| One Medical | |
|
2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013 | |
| (310) 582-7312 | |
| Not Available |
| Full Name | One Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 Santa Monica Blvd Ste 300, Santa Monica, California |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical 2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013 Ph: (310) 582-7312 | One Medical 2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013 Ph: (310) 582-7312 |
| NPI Number | 1518438712 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 02/07/2019 |
| Medicare PECOS PAC ID | 0840548624 |
|---|---|
| Medicare Enrollment ID | O20180810000904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518438712 | NPI | - | NPPES |
| Provider Name | Jeff D Sung |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528019304 PECOS PAC ID: 5395641294 Enrollment ID: I20031218001045 |
| Provider Name | Klara Vogel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225120348 PECOS PAC ID: 6204736952 Enrollment ID: I20040109001027 |
| Provider Name | Anita M Gorwara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447334123 PECOS PAC ID: 7517869084 Enrollment ID: I20040123001080 |
| Provider Name | Sabrina G Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609800622 PECOS PAC ID: 5991699571 Enrollment ID: I20040212000975 |
| Provider Name | Sharon E Orrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316983406 PECOS PAC ID: 9739076258 Enrollment ID: I20040301000546 |
| Provider Name | Karen J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588655930 PECOS PAC ID: 9133016322 Enrollment ID: I20040302001100 |
| Provider Name | Jay Kahng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477752038 PECOS PAC ID: 7315837101 Enrollment ID: I20040316001335 |
| Provider Name | Andrew Glen Yun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083674410 PECOS PAC ID: 7113913179 Enrollment ID: I20040427001066 |
| Provider Name | Chipp S Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285661363 PECOS PAC ID: 8527057421 Enrollment ID: I20040506001573 |
| Provider Name | Julia R Blank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891736757 PECOS PAC ID: 2062403132 Enrollment ID: I20040519000572 |
| Provider Name | William Glenton Buxton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669495149 PECOS PAC ID: 1658353818 Enrollment ID: I20040602001243 |
| Provider Name | Shephal K Doshi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639176167 PECOS PAC ID: 9739163114 Enrollment ID: I20040614001702 |
| Provider Name | Lily Nourmand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376584482 PECOS PAC ID: 6901880111 Enrollment ID: I20040615001712 |
| Provider Name | Angela Nishio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053320242 PECOS PAC ID: 2163408295 Enrollment ID: I20040628001533 |
| Provider Name | Christopher T Loh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720044183 PECOS PAC ID: 3779560248 Enrollment ID: I20040701001478 |
| Provider Name | Aminah M Bliss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225087463 PECOS PAC ID: 6103896543 Enrollment ID: I20040730001116 |
| Provider Name | Krystyna E Mcnicoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750392247 PECOS PAC ID: 7416929872 Enrollment ID: I20040807000231 |
| Provider Name | Gary A Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154345254 PECOS PAC ID: 8325010788 Enrollment ID: I20040807000241 |
| Provider Name | Tariq Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750452116 PECOS PAC ID: 7416921465 Enrollment ID: I20040824001455 |
| Provider Name | Manali A Shendrikar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831131622 PECOS PAC ID: 9234104084 Enrollment ID: I20040826000751 |
| Provider Name | Ruth A Sorotzkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552673 PECOS PAC ID: 7719943257 Enrollment ID: I20041206001045 |
| Provider Name | Lawrence M Bruksch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073562203 PECOS PAC ID: 6800855859 Enrollment ID: I20041218000133 |
| Provider Name | Janice K Miyakawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487684064 PECOS PAC ID: 6406812940 Enrollment ID: I20050106000957 |
| Provider Name | Michael Toiserkani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477642502 PECOS PAC ID: 0648228437 Enrollment ID: I20050107000883 |
| Provider Name | Natalie Diaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871516492 PECOS PAC ID: 5395794739 Enrollment ID: I20050112001049 |
| Provider Name | Theodore J Hak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396269 PECOS PAC ID: 6002865961 Enrollment ID: I20050118000559 |
| Provider Name | Scott P Layne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982794061 PECOS PAC ID: 6709831902 Enrollment ID: I20050321000965 |
| Provider Name | Devora S Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568498400 PECOS PAC ID: 7113969858 Enrollment ID: I20050524000319 |
| Provider Name | Verna Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730107012 PECOS PAC ID: 7214928589 Enrollment ID: I20050606001226 |
| Provider Name | Roddy S Sooferian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679646616 PECOS PAC ID: 5890738058 Enrollment ID: I20050608000537 |
| Provider Name | Yvonne Bohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417058587 PECOS PAC ID: 0143264549 Enrollment ID: I20050616000458 |
| Provider Name | Kevin R Justus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619053790 PECOS PAC ID: 0941244008 Enrollment ID: I20050620000389 |
| Provider Name | Keith G Heinzerling |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1184724932 PECOS PAC ID: 7618904038 Enrollment ID: I20050718000694 |
| Provider Name | Yince N Loh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720020894 PECOS PAC ID: 0547293417 Enrollment ID: I20050913000258 |
| Provider Name | Lillian R Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730277336 PECOS PAC ID: 5395770051 Enrollment ID: I20050930000463 |
| Provider Name | Belinda Y Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710999867 PECOS PAC ID: 2264458967 Enrollment ID: I20051021000512 |
| Provider Name | Shahira Ramji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184675761 PECOS PAC ID: 2961429956 Enrollment ID: I20051028000630 |
| Provider Name | Robert J Mckenna |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942210117 PECOS PAC ID: 6608893359 Enrollment ID: I20051101000561 |
| Provider Name | Richard L Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144274911 PECOS PAC ID: 5597782243 Enrollment ID: I20051101000573 |
| Provider Name | Marc H Harwitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285613943 PECOS PAC ID: 3072531979 Enrollment ID: I20051109000723 |
| Provider Name | Linda Narvaez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588760508 PECOS PAC ID: 6305868357 Enrollment ID: I20051219000931 |
| Provider Name | Shuichi Suzuki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376569517 PECOS PAC ID: 2860414133 Enrollment ID: I20051229000817 |
| Provider Name | Timothy Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912005422 PECOS PAC ID: 6406861707 Enrollment ID: I20060207001043 |
| Provider Name | Joel I Sarachek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518987114 PECOS PAC ID: 1052328085 Enrollment ID: I20060315000461 |
| Provider Name | Jennifer L Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285686048 PECOS PAC ID: 8628081130 Enrollment ID: I20060731000432 |
| Provider Name | Kavitha R Bhatia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609810357 PECOS PAC ID: 5193738599 Enrollment ID: I20060802000282 |
| Provider Name | Sean Fischer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801842943 PECOS PAC ID: 3375546534 Enrollment ID: I20060809000233 |
| Provider Name | Dalia Dvoretsky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841280864 PECOS PAC ID: 7214830256 Enrollment ID: I20060914000387 |
| Provider Name | Orrin M Troum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821032608 PECOS PAC ID: 2163420126 Enrollment ID: I20061129000487 |
| Provider Name | George E Labrot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447295357 PECOS PAC ID: 9335149897 Enrollment ID: I20070105000432 |
