| Optumcare Medical Group | |
|
3460 Katella Ave Los Alamitos CA 90720-2334 | |
| (562) 594-6599 | |
| (562) 598-6220 |
| Full Name | Optumcare Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3460 Katella Ave, Los Alamitos, California |
| Authorized Official Name and Position | Emily Castillo (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optumcare Medical Group Po Box 35380 Las Vegas NV 89133-5380 Ph: (702) 480-2550 | Optumcare Medical Group 3460 Katella Ave Los Alamitos CA 90720-2334 Ph: (562) 594-6599 |
| NPI Number | 1467598243 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 9931143799 |
|---|---|
| Medicare Enrollment ID | O20050614000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467598243 | NPI | - | NPPES |
| Provider Name | Stefanie J Fightlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386640746 PECOS PAC ID: 7911803093 Enrollment ID: I20031209001131 |
| Provider Name | Benhoor Khalpari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689762197 PECOS PAC ID: 8921904863 Enrollment ID: I20031211000333 |
| Provider Name | Mahshid Elmzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760574164 PECOS PAC ID: 9032015979 Enrollment ID: I20031211000502 |
| Provider Name | Sullyvan W Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770549206 PECOS PAC ID: 6608769450 Enrollment ID: I20040205000215 |
| Provider Name | Farideh F Bahrami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083675821 PECOS PAC ID: 1759277676 Enrollment ID: I20040226000329 |
| Provider Name | Steven A Maier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750359931 PECOS PAC ID: 1456349133 Enrollment ID: I20040503000585 |
| Provider Name | Peter S Park |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104825033 PECOS PAC ID: 3971587353 Enrollment ID: I20040614001647 |
| Provider Name | Rolf Didrek Knapp |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053355982 PECOS PAC ID: 3779562822 Enrollment ID: I20040714000501 |
| Provider Name | Luis Eduardo Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780696351 PECOS PAC ID: 1658350137 Enrollment ID: I20040717000409 |
| Provider Name | Jennifer Hung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528118395 PECOS PAC ID: 9335129030 Enrollment ID: I20040722001308 |
| Provider Name | Howard K Bland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336156769 PECOS PAC ID: 4486626306 Enrollment ID: I20040811000547 |
| Provider Name | Anne M Stahl-hughitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629126560 PECOS PAC ID: 0143293662 Enrollment ID: I20040813000646 |
| Provider Name | Lawrence D Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972681963 PECOS PAC ID: 7113915299 Enrollment ID: I20040830000357 |
| Provider Name | Owrang Dastmalchi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922049188 PECOS PAC ID: 9133194095 Enrollment ID: I20040903000273 |
| Provider Name | Siamak Tehrani Nabili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407892490 PECOS PAC ID: 7719953876 Enrollment ID: I20040909000521 |
| Provider Name | Tengis R Riznis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821155326 PECOS PAC ID: 2163499062 Enrollment ID: I20040910001029 |
| Provider Name | Bijan Dowlati |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346297108 PECOS PAC ID: 3173591393 Enrollment ID: I20040923001295 |
| Provider Name | Jacquelyn V Vander Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699807792 PECOS PAC ID: 6002871506 Enrollment ID: I20041123001272 |
| Provider Name | Annamari C Cabrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881653434 PECOS PAC ID: 5092763250 Enrollment ID: I20050105000355 |
| Provider Name | Nora M Oakley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952490922 PECOS PAC ID: 7012960784 Enrollment ID: I20050223000342 |
| Provider Name | Charles M Maples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215033808 PECOS PAC ID: 9537116405 Enrollment ID: I20050404000216 |
| Provider Name | Kenneth S Alpern |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205830890 PECOS PAC ID: 5991742223 Enrollment ID: I20050408000444 |
| Provider Name | Vu Q Phan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831247667 PECOS PAC ID: 7012955339 Enrollment ID: I20050418001311 |
| Provider Name | Steven J Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447348628 PECOS PAC ID: 4284674094 Enrollment ID: I20050510001240 |
| Provider Name | Gregory R Kimball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376553123 PECOS PAC ID: 3274574504 Enrollment ID: I20050517001045 |
| Provider Name | Nghi D Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255410320 PECOS PAC ID: 1456380328 Enrollment ID: I20050810001145 |
| Provider Name | Roger Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649234949 PECOS PAC ID: 9234103953 Enrollment ID: I20051128000255 |
