| Quantum Healthcare Medical Associates Inc. | |
|
400 N Pepper Ave Colton CA 92324-1801 | |
| (909) 580-1000 | |
| Not Available |
| Full Name | Quantum Healthcare Medical Associates Inc. |
|---|---|
| Speciality | Hospitalist |
| Location | 400 N Pepper Ave, Colton, California |
| Authorized Official Name and Position | Sujal S. Mandavia (PRESIDENT) |
| Authorized Official Contact | 8004243672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Healthcare Medical Associates Inc. 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Quantum Healthcare Medical Associates Inc. 400 N Pepper Ave Colton CA 92324-1801 Ph: (909) 580-1000 |
| NPI Number | 1568490597 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 10/23/2020 |
| Medicare PECOS PAC ID | 5294647574 |
|---|---|
| Medicare Enrollment ID | O20040924000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568490597 | NPI | - | NPPES |
| DC7614 | Other | CA | MEDICARE RR |
| ZZZ00239Z | Other | CA | BS CALIFORNIA |
| ZZZ69383Z | Other | CA | BS OF CA - LODI |
| CH4064 | Other | CA | MEDICARE RR |
| ZZZ670892Z | Other | CA | BS OF CA - ST HELENA |
| GR0086343 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Thuy D Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558362723 PECOS PAC ID: 7911893052 Enrollment ID: I20040225000525 |
| Provider Name | Kang Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184693285 PECOS PAC ID: 8921994625 Enrollment ID: I20040227000260 |
| Provider Name | M Shahid Atique Khan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1477589257 PECOS PAC ID: 7012901895 Enrollment ID: I20040413001853 |
| Provider Name | Sujal Mandavia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992791164 PECOS PAC ID: 0042204687 Enrollment ID: I20040415000710 |
| Provider Name | Heather L Davis Kingston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154390391 PECOS PAC ID: 9537143813 Enrollment ID: I20040615000712 |
| Provider Name | Bhawna Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912029190 PECOS PAC ID: 6901881523 Enrollment ID: I20040618001307 |
| Provider Name | Daniel E Kahler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019781 PECOS PAC ID: 8022094044 Enrollment ID: I20040630000835 |
| Provider Name | Kambiz Raoufi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396784740 PECOS PAC ID: 6204805427 Enrollment ID: I20040924000947 |
| Provider Name | Christina S Sitenga-kako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114996097 PECOS PAC ID: 4981673522 Enrollment ID: I20040929001156 |
| Provider Name | Kalpana S Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184651234 PECOS PAC ID: 9032179973 Enrollment ID: I20041014000606 |
| Provider Name | Frank Chi Bi Hsueh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144224742 PECOS PAC ID: 5991768277 Enrollment ID: I20041108000757 |
| Provider Name | Brian M Tyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346266269 PECOS PAC ID: 7517921067 Enrollment ID: I20041115001272 |
| Provider Name | Donald E Golden |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942224811 PECOS PAC ID: 1456315365 Enrollment ID: I20041118001095 |
| Provider Name | Dmitry A Leongardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174549554 PECOS PAC ID: 4082670849 Enrollment ID: I20041203000723 |
| Provider Name | Balraj S Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225064454 PECOS PAC ID: 0446217277 Enrollment ID: I20041214000375 |
| Provider Name | Paige A Yoshisato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770586802 PECOS PAC ID: 2961469713 Enrollment ID: I20041214000507 |
| Provider Name | Gordon J Sweeney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194794776 PECOS PAC ID: 6305895889 Enrollment ID: I20050121000791 |
| Provider Name | Douglas R Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285693572 PECOS PAC ID: 1254382021 Enrollment ID: I20050209000489 |
| Provider Name | Hirofumi Hashimoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104812585 PECOS PAC ID: 2961455043 Enrollment ID: I20050301000589 |
| Provider Name | Sidney Todd Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518027630 PECOS PAC ID: 2466407614 Enrollment ID: I20050321000626 |
| Provider Name | Christopher W Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871520015 PECOS PAC ID: 1658327184 Enrollment ID: I20050328000535 |
| Provider Name | Mary K Newkirk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088323 PECOS PAC ID: 3375580962 Enrollment ID: I20050414001001 |
