ID: I20180921002803 |
| Provider Name | Kristy Barker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740667161 PECOS PAC ID: 5496060022 Enrollment ID: I20180928002166 |
| Provider Name | Shannon R Bell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760877302 PECOS PAC ID: 6800160904 Enrollment ID: I20181012001761 |
| Provider Name | Tulika Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902102726 PECOS PAC ID: 3274775168 Enrollment ID: I20181015003318 |
| Provider Name | Bryan W Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619417060 PECOS PAC ID: 0446528426 Enrollment ID: I20181018001016 |
| Provider Name | Mahendra J Panchal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518980796 PECOS PAC ID: 6204824857 Enrollment ID: I20181205002627 |
| Provider Name | Christine Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578018396 PECOS PAC ID: 3072801729 Enrollment ID: I20181213001514 |
| Provider Name | Joan Nkechi Anukam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013382373 PECOS PAC ID: 8426306861 Enrollment ID: I20181214001899 |
| Provider Name | Ryan Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790204923 PECOS PAC ID: 6204172190 Enrollment ID: I20190114003259 |
| Provider Name | Hoangvy Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841619095 PECOS PAC ID: 3072814656 Enrollment ID: I20190121000216 |
| Provider Name | Sarah Dabagh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538600317 PECOS PAC ID: 4486991825 Enrollment ID: I20190123003640 |
| Provider Name | Hien Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134603483 PECOS PAC ID: 7810234267 Enrollment ID: I20190123004072 |
| Provider Name | David W Zahaluk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457385643 PECOS PAC ID: 2466478862 Enrollment ID: I20190207002754 |
| Provider Name | Carol Rose Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225406333 PECOS PAC ID: 3072815083 Enrollment ID: I20190305002153 |
| Provider Name | Tracey M Easterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992230478 PECOS PAC ID: 1052680121 Enrollment ID: I20190415000244 |
| Provider Name | Tokameh Entezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669599825 PECOS PAC ID: 3870665946 Enrollment ID: I20190425002371 |
| Provider Name | Catherine K Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730569005 PECOS PAC ID: 4385928472 Enrollment ID: I20190501002569 |
| Provider Name | Madison A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178996 PECOS PAC ID: 3072846914 Enrollment ID: I20190610000808 |
| Provider Name | Roger Scott Hinkson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1902923147 PECOS PAC ID: 6406189059 Enrollment ID: I20190613000718 |
| Provider Name | Shelly Dutt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487065215 PECOS PAC ID: 6507140993 Enrollment ID: I20190615000255 |
| Provider Name | Susan Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972967065 PECOS PAC ID: 4981938214 Enrollment ID: I20190620001372 |
| Provider Name | Leah Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104288562 PECOS PAC ID: 6305101445 Enrollment ID: I20190701000887 |
| Provider Name | Michael K Benefiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861855827 PECOS PAC ID: 8729349840 Enrollment ID: I20190703000932 |
| Provider Name | Au-co Ly Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225416167 PECOS PAC ID: 9032446711 Enrollment ID: I20190805001475 |
| Provider Name | Ziad Wagih Chaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528420510 PECOS PAC ID: 3870820335 Enrollment ID: I20190807001701 |
| Provider Name | Marshall T. Gillette |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922494897 PECOS PAC ID: 3173872561 Enrollment ID: I20190809001603 |
| Provider Name | Elise Vo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497132989 PECOS PAC ID: 1254660582 Enrollment ID: I20190911001000 |
| Provider Name | Han Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790170173 PECOS PAC ID: 0749519858 Enrollment ID: I20190913002051 |
| Provider Name | Peyman Kangavari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962821207 PECOS PAC ID: 5294065900 Enrollment ID: I20190923003466 |
| Provider Name | Cameron M Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528412103 PECOS PAC ID: 1456682483 Enrollment ID: I20191007000305 |
| Provider Name | John H Artrip |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831141084 PECOS PAC ID: 9436040771 Enrollment ID: I20191014000343 |
| Provider Name | Andrew Nguyen Le |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1053845974 PECOS PAC ID: 1759617491 Enrollment ID: I20191014001648 |