| Provider Name | Rose H Lin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417975392 PECOS PAC ID: 9739181942 Enrollment ID: I20070131000614 |
| Provider Name | Mojan Gabbay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447277371 PECOS PAC ID: 6800991647 Enrollment ID: I20070423000552 |
| Provider Name | Amy Shapiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831215698 PECOS PAC ID: 9739285529 Enrollment ID: I20070511000334 |
| Provider Name | David A Merrill |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1902923410 PECOS PAC ID: 4789781006 Enrollment ID: I20070522000314 |
| Provider Name | Walcharee C Mahamitra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578599791 PECOS PAC ID: 6305944778 Enrollment ID: I20070607000755 |
| Provider Name | Nouzhan Sehati |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245396803 PECOS PAC ID: 0446341572 Enrollment ID: I20070803000440 |
| Provider Name | Pouya Shafipour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952426454 PECOS PAC ID: 0345332565 Enrollment ID: I20070817000322 |
| Provider Name | Sara M Klevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619029097 PECOS PAC ID: 5395837322 Enrollment ID: I20070822001268 |
| Provider Name | Susan E Given |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649496472 PECOS PAC ID: 3072609601 Enrollment ID: I20071012000335 |
| Provider Name | Richard H Greenspun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417984600 PECOS PAC ID: 2264528496 Enrollment ID: I20071018000409 |
| Provider Name | Niceto Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003012931 PECOS PAC ID: 3577651264 Enrollment ID: I20071113000785 |
| Provider Name | Mark Richard Needham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578590659 PECOS PAC ID: 7719870633 Enrollment ID: I20071227000503 |
| Provider Name | Benjamin C Bengs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376524033 PECOS PAC ID: 8022190883 Enrollment ID: I20080131000721 |
| Provider Name | Anton J Bilchik |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609916733 PECOS PAC ID: 5597840173 Enrollment ID: I20080306000283 |
| Provider Name | Richard Essner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1336163328 PECOS PAC ID: 5092890475 Enrollment ID: I20080310000287 |
| Provider Name | Lenna A Martyak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164638177 PECOS PAC ID: 6800965385 Enrollment ID: I20080523000423 |
| Provider Name | Nicole M Weinberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285824789 PECOS PAC ID: 9931278348 Enrollment ID: I20080527000134 |
| Provider Name | Alan C Noel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366444101 PECOS PAC ID: 1557435039 Enrollment ID: I20080731000556 |
| Provider Name | Daina Ann Danovitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598846271 PECOS PAC ID: 1658373642 Enrollment ID: I20081106000120 |
| Provider Name | Julie L Skille |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841463874 PECOS PAC ID: 7012076805 Enrollment ID: I20081107000710 |
| Provider Name | Sherry Yafai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366628471 PECOS PAC ID: 3577629641 Enrollment ID: I20090226000137 |
| Provider Name | David B Agus |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356328249 PECOS PAC ID: 5698822435 Enrollment ID: I20090413000335 |
| Provider Name | Barbara S Giesser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235154055 PECOS PAC ID: 8123175718 Enrollment ID: I20090420000032 |
| Provider Name | Hamed Farid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669685715 PECOS PAC ID: 9537218896 Enrollment ID: I20090518000263 |
| Provider Name | Naveed Wagle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871754655 PECOS PAC ID: 9931251378 Enrollment ID: I20090716000381 |
| Provider Name | Mitchell E Gross |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548298656 PECOS PAC ID: 9436202397 Enrollment ID: I20090725000122 |
| Provider Name | Czarina J Roxas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467676353 PECOS PAC ID: 7618068529 Enrollment ID: I20090814000628 |
| Provider Name | Jose A Carrillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902006661 PECOS PAC ID: 8921145384 Enrollment ID: I20091017000039 |
| Provider Name | Michelle S Eslami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689627143 PECOS PAC ID: 7618016098 Enrollment ID: I20091124000217 |
| Provider Name | George P Teitelbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982645602 PECOS PAC ID: 3779623236 Enrollment ID: I20091215000315 |
| Provider Name | Santosh Kesari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891785960 PECOS PAC ID: 1658382684 Enrollment ID: I20091230000226 |
| Provider Name | John Robertson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689760480 PECOS PAC ID: 5496897704 Enrollment ID: I20100126000070 |
| Provider Name | Robert H Merz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770580102 PECOS PAC ID: 3870637572 Enrollment ID: I20100218000676 |
| Provider Name | Paul D Natterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467458018 PECOS PAC ID: 5597809293 Enrollment ID: I20100218000686 |
| Provider Name | Peter H Pak |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1205833811 PECOS PAC ID: 1850435561 Enrollment ID: I20100218000715 |
| Provider Name | Peter C Pelikan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710984331 PECOS PAC ID: 5294879904 Enrollment ID: I20100218000726 |
| Provider Name | Richard Forrest Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770580151 PECOS PAC ID: 0648314351 Enrollment ID: I20100218000737 |
| Provider Name | George C Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144227158 PECOS PAC ID: 0547304255 Enrollment ID: I20100218000747 |
| Provider Name | Jane Sinden Spiegel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518938216 PECOS PAC ID: 6507991361 Enrollment ID: I20100318000182 |
| Provider Name | Glenn A Gorlitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881625143 PECOS PAC ID: 6709911589 Enrollment ID: I20100322000475 |
| Provider Name | Howard Ronald Krauss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114950060 PECOS PAC ID: 7517095821 Enrollment ID: I20100506000950 |
| Provider Name | Jacqueline Trejo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366561433 PECOS PAC ID: 2860520194 Enrollment ID: I20100507000066 |
| Provider Name | Carol Nishikubo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023083888 PECOS PAC ID: 4082638325 Enrollment ID: I20100723000705 |
| Provider Name | Samuel Hou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932421625 PECOS PAC ID: 2961535703 Enrollment ID: I20100730000815 |
| Provider Name | Radoslav I Raychev |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932346301 PECOS PAC ID: 5597899658 Enrollment ID: I20100811001132 |
| Provider Name | Aarti Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689828113 PECOS PAC ID: 7911021779 Enrollment ID: I20100831000279 |
| Provider Name | Dale G Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093729477 PECOS PAC ID: 1759273808 Enrollment ID: I20100918000126 |
| Provider Name | Claudia L Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003129925 PECOS PAC ID: 3779775101 Enrollment ID: I20101004001366 |
| Provider Name | Jennifer A Linehan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881891042 PECOS PAC ID: 8325231574 Enrollment ID: I20101020000167 |
| Provider Name | Jacqueline E Yaris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558375485 PECOS PAC ID: 9032302864 Enrollment ID: I20101025000669 |
| Provider Name | Przemyslaw W Twardowski |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1942317987 PECOS PAC ID: 5799970232 Enrollment ID: I20101110000899 |
| Provider Name | Steven J Oday |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518070812 PECOS PAC ID: 1951299379 Enrollment ID: I20101111000189 |
| Provider Name | David B Kagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992965768 PECOS PAC ID: 7517154792 Enrollment ID: I20101214000883 |
| Provider Name | Thomas Kun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508841321 PECOS PAC ID: 1850489766 Enrollment ID: I20101215000622 |
| Provider Name | Rudolph A Bedford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902885684 PECOS PAC ID: 7113015025 Enrollment ID: I20101228000187 |
