| Montage Medical Group | |
|
275 The Crossroads Blvd Ste A Carmel CA 93923-8685 | |
| (831) 658-3639 | |
| (831) 643-0103 |
| Full Name | Montage Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 The Crossroads Blvd Ste A, Carmel, California |
| Authorized Official Name and Position | Michael K Mcmillan (DIRECTOR) |
| Authorized Official Contact | 8316491000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montage Medical Group Po Box 480 Salinas CA 93902-0480 Ph: (831) 649-1000 | Montage Medical Group 275 The Crossroads Blvd Ste A Carmel CA 93923-8685 Ph: (831) 658-3639 |
| NPI Number | 1770710709 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/25/2021 |
| Medicare PECOS PAC ID | 6406901941 |
|---|---|
| Medicare Enrollment ID | O20090904000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770710709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael R Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760585897 PECOS PAC ID: 9133020621 Enrollment ID: I20040116001063 |
| Provider Name | Mark Alan Vierra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295706448 PECOS PAC ID: 4082607189 Enrollment ID: I20040405001687 |
| Provider Name | Scott J Wada |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831119403 PECOS PAC ID: 4789675596 Enrollment ID: I20040520000932 |
| Provider Name | Richard J Kanak |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1508817776 PECOS PAC ID: 4981591021 Enrollment ID: I20040527000826 |
| Provider Name | Steven James Fowler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770789380 PECOS PAC ID: 5890770606 Enrollment ID: I20040623001524 |
| Provider Name | Pir W Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558311068 PECOS PAC ID: 4385693035 Enrollment ID: I20050119001074 |
| Provider Name | Richard J Gray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821009952 PECOS PAC ID: 6002851391 Enrollment ID: I20050627001302 |
| Provider Name | Barbara L Boyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831283027 PECOS PAC ID: 9638107014 Enrollment ID: I20050727000750 |
| Provider Name | Harry Edmond Nervino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538155908 PECOS PAC ID: 7517998248 Enrollment ID: I20050823000507 |
| Provider Name | Lancelot O Alexander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841215290 PECOS PAC ID: 6901824952 Enrollment ID: I20051108000494 |
| Provider Name | Yu Chuan Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689740169 PECOS PAC ID: 6709806318 Enrollment ID: I20051128000832 |
| Provider Name | William L Verlenden |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912979642 PECOS PAC ID: 9234197518 Enrollment ID: I20060213000416 |
| Provider Name | Michael K Lurie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285605501 PECOS PAC ID: 5799743076 Enrollment ID: I20060213000456 |
| Provider Name | Jon W Benner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649241886 PECOS PAC ID: 3870551153 Enrollment ID: I20060213000717 |
| Provider Name | Kenneth J Gjeltema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225145543 PECOS PAC ID: 9234037367 Enrollment ID: I20060317000209 |
| Provider Name | Forest Hawk Mealey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780664136 PECOS PAC ID: 6709982630 Enrollment ID: I20070509000263 |
| Provider Name | Martha L Blum |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427250752 PECOS PAC ID: 4981704905 Enrollment ID: I20070705000207 |
| Provider Name | John Hausdorff |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972540516 PECOS PAC ID: 7214008796 Enrollment ID: I20080611000818 |
| Provider Name | Larry E Berte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962452680 PECOS PAC ID: 7719057215 Enrollment ID: I20080612000883 |
| Provider Name | Diane Sobkowicz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285739698 PECOS PAC ID: 5991875494 Enrollment ID: I20080613000190 |
| Provider Name | Thomas A Kehl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609826718 PECOS PAC ID: 2567548373 Enrollment ID: I20080613000556 |
| Provider Name | Lorraine M Coli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306913124 PECOS PAC ID: 6305917360 Enrollment ID: I20080618000545 |
| Provider Name | Jeffrey C Ettinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255366464 PECOS PAC ID: 7810069341 Enrollment ID: I20080627000548 |
| Provider Name | David S Straface |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922178847 PECOS PAC ID: 5193707495 Enrollment ID: I20080714000613 |
| Provider Name | Gregory Spowart |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1669475430 PECOS PAC ID: 9335192459 Enrollment ID: I20081020000042 |
| Provider Name | Jon Soble |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487639969 PECOS PAC ID: 2365355344 Enrollment ID: I20081103000729 |
| Provider Name | Ahmad Edris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689890808 PECOS PAC ID: 2264579820 Enrollment ID: I20091030000261 |
| Provider Name | Jill J Tiongco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861442196 PECOS PAC ID: 6305819244 Enrollment ID: I20091106000447 |
