| Palmdale Intensivist Inc | |
|
38600 Medical Center Dr Palmdale CA 93551-4483 | |
| (661) 382-5000 | |
| Not Available |
| Full Name | Palmdale Intensivist Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 38600 Medical Center Dr, Palmdale, California |
| Authorized Official Name and Position | Mark R Bell (CEO) |
| Authorized Official Contact | 3103210143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmdale Intensivist Inc 898 N Pacific Coast Hwy Ste 600 El Segundo CA 90245-2747 Ph: (310) 698-5452 | Palmdale Intensivist Inc 38600 Medical Center Dr Palmdale CA 93551-4483 Ph: (661) 382-5000 |
| NPI Number | 1033955497 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Medicare PECOS PAC ID | 1355880865 |
|---|---|
| Medicare Enrollment ID | O20240828003846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033955497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashraf M Elsayegh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073684056 PECOS PAC ID: 7911967641 Enrollment ID: I20041015000916 |
| Provider Name | Timothy J Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457356479 PECOS PAC ID: 7214990308 Enrollment ID: I20041109001174 |
| Provider Name | Rabbi Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396958237 PECOS PAC ID: 2769574771 Enrollment ID: I20090710000518 |
| Provider Name | Aswin Nukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093155350 PECOS PAC ID: 2466710637 Enrollment ID: I20171215001505 |
| Provider Name | Aaron Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104349869 PECOS PAC ID: 3971863093 Enrollment ID: I20180212000726 |
| Provider Name | Anish Ramanlal Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932553096 PECOS PAC ID: 8224459409 Enrollment ID: I20200526000201 |
| Provider Name | Edgar Guzman-suarez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235526427 PECOS PAC ID: 7416227301 Enrollment ID: I20200731000838 |
| Provider Name | Essam K Nagori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285165076 PECOS PAC ID: 1456622174 Enrollment ID: I20220104002077 |
| Provider Name | Nikol Tomsejova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104583590 PECOS PAC ID: 6305239245 Enrollment ID: I20220217000399 |
| Provider Name | William Li |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154703940 PECOS PAC ID: 8921350299 Enrollment ID: I20220613002537 |
| Provider Name | Juan Manuel Galvis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295173417 PECOS PAC ID: 2961779681 Enrollment ID: I20220804003804 |
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