| Provider Name | Mark H Wittman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295723708 PECOS PAC ID: 8628010311 Enrollment ID: I20050523001328 |
| Provider Name | Bruce T Gipe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639134877 PECOS PAC ID: 2769389725 Enrollment ID: I20050818001137 |
| Provider Name | Nancy C Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255364055 PECOS PAC ID: 6204852817 Enrollment ID: I20051021000580 |
| Provider Name | Eugene Mcmillan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093822744 PECOS PAC ID: 7113946997 Enrollment ID: I20051122000480 |
| Provider Name | Sarita Satpathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124051552 PECOS PAC ID: 7911928239 Enrollment ID: I20051214000928 |
| Provider Name | Jacqueline Denkabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194883520 PECOS PAC ID: 6800838103 Enrollment ID: I20060209000436 |
| Provider Name | Karandeep Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659313567 PECOS PAC ID: 5799792248 Enrollment ID: I20060308000829 |
| Provider Name | Qazi Muhammad Muzaffar Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467487280 PECOS PAC ID: 5698784122 Enrollment ID: I20060411000840 |
| Provider Name | Joseph Yusaf Mardanzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043220031 PECOS PAC ID: 7911916382 Enrollment ID: I20060412000403 |
| Provider Name | Dawn M Groten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407880693 PECOS PAC ID: 8628088200 Enrollment ID: I20060426000721 |
| Provider Name | Mark I Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346286507 PECOS PAC ID: 5799795175 Enrollment ID: I20060428000629 |
| Provider Name | Mofiz Haque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811967375 PECOS PAC ID: 9739103771 Enrollment ID: I20060502000853 |
| Provider Name | Abhijit A Adhye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992763205 PECOS PAC ID: 8325041528 Enrollment ID: I20060808000364 |
| Provider Name | Raissa May T Paredes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710922265 PECOS PAC ID: 5890798045 Enrollment ID: I20060809000151 |
| Provider Name | Punam K Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184659245 PECOS PAC ID: 5496758500 Enrollment ID: I20060810000245 |
| Provider Name | Magdy Danial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306865753 PECOS PAC ID: 9133123052 Enrollment ID: I20060907000559 |
| Provider Name | James S Guetzkow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801906995 PECOS PAC ID: 8921004631 Enrollment ID: I20061019000381 |
| Provider Name | Zainab D Mezban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275621872 PECOS PAC ID: 8426055666 Enrollment ID: I20061031000230 |
| Provider Name | Linda E James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023100013 PECOS PAC ID: 5294733879 Enrollment ID: I20061114000428 |
| Provider Name | Anamika Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144301722 PECOS PAC ID: 2567463607 Enrollment ID: I20070116000512 |
| Provider Name | Sarkis Arabian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336202266 PECOS PAC ID: 0840291290 Enrollment ID: I20070126000636 |
| Provider Name | Neelima Komatineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225064108 PECOS PAC ID: 2062515315 Enrollment ID: I20070307000444 |
| Provider Name | James T Horodyski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184710063 PECOS PAC ID: 3870699465 Enrollment ID: I20070427000170 |
| Provider Name | Natasa Popovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831225713 PECOS PAC ID: 4587760962 Enrollment ID: I20070501000427 |
| Provider Name | Shaninder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558467845 PECOS PAC ID: 2163528118 Enrollment ID: I20070508000305 |
| Provider Name | James C Ericson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881731032 PECOS PAC ID: 3779684899 Enrollment ID: I20070719000461 |
| Provider Name | Aye Kyu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255430005 PECOS PAC ID: 2567554314 Enrollment ID: I20070823000974 |
| Provider Name | Montee A Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407926405 PECOS PAC ID: 5092717124 Enrollment ID: I20070919000785 |
| Provider Name | Tuan Minh Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306059357 PECOS PAC ID: 4486749512 Enrollment ID: I20071003000709 |
| Provider Name | Irina G Kaminsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629269014 PECOS PAC ID: 8527156553 Enrollment ID: I20071108000533 |
