| Prohealth Partners, A Medical Group | |
|
3650 E. South St., Suite 212 Lakewood CA 90712 | |
| (562) 299-5200 | |
| Not Available |
| Full Name | Prohealth Partners, A Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3650 E. South St., Suite 212, Lakewood, California |
| Authorized Official Name and Position | Barry Allswang (PRESIDENT) |
| Authorized Official Contact | 5622995200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Partners, A Medical Group 3650 E. South St., Suite 212 Lakewood CA 90712 Ph: () - | Prohealth Partners, A Medical Group 3650 E. South St., Suite 212 Lakewood CA 90712 Ph: (562) 299-5200 |
| NPI Number | 1003949975 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 2769388412 |
|---|---|
| Medicare Enrollment ID | O20031211000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003949975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Alan T Turner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659372241 PECOS PAC ID: 9335046994 Enrollment ID: I20031212000868 |
| Provider Name | Mohamed H El-gabalawy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407967631 PECOS PAC ID: 5698676120 Enrollment ID: I20040117000156 |
| Provider Name | Christine M Betzold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942284906 PECOS PAC ID: 0143113647 Enrollment ID: I20040206000962 |
| Provider Name | Jose L Pantoja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891721353 PECOS PAC ID: 5294629705 Enrollment ID: I20040213000229 |
| Provider Name | Michelle H Reddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063477891 PECOS PAC ID: 1456246495 Enrollment ID: I20040218000499 |
| Provider Name | Nathaniel Neal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720006729 PECOS PAC ID: 5890681951 Enrollment ID: I20040225000680 |
| Provider Name | Catherine S Mao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073567236 PECOS PAC ID: 9234027434 Enrollment ID: I20040309000751 |
| Provider Name | Ali M Etemadian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316041718 PECOS PAC ID: 5294625448 Enrollment ID: I20040319000377 |
| Provider Name | Kay E Elledge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023055928 PECOS PAC ID: 4385533744 Enrollment ID: I20040325001023 |
| Provider Name | Amer R Zarka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629096664 PECOS PAC ID: 1355233305 Enrollment ID: I20040325001458 |
| Provider Name | Ashraf Mohamed Elmashat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851322887 PECOS PAC ID: 6103810692 Enrollment ID: I20040408000800 |
| Provider Name | Marcia A Senteno |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770502650 PECOS PAC ID: 0446234199 Enrollment ID: I20040617001711 |
| Provider Name | Steven H Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700893294 PECOS PAC ID: 1254303076 Enrollment ID: I20040811000597 |
| Provider Name | Jesse J Licuanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396795514 PECOS PAC ID: 3678547601 Enrollment ID: I20040824001319 |
| Provider Name | Gregory M Eckel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053383505 PECOS PAC ID: 5496721888 Enrollment ID: I20040907001372 |
| Provider Name | Michelle D Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174541171 PECOS PAC ID: 1355304601 Enrollment ID: I20041108000477 |
| Provider Name | Hector Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659366136 PECOS PAC ID: 4688645104 Enrollment ID: I20041117001272 |
| Provider Name | Meiling L Yuen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386687929 PECOS PAC ID: 5991754277 Enrollment ID: I20050113000257 |
| Provider Name | Stephanie S Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427062462 PECOS PAC ID: 5395795199 Enrollment ID: I20050128000952 |
| Provider Name | Robert M Sinow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396797080 PECOS PAC ID: 8123073608 Enrollment ID: I20050317000421 |
| Provider Name | Archna Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548372634 PECOS PAC ID: 8729025606 Enrollment ID: I20050412001010 |
| Provider Name | Melvin L Seard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538163126 PECOS PAC ID: 1557308483 Enrollment ID: I20050412001516 |
| Provider Name | Duke Ahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942318373 PECOS PAC ID: 5698713626 Enrollment ID: I20050420001017 |
| Provider Name | Modupe Abimbola Aiyegbusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710088349 PECOS PAC ID: 9335053214 Enrollment ID: I20050429000597 |
| Provider Name | Azhar Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295802155 PECOS PAC ID: 7214979459 Enrollment ID: I20050526000889 |
| Provider Name | Juan A Silva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790738110 PECOS PAC ID: 8921041013 Enrollment ID: I20050609000489 |
| Provider Name | Roger D Duber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942261904 PECOS PAC ID: 8022046325 Enrollment ID: I20050728000599 |
| Provider Name | George R Espinoza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659451011 PECOS PAC ID: 9537197264 Enrollment ID: I20050802001406 |
| Provider Name | Jocelyn B Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104851443 PECOS PAC ID: 3870522402 Enrollment ID: I20050804000462 |
| Provider Name | Matthew J Budoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811967433 PECOS PAC ID: 7810946407 Enrollment ID: I20050822000682 |
| Provider Name | Arvind J Mehta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518985613 PECOS PAC ID: 0840218459 Enrollment ID: I20051102000759 |
| Provider Name | Alyssa T Watanabe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780660472 PECOS PAC ID: 7911801840 Enrollment ID: I20051109001169 |
| Provider Name | Dedra A Beckles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821011339 PECOS PAC ID: 3577577808 Enrollment ID: I20060125001022 |
| Provider Name | Seema A Hanamsagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952387581 PECOS PAC ID: 1759395080 Enrollment ID: I20060125001032 |