| Provider Name | Bakulkumar K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710932751 PECOS PAC ID: 1456372556 Enrollment ID: I20051219000603 |
| Provider Name | Jyotin K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275598765 PECOS PAC ID: 8729009717 Enrollment ID: I20051220000629 |
| Provider Name | Christopher P Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588624100 PECOS PAC ID: 5890718589 Enrollment ID: I20060110000321 |
| Provider Name | Mitchell J Wainwright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730138678 PECOS PAC ID: 8325052806 Enrollment ID: I20060203000573 |
| Provider Name | Ronald D Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255337713 PECOS PAC ID: 1355359654 Enrollment ID: I20060328000774 |
| Provider Name | Viet H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770528515 PECOS PAC ID: 1456356047 Enrollment ID: I20061004000180 |
| Provider Name | Thuy Adrianne Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386688471 PECOS PAC ID: 8325044332 Enrollment ID: I20061016000226 |
| Provider Name | Simona D Pop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275564874 PECOS PAC ID: 9537168380 Enrollment ID: I20061205000725 |
| Provider Name | Rajnish Birla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477627065 PECOS PAC ID: 2466453238 Enrollment ID: I20070122000304 |
| Provider Name | Kambiz V Karimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184688475 PECOS PAC ID: 9436251121 Enrollment ID: I20070227000437 |
| Provider Name | Dorothy Ulit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134274244 PECOS PAC ID: 0042301210 Enrollment ID: I20070802000566 |
| Provider Name | Amar A Kadakia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649386210 PECOS PAC ID: 2567555139 Enrollment ID: I20070912000746 |
| Provider Name | Rahele Mazarei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639170459 PECOS PAC ID: 9537256805 Enrollment ID: I20071102000330 |
| Provider Name | Linda Alimadadian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891711065 PECOS PAC ID: 5193813350 Enrollment ID: I20071121000519 |
| Provider Name | Shahab Zahed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780690131 PECOS PAC ID: 9931154135 Enrollment ID: I20080312000773 |
| Provider Name | Elmo M Agatep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043228224 PECOS PAC ID: 9638257843 Enrollment ID: I20080428000593 |
| Provider Name | Yelena Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821091174 PECOS PAC ID: 6800856832 Enrollment ID: I20081023000855 |
| Provider Name | Seth Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215108006 PECOS PAC ID: 6608936836 Enrollment ID: I20081118000745 |
| Provider Name | Hal S Shimazu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073682241 PECOS PAC ID: 6305900507 Enrollment ID: I20090203000540 |
| Provider Name | Linda M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790719847 PECOS PAC ID: 8628126711 Enrollment ID: I20090429000288 |
| Provider Name | Theresa L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760631592 PECOS PAC ID: 2769534536 Enrollment ID: I20090709000400 |
| Provider Name | Jun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770669319 PECOS PAC ID: 5294889796 Enrollment ID: I20090818000695 |
| Provider Name | Erik J Geiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255490199 PECOS PAC ID: 7416001912 Enrollment ID: I20090818000748 |
| Provider Name | Richard Y Appel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336225044 PECOS PAC ID: 6406900919 Enrollment ID: I20090818000772 |
| Provider Name | Navid Geula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487820577 PECOS PAC ID: 4082769286 Enrollment ID: I20090910000525 |
| Provider Name | Lynn D Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942355037 PECOS PAC ID: 9133266570 Enrollment ID: I20091016000509 |
| Provider Name | Mark D Hauptman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801873427 PECOS PAC ID: 8022098300 Enrollment ID: I20091102000631 |
| Provider Name | John D Millane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801879093 PECOS PAC ID: 3779622618 Enrollment ID: I20091205000097 |
| Provider Name | Karen K Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548595580 PECOS PAC ID: 5496895013 Enrollment ID: I20091211000667 |
| Provider Name | Mohana S Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457419236 PECOS PAC ID: 8123104916 Enrollment ID: I20100209000261 |
| Provider Name | Cordelia C Sotelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982859633 PECOS PAC ID: 5597809319 Enrollment ID: I20100217000591 |
| Provider Name | Juan M Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447254792 PECOS PAC ID: 0648378463 Enrollment ID: I20100511000637 |
| Provider Name | Shaparak Montakhab Kamarei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952409021 PECOS PAC ID: 6406980069 Enrollment ID: I20100818000227 |