| Provider Name | Richard Corlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649259268 PECOS PAC ID: 8123116035 Enrollment ID: I20101228000224 |
| Provider Name | Sheryl A Ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891887907 PECOS PAC ID: 5395925002 Enrollment ID: I20110214000353 |
| Provider Name | Elliot D Felman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508870577 PECOS PAC ID: 1254512320 Enrollment ID: I20110225000110 |
| Provider Name | Mina Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003045600 PECOS PAC ID: 3577601004 Enrollment ID: I20110225000394 |
| Provider Name | Stephane H Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376570309 PECOS PAC ID: 0749462323 Enrollment ID: I20110303000837 |
| Provider Name | Nora P Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447296645 PECOS PAC ID: 7113109463 Enrollment ID: I20110308001013 |
| Provider Name | Steven Seizer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942236906 PECOS PAC ID: 7719167071 Enrollment ID: I20110310000730 |
| Provider Name | Michael D Nagata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124054184 PECOS PAC ID: 4789866690 Enrollment ID: I20110315000167 |
| Provider Name | Angelika Buddeberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891721718 PECOS PAC ID: 1254513062 Enrollment ID: I20110315000254 |
| Provider Name | Eileen M Mcgrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558398339 PECOS PAC ID: 0547442394 Enrollment ID: I20110315000761 |
| Provider Name | Michelle Grotz-rhone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467597138 PECOS PAC ID: 4981886611 Enrollment ID: I20110316000681 |
| Provider Name | Stanley A Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619903689 PECOS PAC ID: 2365626488 Enrollment ID: I20110413000757 |
| Provider Name | Velinda J Paranal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518993534 PECOS PAC ID: 7911181060 Enrollment ID: I20110413001008 |
| Provider Name | David M Cutler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255368338 PECOS PAC ID: 6305020405 Enrollment ID: I20110414000516 |
| Provider Name | Cornelia B Daly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174615389 PECOS PAC ID: 2163608225 Enrollment ID: I20110525000686 |
| Provider Name | Jon S Matsunaga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649362831 PECOS PAC ID: 2163608241 Enrollment ID: I20110526000141 |
| Provider Name | Retha Goodglick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396994034 PECOS PAC ID: 5496932956 Enrollment ID: I20110609000321 |
| Provider Name | Dipeshbhai R Bhakta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932361011 PECOS PAC ID: 9638347347 Enrollment ID: I20110725000587 |
| Provider Name | Gabriel S Niles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285611699 PECOS PAC ID: 2264601012 Enrollment ID: I20110811000471 |
| Provider Name | Sarina A Vander Zee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558563239 PECOS PAC ID: 6901076215 Enrollment ID: I20110824000300 |
| Provider Name | Melanie R Goldfarb |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1306092564 PECOS PAC ID: 4981875598 Enrollment ID: I20110912000221 |
| Provider Name | Marjorie B Fine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477531689 PECOS PAC ID: 1052381266 Enrollment ID: I20111212000075 |
| Provider Name | Karla G Iacampo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154339083 PECOS PAC ID: 6103091335 Enrollment ID: I20111215000914 |
| Provider Name | Tracey R Childs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114999489 PECOS PAC ID: 4486820438 Enrollment ID: I20111222000296 |
| Provider Name | David M Butler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952345811 PECOS PAC ID: 2860406345 Enrollment ID: I20120130000801 |
| Provider Name | Hossein N Pirastehfar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730330523 PECOS PAC ID: 2264592799 Enrollment ID: I20120214000915 |
| Provider Name | Albert J Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568554723 PECOS PAC ID: 6709914039 Enrollment ID: I20120216000295 |
| Provider Name | Vania Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124125943 PECOS PAC ID: 1153322698 Enrollment ID: I20120220000238 |
| Provider Name | Henrietta Stancz-szeder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760795991 PECOS PAC ID: 2264628379 Enrollment ID: I20120314000651 |
| Provider Name | Lauren A Cadish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104089655 PECOS PAC ID: 6204099948 Enrollment ID: I20120516000743 |
| Provider Name | Parham Yashar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215100805 PECOS PAC ID: 5799948394 Enrollment ID: I20120517000659 |
| Provider Name | Dina K Kiseleva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871785501 PECOS PAC ID: 2466615604 Enrollment ID: I20120525000043 |
| Provider Name | Kamyar Shahedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780818823 PECOS PAC ID: 4284897323 Enrollment ID: I20120529000498 |
| Provider Name | Garni Barkhoudarian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578707642 PECOS PAC ID: 4880859651 Enrollment ID: I20120628000239 |
| Provider Name | Mehran Movassaghi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154518629 PECOS PAC ID: 8729243282 Enrollment ID: I20120706000482 |
| Provider Name | Robert J Darflinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801160874 PECOS PAC ID: 7618133489 Enrollment ID: I20120723000722 |
| Provider Name | Melita Petrossian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790812162 PECOS PAC ID: 7517081888 Enrollment ID: I20120726000396 |
| Provider Name | Carmela Yomtoubian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063655355 PECOS PAC ID: 5092962357 Enrollment ID: I20120822000324 |
| Provider Name | Timothy S Kristedja |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881897494 PECOS PAC ID: 0840447942 Enrollment ID: I20120824000220 |
| Provider Name | Paula S Josephson-shulman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053572107 PECOS PAC ID: 0042469801 Enrollment ID: I20121011000412 |
| Provider Name | Bruce Olmscheid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356632590 PECOS PAC ID: 8022268507 Enrollment ID: I20121018000011 |
| Provider Name | Rigved V Tadwalkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679885883 PECOS PAC ID: 9830340140 Enrollment ID: I20121114000609 |
| Provider Name | Ronnie Palache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588916878 PECOS PAC ID: 7012169634 Enrollment ID: I20121206000102 |
| Provider Name | Chung Wei Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972820793 PECOS PAC ID: 2062664543 Enrollment ID: I20121207000272 |
| Provider Name | Scott A Kaiser |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205042470 PECOS PAC ID: 4789750399 Enrollment ID: I20121219000378 |
| Provider Name | Gilbert K Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891998258 PECOS PAC ID: 0749425460 Enrollment ID: I20130401000289 |
| Provider Name | Michael S Broukhim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609064880 PECOS PAC ID: 9335387794 Enrollment ID: I20130524000624 |
| Provider Name | Rebecca S Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326254558 PECOS PAC ID: 4981843539 Enrollment ID: I20130612000290 |
| Provider Name | Parvin Fatheddin Peddi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750504577 PECOS PAC ID: 8325197304 Enrollment ID: I20130709000778 |
| Provider Name | Danielle E Fernandes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013228154 PECOS PAC ID: 5597906305 Enrollment ID: I20130720000055 |
| Provider Name | Devin W Kehl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316253024 PECOS PAC ID: 7517108558 Enrollment ID: I20130802000316 |
| Provider Name | Rahul Dixit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508073057 PECOS PAC ID: 4587834619 Enrollment ID: I20130909000803 |
| Provider Name | Jean-philippe Langevin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902047228 PECOS PAC ID: 8729139118 Enrollment ID: I20131119001429 |
| Provider Name | Shanthi Gowrinathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174892087 PECOS PAC ID: 1951538529 Enrollment ID: I20131206000370 |