| Provider Name | Vincent D Nguyen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073603361 PECOS PAC ID: 9931114386 Enrollment ID: I20060222000811 |
| Provider Name | Isaac Eisenstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780649830 PECOS PAC ID: 1759354087 Enrollment ID: I20060403000271 |
| Provider Name | Conrad Anthony Cox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851338941 PECOS PAC ID: 5294746731 Enrollment ID: I20060511000258 |
| Provider Name | Peter P Ferrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366481384 PECOS PAC ID: 6204830623 Enrollment ID: I20060826000095 |
| Provider Name | Roger M Samawi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275570822 PECOS PAC ID: 6204831142 Enrollment ID: I20060927000171 |
| Provider Name | Mohsen Badri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669570495 PECOS PAC ID: 0143227199 Enrollment ID: I20061103000466 |
| Provider Name | James A Murray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609800044 PECOS PAC ID: 7911904792 Enrollment ID: I20061109000203 |
| Provider Name | Michael B Strauss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700837457 PECOS PAC ID: 2668472549 Enrollment ID: I20061226000198 |
| Provider Name | Reza Rasouli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053395731 PECOS PAC ID: 0941246359 Enrollment ID: I20070515000494 |
| Provider Name | James A Jengo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245324201 PECOS PAC ID: 1153216858 Enrollment ID: I20070615000646 |
| Provider Name | Bahman Chavoshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255480661 PECOS PAC ID: 7214024165 Enrollment ID: I20071024000710 |
| Provider Name | Fariba Javadi |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1538265830 PECOS PAC ID: 2860416583 Enrollment ID: I20071116000558 |
| Provider Name | Vannarith So |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659416584 PECOS PAC ID: 5395833560 Enrollment ID: I20071121000594 |
| Provider Name | David T Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235100330 PECOS PAC ID: 0345330346 Enrollment ID: I20071213000886 |
| Provider Name | Neha H Bhansali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700923893 PECOS PAC ID: 5890878417 Enrollment ID: I20080205000669 |
| Provider Name | Ramanath B Dukkipati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457570376 PECOS PAC ID: 0547330656 Enrollment ID: I20080602000373 |
| Provider Name | William L Madrid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467419366 PECOS PAC ID: 2567532393 Enrollment ID: I20080604000749 |
| Provider Name | Byung Don Ahn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194715193 PECOS PAC ID: 1153216197 Enrollment ID: I20080717000193 |
| Provider Name | Daniel Matemotja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821002759 PECOS PAC ID: 4183784408 Enrollment ID: I20081117000551 |
| Provider Name | Andrew G Gianoukakis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023083086 PECOS PAC ID: 5395805949 Enrollment ID: I20081128000065 |
| Provider Name | Sandra G Avila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396939575 PECOS PAC ID: 0345301792 Enrollment ID: I20081204000377 |
| Provider Name | Anuja P Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851414569 PECOS PAC ID: 7113080458 Enrollment ID: I20090113000048 |
| Provider Name | Sharon G Adler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467431122 PECOS PAC ID: 4688730302 Enrollment ID: I20090304000789 |
| Provider Name | Stefan Schneider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104849108 PECOS PAC ID: 9234288937 Enrollment ID: I20090529000366 |
| Provider Name | William W Stringer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487633111 PECOS PAC ID: 0244135101 Enrollment ID: I20090804000352 |
| Provider Name | Timothy C Simmons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124199427 PECOS PAC ID: 6103974092 Enrollment ID: I20090822000111 |
| Provider Name | Gimha S Gunawardana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720274921 PECOS PAC ID: 6103971965 Enrollment ID: I20090831000143 |
| Provider Name | Anthony Zamudio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912061391 PECOS PAC ID: 1153477104 Enrollment ID: I20090916000769 |
| Provider Name | Milan G Rawal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093913147 PECOS PAC ID: 7810043775 Enrollment ID: I20090917000205 |
| Provider Name | Yvonne Tyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881617868 PECOS PAC ID: 6103963525 Enrollment ID: I20091016000261 |
| Provider Name | Ignacio M Carrillo-nunez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205827201 PECOS PAC ID: 8921146937 Enrollment ID: I20091112000122 |
| Provider Name | Kyaw Moe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083649735 PECOS PAC ID: 5193721876 Enrollment ID: I20100128000779 |
| Provider Name | Karen T Dix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811920424 PECOS PAC ID: 4082757257 Enrollment ID: I20100210000454 |
| Provider Name | Rodolfo Ibarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376566323 PECOS PAC ID: 5698818870 Enrollment ID: I20100210000500 |
| Provider Name | Petra Ann Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578585915 PECOS PAC ID: 1355422056 Enrollment ID: I20100215000613 |
| Provider Name | Olga R Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891723482 PECOS PAC ID: 8921142795 Enrollment ID: I20100217000208 |
| Provider Name | Cherie R Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497786396 PECOS PAC ID: 1456495233 Enrollment ID: I20100217000233 |
| Provider Name | Winston Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851322085 PECOS PAC ID: 9931244027 Enrollment ID: I20100301000289 |
| Provider Name | John G Issa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043233976 PECOS PAC ID: 0648315754 Enrollment ID: I20100301000438 |
| Provider Name | Steven J Lake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669494001 PECOS PAC ID: 4486799145 Enrollment ID: I20100305000088 |
| Provider Name | Robert J Comer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134233158 PECOS PAC ID: 5193860864 Enrollment ID: I20100305000117 |