| Provider Name | Mark J Morrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942309083 PECOS PAC ID: 3375568348 Enrollment ID: I20100304000387 |
| Provider Name | Francis M Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033297130 PECOS PAC ID: 5698964385 Enrollment ID: I20110112000000 |
| Provider Name | Lellivi S Carmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841465648 PECOS PAC ID: 5890955306 Enrollment ID: I20120514000138 |
| Provider Name | Michael C Jacobson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497736177 PECOS PAC ID: 2163686312 Enrollment ID: I20120619000600 |
| Provider Name | Andrea A Chan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154681906 PECOS PAC ID: 5395991863 Enrollment ID: I20120816000231 |
| Provider Name | Eugene Y Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215052428 PECOS PAC ID: 3274782479 Enrollment ID: I20121003000621 |
| Provider Name | Maris Legarda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659331296 PECOS PAC ID: 1456487594 Enrollment ID: I20121128000377 |
| Provider Name | Eri Matsumoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568502037 PECOS PAC ID: 4183876709 Enrollment ID: I20121206000135 |
| Provider Name | Alexander Izmailov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740421973 PECOS PAC ID: 6800040908 Enrollment ID: I20130124000414 |
| Provider Name | Laurel Anne Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215982152 PECOS PAC ID: 7315192432 Enrollment ID: I20130221000194 |
| Provider Name | Keiko Saito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407080831 PECOS PAC ID: 4789826199 Enrollment ID: I20130814001018 |
| Provider Name | Ethan M Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225272057 PECOS PAC ID: 5597814079 Enrollment ID: I20131105000911 |
| Provider Name | Steve Sung-yul Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639376064 PECOS PAC ID: 7012131816 Enrollment ID: I20140618000808 |
| Provider Name | Gediminas Ruibys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932365780 PECOS PAC ID: 7810161726 Enrollment ID: I20140710002610 |
| Provider Name | Peter Michas-martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033422142 PECOS PAC ID: 9133355985 Enrollment ID: I20150708002852 |
| Provider Name | Derrick J Barnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336236488 PECOS PAC ID: 5294802872 Enrollment ID: I20150717002250 |
| Provider Name | Nupur Sinha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720312671 PECOS PAC ID: 1052628955 Enrollment ID: I20150909001878 |
| Provider Name | Leonard Rene Sanders |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336160613 PECOS PAC ID: 3577560572 Enrollment ID: I20160113001874 |
| Provider Name | Shinkai Hakimi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477758340 PECOS PAC ID: 5991969891 Enrollment ID: I20160318000747 |
| Provider Name | Resmi Premji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215208913 PECOS PAC ID: 0840598769 Enrollment ID: I20160408001956 |
| Provider Name | Mark D Garfield |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1669555355 PECOS PAC ID: 9830002740 Enrollment ID: I20160609000727 |
| Provider Name | Rebecca Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639537475 PECOS PAC ID: 3173814258 Enrollment ID: I20160621000508 |
| Provider Name | Lauren N Farac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093015992 PECOS PAC ID: 0840582953 Enrollment ID: I20160711001902 |
| Provider Name | Dana L Mcdermott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609132273 PECOS PAC ID: 0749596732 Enrollment ID: I20160810002419 |
| Provider Name | Robert W Chalmers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114973708 PECOS PAC ID: 0941287817 Enrollment ID: I20160907002132 |
| Provider Name | Yalda Ataie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932544657 PECOS PAC ID: 9830477868 Enrollment ID: I20161026002146 |
| Provider Name | Jeanne Vesey Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174515449 PECOS PAC ID: 5991779258 Enrollment ID: I20161101001695 |
| Provider Name | Evan Rosen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013948959 PECOS PAC ID: 6709930084 Enrollment ID: I20170116000091 |
| Provider Name | John T Paas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245322908 PECOS PAC ID: 7416031075 Enrollment ID: I20170201000701 |
| Provider Name | Jean-philippe Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427463140 PECOS PAC ID: 1658654702 Enrollment ID: I20170215001066 |
| Provider Name | R Bryan Scott Klassen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912281783 PECOS PAC ID: 1153693478 Enrollment ID: I20170822001951 |
| Provider Name | Ambreen Laeeq |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689881591 PECOS PAC ID: 8729221403 Enrollment ID: I20170905002676 |
| Provider Name | Kalen Tai Erickson-moreo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346637659 PECOS PAC ID: 2668747312 Enrollment ID: I20171005000290 |
| Provider Name | Kenneth Thomas Juenger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336436039 PECOS PAC ID: 0042441420 Enrollment ID: I20171211001876 |