| Provider Name | Anitha Angan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528261500 PECOS PAC ID: 2062593361 Enrollment ID: I20080111000726 |
| Provider Name | Jasmine Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134257678 PECOS PAC ID: 6305819921 Enrollment ID: I20080118000172 |
| Provider Name | Else Marie Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790754885 PECOS PAC ID: 4981787223 Enrollment ID: I20080211000387 |
| Provider Name | Simi Davu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528242583 PECOS PAC ID: 9234214511 Enrollment ID: I20080311000467 |
| Provider Name | Thanhmy N Bui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396842498 PECOS PAC ID: 5193824985 Enrollment ID: I20080325000245 |
| Provider Name | Harry Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992815336 PECOS PAC ID: 0143249441 Enrollment ID: I20080411000608 |
| Provider Name | Narinder S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639175581 PECOS PAC ID: 9133207269 Enrollment ID: I20080415000491 |
| Provider Name | Brazell H Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578736328 PECOS PAC ID: 4284712449 Enrollment ID: I20080429000329 |
| Provider Name | Azra Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235310780 PECOS PAC ID: 4789753070 Enrollment ID: I20080512000777 |
| Provider Name | Bohdan T Olesnicky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043254709 PECOS PAC ID: 1153490933 Enrollment ID: I20080520000347 |
| Provider Name | Humayun Tufail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902947625 PECOS PAC ID: 0840363016 Enrollment ID: I20080721000815 |
| Provider Name | Ranjana Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770552721 PECOS PAC ID: 3476613688 Enrollment ID: I20081118000516 |
| Provider Name | Debra D Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255351151 PECOS PAC ID: 4789745266 Enrollment ID: I20081202000532 |
| Provider Name | Muhammad Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851554372 PECOS PAC ID: 0941362636 Enrollment ID: I20081213000220 |
| Provider Name | Robert Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225129836 PECOS PAC ID: 2062574387 Enrollment ID: I20081222000179 |
| Provider Name | Mahnaz Rahbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306971775 PECOS PAC ID: 2264595453 Enrollment ID: I20090114000554 |
| Provider Name | Evelyn J Nakagawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023077294 PECOS PAC ID: 7214090414 Enrollment ID: I20090114000604 |
| Provider Name | Voltaire Velarde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538243340 PECOS PAC ID: 6305812371 Enrollment ID: I20090117000025 |
| Provider Name | Xiaochuan Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750549614 PECOS PAC ID: 4385708593 Enrollment ID: I20090203000630 |
| Provider Name | Tam T Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487802674 PECOS PAC ID: 9032274840 Enrollment ID: I20090211000386 |
| Provider Name | Monica G Mckeever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538135298 PECOS PAC ID: 5395800502 Enrollment ID: I20090220000561 |
| Provider Name | Victor Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134367204 PECOS PAC ID: 1254497332 Enrollment ID: I20090226000196 |
| Provider Name | Linna Kho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881854941 PECOS PAC ID: 4789740101 Enrollment ID: I20090309000598 |
| Provider Name | Francis X Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295812204 PECOS PAC ID: 8325013592 Enrollment ID: I20090310000459 |
| Provider Name | Sirisha Sundara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891943445 PECOS PAC ID: 6901963263 Enrollment ID: I20090401000129 |
| Provider Name | Mark R Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427055102 PECOS PAC ID: 8729163233 Enrollment ID: I20090601000299 |
| Provider Name | Rajesh Kumar Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831365998 PECOS PAC ID: 4981758349 Enrollment ID: I20090819000478 |
| Provider Name | Pedram Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669625125 PECOS PAC ID: 3173678687 Enrollment ID: I20090908000129 |
| Provider Name | Gurbinder Singh Sadana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205898327 PECOS PAC ID: 8527971266 Enrollment ID: I20090911000584 |
| Provider Name | Rakesh Sinha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306006358 PECOS PAC ID: 9638225642 Enrollment ID: I20090916000424 |
| Provider Name | Debra Trnavsky-hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316990724 PECOS PAC ID: 5991801086 Enrollment ID: I20091016000541 |