| Provider Name | Hoa Mai Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689924151 PECOS PAC ID: 0143522219 Enrollment ID: I20191018001995 |
| Provider Name | Andrew A Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245760750 PECOS PAC ID: 8022340934 Enrollment ID: I20191025001906 |
| Provider Name | Bhavana Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154610319 PECOS PAC ID: 2365691094 Enrollment ID: I20191106000604 |
| Provider Name | Christine Feigal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992186670 PECOS PAC ID: 7214229798 Enrollment ID: I20191115002944 |
| Provider Name | Philip Anthony Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851753370 PECOS PAC ID: 5193018125 Enrollment ID: I20191121001363 |
| Provider Name | Francois P Aspesberro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790795136 PECOS PAC ID: 4183792633 Enrollment ID: I20191203001202 |
| Provider Name | Sanam M Pournaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447607551 PECOS PAC ID: 5991099889 Enrollment ID: I20191204000323 |
| Provider Name | Mary Lorene Minar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972653814 PECOS PAC ID: 5496188419 Enrollment ID: I20191205001792 |
| Provider Name | Ladan Mohammadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124448485 PECOS PAC ID: 8729206867 Enrollment ID: I20191216002605 |
| Provider Name | Iryna Rika Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831659408 PECOS PAC ID: 0547694671 Enrollment ID: I20191226001679 |
| Provider Name | Jeffery J Zielinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326273244 PECOS PAC ID: 9830524461 Enrollment ID: I20200108002274 |
| Provider Name | Marc P Sakwa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750363552 PECOS PAC ID: 5193703445 Enrollment ID: I20200114002158 |
| Provider Name | Paulina K Dinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983708 PECOS PAC ID: 4981030335 Enrollment ID: I20200204001290 |
| Provider Name | Rex Francis Tjoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568979417 PECOS PAC ID: 8426484627 Enrollment ID: I20200206002675 |
| Provider Name | Shawndeep Singh Tung |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1992077473 PECOS PAC ID: 1355695859 Enrollment ID: I20200207002008 |
| Provider Name | Kelly Thao Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255799276 PECOS PAC ID: 3375979107 Enrollment ID: I20200213002934 |
| Provider Name | Lorilea Paige Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336790963 PECOS PAC ID: 7517395155 Enrollment ID: I20200314000236 |
| Provider Name | Eddie Ly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134650922 PECOS PAC ID: 7618205279 Enrollment ID: I20200319002197 |
| Provider Name | Malia A Dadsetan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740773530 PECOS PAC ID: 2860820149 Enrollment ID: I20200403002859 |
| Provider Name | Cassidy Bennett Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821483900 PECOS PAC ID: 4385074335 Enrollment ID: I20200415002533 |
| Provider Name | Ali Ahoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093964769 PECOS PAC ID: 3072821537 Enrollment ID: I20200416000816 |
| Provider Name | Iwan Nyotowidjojo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578976270 PECOS PAC ID: 3274859970 Enrollment ID: I20200423002440 |
| Provider Name | Sarah Bartulis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639554678 PECOS PAC ID: 5193001006 Enrollment ID: I20200505002954 |
| Provider Name | Mohammad Reza Hajighasemi-ossareh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144683137 PECOS PAC ID: 1254762933 Enrollment ID: I20200513001018 |
| Provider Name | Rasha Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932631793 PECOS PAC ID: 1355675810 Enrollment ID: I20200513002306 |
| Provider Name | Sarah Zainab Hassan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689935066 PECOS PAC ID: 0446563464 Enrollment ID: I20200609000439 |
| Provider Name | Jose Luis Relacion Aranez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932466125 PECOS PAC ID: 4284960923 Enrollment ID: I20200615002847 |
| Provider Name | Lauren Sylwester |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962027706 PECOS PAC ID: 1254753213 Enrollment ID: I20200619000935 |
| Provider Name | Alison Weis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053846949 PECOS PAC ID: 4284056102 Enrollment ID: I20200623002506 |
| Provider Name | Xuanmai Nguyen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083022941 PECOS PAC ID: 0446672943 Enrollment ID: I20200629002049 |