| Provider Name | Lothar Mcmillian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588748891 PECOS PAC ID: 4284759036 Enrollment ID: I20100916000523 |
| Provider Name | Hsuan-wen C Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902046410 PECOS PAC ID: 1153447404 Enrollment ID: I20100924000101 |
| Provider Name | Erin E Parise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225282775 PECOS PAC ID: 4789877994 Enrollment ID: I20101020001060 |
| Provider Name | Nancy A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760442339 PECOS PAC ID: 3173717006 Enrollment ID: I20101104000269 |
| Provider Name | Rudolf Haider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740249069 PECOS PAC ID: 0749474682 Enrollment ID: I20101104000350 |
| Provider Name | Annette Bernhut-caplin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841367471 PECOS PAC ID: 9931395886 Enrollment ID: I20101118000364 |
| Provider Name | Ellen Dayon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043279359 PECOS PAC ID: 6305032285 Enrollment ID: I20101118000762 |
| Provider Name | Robert Henry Barron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477626984 PECOS PAC ID: 2668668351 Enrollment ID: I20101119000914 |
| Provider Name | Gary Paul Korff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063585495 PECOS PAC ID: 2062608771 Enrollment ID: I20101119001120 |
| Provider Name | Gary L Kobayashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303353 PECOS PAC ID: 7517153984 Enrollment ID: I20101124000397 |
| Provider Name | Thomas Hryniewicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992807341 PECOS PAC ID: 8022205236 Enrollment ID: I20101214000001 |
| Provider Name | Alonzo J Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518013978 PECOS PAC ID: 5496944183 Enrollment ID: I20110111000892 |
| Provider Name | Sophia N Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104939990 PECOS PAC ID: 3971783929 Enrollment ID: I20110208000352 |
| Provider Name | Jasia Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568617348 PECOS PAC ID: 2264613520 Enrollment ID: I20110221000683 |
| Provider Name | Andrew Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154494565 PECOS PAC ID: 8123209277 Enrollment ID: I20110222000826 |
| Provider Name | Ana C Fajardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154498798 PECOS PAC ID: 7618159831 Enrollment ID: I20110309000873 |
| Provider Name | Vanessa Vinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588966352 PECOS PAC ID: 4789854027 Enrollment ID: I20110824000616 |
| Provider Name | Dan T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821398314 PECOS PAC ID: 4981874021 Enrollment ID: I20110830000013 |
| Provider Name | Karen Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750510368 PECOS PAC ID: 2365613205 Enrollment ID: I20110926000166 |
| Provider Name | Matthew Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134148133 PECOS PAC ID: 0446436000 Enrollment ID: I20111108000215 |
| Provider Name | Deborah L Pauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073532065 PECOS PAC ID: 9830189778 Enrollment ID: I20111108000319 |
| Provider Name | Abelardo R Pita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831118900 PECOS PAC ID: 6901896844 Enrollment ID: I20120125000731 |
| Provider Name | James Joseph Burris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811082415 PECOS PAC ID: 4880852920 Enrollment ID: I20120221000854 |
| Provider Name | David S Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255357307 PECOS PAC ID: 8123288420 Enrollment ID: I20120323000321 |
| Provider Name | Gloria C Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396062279 PECOS PAC ID: 6305002528 Enrollment ID: I20120716000441 |
| Provider Name | Cindy C Zia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760759906 PECOS PAC ID: 7618123936 Enrollment ID: I20120801000855 |
| Provider Name | Khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295710325 PECOS PAC ID: 3577619915 Enrollment ID: I20121004000785 |
| Provider Name | Francisco Saguil Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841262763 PECOS PAC ID: 5092748996 Enrollment ID: I20121102000293 |
| Provider Name | Keith E Penera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982834347 PECOS PAC ID: 3870747181 Enrollment ID: I20130213000272 |
| Provider Name | Teresa Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174816953 PECOS PAC ID: 2860663440 Enrollment ID: I20130304000126 |
| Provider Name | Shahnoos Mahdavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013163294 PECOS PAC ID: 8820157845 Enrollment ID: I20130306000152 |
| Provider Name | Paul D Sychangco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053569483 PECOS PAC ID: 5890932875 Enrollment ID: I20130510000399 |
| Provider Name | Houman D Danesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205027802 PECOS PAC ID: 2860573300 Enrollment ID: I20130603000224 |