| Provider Name | Mansoor S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962433706 PECOS PAC ID: 0446331144 Enrollment ID: I20100305000165 |
| Provider Name | Vinita Chaudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386679504 PECOS PAC ID: 5395880074 Enrollment ID: I20100305000218 |
| Provider Name | Diana R Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255425146 PECOS PAC ID: 3971648650 Enrollment ID: I20100305000289 |
| Provider Name | Khalid Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114958956 PECOS PAC ID: 3779628458 Enrollment ID: I20100305000306 |
| Provider Name | Dennis L Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699700849 PECOS PAC ID: 0446395131 Enrollment ID: I20100305000383 |
| Provider Name | Scott A Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033140801 PECOS PAC ID: 5991840605 Enrollment ID: I20100305000599 |
| Provider Name | Michael N Castro |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437180320 PECOS PAC ID: 8628096724 Enrollment ID: I20100305000663 |
| Provider Name | James W Norcross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851305809 PECOS PAC ID: 4789729310 Enrollment ID: I20100305000852 |
| Provider Name | Ivette Stickelmaier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962430579 PECOS PAC ID: 2860537420 Enrollment ID: I20100308000018 |
| Provider Name | Donna Alane Richey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841212289 PECOS PAC ID: 7012943780 Enrollment ID: I20100311000088 |
| Provider Name | Gerald A Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306877253 PECOS PAC ID: 8224163456 Enrollment ID: I20100312000925 |
| Provider Name | Pedro De La Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114940145 PECOS PAC ID: 0648307348 Enrollment ID: I20100429000470 |
| Provider Name | Clayton Dejong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467466409 PECOS PAC ID: 3072694777 Enrollment ID: I20100504000466 |
| Provider Name | Thomas Kellar Mccloy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568476513 PECOS PAC ID: 7517095037 Enrollment ID: I20100504000552 |
| Provider Name | Jennifer A Kim Loomis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215136940 PECOS PAC ID: 2062543986 Enrollment ID: I20100621000849 |
| Provider Name | Mark M Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831124577 PECOS PAC ID: 5698806156 Enrollment ID: I20100626000509 |
| Provider Name | Karen E Koe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780648709 PECOS PAC ID: 9931394434 Enrollment ID: I20101110000383 |
| Provider Name | Rebecca Jennie Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619931599 PECOS PAC ID: 2668667890 Enrollment ID: I20101112000537 |
| Provider Name | Hammad Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992904395 PECOS PAC ID: 8426243619 Enrollment ID: I20101113000029 |
| Provider Name | Viktor E Eysselein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609848191 PECOS PAC ID: 9436345188 Enrollment ID: I20101122000164 |
| Provider Name | Ronald J Oudiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316957228 PECOS PAC ID: 3476749821 Enrollment ID: I20101124000177 |
| Provider Name | Nancy F Godfrey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790777449 PECOS PAC ID: 0446446819 Enrollment ID: I20101124000372 |
| Provider Name | Ronald S Swerdloff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104935253 PECOS PAC ID: 8426245226 Enrollment ID: I20101206000923 |
| Provider Name | Rodney A White |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548316185 PECOS PAC ID: 0446447536 Enrollment ID: I20101215000883 |
| Provider Name | Lisa Anne Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285665810 PECOS PAC ID: 8325236045 Enrollment ID: I20101222000543 |
| Provider Name | Rasam M Hosseinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326092834 PECOS PAC ID: 9638107659 Enrollment ID: I20101222000652 |
| Provider Name | Barton H Ueki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043219355 PECOS PAC ID: 7012105315 Enrollment ID: I20110103000139 |
| Provider Name | Armaity V Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558348946 PECOS PAC ID: 4082606405 Enrollment ID: I20110104000122 |
| Provider Name | Claudia Eppele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285892109 PECOS PAC ID: 5890974992 Enrollment ID: I20110121000098 |
| Provider Name | Kathy E Sietsema |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053322032 PECOS PAC ID: 4789863762 Enrollment ID: I20110124000059 |
| Provider Name | Kamyar Zadeh Kalantar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457314684 PECOS PAC ID: 8224218672 Enrollment ID: I20110202000479 |
| Provider Name | Duncan Q Mcbride |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700828704 PECOS PAC ID: 1254511629 Enrollment ID: I20110202000834 |
| Provider Name | Gregory R Mason |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841247145 PECOS PAC ID: 5890976336 Enrollment ID: I20110216001093 |
| Provider Name | Jaime Landman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437268505 PECOS PAC ID: 9638110729 Enrollment ID: I20110221000378 |
| Provider Name | Gamal M Ghoniem |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467415919 PECOS PAC ID: 4183754302 Enrollment ID: I20110719000015 |
| Provider Name | Nalin Mallik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457667495 PECOS PAC ID: 8527239367 Enrollment ID: I20110927000537 |
| Provider Name | Padmini Shamasundara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861478521 PECOS PAC ID: 2466625405 Enrollment ID: I20111107000805 |
| Provider Name | Seper Dezfoli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104159383 PECOS PAC ID: 1658545264 Enrollment ID: I20111116000856 |
| Provider Name | Edward Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467554220 PECOS PAC ID: 8022160092 Enrollment ID: I20111128000698 |
| Provider Name | Lilly M Barba |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407835978 PECOS PAC ID: 4880869809 Enrollment ID: I20111202000266 |