| Provider Name | Mirwais Amoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053564187 PECOS PAC ID: 2365589611 Enrollment ID: I20091020000201 |
| Provider Name | Nadir A Eltahir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053389338 PECOS PAC ID: 9830236660 Enrollment ID: I20091027000358 |
| Provider Name | Komal J Bhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003824699 PECOS PAC ID: 9739129552 Enrollment ID: I20091103000105 |
| Provider Name | Deepa K Rathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381799 PECOS PAC ID: 9436297736 Enrollment ID: I20091106000125 |
| Provider Name | Sushma V Pai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619188596 PECOS PAC ID: 3274673553 Enrollment ID: I20091217000159 |
| Provider Name | Madhumati K Rampure |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972739571 PECOS PAC ID: 0345382958 Enrollment ID: I20100120000557 |
| Provider Name | Farbod Farmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518295484 PECOS PAC ID: 3678609062 Enrollment ID: I20100324000818 |
| Provider Name | Neelima Gondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104026970 PECOS PAC ID: 6608934534 Enrollment ID: I20100521000379 |
| Provider Name | Taffere N Mihretu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952588527 PECOS PAC ID: 8527132695 Enrollment ID: I20100722000458 |
| Provider Name | Sharon Y Wang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164699781 PECOS PAC ID: 1153454376 Enrollment ID: I20100809000294 |
| Provider Name | Moshe Engel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154352508 PECOS PAC ID: 0244224731 Enrollment ID: I20100915000056 |
| Provider Name | Farideh Ghasemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023190014 PECOS PAC ID: 8628193349 Enrollment ID: I20100917000124 |
| Provider Name | Padmashri Srinivasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528245123 PECOS PAC ID: 4880772821 Enrollment ID: I20101011000280 |
| Provider Name | Julie Y Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457401069 PECOS PAC ID: 0446445639 Enrollment ID: I20101113000015 |
| Provider Name | David Montenegro Sapien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922234889 PECOS PAC ID: 4082801055 Enrollment ID: I20101203000598 |
| Provider Name | Prakash Shantilal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104043801 PECOS PAC ID: 6800997206 Enrollment ID: I20101220001051 |
| Provider Name | Janhavi R Gudal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669781282 PECOS PAC ID: 5597944173 Enrollment ID: I20110128000092 |
| Provider Name | Nazir J Habib |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033261250 PECOS PAC ID: 4587843164 Enrollment ID: I20110128000104 |
| Provider Name | Sivaraman K Gounder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740436237 PECOS PAC ID: 8426196825 Enrollment ID: I20110322000719 |
| Provider Name | Julie S Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881766533 PECOS PAC ID: 5395928527 Enrollment ID: I20110325000609 |
| Provider Name | Falgun S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164678843 PECOS PAC ID: 0446381909 Enrollment ID: I20110329000909 |
| Provider Name | Samantha A Gambles Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295971158 PECOS PAC ID: 9032394044 Enrollment ID: I20110505000767 |
| Provider Name | Siamak Saadat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992018642 PECOS PAC ID: 3577740224 Enrollment ID: I20110606000309 |
| Provider Name | Khader Kamel Abounasr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780884015 PECOS PAC ID: 4981882404 Enrollment ID: I20110630000630 |
| Provider Name | Tyrone Emanuel Snipes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861627457 PECOS PAC ID: 2466620554 Enrollment ID: I20110715000064 |
| Provider Name | Ye K Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720241904 PECOS PAC ID: 9032387998 Enrollment ID: I20110719000866 |
| Provider Name | Kyaw K Maung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154612604 PECOS PAC ID: 3274702154 Enrollment ID: I20110810000291 |
| Provider Name | Adnan A Misellati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063654564 PECOS PAC ID: 1557414844 Enrollment ID: I20110831000290 |
| Provider Name | Dan B Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629382890 PECOS PAC ID: 3678744182 Enrollment ID: I20110913000835 |
| Provider Name | Manjula Muppu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104088582 PECOS PAC ID: 2769653906 Enrollment ID: I20110920000874 |