| Provider Name | Antonette Ajayi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225456643 PECOS PAC ID: 5092008425 Enrollment ID: I20171219002683 |
| Provider Name | David Wilson Keller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619933157 PECOS PAC ID: 2264325158 Enrollment ID: I20171229001813 |
| Provider Name | Craig Elam Stauffer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689932709 PECOS PAC ID: 1557620655 Enrollment ID: I20180118000679 |
| Provider Name | Michael Steven Cuenca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114072782 PECOS PAC ID: 9335290998 Enrollment ID: I20180119001956 |
| Provider Name | Amir Ali Rahnavard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326440124 PECOS PAC ID: 1456643071 Enrollment ID: I20180329001656 |
| Provider Name | Michael Mcglue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477967024 PECOS PAC ID: 5193945996 Enrollment ID: I20180731002750 |
| Provider Name | Daniel Gregory Torba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356738462 PECOS PAC ID: 2860704442 Enrollment ID: I20180808003235 |
| Provider Name | Thomas J Cunningham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700812799 PECOS PAC ID: 0244414381 Enrollment ID: I20180828002150 |
| Provider Name | Murtuza Zakir Gunja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932493913 PECOS PAC ID: 6709104631 Enrollment ID: I20180831001185 |
| Provider Name | Elizabeth Louise Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760747968 PECOS PAC ID: 2163717000 Enrollment ID: I20190218000742 |
| Provider Name | Michael Cline |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801273743 PECOS PAC ID: 0648519488 Enrollment ID: I20190222000558 |
| Provider Name | Nupur Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164680336 PECOS PAC ID: 0244367399 Enrollment ID: I20190411003193 |
| Provider Name | Aarush Manchanda |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1609027986 PECOS PAC ID: 0547385577 Enrollment ID: I20190412002030 |
| Provider Name | Kimberly Ann Godsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720429095 PECOS PAC ID: 2163665563 Enrollment ID: I20190422002257 |
| Provider Name | Harsha Mittakanti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760740039 PECOS PAC ID: 1759624265 Enrollment ID: I20190525000076 |
| Provider Name | Gregory Joseph Cannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844637 PECOS PAC ID: 1355675869 Enrollment ID: I20190702002526 |
| Provider Name | Hulbert Do |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679733760 PECOS PAC ID: 2163668609 Enrollment ID: I20191004000314 |
| Provider Name | Shama Ann Jesudason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881638575 PECOS PAC ID: 1850458274 Enrollment ID: I20191111001458 |
| Provider Name | Sky Vanderburg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366838237 PECOS PAC ID: 8224468293 Enrollment ID: I20200415003610 |
| Provider Name | Jon-peter Meckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578093969 PECOS PAC ID: 2163853748 Enrollment ID: I20200514002505 |
| Provider Name | John Andrew Michel Ruddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811350176 PECOS PAC ID: 8224459433 Enrollment ID: I20200526001607 |
| Provider Name | Jayme Rock-willoughby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598924573 PECOS PAC ID: 7012062912 Enrollment ID: I20200622001283 |
| Provider Name | Kearnan Adam Welch |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720463854 PECOS PAC ID: 6002164225 Enrollment ID: I20200811004020 |
| Provider Name | Steven Michael Lome |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003942491 PECOS PAC ID: 5799801015 Enrollment ID: I20200819001733 |
| Provider Name | Grace Gia-ling Wong Casserly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154735587 PECOS PAC ID: 1951527019 Enrollment ID: I20200827000209 |
| Provider Name | Pablo Nicholas Veliz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891226825 PECOS PAC ID: 8628496395 Enrollment ID: I20200911001058 |
| Provider Name | Kathleen A Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407004591 PECOS PAC ID: 2365596715 Enrollment ID: I20201119001796 |
| Provider Name | Sattar A Hadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437105145 PECOS PAC ID: 0941294383 Enrollment ID: I20210223001168 |
| Provider Name | Nicholas F.h. Stienstra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033505581 PECOS PAC ID: 0941515167 Enrollment ID: I20210504002624 |
| Provider Name | Daphne C Papathomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023549243 PECOS PAC ID: 2264772052 Enrollment ID: I20211108001479 |
| Provider Name | Chau Minh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740861566 PECOS PAC ID: 9739570144 Enrollment ID: I20211220000315 |
| Provider Name | Ashlee Blaine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225562028 PECOS PAC ID: 5991074437 Enrollment ID: I20220224001237 |
| Provider Name | Wendy Arteaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326413311 PECOS PAC ID: 2769785047 Enrollment ID: I20220421002067 |
| Provider Name | Eric Jung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992153381 PECOS PAC ID: 3476848615 Enrollment ID: I20220622000281 |