| Provider Name | Rebekah Adia Neal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215165667 PECOS PAC ID: 0446427058 Enrollment ID: I20120123000812 |
| Provider Name | Edward M Uchio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588648570 PECOS PAC ID: 7012045768 Enrollment ID: I20120208000201 |
| Provider Name | Mauricio J Heilbron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386732915 PECOS PAC ID: 6800056656 Enrollment ID: I20120402000281 |
| Provider Name | Tess Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669782280 PECOS PAC ID: 1052574779 Enrollment ID: I20120516000599 |
| Provider Name | Rosalind C Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053511014 PECOS PAC ID: 5092978692 Enrollment ID: I20120517000627 |
| Provider Name | Sapna Singh Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710140561 PECOS PAC ID: 6103089222 Enrollment ID: I20120529000383 |
| Provider Name | Naser M Elbalalesy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720178817 PECOS PAC ID: 0648444943 Enrollment ID: I20120702000054 |
| Provider Name | Tiane Dai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457643751 PECOS PAC ID: 4284899824 Enrollment ID: I20120703000586 |
| Provider Name | Lindsay A Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851618151 PECOS PAC ID: 6002062734 Enrollment ID: I20120810000609 |
| Provider Name | Bhavik V Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033178819 PECOS PAC ID: 1254362940 Enrollment ID: I20120820000270 |
| Provider Name | Henry Su |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902033913 PECOS PAC ID: 8022265818 Enrollment ID: I20120830000098 |
| Provider Name | James E Sheppard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255686044 PECOS PAC ID: 1951558642 Enrollment ID: I20120831000411 |
| Provider Name | Meenakshi Verma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942463427 PECOS PAC ID: 2668621137 Enrollment ID: I20120927000725 |
| Provider Name | Sam Zeim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558631655 PECOS PAC ID: 4284883604 Enrollment ID: I20120928000512 |
| Provider Name | Farah H Mahmood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134385974 PECOS PAC ID: 1153469820 Enrollment ID: I20121003000570 |
| Provider Name | Eiman Naguib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912211178 PECOS PAC ID: 0042468449 Enrollment ID: I20121026000637 |
| Provider Name | Babak M Goldman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1750542445 PECOS PAC ID: 4587815253 Enrollment ID: I20121107000184 |
| Provider Name | Kristin K Kwong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275616393 PECOS PAC ID: 5991958977 Enrollment ID: I20121228000028 |
| Provider Name | Antony Macido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164766648 PECOS PAC ID: 8527211945 Enrollment ID: I20130116000153 |
| Provider Name | Rajiv T Philip |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063601045 PECOS PAC ID: 4082859830 Enrollment ID: I20130326000499 |
| Provider Name | Venu Divi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245390228 PECOS PAC ID: 9537268826 Enrollment ID: I20130424000977 |
| Provider Name | Mansurur R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326196312 PECOS PAC ID: 1557348141 Enrollment ID: I20130507000044 |
| Provider Name | Kanchana R Viswanathan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760491104 PECOS PAC ID: 9436227550 Enrollment ID: I20130509000444 |
| Provider Name | Connie M Rhee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083835276 PECOS PAC ID: 6204901697 Enrollment ID: I20130710000789 |
| Provider Name | Mahdi Yazdany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316109911 PECOS PAC ID: 0345419909 Enrollment ID: I20130820000545 |
| Provider Name | Naftoli H Weingarten |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518205012 PECOS PAC ID: 9133362692 Enrollment ID: I20130830000698 |
| Provider Name | Sherif Y Labatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619165115 PECOS PAC ID: 6103906029 Enrollment ID: I20131008000076 |
| Provider Name | Mark Jordan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831121607 PECOS PAC ID: 0446242127 Enrollment ID: I20140108001650 |
| Provider Name | Sima Fargahi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124239397 PECOS PAC ID: 1951533116 Enrollment ID: I20140422002039 |
| Provider Name | Jenny Shen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194963199 PECOS PAC ID: 7911120332 Enrollment ID: I20140603000775 |
| Provider Name | Marianne Mikhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164743464 PECOS PAC ID: 4880819093 Enrollment ID: I20140702000442 |
| Provider Name | Ngoc Tram G Tran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003052739 PECOS PAC ID: 3678799483 Enrollment ID: I20140730001868 |
| Provider Name | Frances Abigail Malantic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780018960 PECOS PAC ID: 5799902383 Enrollment ID: I20140805001355 |
| Provider Name | Vimal J Ponnezhan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366653354 PECOS PAC ID: 0941348254 Enrollment ID: I20140806002731 |
| Provider Name | Ivan A Soto-arape |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417915315 PECOS PAC ID: 9335213297 Enrollment ID: I20140829000005 |
| Provider Name | Pei L Mulroy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568892115 PECOS PAC ID: 4284855065 Enrollment ID: I20141020001554 |
| Provider Name | Leejoe K Pallickal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346402054 PECOS PAC ID: 2365598810 Enrollment ID: I20141114001444 |
| Provider Name | Larry Chee Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215259221 PECOS PAC ID: 3476775917 Enrollment ID: I20141118000023 |
| Provider Name | Rebecca H Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576230 PECOS PAC ID: 1052533460 Enrollment ID: I20141118002690 |
| Provider Name | Sophia S Hsu-zic |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447652839 PECOS PAC ID: 9830412212 Enrollment ID: I20141217000581 |