| Provider Name | Laetitia Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831622588 PECOS PAC ID: 3779816772 Enrollment ID: I20200630001836 |
| Provider Name | Odrin S Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144751736 PECOS PAC ID: 2769724715 Enrollment ID: I20200706001556 |
| Provider Name | Long-co Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194251561 PECOS PAC ID: 7618390519 Enrollment ID: I20200710002153 |
| Provider Name | Keena Lucretia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780136820 PECOS PAC ID: 1052734803 Enrollment ID: I20200713000710 |
| Provider Name | Marco Antonio Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942658752 PECOS PAC ID: 9830512623 Enrollment ID: I20200713002109 |
| Provider Name | Mindy J Goh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891226403 PECOS PAC ID: 4486997269 Enrollment ID: I20200714002776 |
| Provider Name | Walter Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689044760 PECOS PAC ID: 6305186289 Enrollment ID: I20200716003730 |
| Provider Name | Lizhou Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396088977 PECOS PAC ID: 6800187014 Enrollment ID: I20200722003806 |
| Provider Name | Andrew Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932550910 PECOS PAC ID: 4082907225 Enrollment ID: I20200724000590 |
| Provider Name | Sungjin Kuon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124555842 PECOS PAC ID: 1557785268 Enrollment ID: I20200728000208 |
| Provider Name | Edgar Ureno Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197396 PECOS PAC ID: 1759614761 Enrollment ID: I20200729000799 |
| Provider Name | Alexander Dydyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912435694 PECOS PAC ID: 3577986512 Enrollment ID: I20200806003317 |
| Provider Name | Allen Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639668247 PECOS PAC ID: 7012342165 Enrollment ID: I20200811000988 |
| Provider Name | Sarathi Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356703995 PECOS PAC ID: 4284988361 Enrollment ID: I20200811001145 |
| Provider Name | Cristina Hue Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396278115 PECOS PAC ID: 6507282340 Enrollment ID: I20200811003326 |
| Provider Name | Jennifer Dela Cruz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811465339 PECOS PAC ID: 2466878707 Enrollment ID: I20200817002801 |
| Provider Name | Luc-ha Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588195432 PECOS PAC ID: 7214353424 Enrollment ID: I20200819000731 |
| Provider Name | Samiya Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336670728 PECOS PAC ID: 5799018826 Enrollment ID: I20200819002423 |
| Provider Name | Jessy Marion Padiernos Tsang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871022673 PECOS PAC ID: 2668899287 Enrollment ID: I20200827002879 |
| Provider Name | Thu N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114422888 PECOS PAC ID: 6406274117 Enrollment ID: I20200911002817 |
| Provider Name | Jennifer Kuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811552805 PECOS PAC ID: 8628497187 Enrollment ID: I20201001002720 |
| Provider Name | Mary Louise S Kiernan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104289065 PECOS PAC ID: 7113258815 Enrollment ID: I20201008000899 |
| Provider Name | Yahaira Plata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699137117 PECOS PAC ID: 9032403985 Enrollment ID: I20201027001486 |
| Provider Name | Charles Hua |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881014694 PECOS PAC ID: 8426394446 Enrollment ID: I20201116002999 |
| Provider Name | Adam Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871576041 PECOS PAC ID: 4082504162 Enrollment ID: I20201124001054 |
| Provider Name | Elvis Cami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194045047 PECOS PAC ID: 3476797028 Enrollment ID: I20201201001421 |
| Provider Name | Devon D Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457680498 PECOS PAC ID: 2567874845 Enrollment ID: I20201210000434 |
| Provider Name | Shawnna Boyd-morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689717829 PECOS PAC ID: 4486066784 Enrollment ID: I20201210000740 |
| Provider Name | Omer Aba-omer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649702093 PECOS PAC ID: 6305179078 Enrollment ID: I20201216000508 |
| Provider Name | Christina Rodriguez Ruiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891182903 PECOS PAC ID: 6507279189 Enrollment ID: I20201229002063 |
| Provider Name | Ellexis Emily Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336671536 PECOS PAC ID: 9638584360 Enrollment ID: I20210210002439 |