| Provider Name | Caroline M Colin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164608659 PECOS PAC ID: 3779653431 Enrollment ID: I20140123000102 |
| Provider Name | Brian D Madden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780639914 PECOS PAC ID: 6800809310 Enrollment ID: I20140224001809 |
| Provider Name | Stella E Panos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104252352 PECOS PAC ID: 3779713375 Enrollment ID: I20140227000487 |
| Provider Name | Patrick M Portiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780011726 PECOS PAC ID: 7012130255 Enrollment ID: I20140515002073 |
| Provider Name | Amita R Dharawat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689856635 PECOS PAC ID: 2769625722 Enrollment ID: I20140529001635 |
| Provider Name | Phabillia Afflack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346377736 PECOS PAC ID: 7315902558 Enrollment ID: I20140530000055 |
| Provider Name | Sarah R Rettinger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366691842 PECOS PAC ID: 5294958625 Enrollment ID: I20140603001206 |
| Provider Name | Wakana Saeki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558314096 PECOS PAC ID: 1658308762 Enrollment ID: I20140611002358 |
| Provider Name | Megan E Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750676912 PECOS PAC ID: 3577787381 Enrollment ID: I20140618001241 |
| Provider Name | Jill Tsuyung Wei Doherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982998043 PECOS PAC ID: 2769606433 Enrollment ID: I20140619001262 |
| Provider Name | Jason W Chirichigno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659661239 PECOS PAC ID: 4183849359 Enrollment ID: I20140701001398 |
| Provider Name | Schehrezade Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235423682 PECOS PAC ID: 0840415618 Enrollment ID: I20140710002278 |
| Provider Name | Richard Ted Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881986149 PECOS PAC ID: 5092931147 Enrollment ID: I20140725001313 |
| Provider Name | Marissa L Zobrist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033407382 PECOS PAC ID: 8820215221 Enrollment ID: I20140807002691 |
| Provider Name | Mihae Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750714408 PECOS PAC ID: 0547487894 Enrollment ID: I20140808002000 |
| Provider Name | Claudia P Sanmiguel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144474610 PECOS PAC ID: 3375760267 Enrollment ID: I20140818001142 |
| Provider Name | Mimi S Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164684973 PECOS PAC ID: 4587883475 Enrollment ID: I20140908001279 |
| Provider Name | Amro Balki |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922237593 PECOS PAC ID: 1153572557 Enrollment ID: I20140917003177 |
| Provider Name | Kim A Margolin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912014713 PECOS PAC ID: 4486713757 Enrollment ID: I20150205002447 |
| Provider Name | Jordan C Kawano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225353592 PECOS PAC ID: 3476878687 Enrollment ID: I20150211000294 |
| Provider Name | Eyson P Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457758906 PECOS PAC ID: 0840517579 Enrollment ID: I20150318000090 |
| Provider Name | Seena Safavy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437418332 PECOS PAC ID: 0042432023 Enrollment ID: I20150328000333 |
| Provider Name | Karen Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851704977 PECOS PAC ID: 2567773823 Enrollment ID: I20150612002224 |
| Provider Name | Amit Kochhar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114191194 PECOS PAC ID: 2668620345 Enrollment ID: I20150626000867 |
| Provider Name | Evan S Walgama |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750609285 PECOS PAC ID: 9436462538 Enrollment ID: I20150718000144 |
| Provider Name | Walavan Sivakumar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952627911 PECOS PAC ID: 4688891393 Enrollment ID: I20150728003106 |
| Provider Name | Traci A Eguchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356600423 PECOS PAC ID: 0941514749 Enrollment ID: I20150807013704 |
| Provider Name | James H Sul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346260346 PECOS PAC ID: 4587767546 Enrollment ID: I20150812007239 |
| Provider Name | Amy Kehl |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679879555 PECOS PAC ID: 2567778251 Enrollment ID: I20150825006041 |
| Provider Name | Maryam Farazha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063416840 PECOS PAC ID: 3870486103 Enrollment ID: I20150827000611 |
| Provider Name | Jessica Kayan Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306107396 PECOS PAC ID: 0143537092 Enrollment ID: I20150910000428 |
| Provider Name | Jason W Tarpley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871812495 PECOS PAC ID: 0941519094 Enrollment ID: I20151012002371 |
| Provider Name | Christine Lynn Boley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225406218 PECOS PAC ID: 4385947464 Enrollment ID: I20160122002072 |
| Provider Name | Piyush P. Nayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467897660 PECOS PAC ID: 3678878949 Enrollment ID: I20160224001470 |
| Provider Name | Shelli D Chittum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932565322 PECOS PAC ID: 4183914476 Enrollment ID: I20160526002520 |
| Provider Name | Alexandra Lajoie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760707830 PECOS PAC ID: 0547550568 Enrollment ID: I20160603001033 |
| Provider Name | Dominique Kalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336386218 PECOS PAC ID: 4880873397 Enrollment ID: I20160606001376 |
| Provider Name | Elizabeth G Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548616758 PECOS PAC ID: 0648562942 Enrollment ID: I20160707000031 |
| Provider Name | Laurie A Kane |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730248956 PECOS PAC ID: 0749242295 Enrollment ID: I20160726001463 |
| Provider Name | Shahrouz D Ganjian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457582934 PECOS PAC ID: 3274827555 Enrollment ID: I20160809002343 |
| Provider Name | Grace M Tassa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689012908 PECOS PAC ID: 3870889561 Enrollment ID: I20160906002521 |
| Provider Name | Nathan E Pierce |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538453634 PECOS PAC ID: 5991947533 Enrollment ID: I20160908000779 |
| Provider Name | Osita I Onugha |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164600128 PECOS PAC ID: 2466749437 Enrollment ID: I20160920001630 |
| Provider Name | Parham Zarrini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770926768 PECOS PAC ID: 5799072385 Enrollment ID: I20160926001400 |
| Provider Name | Courtney Cj Voelker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619173267 PECOS PAC ID: 0749400943 Enrollment ID: I20160926002382 |
| Provider Name | Rachelle B Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043696917 PECOS PAC ID: 8325340367 Enrollment ID: I20161024002092 |
| Provider Name | Caroline Y Shim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043359284 PECOS PAC ID: 2365721123 Enrollment ID: I20161117002675 |
| Provider Name | Alisa A Bromberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447392113 PECOS PAC ID: 3476832254 Enrollment ID: I20161118000520 |
| Provider Name | Rebecca L Lewis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689827057 PECOS PAC ID: 2365721180 Enrollment ID: I20161118002230 |
| Provider Name | Anne Etolle Davie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376933481 PECOS PAC ID: 5991084550 Enrollment ID: I20161122002247 |
| Provider Name | Jennifer P Carleton-nathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568875219 PECOS PAC ID: 4587963533 Enrollment ID: I20161205001433 |
| Provider Name | Juan Lozano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871750604 PECOS PAC ID: 4284873266 Enrollment ID: I20161208001758 |
| Provider Name | Gina D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871733154 PECOS PAC ID: 6800070947 Enrollment ID: I20161209000855 |
| Provider Name | Stephen A Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952668238 PECOS PAC ID: 1658689369 Enrollment ID: I20161215000789 |
| Provider Name | Dina F Bierman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659627115 PECOS PAC ID: 7911209804 Enrollment ID: I20161223000097 |