| Provider Name | Christine L Carreon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972658375 PECOS PAC ID: 1153561469 Enrollment ID: I20130710000581 |
| Provider Name | Thuy Van L Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275859233 PECOS PAC ID: 3375783491 Enrollment ID: I20130712000161 |
| Provider Name | Lisa A Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619182656 PECOS PAC ID: 5890935746 Enrollment ID: I20130717000492 |
| Provider Name | Kristi Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679871172 PECOS PAC ID: 3173765781 Enrollment ID: I20130812000287 |
| Provider Name | Justin D Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063617934 PECOS PAC ID: 0042404337 Enrollment ID: I20131001000632 |
| Provider Name | Aparna Das |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811181332 PECOS PAC ID: 5698909034 Enrollment ID: I20131017001940 |
| Provider Name | Laura L Mc Ewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437472016 PECOS PAC ID: 9931335478 Enrollment ID: I20131112000106 |
| Provider Name | Cindy C Jen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104123199 PECOS PAC ID: 0547496317 Enrollment ID: I20131127000085 |
| Provider Name | Pourya Mirsaeid Ghazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295047892 PECOS PAC ID: 5991946998 Enrollment ID: I20140121001878 |
| Provider Name | Bahij G Ghazal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912180233 PECOS PAC ID: 3678698974 Enrollment ID: I20140714002087 |
| Provider Name | Sean Shahamiri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508135633 PECOS PAC ID: 4587881297 Enrollment ID: I20140804001048 |
| Provider Name | Richard Han Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538454392 PECOS PAC ID: 4587884077 Enrollment ID: I20141006000170 |
| Provider Name | Ehsan Ghetmiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083908396 PECOS PAC ID: 5698997401 Enrollment ID: I20141112000015 |
| Provider Name | Janet J Briggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225323165 PECOS PAC ID: 2062735871 Enrollment ID: I20150101000017 |
| Provider Name | Ezioma Azubuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659774560 PECOS PAC ID: 4880918622 Enrollment ID: I20150127000008 |
| Provider Name | Nidal Al Hannat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235335563 PECOS PAC ID: 1759575624 Enrollment ID: I20150410002602 |
| Provider Name | Subrato Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083607055 PECOS PAC ID: 5193997617 Enrollment ID: I20150526001962 |
| Provider Name | David Charles Graham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215291562 PECOS PAC ID: 9133431356 Enrollment ID: I20150701000469 |
| Provider Name | Ronald Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417954306 PECOS PAC ID: 6103806278 Enrollment ID: I20151006002798 |
| Provider Name | Marco A Lopez-vizcarra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467663963 PECOS PAC ID: 8820286800 Enrollment ID: I20151008002338 |
| Provider Name | Sophia Lazo Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740606870 PECOS PAC ID: 6901118090 Enrollment ID: I20151112000590 |
| Provider Name | Ronnie A Alas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306267026 PECOS PAC ID: 5597067421 Enrollment ID: I20160108000564 |
| Provider Name | Terisa M Sienko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629081138 PECOS PAC ID: 6800028903 Enrollment ID: I20160217002013 |
| Provider Name | Dora Akuetteh Saforo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083616783 PECOS PAC ID: 5294031217 Enrollment ID: I20160316002325 |
| Provider Name | Nima Taheri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073856837 PECOS PAC ID: 0345531893 Enrollment ID: I20160614001388 |
| Provider Name | Yana Stolyarov |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982996799 PECOS PAC ID: 6406170208 Enrollment ID: I20160831000494 |
| Provider Name | Jason A Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083051700 PECOS PAC ID: 1557673266 Enrollment ID: I20160919001955 |
| Provider Name | Michelle Kathleen Casanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528457249 PECOS PAC ID: 7416236385 Enrollment ID: I20161116002398 |
| Provider Name | Kevin Haonan Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265726517 PECOS PAC ID: 3779805502 Enrollment ID: I20170113000731 |
| Provider Name | Angelina M Arturo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417151705 PECOS PAC ID: 9234365156 Enrollment ID: I20170213001322 |
| Provider Name | Kym Ysabel K Golla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700338118 PECOS PAC ID: 6406132885 Enrollment ID: I20170419002308 |
| Provider Name | Stefan Cadag |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841408721 PECOS PAC ID: 5092908954 Enrollment ID: I20170621001971 |
| Provider Name | Pratik Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811314941 PECOS PAC ID: 0547531568 Enrollment ID: I20170809000620 |