| Provider Name | Nasser T Liasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144466780 PECOS PAC ID: 5092987586 Enrollment ID: I20111005000259 |
| Provider Name | Hind S Yassin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518177948 PECOS PAC ID: 6204022270 Enrollment ID: I20111115000398 |
| Provider Name | Hoi Ying Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659675015 PECOS PAC ID: 1153595244 Enrollment ID: I20111130000232 |
| Provider Name | Hiep D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588612881 PECOS PAC ID: 1456526516 Enrollment ID: I20111219000804 |
| Provider Name | Pankaj Malhotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851561203 PECOS PAC ID: 5395812903 Enrollment ID: I20120109000291 |
| Provider Name | Nantida Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932300621 PECOS PAC ID: 8325128093 Enrollment ID: I20120125000888 |
| Provider Name | Tigran Stepanyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982906756 PECOS PAC ID: 5395902589 Enrollment ID: I20120130000927 |
| Provider Name | Joanabel Padaca Sta Maria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487755682 PECOS PAC ID: 6406874387 Enrollment ID: I20120227000467 |
| Provider Name | Derrick N Raptis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679749683 PECOS PAC ID: 9931368545 Enrollment ID: I20120316000326 |
| Provider Name | Michael A Tomkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386914778 PECOS PAC ID: 6709049307 Enrollment ID: I20120517000649 |
| Provider Name | Suneetha Maddineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962774679 PECOS PAC ID: 8426211988 Enrollment ID: I20120519000027 |
| Provider Name | Ziad U Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528386687 PECOS PAC ID: 0143483370 Enrollment ID: I20120524000710 |
| Provider Name | Anuj Mittal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720178841 PECOS PAC ID: 1254308968 Enrollment ID: I20120627000431 |
| Provider Name | Rory A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356621098 PECOS PAC ID: 3779749064 Enrollment ID: I20120801000424 |
| Provider Name | Aung K Moe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568696862 PECOS PAC ID: 0143476747 Enrollment ID: I20120815000138 |
| Provider Name | Prabhat Mukerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306136759 PECOS PAC ID: 4981850492 Enrollment ID: I20120815000351 |
| Provider Name | Lei Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881836096 PECOS PAC ID: 0446407548 Enrollment ID: I20120824000262 |
| Provider Name | Fernando Sorto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063705788 PECOS PAC ID: 4183871791 Enrollment ID: I20120904000118 |
| Provider Name | Mehrdad Ghahremani-ghajar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942510607 PECOS PAC ID: 3072761337 Enrollment ID: I20120912000402 |
| Provider Name | Satya S Toram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225175029 PECOS PAC ID: 8224194857 Enrollment ID: I20121012000745 |
| Provider Name | Eleonor L Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306079660 PECOS PAC ID: 9830340215 Enrollment ID: I20121112000449 |
| Provider Name | Henry M Selke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730272535 PECOS PAC ID: 5193899649 Enrollment ID: I20130104000325 |
| Provider Name | Linda H Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508145863 PECOS PAC ID: 9739332453 Enrollment ID: I20130109000143 |
| Provider Name | Amir P Parvinchiha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417262163 PECOS PAC ID: 0648423004 Enrollment ID: I20130115000057 |
| Provider Name | Chyle E Beaird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043374473 PECOS PAC ID: 0345493748 Enrollment ID: I20130116000071 |
| Provider Name | Chandra E Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174790802 PECOS PAC ID: 5294989646 Enrollment ID: I20130212000137 |
| Provider Name | Elliot L Wade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487810321 PECOS PAC ID: 7416025135 Enrollment ID: I20130320000199 |
| Provider Name | Shanmuga Sundaram Pudunagar Subbiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699968503 PECOS PAC ID: 5193876373 Enrollment ID: I20130325000311 |
| Provider Name | Puja Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629325105 PECOS PAC ID: 9234374745 Enrollment ID: I20130403000255 |
| Provider Name | Lan T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265753040 PECOS PAC ID: 0345487435 Enrollment ID: I20130509000102 |