| Provider Name | Reva Kakkar Basho |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508146721 PECOS PAC ID: 6901188168 Enrollment ID: I20170123002622 |
| Provider Name | Dolly Kerin Weisserman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083721591 PECOS PAC ID: 8224312137 Enrollment ID: I20170221000896 |
| Provider Name | Richard F Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376681445 PECOS PAC ID: 0840574752 Enrollment ID: I20170221000974 |
| Provider Name | Jeffrey P Bourne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164569091 PECOS PAC ID: 9133403090 Enrollment ID: I20170221002737 |
| Provider Name | Sagie De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346659075 PECOS PAC ID: 5698070548 Enrollment ID: I20170425001800 |
| Provider Name | Mohsen M Pirastehfar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841558426 PECOS PAC ID: 8921385006 Enrollment ID: I20170426002769 |
| Provider Name | Trevan D Fischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154580017 PECOS PAC ID: 5496998106 Enrollment ID: I20170619001131 |
| Provider Name | Abbas A Anwar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912267691 PECOS PAC ID: 6709155948 Enrollment ID: I20170703001910 |
| Provider Name | Merja Tuulia Clegg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538320767 PECOS PAC ID: 0244495307 Enrollment ID: I20170725001264 |
| Provider Name | Diana Naderi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184042608 PECOS PAC ID: 3577854611 Enrollment ID: I20170804002168 |
| Provider Name | Omid B Mehdizadeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770816464 PECOS PAC ID: 5991076135 Enrollment ID: I20170804003259 |
| Provider Name | Tawny Minna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649666298 PECOS PAC ID: 2163795980 Enrollment ID: I20170830001003 |
| Provider Name | Matthew K Nienaber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033535182 PECOS PAC ID: 8224301346 Enrollment ID: I20170911003106 |
| Provider Name | Maya Sara Benitez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043623531 PECOS PAC ID: 0244523801 Enrollment ID: I20170928003044 |
| Provider Name | Elizabeth Spence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770949596 PECOS PAC ID: 6709151236 Enrollment ID: I20171009001681 |
| Provider Name | Grace Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508144783 PECOS PAC ID: 3173802600 Enrollment ID: I20171106003115 |
| Provider Name | Laura Beth Bittner Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538687462 PECOS PAC ID: 7810253754 Enrollment ID: I20171109002843 |
| Provider Name | Ramkishen Narayanan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215296348 PECOS PAC ID: 3375809171 Enrollment ID: I20171110002208 |
| Provider Name | Carlyn Mclean Fostakowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760754659 PECOS PAC ID: 0345506846 Enrollment ID: I20171116001989 |
| Provider Name | Ashley Amber Maresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487004339 PECOS PAC ID: 4981961331 Enrollment ID: I20171120003566 |
| Provider Name | Ana Maricela Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275059131 PECOS PAC ID: 7517224363 Enrollment ID: I20171201002830 |
| Provider Name | Daniel Ing Pak Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245427350 PECOS PAC ID: 4789942202 Enrollment ID: I20171211001037 |
| Provider Name | Love U Echema Ibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276054 PECOS PAC ID: 0042579922 Enrollment ID: I20180123000585 |
| Provider Name | Danelle M Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134145154 PECOS PAC ID: 0941569743 Enrollment ID: I20180124003311 |
| Provider Name | Corwin Patis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417479379 PECOS PAC ID: 0244590552 Enrollment ID: I20180206002302 |
| Provider Name | Julia K Morey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073032504 PECOS PAC ID: 1254692957 Enrollment ID: I20180220002240 |
| Provider Name | Daniel Artenstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023402310 PECOS PAC ID: 2163798794 Enrollment ID: I20180328000757 |
| Provider Name | Tara Jean Kays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609388271 PECOS PAC ID: 8224392196 Enrollment ID: I20180430001578 |
| Provider Name | Lisa Sunha Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225549082 PECOS PAC ID: 1254695901 Enrollment ID: I20180503001590 |
| Provider Name | Renee Ovando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710405097 PECOS PAC ID: 7517221195 Enrollment ID: I20180507002360 |
| Provider Name | Dorothy Patrice Dada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528479383 PECOS PAC ID: 5395000905 Enrollment ID: I20180601001160 |
| Provider Name | Shauna Marie Niemeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790135770 PECOS PAC ID: 1759656796 Enrollment ID: I20180611001483 |
| Provider Name | Jennifer Wen Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861758179 PECOS PAC ID: 4486963444 Enrollment ID: I20180626001314 |
| Provider Name | Michael Tetsuya Miyazaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891233706 PECOS PAC ID: 4385990530 Enrollment ID: I20180702002036 |
| Provider Name | Kathleen Cate Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285141705 PECOS PAC ID: 0345598140 Enrollment ID: I20180810001535 |
| Provider Name | Janie Gia-lin Weng Grumley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063616142 PECOS PAC ID: 1658401146 Enrollment ID: I20180815000976 |
| Provider Name | Leila Kay Karimpoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699036046 PECOS PAC ID: 8820300411 Enrollment ID: I20180820002952 |
| Provider Name | Lamia Adelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932688074 PECOS PAC ID: 8527319151 Enrollment ID: I20180920003230 |
| Provider Name | Andrea Sophia Bakas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134469026 PECOS PAC ID: 4587915921 Enrollment ID: I20180924001578 |
| Provider Name | Mia Di Julio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750783452 PECOS PAC ID: 6507118098 Enrollment ID: I20181011000334 |
| Provider Name | Rachel Casas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285099424 PECOS PAC ID: 7214280239 Enrollment ID: I20181022001215 |
| Provider Name | David Chim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346306388 PECOS PAC ID: 2961756465 Enrollment ID: I20181120001682 |
| Provider Name | Arash Nayeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730542176 PECOS PAC ID: 6204176076 Enrollment ID: I20190314002169 |
| Provider Name | Misbah Y Palla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255726261 PECOS PAC ID: 5991089161 Enrollment ID: I20190325000440 |
| Provider Name | Michelle Padilla Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104310002 PECOS PAC ID: 1254671472 Enrollment ID: I20190325001850 |
| Provider Name | Abdollah Yousefzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144617481 PECOS PAC ID: 2365783776 Enrollment ID: I20190412000978 |
| Provider Name | Seajin H Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861972697 PECOS PAC ID: 4284975400 Enrollment ID: I20190416001118 |
| Provider Name | Micah Linton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760942379 PECOS PAC ID: 9133461817 Enrollment ID: I20190429002235 |
| Provider Name | Candita Aldecka Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083071195 PECOS PAC ID: 1951609882 Enrollment ID: I20190502002230 |
| Provider Name | Jeffrey Scott Zarin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588678148 PECOS PAC ID: 2466450895 Enrollment ID: I20190506001792 |
| Provider Name | James R Pinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124480124 PECOS PAC ID: 9537412762 Enrollment ID: I20190519000008 |
| Provider Name | Kathleen Seretan-hateley Macintyre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104211606 PECOS PAC ID: 7618232224 Enrollment ID: I20190520000994 |
| Provider Name | Benjamin Pulli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932548179 PECOS PAC ID: 2466767462 Enrollment ID: I20190611002559 |
| Provider Name | Virginia Denise Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992144489 PECOS PAC ID: 7517109903 Enrollment ID: I20190619000144 |
