| Pacific Private Practice Network Inc | |
|
30230 Rancho Viejo Rd Suite 110 San Juan Capistrano CA 92675-1557 | |
| (949) 441-5681 | |
| (949) 629-3716 |
| Full Name | Pacific Private Practice Network Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30230 Rancho Viejo Rd, San Juan Capistrano, California |
| Authorized Official Name and Position | Michael A Rovzar (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9492916521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Private Practice Network Inc 30230 Rancho Viejo Rd Suite 110 San Juan Capistrano CA 92675-1557 Ph: (949) 441-5681 | Pacific Private Practice Network Inc 30230 Rancho Viejo Rd Suite 110 San Juan Capistrano CA 92675-1557 Ph: (949) 441-5681 |
| NPI Number | 1033501077 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 01/05/2022 |
| Medicare PECOS PAC ID | 1254659261 |
|---|---|
| Medicare Enrollment ID | O20150422001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033501077 | NPI | - | NPPES |
| Provider Name | Katherine Manasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538178611 PECOS PAC ID: 9931013901 Enrollment ID: I20031113000822 |
| Provider Name | Kenneth P Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093825259 PECOS PAC ID: 1153317656 Enrollment ID: I20040422001240 |
| Provider Name | Inderpal S Gujral |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063416410 PECOS PAC ID: 1951390244 Enrollment ID: I20040511001042 |
| Provider Name | Raveen R Arora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164483244 PECOS PAC ID: 8628986775 Enrollment ID: I20040610001459 |
| Provider Name | Frank J King |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447218052 PECOS PAC ID: 8325022585 Enrollment ID: I20040615001339 |
| Provider Name | Mon Ta Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427019231 PECOS PAC ID: 8527025808 Enrollment ID: I20041217000865 |
| Provider Name | Mark S Zaremba |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023094273 PECOS PAC ID: 7113985169 Enrollment ID: I20041222000525 |
| Provider Name | Judy L Bourget |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073593240 PECOS PAC ID: 0244288397 Enrollment ID: I20050105001063 |
| Provider Name | James Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518992635 PECOS PAC ID: 8123066826 Enrollment ID: I20050422000459 |
| Provider Name | Ali Tabatabai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528098423 PECOS PAC ID: 7214968395 Enrollment ID: I20050829000463 |
| Provider Name | Helen Ching Yei Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639134687 PECOS PAC ID: 6507891835 Enrollment ID: I20051007000170 |
| Provider Name | Michael A Rovzar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184675688 PECOS PAC ID: 7012019714 Enrollment ID: I20070227000504 |
| Provider Name | Rahul M Kale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447330915 PECOS PAC ID: 5698870814 Enrollment ID: I20070417000581 |
| Provider Name | William Wei-ming Chang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417902149 PECOS PAC ID: 3274639091 Enrollment ID: I20070510000320 |
| Provider Name | Yu Hua Fang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881647642 PECOS PAC ID: 6002912821 Enrollment ID: I20070510000350 |
| Provider Name | Patricia A Ahearn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982655304 PECOS PAC ID: 5193821916 Enrollment ID: I20070510000398 |
| Provider Name | Franklin Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629097613 PECOS PAC ID: 5395735237 Enrollment ID: I20070807000421 |
| Provider Name | Suma Oommen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063431203 PECOS PAC ID: 0547339814 Enrollment ID: I20080513000695 |
| Provider Name | Michael D Moran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871564948 PECOS PAC ID: 4789671744 Enrollment ID: I20081030000015 |
| Provider Name | Sevitlana Safaei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013065812 PECOS PAC ID: 2961416821 Enrollment ID: I20090120000038 |
| Provider Name | Ali Dabestani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831213701 PECOS PAC ID: 8628129624 Enrollment ID: I20090702000629 |
| Provider Name | Syed S Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659567733 PECOS PAC ID: 0749334258 Enrollment ID: I20090818000815 |
| Provider Name | Sanjivan S Kohli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801129663 PECOS PAC ID: 3072642685 Enrollment ID: I20100519000930 |
| Provider Name | Hamid R Fadavi |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1477787034 PECOS PAC ID: 0446382287 Enrollment ID: I20100714000958 |
| Provider Name | Fariborz Shams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063421865 PECOS PAC ID: 1557449527 Enrollment ID: I20100830000943 |
| Provider Name | Joey A Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386656114 PECOS PAC ID: 4587858865 Enrollment ID: I20101101000237 |
| Provider Name | Bradley William Kays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417914334 PECOS PAC ID: 8628192549 Enrollment ID: I20101118000754 |
| Provider Name | William Fukuda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396701850 PECOS PAC ID: 3173647096 Enrollment ID: I20101118001261 |
| Provider Name | Amy Teresi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265498703 PECOS PAC ID: 0446374367 Enrollment ID: I20101118001303 |
| Provider Name | Kaveh N Rezvan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003140922 PECOS PAC ID: 6002004082 Enrollment ID: I20101216000931 |
| Provider Name | Ricardo Davalos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609804749 PECOS PAC ID: 1951214709 Enrollment ID: I20120223000123 |
| Provider Name | Shida Saam |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1528099470 PECOS PAC ID: 0042247280 Enrollment ID: I20120301000848 |
| Provider Name | Richard Kempert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861598500 PECOS PAC ID: 0840200994 Enrollment ID: I20120417000227 |
| Provider Name | Michael W Fitzgibbons |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194727859 PECOS PAC ID: 4880845437 Enrollment ID: I20121108000318 |
| Provider Name | Melissa Siew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780096099 PECOS PAC ID: 7618286329 Enrollment ID: I20151020002779 |
| Provider Name | Reza Talebi Dolouei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639431836 PECOS PAC ID: 6507167053 Enrollment ID: I20160908001938 |
| Provider Name | Lucia Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518227917 PECOS PAC ID: 1153607254 Enrollment ID: I20170403002381 |
| Provider Name | Yen Hui M Soong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942572680 PECOS PAC ID: 6406166776 Enrollment ID: I20170808003860 |
| Provider Name | Jay Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467834044 PECOS PAC ID: 7416282934 Enrollment ID: I20210721004166 |
Apex Health Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31473 Rancho Viejo Rd Ste 103, San Juan Capistrano, CA 92675 Phone: 949-388-0315 Fax: 949-388-0316 | |
K. Mitchell Naficy Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27512 Calle Arroyo, Suite A, San Juan Capistrano, CA 92675 Phone: 949-489-0773 Fax: 949-489-9342 | |
Partners In Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32241 Camino Capistrano, Ste#105a, San Juan Capistrano, CA 92675 Phone: 949-665-5555 Fax: 949-661-8269 | |
Camino Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30300 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 949-240-2030 Fax: 949-429-7627 | |
Ross Medical Associates San Juan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32312 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 949-489-9112 Fax: 949-489-1231 | |
Robert R. Paredes, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31411 Camino Capistrano, Suite 100, San Juan Capistrano, CA 92675 Phone: 949-493-4585 Fax: 949-493-0079 |