| Provider Name | Lauren K Hackett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922398320 PECOS PAC ID: 6800203829 Enrollment ID: I20210318000932 |
| Provider Name | Melissa Perez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932555000 PECOS PAC ID: 9234486812 Enrollment ID: I20210329001697 |
| Provider Name | Ashley Hunt Falkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356781538 PECOS PAC ID: 8123259892 Enrollment ID: I20210409000653 |
| Provider Name | Amanda Lynn Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720346398 PECOS PAC ID: 5092123638 Enrollment ID: I20210420000578 |
| Provider Name | Hannah Maria Teng Barroga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184120701 PECOS PAC ID: 8325460959 Enrollment ID: I20210519001957 |
| Provider Name | Van T Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821351487 PECOS PAC ID: 2961640768 Enrollment ID: I20210520000286 |
| Provider Name | Suzie Kunakoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134712748 PECOS PAC ID: 1355741232 Enrollment ID: I20210615000600 |
| Provider Name | Vincente Philip Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871098988 PECOS PAC ID: 2961802608 Enrollment ID: I20210616003264 |
| Provider Name | Jessica Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932727245 PECOS PAC ID: 2860894201 Enrollment ID: I20210708000682 |
| Provider Name | Justin Allan Mauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134624398 PECOS PAC ID: 4789016148 Enrollment ID: I20210714000452 |
| Provider Name | Nathan Tin Yoi Kwong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437654340 PECOS PAC ID: 5698178226 Enrollment ID: I20210720003318 |
| Provider Name | Jacob Koopman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942798061 PECOS PAC ID: 3274953039 Enrollment ID: I20210722001158 |
| Provider Name | Chloe Su |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336644343 PECOS PAC ID: 0749611879 Enrollment ID: I20210728004193 |
| Provider Name | Kirsten Michelle Devin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376076612 PECOS PAC ID: 2163826561 Enrollment ID: I20210806002181 |
| Provider Name | Julia Buchfuhrer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093179319 PECOS PAC ID: 1557635695 Enrollment ID: I20210813000983 |
| Provider Name | Vicki Hsieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396242301 PECOS PAC ID: 6901200898 Enrollment ID: I20210816000794 |
| Provider Name | Ekta Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295230910 PECOS PAC ID: 8022411230 Enrollment ID: I20210820002561 |
| Provider Name | Stanley Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164954145 PECOS PAC ID: 1153726658 Enrollment ID: I20210821000332 |
| Provider Name | Andrew Zhang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821417627 PECOS PAC ID: 2567796543 Enrollment ID: I20210914000925 |
| Provider Name | Wael Harb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861468415 PECOS PAC ID: 7315935293 Enrollment ID: I20210917001869 |
| Provider Name | Maryanne Rose Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053846790 PECOS PAC ID: 3577960160 Enrollment ID: I20210923003788 |
| Provider Name | Monique Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088213 PECOS PAC ID: 9133526767 Enrollment ID: I20210924001716 |
| Provider Name | Jane Yoon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912249913 PECOS PAC ID: 3971739962 Enrollment ID: I20210930002740 |
| Provider Name | Ivan Rudenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477040517 PECOS PAC ID: 7012315047 Enrollment ID: I20211006000543 |
| Provider Name | Natalia Y Obzejta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992209589 PECOS PAC ID: 8123378932 Enrollment ID: I20211007000662 |
| Provider Name | Ario Angha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386175685 PECOS PAC ID: 5698047702 Enrollment ID: I20211013002736 |
| Provider Name | Stephanie Fong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437655800 PECOS PAC ID: 2567860836 Enrollment ID: I20211018002256 |
| Provider Name | David Seung Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629096789 PECOS PAC ID: 2769870252 Enrollment ID: I20211103000563 |
| Provider Name | Peter Ming Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821521972 PECOS PAC ID: 2961891312 Enrollment ID: I20211105001532 |
| Provider Name | Jarrett Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659420404 PECOS PAC ID: 5395898316 Enrollment ID: I20211118002851 |