| Provider Name | Jian Guan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811262009 PECOS PAC ID: 1951532167 Enrollment ID: I20190625001491 |
| Provider Name | Begum Serena Sezer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891157939 PECOS PAC ID: 3173857844 Enrollment ID: I20190628002928 |
| Provider Name | Canty Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881072346 PECOS PAC ID: 1658606918 Enrollment ID: I20190710000784 |
| Provider Name | Robert Julian Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265843437 PECOS PAC ID: 3375878473 Enrollment ID: I20190711002023 |
| Provider Name | Jonathan M Richina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750735395 PECOS PAC ID: 8628303211 Enrollment ID: I20190718003240 |
| Provider Name | Kazim H Narsinh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114216462 PECOS PAC ID: 5193027290 Enrollment ID: I20190719001053 |
| Provider Name | Asad Julian Bedran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306200563 PECOS PAC ID: 4082940580 Enrollment ID: I20190722001478 |
| Provider Name | Stephen Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548622699 PECOS PAC ID: 8325374176 Enrollment ID: I20190731002847 |
| Provider Name | Giselle Therese Uy Tamula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623246 PECOS PAC ID: 8921334780 Enrollment ID: I20190731003029 |
| Provider Name | Luke Oakley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548571656 PECOS PAC ID: 1355563339 Enrollment ID: I20190802000148 |
| Provider Name | Sonia Samtani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548526080 PECOS PAC ID: 9133404015 Enrollment ID: I20190815000633 |
| Provider Name | Christopher M Putman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942228960 PECOS PAC ID: 2466530910 Enrollment ID: I20190816000541 |
| Provider Name | Teresa Chialin Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917177 PECOS PAC ID: 7315275112 Enrollment ID: I20190816002830 |
| Provider Name | Katherine Andrea Araque Triana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144656430 PECOS PAC ID: 4587961867 Enrollment ID: I20190903002824 |
| Provider Name | Parampreet Singh Walia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669716593 PECOS PAC ID: 0042597668 Enrollment ID: I20190909002140 |
| Provider Name | Breanne Carolyn Grazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013560515 PECOS PAC ID: 6002145216 Enrollment ID: I20190913001618 |
| Provider Name | Alexandria Alarice Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598128183 PECOS PAC ID: 3476883489 Enrollment ID: I20190918000140 |
| Provider Name | Laura Gaylen Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629624077 PECOS PAC ID: 3971833997 Enrollment ID: I20190918000304 |
| Provider Name | Sheila Luisa Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225465552 PECOS PAC ID: 6709116155 Enrollment ID: I20190926003162 |
| Provider Name | Catherine Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477907400 PECOS PAC ID: 6204185291 Enrollment ID: I20190930001623 |
| Provider Name | Candice Bianca Tilles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710319579 PECOS PAC ID: 8820329808 Enrollment ID: I20191004001668 |
| Provider Name | Brittany Giraud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730565136 PECOS PAC ID: 6002126307 Enrollment ID: I20191023003835 |
| Provider Name | Jennifer Meinhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417311978 PECOS PAC ID: 7810329968 Enrollment ID: I20191112001709 |
| Provider Name | Natasha Gomez Cueto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649518 PECOS PAC ID: 2264865419 Enrollment ID: I20191203000708 |
| Provider Name | Erin Rebecca Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992347496 PECOS PAC ID: 0547694317 Enrollment ID: I20200102002726 |
| Provider Name | Hamid S Delavar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174064398 PECOS PAC ID: 4880029404 Enrollment ID: I20200108002005 |
| Provider Name | Dana Elizabeth Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619375615 PECOS PAC ID: 7416382841 Enrollment ID: I20200114000263 |
| Provider Name | Grace Natalie Mcmanus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982240461 PECOS PAC ID: 4486080066 Enrollment ID: I20200129002294 |
| Provider Name | Genevieve Abanilla Veneracion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780223412 PECOS PAC ID: 3375979610 Enrollment ID: I20200205002669 |
| Provider Name | Amanda Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164822789 PECOS PAC ID: 1759502685 Enrollment ID: I20200407002997 |
| Provider Name | Alysa-marie C Sia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780218669 PECOS PAC ID: 1850721978 Enrollment ID: I20200413003631 |
| Provider Name | Fawad A. Shaheen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508015207 PECOS PAC ID: 7517129844 Enrollment ID: I20200420000261 |
| Provider Name | Hosu Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639701048 PECOS PAC ID: 1557791241 Enrollment ID: I20200421000479 |
| Provider Name | Michael J Jang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821541764 PECOS PAC ID: 1254761604 Enrollment ID: I20200427000165 |
| Provider Name | Kamila Izabela Szweda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265890123 PECOS PAC ID: 7113205840 Enrollment ID: I20200428001102 |
| Provider Name | Sneha Jain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164956314 PECOS PAC ID: 9032540331 Enrollment ID: I20200520000631 |
| Provider Name | Golsa Shahkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346595006 PECOS PAC ID: 2668603911 Enrollment ID: I20200611000974 |
| Provider Name | Jeannie Jiwon Su |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922487800 PECOS PAC ID: 4385956465 Enrollment ID: I20200611001972 |
| Provider Name | Jessica L Finley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114376597 PECOS PAC ID: 1456643931 Enrollment ID: I20200612002290 |
| Provider Name | Josh Faguet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043745938 PECOS PAC ID: 5991127227 Enrollment ID: I20200615003105 |
| Provider Name | Daniel Wonil Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164451753 PECOS PAC ID: 8820173545 Enrollment ID: I20200622002758 |
| Provider Name | Mana Baskovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750742698 PECOS PAC ID: 7517389422 Enrollment ID: I20200623002232 |
| Provider Name | Lauren Shirley Cutler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063916906 PECOS PAC ID: 9335570902 Enrollment ID: I20200716000376 |
| Provider Name | Aditya Krishna Iyer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447695325 PECOS PAC ID: 0749604908 Enrollment ID: I20200721001753 |
| Provider Name | Crystal E. Fancher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578983193 PECOS PAC ID: 3375846678 Enrollment ID: I20200808000064 |
| Provider Name | Akanksha Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124361712 PECOS PAC ID: 5991023624 Enrollment ID: I20200813002694 |
| Provider Name | Naina Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285175695 PECOS PAC ID: 0042636110 Enrollment ID: I20200819003557 |
| Provider Name | Jessica Tkacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124503057 PECOS PAC ID: 5698014561 Enrollment ID: I20200903003006 |
| Provider Name | Sarah Abedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518320654 PECOS PAC ID: 6204255755 Enrollment ID: I20200925002349 |
| Provider Name | Jose Miguel Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245681147 PECOS PAC ID: 0749574473 Enrollment ID: I20201007001223 |
| Provider Name | Mariela Navarrette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033639836 PECOS PAC ID: 8921418237 Enrollment ID: I20201027002657 |
| Provider Name | Michelle Anne Holmes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336762244 PECOS PAC ID: 4082024252 Enrollment ID: I20201029003125 |
| Provider Name | Valerie Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912541137 PECOS PAC ID: 7315359551 Enrollment ID: I20201214000243 |
| Provider Name | Danny Lascano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528413663 PECOS PAC ID: 2466864459 Enrollment ID: I20201216000763 |