| Provider Name | Eleia F Bibay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225427941 PECOS PAC ID: 9133493505 Enrollment ID: I20170922003435 |
| Provider Name | Gregory Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831595339 PECOS PAC ID: 5890089833 Enrollment ID: I20171221000264 |
| Provider Name | Erinn Carusetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043729825 PECOS PAC ID: 4688935984 Enrollment ID: I20180301001308 |
| Provider Name | Stephanie L Fanous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344122 PECOS PAC ID: 9436236296 Enrollment ID: I20180323001409 |
| Provider Name | Marcus Allan P Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760896336 PECOS PAC ID: 0648532903 Enrollment ID: I20180326001596 |
| Provider Name | Bassam R Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306890827 PECOS PAC ID: 8426941352 Enrollment ID: I20180413000588 |
| Provider Name | Bridget Mary Moran |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568668689 PECOS PAC ID: 9032467808 Enrollment ID: I20180810000512 |
| Provider Name | Susan Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952780017 PECOS PAC ID: 2860741527 Enrollment ID: I20180814002778 |
| Provider Name | Ravi R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518384759 PECOS PAC ID: 4789996083 Enrollment ID: I20180828004071 |
| Provider Name | Faranak C Ghazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194111070 PECOS PAC ID: 9032470240 Enrollment ID: I20180905000973 |
| Provider Name | Mary Ann M Tanglao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134632490 PECOS PAC ID: 7911258108 Enrollment ID: I20180927001382 |
| Provider Name | Jeffrey Chwa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285989236 PECOS PAC ID: 7214240639 Enrollment ID: I20181013000076 |
| Provider Name | Ryan N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790758068 PECOS PAC ID: 4688842610 Enrollment ID: I20181121000495 |
| Provider Name | Tracy Yen-lin Driver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982048112 PECOS PAC ID: 1355680141 Enrollment ID: I20190221001506 |
| Provider Name | Kelly Gee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841677390 PECOS PAC ID: 3274844758 Enrollment ID: I20190408000716 |
| Provider Name | Stacie B Groat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821555087 PECOS PAC ID: 7810220779 Enrollment ID: I20190607000293 |
| Provider Name | Nick T Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992977649 PECOS PAC ID: 3072841832 Enrollment ID: I20190819001791 |
| Provider Name | Jonathan T Oishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396109781 PECOS PAC ID: 2264760172 Enrollment ID: I20190829002609 |
| Provider Name | David Rae Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003855313 PECOS PAC ID: 8921077157 Enrollment ID: I20190916000807 |
| Provider Name | Mahsa Safavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619521556 PECOS PAC ID: 4284964545 Enrollment ID: I20190930001212 |
| Provider Name | Angela Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326569419 PECOS PAC ID: 1951633874 Enrollment ID: I20191025002378 |
| Provider Name | Karen Rosa Nunez Wallace |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811121197 PECOS PAC ID: 9436379393 Enrollment ID: I20200406001421 |
| Provider Name | Ali Ahoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093964769 PECOS PAC ID: 3072821537 Enrollment ID: I20200416000816 |
| Provider Name | Berk Tolga Suntay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841429974 PECOS PAC ID: 0840599106 Enrollment ID: I20200519001226 |
| Provider Name | Ethan Thien Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568475614 PECOS PAC ID: 4688602048 Enrollment ID: I20200722003626 |
| Provider Name | Betsy Kuriakose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750700449 PECOS PAC ID: 0143592485 Enrollment ID: I20200729001624 |
| Provider Name | Niroshan Kirupananthan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366883068 PECOS PAC ID: 8729377759 Enrollment ID: I20210408002296 |
| Provider Name | Ata Soleimani Rahbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487059192 PECOS PAC ID: 0042584856 Enrollment ID: I20210728002155 |
| Provider Name | Karren L Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578226064 PECOS PAC ID: 9436545597 Enrollment ID: I20220330000881 |
| Provider Name | Sophia Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952862922 PECOS PAC ID: 4789083486 Enrollment ID: I20220614001154 |
| Provider Name | Alden Folsom Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689105710 PECOS PAC ID: 2769721836 Enrollment ID: I20220614002498 |
| Provider Name | Ma Susana Echeverria Spitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942780002 PECOS PAC ID: 0042552515 Enrollment ID: I20220720003044 |