| Provider Name | Razieh Hadian Jazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477802148 PECOS PAC ID: 9830412444 Enrollment ID: I20211130002703 |
| Provider Name | Jennifer E. Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558862458 PECOS PAC ID: 6709112006 Enrollment ID: I20211220001998 |
| Provider Name | Tracy A. Mckelvey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053089946 PECOS PAC ID: 5193116341 Enrollment ID: I20211222001391 |
| Provider Name | Suneer Chander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932157021 PECOS PAC ID: 9931194487 Enrollment ID: I20211222002230 |
| Provider Name | Haleh Khoshreza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386177533 PECOS PAC ID: 0042602328 Enrollment ID: I20220118002198 |
| Provider Name | Chidinma Onuigbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104337419 PECOS PAC ID: 7012333222 Enrollment ID: I20220125002339 |
| Provider Name | Jeffrey Zeleznik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982137261 PECOS PAC ID: 8527321967 Enrollment ID: I20220221000309 |
| Provider Name | Michael Hilliard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538140397 PECOS PAC ID: 8820061211 Enrollment ID: I20220303001615 |
| Provider Name | Valerio T Kalaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063988897 PECOS PAC ID: 6406258417 Enrollment ID: I20220304001158 |
| Provider Name | Brianna Elizabeth Roll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518526177 PECOS PAC ID: 4284021379 Enrollment ID: I20220419002622 |
| Provider Name | Darletha Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559315 PECOS PAC ID: 3678960283 Enrollment ID: I20220429001139 |
| Provider Name | Joo Yang |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1851549232 PECOS PAC ID: 2163794926 Enrollment ID: I20220516001559 |
| Provider Name | Sheila Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033435987 PECOS PAC ID: 0749404994 Enrollment ID: I20220524001263 |
| Provider Name | Chintan Harish Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543638 PECOS PAC ID: 5991079501 Enrollment ID: I20220601002677 |
| Provider Name | Jay Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538626999 PECOS PAC ID: 8628458270 Enrollment ID: I20220629002005 |
| Provider Name | Colette Shiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508325382 PECOS PAC ID: 9931529179 Enrollment ID: I20220707001752 |
| Provider Name | Chay Bae |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861926982 PECOS PAC ID: 9739451972 Enrollment ID: I20220722000141 |
| Provider Name | Hasaney P Sin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518520451 PECOS PAC ID: 2961824834 Enrollment ID: I20220722000552 |
| Provider Name | Sharefi M Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205223120 PECOS PAC ID: 5294035499 Enrollment ID: I20220804001305 |
| Provider Name | Jessica Yano Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811454028 PECOS PAC ID: 5193107159 Enrollment ID: I20220808001445 |
| Provider Name | Ariel Murtagh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770042541 PECOS PAC ID: 7012304058 Enrollment ID: I20220811002155 |
| Provider Name | Henry Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184989170 PECOS PAC ID: 2264815018 Enrollment ID: I20220811003179 |
| Provider Name | Sandy Serna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659834620 PECOS PAC ID: 0648654103 Enrollment ID: I20220831003840 |
| Provider Name | Bonnie Jan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962962795 PECOS PAC ID: 1254722267 Enrollment ID: I20220901002837 |
| Provider Name | Cecila H Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568923449 PECOS PAC ID: 3072923226 Enrollment ID: I20220901003269 |
| Provider Name | Chloe Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821557729 PECOS PAC ID: 2961886320 Enrollment ID: I20220902000612 |
| Provider Name | Vincent Zheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609439637 PECOS PAC ID: 9830573138 Enrollment ID: I20220906002698 |
| Provider Name | Elizabeth Upson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073249199 PECOS PAC ID: 1557745858 Enrollment ID: I20220906002732 |
| Provider Name | Jonathan Peter Gershenson |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1780046847 PECOS PAC ID: 6800272097 Enrollment ID: I20220926000359 |
| Provider Name | Heather Hendron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770252470 PECOS PAC ID: 3971979907 Enrollment ID: I20221017002429 |
| Provider Name | Sarah H Youkhana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275093924 PECOS PAC ID: 8022484930 Enrollment ID: I20221018002100 |