| Provider Name | Tony Tseng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558523670 PECOS PAC ID: 6901920479 Enrollment ID: I20150102001126 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174801344 PECOS PAC ID: 6305164039 Enrollment ID: I20150409001015 |
| Provider Name | Jacqueline A Eubany |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912986944 PECOS PAC ID: 6204882277 Enrollment ID: I20150428000723 |
| Provider Name | Judy M Choi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386974483 PECOS PAC ID: 1658692850 Enrollment ID: I20150529002299 |
| Provider Name | Kaushik Ivaturi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669733275 PECOS PAC ID: 7214241900 Enrollment ID: I20150810001139 |
| Provider Name | Matthew J Reed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225356678 PECOS PAC ID: 1759696255 Enrollment ID: I20150812008759 |
| Provider Name | Samir Samarany |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134379126 PECOS PAC ID: 9335312040 Enrollment ID: I20150813009864 |
| Provider Name | David Filsoof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861686354 PECOS PAC ID: 2365698081 Enrollment ID: I20150813010221 |
| Provider Name | Zubin Udwadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922364967 PECOS PAC ID: 7618282047 Enrollment ID: I20150814012690 |
| Provider Name | Renee M Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699033738 PECOS PAC ID: 4587979620 Enrollment ID: I20150818005243 |
| Provider Name | Yasaman Mohtasebi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962687889 PECOS PAC ID: 3870630908 Enrollment ID: I20150914002849 |
| Provider Name | Dalia Al-mudallal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356502116 PECOS PAC ID: 2961709092 Enrollment ID: I20160404002332 |
| Provider Name | Roshan M Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760774491 PECOS PAC ID: 2466684337 Enrollment ID: I20160415001491 |
| Provider Name | Melinda L Yambot-calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841653789 PECOS PAC ID: 0547569717 Enrollment ID: I20160422001404 |
| Provider Name | Tyler S Dejong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033537493 PECOS PAC ID: 9234436353 Enrollment ID: I20160513001682 |
| Provider Name | Lung-ching Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023339371 PECOS PAC ID: 5294972196 Enrollment ID: I20160523001836 |
| Provider Name | Edna A Yarashevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972909968 PECOS PAC ID: 7618268426 Enrollment ID: I20160627001113 |
| Provider Name | Jennifer M Vicente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235522483 PECOS PAC ID: 2264724749 Enrollment ID: I20160630002016 |
| Provider Name | Lauren M Eisenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994451 PECOS PAC ID: 1759673577 Enrollment ID: I20160714000655 |
| Provider Name | Zar C Chan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417243890 PECOS PAC ID: 3375845860 Enrollment ID: I20161003000712 |
| Provider Name | Faysal A Yafi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285854927 PECOS PAC ID: 3173745569 Enrollment ID: I20161014001229 |
| Provider Name | Geoffrey Konye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730504416 PECOS PAC ID: 0547548216 Enrollment ID: I20161031002485 |
| Provider Name | Mohammad Anas Hajjar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235350893 PECOS PAC ID: 3476640244 Enrollment ID: I20161123000726 |
| Provider Name | Darlene Mulyanto-mong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255873717 PECOS PAC ID: 9335420710 Enrollment ID: I20161222000854 |
| Provider Name | Marcus Ottochian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952614307 PECOS PAC ID: 5193002574 Enrollment ID: I20170512001128 |
| Provider Name | Suraj P Rasania |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245501899 PECOS PAC ID: 5890947766 Enrollment ID: I20170524002329 |
| Provider Name | Julian Jung Hee Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730506395 PECOS PAC ID: 3476822925 Enrollment ID: I20170627001781 |
| Provider Name | Yuichi E Yanami |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265729339 PECOS PAC ID: 9931478120 Enrollment ID: I20170630002461 |
| Provider Name | Mehrdad Saliminejad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891934832 PECOS PAC ID: 0941453294 Enrollment ID: I20170822001496 |
| Provider Name | Sudhir Kapoor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013073824 PECOS PAC ID: 9234233198 Enrollment ID: I20170911001381 |
| Provider Name | Ronald Frank Wolf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649369935 PECOS PAC ID: 3678667250 Enrollment ID: I20170925001058 |
| Provider Name | Chioma Onyejekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548701535 PECOS PAC ID: 8628272556 Enrollment ID: I20180213001716 |
| Provider Name | Rishi Talwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699184184 PECOS PAC ID: 3971863770 Enrollment ID: I20180215000664 |
| Provider Name | Alejren Tandoc Guevarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457859399 PECOS PAC ID: 6103188164 Enrollment ID: I20180403000885 |
| Provider Name | Iris Partovi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104019462 PECOS PAC ID: 5597959627 Enrollment ID: I20180706000842 |
| Provider Name | John B Javien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740504356 PECOS PAC ID: 7113220245 Enrollment ID: I20180712003193 |
| Provider Name | Mark M Archie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033553383 PECOS PAC ID: 2264789981 Enrollment ID: I20180725003199 |
| Provider Name | Daniel Jacob Cwikla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205278603 PECOS PAC ID: 8921316126 Enrollment ID: I20180808001420 |
| Provider Name | Peyman Naji |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720215429 PECOS PAC ID: 7618126913 Enrollment ID: I20180808003514 |
| Provider Name | Anand Sandesara |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174943336 PECOS PAC ID: 3476805623 Enrollment ID: I20181016002875 |