| Provider Name | Christiane A Schaeffler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073856464 PECOS PAC ID: 0345588547 Enrollment ID: I20201228002431 |
| Provider Name | Scott George Turner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346416575 PECOS PAC ID: 0648438010 Enrollment ID: I20210115000454 |
| Provider Name | Jennifer Allaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184062424 PECOS PAC ID: 7416191630 Enrollment ID: I20210220000139 |
| Provider Name | Janet Jihyun Yi Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114309192 PECOS PAC ID: 7810302833 Enrollment ID: I20210224001067 |
| Provider Name | Kirsty E. Bortnik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376748780 PECOS PAC ID: 8820214778 Enrollment ID: I20210224002697 |
| Provider Name | Casey James Nagel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750743878 PECOS PAC ID: 5991110801 Enrollment ID: I20210225003041 |
| Provider Name | Olamide J. Oladipo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902125768 PECOS PAC ID: 2264670801 Enrollment ID: I20210226000790 |
| Provider Name | Christina T Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679927354 PECOS PAC ID: 5698016442 Enrollment ID: I20210324002164 |
| Provider Name | Shannon Kogachi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336638881 PECOS PAC ID: 9830508647 Enrollment ID: I20210507000681 |
| Provider Name | Bryant Daniel-mayo Yang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790131746 PECOS PAC ID: 0941549174 Enrollment ID: I20210514001784 |
| Provider Name | Joseph Ehab Zikry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366978918 PECOS PAC ID: 6002215399 Enrollment ID: I20210526002522 |
| Provider Name | Reza Bavarsad Shahripour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699129668 PECOS PAC ID: 7113216367 Enrollment ID: I20210528002139 |
| Provider Name | Andre Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538693940 PECOS PAC ID: 9739458456 Enrollment ID: I20210602002876 |
| Provider Name | Anielkha Mercedes Jimenez Tijerino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790055085 PECOS PAC ID: 7113320797 Enrollment ID: I20210720001270 |
| Provider Name | Jeremy Scott Parsons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396240859 PECOS PAC ID: 9931510880 Enrollment ID: I20210720001322 |
| Provider Name | Jose A. Escobar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942703798 PECOS PAC ID: 5991139586 Enrollment ID: I20210727000823 |
| Provider Name | June Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437523438 PECOS PAC ID: 4880994474 Enrollment ID: I20210811003988 |
| Provider Name | Carolyne Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235615303 PECOS PAC ID: 1254735152 Enrollment ID: I20210813000422 |
| Provider Name | Michael Ohkura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992202808 PECOS PAC ID: 9830595792 Enrollment ID: I20210901002587 |
| Provider Name | Richard Justin Garling |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841639986 PECOS PAC ID: 9739481151 Enrollment ID: I20210929000576 |
| Provider Name | Heather Mcnab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497251987 PECOS PAC ID: 5597197384 Enrollment ID: I20211008001444 |
| Provider Name | Alice Lee A Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922614411 PECOS PAC ID: 4981002664 Enrollment ID: I20211011001431 |
| Provider Name | Allison P. Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851898761 PECOS PAC ID: 7517379241 Enrollment ID: I20211103002871 |
| Provider Name | Juliana Nicole Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700429081 PECOS PAC ID: 6204227887 Enrollment ID: I20211216000666 |
| Provider Name | Setareh Radparvar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639699119 PECOS PAC ID: 2860883857 Enrollment ID: I20211230000662 |
| Provider Name | Heather A Carte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356930051 PECOS PAC ID: 5799176798 Enrollment ID: I20211230001472 |
| Provider Name | Catherine Jin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639580889 PECOS PAC ID: 7618275074 Enrollment ID: I20220107001428 |
| Provider Name | Robbin Ilagan Dayrit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861152357 PECOS PAC ID: 2466844154 Enrollment ID: I20220107001775 |
| Provider Name | Krithika Kavanoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477996999 PECOS PAC ID: 0941596670 Enrollment ID: I20220113001341 |
| Provider Name | Ryan L. Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073192241 PECOS PAC ID: 6608269717 Enrollment ID: I20220214002209 |
| Provider Name | Elaine Minh Chau Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770241879 PECOS PAC ID: 4880088301 Enrollment ID: I20220228001075 |
| Provider Name | Stephanie Oleson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932872934 PECOS PAC ID: 4880089473 Enrollment ID: I20220317001379 |
| Provider Name | Krishna Amuluru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245473594 PECOS PAC ID: 7416235379 Enrollment ID: I20220422000650 |
| Provider Name | Hyo Kyung Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184910960 PECOS PAC ID: 6002117439 Enrollment ID: I20220426001564 |
| Provider Name | Macy Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871255240 PECOS PAC ID: 5890182380 Enrollment ID: I20220502002195 |
| Provider Name | Chen-pang Soong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134549009 PECOS PAC ID: 4284952276 Enrollment ID: I20220504002128 |
| Provider Name | Seth J. Lichtenstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518310507 PECOS PAC ID: 5597058834 Enrollment ID: I20220509001207 |
| Provider Name | John F Berry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326434481 PECOS PAC ID: 3173815644 Enrollment ID: I20220511002218 |
| Provider Name | Derrick T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265919898 PECOS PAC ID: 0648658724 Enrollment ID: I20220601001771 |
| Provider Name | Carol Y. Park |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992193783 PECOS PAC ID: 0749506319 Enrollment ID: I20220606002632 |
| Provider Name | Nicolas Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710484704 PECOS PAC ID: 3971911876 Enrollment ID: I20220614001587 |
| Provider Name | Sandra Narayanan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235101510 PECOS PAC ID: 0143224378 Enrollment ID: I20220628000764 |
| Provider Name | Michael Jacob Chi-wing Yong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467108647 PECOS PAC ID: 5991186280 Enrollment ID: I20220718002775 |
| Provider Name | Josh I. Gottlieb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003347618 PECOS PAC ID: 4880075183 Enrollment ID: I20220718003355 |
| Provider Name | Andrew Michael Hovey Macquarrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497173165 PECOS PAC ID: 7214318260 Enrollment ID: I20220721002571 |
| Provider Name | Udai S. Sibia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427581008 PECOS PAC ID: 3577814441 Enrollment ID: I20220727001397 |
| Provider Name | Janelle-cheri Angella Millen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285086157 PECOS PAC ID: 2668854241 Enrollment ID: I20220728002226 |
| Provider Name | Laura Marie Fluke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407112741 PECOS PAC ID: 5193018778 Enrollment ID: I20220728002445 |
| Provider Name | Michael K. Leuchter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770110686 PECOS PAC ID: 4688062334 Enrollment ID: I20220729001450 |
| Provider Name | Christopher Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548701576 PECOS PAC ID: 2062808256 Enrollment ID: I20220809003274 |
| Provider Name | Stephanie Frances Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245903616 PECOS PAC ID: 9133502016 Enrollment ID: I20220810003540 |
| Provider Name | Katherine M. Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679952436 PECOS PAC ID: 2769726439 Enrollment ID: I20220825002327 |
| Provider Name | Jesus Omar Barreto Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174159412 PECOS PAC ID: 9133504194 Enrollment ID: I20220913000259 |
| Provider Name | Alexander M. Solomon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306372602 PECOS PAC ID: 4486086949 Enrollment ID: I20220917000312 |