| Provider Name | Jasmine K Takhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326676826 PECOS PAC ID: 7214325554 Enrollment ID: I20221024000875 |
| Provider Name | Alexis Rubin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881313427 PECOS PAC ID: 2668840687 Enrollment ID: I20221123001366 |
| Provider Name | Nicollette Sokoeun Buth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184237372 PECOS PAC ID: 9537538517 Enrollment ID: I20221214000746 |
| Provider Name | Tuong N Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841251659 PECOS PAC ID: 6406997600 Enrollment ID: I20221220000270 |
| Provider Name | Bianca Rivas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285168419 PECOS PAC ID: 6305179383 Enrollment ID: I20221228003069 |
| Provider Name | Irina Sachelarie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730139387 PECOS PAC ID: 0244241677 Enrollment ID: I20230103002646 |
| Provider Name | Lauren Jill Birkinshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750859310 PECOS PAC ID: 6406226240 Enrollment ID: I20230112000533 |
| Provider Name | Lindsay Marie Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215603147 PECOS PAC ID: 0840661039 Enrollment ID: I20230126001084 |
| Provider Name | Jamie Eridon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225329840 PECOS PAC ID: 8123318102 Enrollment ID: I20230126001438 |
| Provider Name | Madeline Zola Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467184408 PECOS PAC ID: 4789055724 Enrollment ID: I20230130001538 |
| Provider Name | Carla D Betters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700258472 PECOS PAC ID: 8123490919 Enrollment ID: I20230203000839 |
| Provider Name | Kristel Lynn Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588862528 PECOS PAC ID: 4385956937 Enrollment ID: I20230208002116 |
| Provider Name | Sam D Zheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700231107 PECOS PAC ID: 2163762931 Enrollment ID: I20230420000676 |
| Provider Name | George Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083243521 PECOS PAC ID: 1951703628 Enrollment ID: I20230509000847 |
| Provider Name | Lilly Singh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376948653 PECOS PAC ID: 2961790829 Enrollment ID: I20230509002026 |
| Provider Name | Frederick Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477180701 PECOS PAC ID: 1951767326 Enrollment ID: I20230510002150 |
| Provider Name | Pedram Ansari Pirsaraei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871853614 PECOS PAC ID: 9638485543 Enrollment ID: I20230607002461 |
| Provider Name | Cindy T Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881223048 PECOS PAC ID: 1658771688 Enrollment ID: I20230623001314 |
| Provider Name | David Ashen-garry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164916474 PECOS PAC ID: 5597009811 Enrollment ID: I20230709000027 |
| Provider Name | Ryan Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770112294 PECOS PAC ID: 5193110435 Enrollment ID: I20230717002360 |
| Provider Name | Delcia A Giacalone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821749151 PECOS PAC ID: 5991165151 Enrollment ID: I20230719002219 |
| Provider Name | Swaminadhan Gnanashanmugam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073765517 PECOS PAC ID: 2668805912 Enrollment ID: I20230801003299 |
| Provider Name | Lawrence Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942836945 PECOS PAC ID: 4082022488 Enrollment ID: I20230802002925 |
| Provider Name | Jessica Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447887138 PECOS PAC ID: 1951727700 Enrollment ID: I20230803001471 |
| Provider Name | Vamsi Vemireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043848898 PECOS PAC ID: 0547679003 Enrollment ID: I20230809002448 |
| Provider Name | Ashley Parr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780146183 PECOS PAC ID: 2062748288 Enrollment ID: I20230809003860 |
| Provider Name | Guiyu Lutetia Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578191177 PECOS PAC ID: 5991118275 Enrollment ID: I20230811001140 |
| Provider Name | Michael Liu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841722758 PECOS PAC ID: 7719349422 Enrollment ID: I20230811002966 |
| Provider Name | Monica Sameh Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447870365 PECOS PAC ID: 0244693059 Enrollment ID: I20230828000801 |
| Provider Name | Lauren M Witchey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073074670 PECOS PAC ID: 4183010507 Enrollment ID: I20230828000971 |