| Provider Name | Nina Michelle Bowens |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962559039 PECOS PAC ID: 5799038139 Enrollment ID: I20181115001598 |
| Provider Name | Richard D Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275983124 PECOS PAC ID: 4880938117 Enrollment ID: I20181127003112 |
| Provider Name | Mary Lynn Seiersen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538282983 PECOS PAC ID: 4284978867 Enrollment ID: I20181208000405 |
| Provider Name | Chau Nguyen Phung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245717966 PECOS PAC ID: 1052659166 Enrollment ID: I20190215000925 |
| Provider Name | Ann Kuhlman Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801316765 PECOS PAC ID: 9133468580 Enrollment ID: I20190228002092 |
| Provider Name | Monina Distor-castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528379690 PECOS PAC ID: 1951644111 Enrollment ID: I20190510001133 |
| Provider Name | Wali Abawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104362268 PECOS PAC ID: 7911230925 Enrollment ID: I20190606001069 |
| Provider Name | Shuchi Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255899605 PECOS PAC ID: 8820321375 Enrollment ID: I20190614001868 |
| Provider Name | Sindalisa Hean |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235559436 PECOS PAC ID: 2668706714 Enrollment ID: I20190625000515 |
| Provider Name | Babak Gachpaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245502400 PECOS PAC ID: 0547559924 Enrollment ID: I20190628002945 |
| Provider Name | Nolan S Desa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245673896 PECOS PAC ID: 8426349937 Enrollment ID: I20190715002821 |
| Provider Name | Meena M Archie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588083646 PECOS PAC ID: 0840555256 Enrollment ID: I20190726002358 |
| Provider Name | Ravi K Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164883112 PECOS PAC ID: 8729315387 Enrollment ID: I20190806001885 |
| Provider Name | Emma Caroline Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902268394 PECOS PAC ID: 7911294988 Enrollment ID: I20190813003118 |
| Provider Name | Fazeel Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780046375 PECOS PAC ID: 8426386228 Enrollment ID: I20190816002750 |
| Provider Name | Rajveer Joea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841653672 PECOS PAC ID: 6406120526 Enrollment ID: I20190816002981 |
| Provider Name | Michelle Crespo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669828067 PECOS PAC ID: 6507194388 Enrollment ID: I20190819002322 |
| Provider Name | Wisam Majed Khader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841651767 PECOS PAC ID: 0749518488 Enrollment ID: I20190820001388 |
| Provider Name | Eric Q Trieu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124439047 PECOS PAC ID: 9133477144 Enrollment ID: I20190821002116 |
| Provider Name | Vishal I Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326493438 PECOS PAC ID: 3173853082 Enrollment ID: I20190919000424 |
| Provider Name | Catherine Peony Khoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316309354 PECOS PAC ID: 2769739499 Enrollment ID: I20190925003757 |
| Provider Name | Kevin Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851952030 PECOS PAC ID: 5991037046 Enrollment ID: I20191023001230 |
| Provider Name | Laura M Quigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063784627 PECOS PAC ID: 6507028768 Enrollment ID: I20191024002996 |
| Provider Name | Larisa Garbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811906753 PECOS PAC ID: 5193626158 Enrollment ID: I20191030001738 |
| Provider Name | Julius A Musenze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144675315 PECOS PAC ID: 7810329729 Enrollment ID: I20191114002510 |
| Provider Name | Sanam M Pournaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447607551 PECOS PAC ID: 5991099889 Enrollment ID: I20191204000323 |
| Provider Name | Cecile K Kokozian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336499342 PECOS PAC ID: 8628404977 Enrollment ID: I20200204001620 |
| Provider Name | Albert J Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558909705 PECOS PAC ID: 1153757273 Enrollment ID: I20200210001922 |
| Provider Name | Kara Lauren De Winter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376989392 PECOS PAC ID: 9537303458 Enrollment ID: I20200708000357 |
| 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 | Sarah Fihn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215566922 PECOS PAC ID: 1759709223 Enrollment ID: I20200915002543 |
| Provider Name | Ali Varasteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962927475 PECOS PAC ID: 6709205966 Enrollment ID: I20201007003077 |
| Provider Name | Ghazal Kooshk Jalali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154843571 PECOS PAC ID: 2466722103 Enrollment ID: I20201028003046 |
| Provider Name | Da Som Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407484058 PECOS PAC ID: 5294153730 Enrollment ID: I20210121002728 |
| Provider Name | Ana Maria Cajigas De Jesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801497706 PECOS PAC ID: 3173939733 Enrollment ID: I20210304002310 |
| Provider Name | Mary Joy Perez Floresca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174114078 PECOS PAC ID: 1153738547 Enrollment ID: I20210331002627 |
| Provider Name | David W Barham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639526718 PECOS PAC ID: 8022427814 Enrollment ID: I20210506003048 |
| Provider Name | Janine Marie Balasbas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982285052 PECOS PAC ID: 6002215126 Enrollment ID: I20210521002222 |
| Provider Name | Mruga Nanavati Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649701731 PECOS PAC ID: 1153693593 Enrollment ID: I20210617002060 |
| Provider Name | David A Sack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467657882 PECOS PAC ID: 8628478252 Enrollment ID: I20210617002742 |
| Provider Name | Henrietta C Nwaibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508306176 PECOS PAC ID: 5991107708 Enrollment ID: I20210715001157 |