| Provider Name | Christian Breburda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912070608 PECOS PAC ID: 7315907961 Enrollment ID: I20220721003374 |
| Provider Name | Steven Cabrales |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992703151 PECOS PAC ID: 0345345229 Enrollment ID: I20220722000989 |
| Provider Name | Strachella Lespinasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528369154 PECOS PAC ID: 5395127633 Enrollment ID: I20220802003461 |
| Provider Name | Oluwafunmilola Adekanmbi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578051231 PECOS PAC ID: 4486901006 Enrollment ID: I20220808000695 |
| Provider Name | Kyla Velaer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174977961 PECOS PAC ID: 2567845043 Enrollment ID: I20220816001859 |
| Provider Name | Yosuf Subat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013361161 PECOS PAC ID: 6204128671 Enrollment ID: I20220819001431 |
| Provider Name | Edinrin Obasare |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093027278 PECOS PAC ID: 6507091493 Enrollment ID: I20220819002729 |
| Provider Name | Monica M Noya Santana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598297228 PECOS PAC ID: 1658755574 Enrollment ID: I20220826000340 |
| Provider Name | Laura Kimberly Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861137762 PECOS PAC ID: 6800270430 Enrollment ID: I20220831002757 |
| Provider Name | Mary Chick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194183 PECOS PAC ID: 7517293434 Enrollment ID: I20220903000361 |
| Provider Name | Jaya Prakash Sugunaraj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255647673 PECOS PAC ID: 6608019567 Enrollment ID: I20220908001013 |
| Provider Name | Katherine Anne Tonnissen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184036519 PECOS PAC ID: 4284019282 Enrollment ID: I20220912001627 |
| Provider Name | Jennifer Panning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003216557 PECOS PAC ID: 7113149691 Enrollment ID: I20221017001234 |
| Provider Name | Angelfrey Armas Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295298487 PECOS PAC ID: 2961878459 Enrollment ID: I20221025002482 |
| Provider Name | Somayeh D. Azimi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356876999 PECOS PAC ID: 9335516814 Enrollment ID: I20221114001368 |
| Provider Name | Marcus Alberto De Ranieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891351615 PECOS PAC ID: 1658740733 Enrollment ID: I20221212002529 |
| Provider Name | David Kurtmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801337241 PECOS PAC ID: 4981978582 Enrollment ID: I20230116000626 |
| Provider Name | Brooke Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790226033 PECOS PAC ID: 0547534166 Enrollment ID: I20230202001452 |
| Provider Name | Vanessa Muro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851024517 PECOS PAC ID: 8820461049 Enrollment ID: I20230308001953 |
| Provider Name | Jessitasinghna Albert Messiah Dhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508392911 PECOS PAC ID: 4587082052 Enrollment ID: I20230308002368 |
| Provider Name | Marja-liisa Magnuson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447791876 PECOS PAC ID: 4981978566 Enrollment ID: I20230424000569 |
| Provider Name | Stephen Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558723841 PECOS PAC ID: 7214223908 Enrollment ID: I20230427001102 |
| Provider Name | Michael Jesinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013352368 PECOS PAC ID: 9234443458 Enrollment ID: I20230821002217 |
| Provider Name | John Paul Wilkins |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1013009133 PECOS PAC ID: 4284724899 Enrollment ID: I20230829004169 |
| Provider Name | Jeffrey Sasser-brandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225366099 PECOS PAC ID: 3072766336 Enrollment ID: I20230907002620 |
| Provider Name | Jared Michael Kozal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952930349 PECOS PAC ID: 9436591237 Enrollment ID: I20240524001439 |
Rasha Morad, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7020 Valley Greens Dr Apt 16, Carmel, CA 93923 Phone: 410-404-3081 | |
Carmel Internal Medicine Associates A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26615 Carmel Center Pl, Suite 103, Carmel, CA 93923 Phone: 831-624-1864 Fax: 831-624-4327 | |
Gregory S. Tapson M D, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26607 Carmel Center Pl Ste 104, Carmel, CA 93923 Phone: 831-624-3077 Fax: 831-624-8662 | |
Suzy Cowen , Licensed Clinical Social Worker, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Via Nona Marie Ste 202a, Carmel, CA 93923 Phone: 831-402-5756 | |
Ellen Mcewen Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26366 Carmel Rancho Ln, Suite H, Carmel, CA 93923 Phone: 831-624-3077 | |
Mid Valley Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27880 Dorris Dr, Suite 100, Carmel, CA 93923 Phone: 831-626-4469 Fax: 831-626-6041 | |
Equine Assisted Therapy At Mountain Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Loma Alta Rd, Carmel, CA 93923 Phone: 831-656-9447 Fax: 831-373-1944 |