| Provider Name | Nissi S. Suppogu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801236641 PECOS PAC ID: 8527369263 Enrollment ID: I20230831004426 |
| Provider Name | Tyler A Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124643960 PECOS PAC ID: 4183088388 Enrollment ID: I20230906002493 |
| Provider Name | Sonia Rutten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639706849 PECOS PAC ID: 5799176442 Enrollment ID: I20230912001951 |
| Provider Name | Pauline Sujin Sambeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629231 PECOS PAC ID: 8729442561 Enrollment ID: I20230913001529 |
| Provider Name | Jennifer M Perdomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639707243 PECOS PAC ID: 8426463670 Enrollment ID: I20230921002547 |
| Provider Name | Florence Yuan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962031518 PECOS PAC ID: 1254732514 Enrollment ID: I20230922002786 |
| Provider Name | George H Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982261178 PECOS PAC ID: 5698001550 Enrollment ID: I20231003003800 |
| Provider Name | Thomas Bernard Rehder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679101737 PECOS PAC ID: 6800242918 Enrollment ID: I20231026000397 |
| Provider Name | Jennifer Lynn Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124654454 PECOS PAC ID: 5395191332 Enrollment ID: I20231026002229 |
| Provider Name | Amber D. Gaither |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821343948 PECOS PAC ID: 4183070964 Enrollment ID: I20231031001212 |
| Provider Name | Talar Taha Moy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811695349 PECOS PAC ID: 6507213121 Enrollment ID: I20231103000855 |
| Provider Name | John Overbeck |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1700864261 PECOS PAC ID: 5799680906 Enrollment ID: I20231221002608 |
| Provider Name | Christine Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730440744 PECOS PAC ID: 4789962101 Enrollment ID: I20240105003793 |
| Provider Name | Karla J. Dimas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174876379 PECOS PAC ID: 4486097417 Enrollment ID: I20240207001025 |
| Provider Name | Bao Joseph Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231750 PECOS PAC ID: 5193070043 Enrollment ID: I20240214002969 |
| Provider Name | Rajiv J Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265528111 PECOS PAC ID: 2860550118 Enrollment ID: I20240222001073 |
| Provider Name | Allison Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926272 PECOS PAC ID: 1052366267 Enrollment ID: I20240304002569 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20240305002372 |
| Provider Name | Ruth Dooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528424843 PECOS PAC ID: 6103045448 Enrollment ID: I20240326000959 |
| Provider Name | Brenda Teresa Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417724154 PECOS PAC ID: 3870932775 Enrollment ID: I20240411001762 |
| Provider Name | Mitchell Pohl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427509256 PECOS PAC ID: 2567813660 Enrollment ID: I20240418001956 |
| Provider Name | Arlen Grajeda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235474941 PECOS PAC ID: 7618317470 Enrollment ID: I20240427001885 |
| Provider Name | Diana Pham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225532757 PECOS PAC ID: 2961842307 Enrollment ID: I20240501003772 |
| Provider Name | Albert Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639527161 PECOS PAC ID: 4284075110 Enrollment ID: I20240509002494 |
| Provider Name | Kimberly Luu Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912382953 PECOS PAC ID: 7810439684 Enrollment ID: I20240607001600 |
Citrus Medical Clinic Professional Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10900 Warner Ave Ste 111, Fountain Valley, CA 92708 Phone: 714-369-2554 | |
Dalilah Restrepo Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 917-376-0967 | |
John Wang, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11160 Warner Ave, Ste 405, Fountain Valley, CA 92708 Phone: 714-263-0923 Fax: 714-263-0924 | |
Regenerative Optimum Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave, Suite 257, Fountain Valley, CA 92708 Phone: 714-885-8980 Fax: 714-434-0790 | |
Valley View Comprehensive Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17220 Newhope St Ste 125-126, Fountain Valley, CA 92708 Phone: 562-412-8863 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11180 Warner Ave Ste 353, Fountain Valley, CA 92708 Phone: 714-406-0185 Fax: 310-763-7573 | |
Ky T. Vu, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17150 Euclid St Ste 200, Fountain Valley, CA 92708 Phone: 714-501-5798 Fax: 714-908-8120 |