| Provider Name | Julie Ann Oates |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912538166 PECOS PAC ID: 9436552825 Enrollment ID: I20210722001932 |
| Provider Name | Christina Noelle Arcuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558855403 PECOS PAC ID: 2264835149 Enrollment ID: I20210729002892 |
| Provider Name | Seiya Tokunaga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629572334 PECOS PAC ID: 6901200377 Enrollment ID: I20210806000891 |
| Provider Name | Elechi M Egeonuigwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952901969 PECOS PAC ID: 3678970605 Enrollment ID: I20210917001899 |
| Provider Name | Hamid Modarres Mousavi Behbahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285123778 PECOS PAC ID: 5799020038 Enrollment ID: I20210921001317 |
| Provider Name | Madlena Nalbandian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982108015 PECOS PAC ID: 0042617847 Enrollment ID: I20210921003178 |
| Provider Name | Sohrab Naushad Ali |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851976260 PECOS PAC ID: 1951708643 Enrollment ID: I20210922003413 |
| Provider Name | Saman Setareh-shenas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194111799 PECOS PAC ID: 6204234776 Enrollment ID: I20211013003200 |
| Provider Name | Nima Fatehi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699260265 PECOS PAC ID: 3779981121 Enrollment ID: I20211015000005 |
| Provider Name | Mamak Eatesam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407139314 PECOS PAC ID: 5092033571 Enrollment ID: I20211015001685 |
| Provider Name | Sandra Yu Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355698 PECOS PAC ID: 9335538545 Enrollment ID: I20211109002992 |
| Provider Name | Teal Renee Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659977221 PECOS PAC ID: 4486043163 Enrollment ID: I20211118001380 |
| Provider Name | Princess Marie April T Denolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447913603 PECOS PAC ID: 0143610790 Enrollment ID: I20211214001554 |
| Provider Name | Karen Ogboro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946385 PECOS PAC ID: 5092106237 Enrollment ID: I20211227000692 |
| Provider Name | Christine Uy Titensky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003416363 PECOS PAC ID: 6709278799 Enrollment ID: I20220125002412 |
| Provider Name | Thomas Decato |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043535370 PECOS PAC ID: 1456582139 Enrollment ID: I20220201000642 |
| Provider Name | Ivy Lee De Quiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831442763 PECOS PAC ID: 4284027426 Enrollment ID: I20220210000854 |
| Provider Name | Nathan Yee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982021424 PECOS PAC ID: 7012232937 Enrollment ID: I20220221001701 |
| Provider Name | Elizabeth Whitham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417480625 PECOS PAC ID: 4981976834 Enrollment ID: I20220224002571 |
| Provider Name | Dalia A Cadena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548885890 PECOS PAC ID: 8729473608 Enrollment ID: I20220310001929 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750879755 PECOS PAC ID: 5193060358 Enrollment ID: I20220426000790 |
| Provider Name | Zachary Edward Tano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275971459 PECOS PAC ID: 0143607093 Enrollment ID: I20220513001579 |
| Provider Name | Kym Ann Lagafuaina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609306232 PECOS PAC ID: 6709147390 Enrollment ID: I20220519001880 |
| Provider Name | Sylvia Cyntia Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861146045 PECOS PAC ID: 9537546999 Enrollment ID: I20220524002960 |
| Provider Name | Veronica Zoleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992446868 PECOS PAC ID: 7113305426 Enrollment ID: I20220527000538 |
| Provider Name | Cameron S Sikavi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114303302 PECOS PAC ID: 6103161732 Enrollment ID: I20220601000668 |
| Provider Name | Nisha Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083369151 PECOS PAC ID: 4688053168 Enrollment ID: I20220614002754 |
| Provider Name | Jacob Richard Basilius |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043741911 PECOS PAC ID: 4284988940 Enrollment ID: I20220624000379 |
| Provider Name | Aida Marie Souleiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205427150 PECOS PAC ID: 6507245263 Enrollment ID: I20220627001780 |
| Provider Name | Adriana Westby Trent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518081942 PECOS PAC ID: 3072993294 Enrollment ID: I20220706002438 |
| Provider Name | Kelsey Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790454833 PECOS PAC ID: 3678953551 Enrollment ID: I20220708003544 |
| Provider Name | Young Soon Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700387891 PECOS PAC ID: 4981085008 Enrollment ID: I20220721000597 |
| Provider Name | Jinah K Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700241387 PECOS PAC ID: 0840672697 Enrollment ID: I20220727000387 |
| Provider Name | Sweta Chekuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841584273 PECOS PAC ID: 5294957197 Enrollment ID: I20220803002786 |
| Provider Name | Kerry Lee Moseman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225597008 PECOS PAC ID: 6901289123 Enrollment ID: I20220819001796 |
| Provider Name | Vatche Satamian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982163044 PECOS PAC ID: 5496163271 Enrollment ID: I20220822002639 |
| Provider Name | Mariam Zakher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396302071 PECOS PAC ID: 9830574094 Enrollment ID: I20220923002367 |
| Provider Name | Prince Bedford Acquah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415623 PECOS PAC ID: 0143606293 Enrollment ID: I20220927003791 |
| Provider Name | Debby Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235608316 PECOS PAC ID: 8325415391 Enrollment ID: I20221103001598 |
| Provider Name | Wendy Uyen Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629598529 PECOS PAC ID: 7911375159 Enrollment ID: I20221121000391 |