| Provider Name | Angela Duyen Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417678426 PECOS PAC ID: 4880070705 Enrollment ID: I20220929003925 |
| Provider Name | Rachel Abucasis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659090231 PECOS PAC ID: 1557747383 Enrollment ID: I20221003001497 |
| Provider Name | Lauren R. Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376266098 PECOS PAC ID: 1052797305 Enrollment ID: I20221010003383 |
| Provider Name | Bahirathan Krishnadasan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639253313 PECOS PAC ID: 4789611583 Enrollment ID: I20221031001368 |
| Provider Name | Seo Young Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548926132 PECOS PAC ID: 2769859800 Enrollment ID: I20221102003503 |
| Provider Name | Joy L. Amundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194073692 PECOS PAC ID: 4880839885 Enrollment ID: I20221122002291 |
| Provider Name | William Todd Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326417643 PECOS PAC ID: 3072983584 Enrollment ID: I20221227002270 |
| Provider Name | Kanav Premnath Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457813941 PECOS PAC ID: 4880064146 Enrollment ID: I20221230001631 |
| Provider Name | Ajmin Sarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578296554 PECOS PAC ID: 4587034863 Enrollment ID: I20230102000292 |
| Provider Name | Michael I Fuchs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710143326 PECOS PAC ID: 0143264465 Enrollment ID: I20230105003264 |
| Provider Name | Daniel Benhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003304189 PECOS PAC ID: 1254678907 Enrollment ID: I20230106001807 |
| Provider Name | Daniel C. Brooks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144519000 PECOS PAC ID: 8325331655 Enrollment ID: I20230109002792 |
| Provider Name | Christiana Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447855911 PECOS PAC ID: 3274903133 Enrollment ID: I20230110002786 |
| Provider Name | Sarah Bentil-owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215498050 PECOS PAC ID: 0840661617 Enrollment ID: I20230116000191 |
| Provider Name | Karen Ann Douvillier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972172005 PECOS PAC ID: 0547631327 Enrollment ID: I20230116000620 |
| Provider Name | Reginald F Arevalo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881308302 PECOS PAC ID: 0941671390 Enrollment ID: I20230120002530 |
| Provider Name | Mark M Henary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215490008 PECOS PAC ID: 2860864956 Enrollment ID: I20230220000621 |
| Provider Name | Rosalie J. Rapas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609591841 PECOS PAC ID: 5991178857 Enrollment ID: I20230224001113 |
| Provider Name | Rene N. Melara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174080972 PECOS PAC ID: 0840663043 Enrollment ID: I20230309001828 |
| Provider Name | Romina Huerta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184258006 PECOS PAC ID: 9436523735 Enrollment ID: I20230329000320 |
| Provider Name | Nicolette Joanne Bidlingmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487944575 PECOS PAC ID: 3870868029 Enrollment ID: I20230426000873 |
| Provider Name | Jessica F. Dizon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912637992 PECOS PAC ID: 7810352416 Enrollment ID: I20230504001289 |
| Provider Name | Usman Ali Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568819431 PECOS PAC ID: 9234597618 Enrollment ID: I20230615003794 |
| Provider Name | Hilary R. Keller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104350545 PECOS PAC ID: 5597036962 Enrollment ID: I20230628003382 |
| Provider Name | Jillian K. Mccabe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386912434 PECOS PAC ID: 7214204106 Enrollment ID: I20230703001004 |
| Provider Name | Greta Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255952941 PECOS PAC ID: 6901266345 Enrollment ID: I20230718001106 |
| Provider Name | Daniel Patrick Morberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811525611 PECOS PAC ID: 0840671947 Enrollment ID: I20230727003244 |
| Provider Name | Brian Dickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831726892 PECOS PAC ID: 7416339619 Enrollment ID: I20230731000356 |
| Provider Name | Erin Duralde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134613862 PECOS PAC ID: 6901154269 Enrollment ID: I20230803002652 |
| Provider Name | Nicketti M. Handy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194257816 PECOS PAC ID: 3375811482 Enrollment ID: I20230808000975 |
| Provider Name | Medha Sataluri |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649818675 PECOS PAC ID: 5193154391 Enrollment ID: I20230816000970 |
| Provider Name | Sunha Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275160491 PECOS PAC ID: 5799153771 Enrollment ID: I20230905002205 |
| Provider Name | Rikelle Wussow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174307557 PECOS PAC ID: 8820452618 Enrollment ID: I20230912003676 |
| Provider Name | Joan Catherine Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871286211 PECOS PAC ID: 7810351590 Enrollment ID: I20230913003387 |
| Provider Name | Madhuri Garg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203648 PECOS PAC ID: 7810312170 Enrollment ID: I20231009003243 |
| Provider Name | Paul J Shin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710349386 PECOS PAC ID: 2264887173 Enrollment ID: I20231012003313 |
| Provider Name | Cameron A. Mazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619614922 PECOS PAC ID: 8729435953 Enrollment ID: I20231109003018 |
| Provider Name | Jennifer I. Kisiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568143790 PECOS PAC ID: 4688022692 Enrollment ID: I20231201001667 |
| Provider Name | Patrick S. Zakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538690615 PECOS PAC ID: 1052681723 Enrollment ID: I20231206003287 |
| Provider Name | Natalie Marie Thon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605284 PECOS PAC ID: 2769787738 Enrollment ID: I20231212004076 |
| Provider Name | Daniel E Reiness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639588742 PECOS PAC ID: 0345692950 Enrollment ID: I20240119000803 |
| Provider Name | Karina Sergi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952623514 PECOS PAC ID: 3476905704 Enrollment ID: I20240123000116 |
| Provider Name | Elizabeth M. Tieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487357224 PECOS PAC ID: 0143660167 Enrollment ID: I20240424002541 |
| Provider Name | Kyle S Garcia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558824763 PECOS PAC ID: 3173850286 Enrollment ID: I20240506001790 |
| Provider Name | Andrew K. Wong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700312683 PECOS PAC ID: 7012289267 Enrollment ID: I20240507004004 |
| Provider Name | Annika Canta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215783055 PECOS PAC ID: 3779924394 Enrollment ID: I20240514003203 |
| Provider Name | Anthony Baxter Chin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649315375 PECOS PAC ID: 8325489636 Enrollment ID: I20240516002523 |
| Provider Name | Amalia A. Eisenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255739835 PECOS PAC ID: 4587954607 Enrollment ID: I20240603001303 |
Vitality&longevity Medical Center A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2221 Lincoln Blvd, Suite 200, Santa Monica, CA 90405 Phone: 310-581-8585 Fax: 320-215-4650 | |
Cynthia Kodama, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2104 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-882-8258 | |
Premier Medical Group. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 304, Santa Monica, CA 90404 Phone: 310-420-9191 | |
Santa Monica Bay Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd, 1070, Santa Monica, CA 90404 Phone: 310-315-7900 Fax: 310-315-7931 | |
Santa Monica Bay Physicinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 15th St, 1501, Santa Monica, CA 90404 Phone: 310-656-1700 Fax: 310-458-1061 | |
Jimmy C. Huang, D.o. A Professional Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Santa Monica Blvd., Suite C, Santa Monica, CA 90404 Phone: 310-828-1708 Fax: 310-828-1705 | |
Joseph J Pinzone M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 1190w, Santa Monica, CA 90404 Phone: 888-580-5900 Fax: 855-510-0119 |