| Provider Name | Allen Kris Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679237598 PECOS PAC ID: 9830570894 Enrollment ID: I20220721002706 |
| Provider Name | Golshan Fahimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376066548 PECOS PAC ID: 2668719261 Enrollment ID: I20220907003112 |
| Provider Name | Anas M Aljammal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437611464 PECOS PAC ID: 4183009608 Enrollment ID: I20220920003023 |
| Provider Name | Camellia Shoapour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154883940 PECOS PAC ID: 2365818499 Enrollment ID: I20221014001399 |
| Provider Name | Omeed Ahadiat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497250955 PECOS PAC ID: 5890171003 Enrollment ID: I20221022000104 |
| Provider Name | Yung Jen Kuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750838249 PECOS PAC ID: 2769852888 Enrollment ID: I20230106001536 |
| Provider Name | Gulzar Fidai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851398218 PECOS PAC ID: 9133028749 Enrollment ID: I20230222000591 |
| Provider Name | Lisa Shue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851928196 PECOS PAC ID: 7315315538 Enrollment ID: I20230306000243 |
| Provider Name | Amir Morcos Mekhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699236323 PECOS PAC ID: 6204248818 Enrollment ID: I20230425001742 |
| Provider Name | Maia Ahmad Orabi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1841638491 PECOS PAC ID: 9830457548 Enrollment ID: I20230620003415 |
| Provider Name | Lauren Helena Canchola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871202051 PECOS PAC ID: 8628436797 Enrollment ID: I20230621003280 |
| Provider Name | Se Young Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538796222 PECOS PAC ID: 8527426436 Enrollment ID: I20230626001871 |
| Provider Name | Fatemeh Jafari Farshami |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386049260 PECOS PAC ID: 6507171352 Enrollment ID: I20230801000668 |
| Provider Name | Maryam Nemati |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750872305 PECOS PAC ID: 1557722808 Enrollment ID: I20230802002360 |
| Provider Name | Jonathan Corrales Maganis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235750209 PECOS PAC ID: 5799147393 Enrollment ID: I20230814003879 |
| Provider Name | J'aime Christine Moehlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770080087 PECOS PAC ID: 9537513320 Enrollment ID: I20230927003476 |
| Provider Name | Joshpaul Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942706825 PECOS PAC ID: 3577965748 Enrollment ID: I20231006001762 |
| Provider Name | Sean Xiang Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336777838 PECOS PAC ID: 1951795996 Enrollment ID: I20231110002489 |
| Provider Name | Parisa Mortaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083174841 PECOS PAC ID: 3779817465 Enrollment ID: I20240313001894 |
| Provider Name | Anita Shant Sahagian |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1225693641 PECOS PAC ID: 9032556006 Enrollment ID: I20240326002517 |
| Provider Name | Linda Md Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982632501 PECOS PAC ID: 4284067562 Enrollment ID: I20240508002496 |
| Provider Name | Swetha Vakkalanka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659930824 PECOS PAC ID: 7113253204 Enrollment ID: I20240516001431 |
| Provider Name | Nguyen Hue Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265463590 PECOS PAC ID: 4284075508 Enrollment ID: I20240516003254 |
| Provider Name | Alcides Antonio De Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760626675 PECOS PAC ID: 1557703535 Enrollment ID: I20240522001265 |
| Provider Name | Vivian Ngo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063041267 PECOS PAC ID: 0345782363 Enrollment ID: I20240605004225 |
| Provider Name | Chiara Marella Cardoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457054744 PECOS PAC ID: 8022550706 Enrollment ID: I20240610001772 |
Ghulam Y Dostzada Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-0383 | |
Charles M Maples Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 110, Los Alamitos, CA 90720 Phone: 562-430-6850 Fax: 562-280-2882 | |
Socal Gastroenterology Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10931 Cherry St Ste 300, Los Alamitos, CA 90720 Phone: 562-493-1011 Fax: 562-594-9226 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3791 Katella Ave Ste 101, Los Alamitos, CA 90720 Phone: 562-446-0580 | |
Alexandra A Chrysanthis M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10861 Cherry St # 210, Los Alamitos, CA 90720 Phone: 562-795-6406 Fax: 562-795-6409 | |
Cancer And Blood Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave, Suite 125, Los Alamitos, CA 90720 Phone: 562-735-0602 Fax: 562-490-8590 | |
T.h. Choi, A Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Katella Ave, Suite 300, Los Alamitos, CA 90720 Phone: 562-430-7533 Fax: 425-928-4044 |