| Provider Name | Lucetta Waiying Chiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114648227 PECOS PAC ID: 9032589775 Enrollment ID: I20221221001803 |
| Provider Name | Kristina Renee Vartanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609599562 PECOS PAC ID: 6002286408 Enrollment ID: I20221229001132 |
| Provider Name | Danielle Marie Villatoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023560885 PECOS PAC ID: 2860823812 Enrollment ID: I20230130001368 |
| Provider Name | Nimisha Thakkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386396943 PECOS PAC ID: 3577937846 Enrollment ID: I20230328002218 |
| Provider Name | Monika Shenouda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508489816 PECOS PAC ID: 7719352111 Enrollment ID: I20230418001162 |
| Provider Name | Kevin Charles |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649616558 PECOS PAC ID: 0042519704 Enrollment ID: I20230510000611 |
| Provider Name | Khashayar Nemovi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225667991 PECOS PAC ID: 9830557487 Enrollment ID: I20230614001960 |
| Provider Name | Christianna Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417661489 PECOS PAC ID: 3779941141 Enrollment ID: I20230619001619 |
| Provider Name | Miguel Arellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295460806 PECOS PAC ID: 4284092966 Enrollment ID: I20230628001990 |
| Provider Name | Hasan Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861013153 PECOS PAC ID: 3678932118 Enrollment ID: I20230630002856 |
| Provider Name | Hannaneh Saadaeijahromi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962030973 PECOS PAC ID: 3577923317 Enrollment ID: I20230712002040 |
| Provider Name | Rithika Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316476484 PECOS PAC ID: 5092083048 Enrollment ID: I20230727001014 |
| Provider Name | Jennifer Sheila Ponce Demaree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518650605 PECOS PAC ID: 9537520101 Enrollment ID: I20230728001578 |
| Provider Name | Ruby Elaine Calalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043915440 PECOS PAC ID: 1658639315 Enrollment ID: I20230809003528 |
| Provider Name | Brandon Cole Schmeits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659909174 PECOS PAC ID: 8224453113 Enrollment ID: I20230908001725 |
| Provider Name | Bruce Ming Gao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750065884 PECOS PAC ID: 3173977428 Enrollment ID: I20230920004171 |
| Provider Name | Samit Bhatheja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871818385 PECOS PAC ID: 6002164274 Enrollment ID: I20230921002106 |
| Provider Name | Katharine E Arce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780674069 PECOS PAC ID: 2062867492 Enrollment ID: I20231004003820 |
| Provider Name | Amanda Dupre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467913194 PECOS PAC ID: 2466832118 Enrollment ID: I20231018003187 |
| Provider Name | Jennifer Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174300875 PECOS PAC ID: 8325494313 Enrollment ID: I20231027000315 |
| Provider Name | Jessie Jesusyesenia Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174803332 PECOS PAC ID: 6002262953 Enrollment ID: I20231027003090 |
| Provider Name | Ibrahim Elali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932141421 PECOS PAC ID: 0648276733 Enrollment ID: I20231115003209 |
| Provider Name | Michele Nelson-chung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548704612 PECOS PAC ID: 1557712619 Enrollment ID: I20240112002796 |
| Provider Name | Rebekah Dorothy Ruther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528757325 PECOS PAC ID: 2365894003 Enrollment ID: I20240118002921 |
| Provider Name | Vanessa Elizabeth Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396528477 PECOS PAC ID: 0547604423 Enrollment ID: I20240219003207 |
| Provider Name | Judy Young Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528763968 PECOS PAC ID: 1355786849 Enrollment ID: I20240223001744 |
| Provider Name | Araceli Np Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316728462 PECOS PAC ID: 0446695217 Enrollment ID: I20240302000374 |
| Provider Name | Jessica Nicole Sota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790464634 PECOS PAC ID: 0547606162 Enrollment ID: I20240306000588 |
| Provider Name | Chantell Strong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053817783 PECOS PAC ID: 9638426000 Enrollment ID: I20240315001092 |
| Provider Name | Saadia Shah |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144708108 PECOS PAC ID: 9335586627 Enrollment ID: I20240321004074 |
| Provider Name | Madiha Naseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245734912 PECOS PAC ID: 0244678019 Enrollment ID: I20240329002252 |
| Provider Name | Haoyen Shuitngaen Kum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215235825 PECOS PAC ID: 8325489107 Enrollment ID: I20240510000741 |
| Provider Name | Albert Francis Schey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003512625 PECOS PAC ID: 1052753985 Enrollment ID: I20240523002525 |
| Provider Name | Abigail Grace Prushansky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801557061 PECOS PAC ID: 1557703303 Enrollment ID: I20240523004096 |
Lakewood Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4318 South St, Lakewood, CA 90712 Phone: 562-788-7574 Fax: 562-788-7650 | |
Prohealth Partners, A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5750 Downey Ave Ste 202, Lakewood, CA 90712 Phone: 562-634-4939 Fax: 562-634-5809 | |
Zuberi Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3514 E South St, Lakewood, CA 90712 Phone: 310-908-9338 Fax: 562-808-2145 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 South St, Suite 210, Lakewood, CA 90712 Phone: 562-630-0910 Fax: 562-630-4877 | |
Jesse J Licuanan Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 E South St, Suite 205, Lakewood, CA 90805 Phone: 562-531-0377 Fax: 562-531-1724 | |
Planned Parenthood Los Angeles-lakewood Center Basic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5519 Del Amo Blvd, Lakewood, CA 90713 Phone: 213-284-3126 Fax: 562-867-6846 |