| Provider Name | Ashish A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932413200 PECOS PAC ID: 7911147509 Enrollment ID: I20130702000277 |
| Provider Name | Swapna Kamireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710119003 PECOS PAC ID: 7315117702 Enrollment ID: I20130911000632 |
| Provider Name | Gurpreet S Dhanoa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578792859 PECOS PAC ID: 4688837289 Enrollment ID: I20131028000265 |
| Provider Name | Edward D Esplin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689883308 PECOS PAC ID: 1456424357 Enrollment ID: I20131029000171 |
| Provider Name | Daniel Matthew Hoberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184936965 PECOS PAC ID: 3274768155 Enrollment ID: I20131030001849 |
| Provider Name | Huma Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861622334 PECOS PAC ID: 6406082726 Enrollment ID: I20131115000196 |
| Provider Name | Ehsan Hazrati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578881736 PECOS PAC ID: 5092956870 Enrollment ID: I20131118001236 |
| Provider Name | Juliene Gentry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144205329 PECOS PAC ID: 8426058140 Enrollment ID: I20131205001732 |
| Provider Name | Leah M Grabenauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760740385 PECOS PAC ID: 7810124070 Enrollment ID: I20131213000199 |
| Provider Name | Rachel Nicole Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699959635 PECOS PAC ID: 1153467998 Enrollment ID: I20140118000408 |
| Provider Name | Lan Lavelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922245596 PECOS PAC ID: 4789813569 Enrollment ID: I20140128001220 |
| Provider Name | Zakiahmad Mavli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578883062 PECOS PAC ID: 4284868753 Enrollment ID: I20140218001476 |
| Provider Name | Bruce Silver |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679545743 PECOS PAC ID: 2062414048 Enrollment ID: I20140422001469 |
| Provider Name | Andrew Paul Morado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740554328 PECOS PAC ID: 0244453496 Enrollment ID: I20140516000315 |
| Provider Name | Dipinder K Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962525949 PECOS PAC ID: 0143443234 Enrollment ID: I20140516002030 |
| Provider Name | Michelle G Nowroozi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215209093 PECOS PAC ID: 1759505704 Enrollment ID: I20140612001016 |
| Provider Name | Daniel Matthew Fentress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649583071 PECOS PAC ID: 5294950218 Enrollment ID: I20140708001415 |
| Provider Name | Dushyant Arun Viswanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285897421 PECOS PAC ID: 8628255692 Enrollment ID: I20140820002310 |
| Provider Name | Mary Louis Manavalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043529803 PECOS PAC ID: 2365661212 Enrollment ID: I20140909000244 |
| Provider Name | Brett J Halloran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235280470 PECOS PAC ID: 0244304715 Enrollment ID: I20140930002357 |
| Provider Name | Sri S Viswanathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982919379 PECOS PAC ID: 0749401156 Enrollment ID: I20141029000891 |
| Provider Name | Viet Q Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043611098 PECOS PAC ID: 6901028224 Enrollment ID: I20141120001483 |
| Provider Name | Gabriel Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174896500 PECOS PAC ID: 8123340478 Enrollment ID: I20141124000775 |
| Provider Name | Son T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811285422 PECOS PAC ID: 5698097244 Enrollment ID: I20141210000025 |
| Provider Name | Sean Shargh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912260118 PECOS PAC ID: 3274855788 Enrollment ID: I20141211000067 |
| Provider Name | Shahzad R Farukhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316197296 PECOS PAC ID: 3375777600 Enrollment ID: I20141211002163 |
| Provider Name | Pallavi Kasukurthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487075735 PECOS PAC ID: 3678896628 Enrollment ID: I20141223000710 |
| Provider Name | Elizabeth S Wasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679755045 PECOS PAC ID: 5991847667 Enrollment ID: I20150126001322 |
| Provider Name | Sanjay P Muttreja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447201173 PECOS PAC ID: 3476539230 Enrollment ID: I20150203002289 |
| Provider Name | John Sungwon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497041883 PECOS PAC ID: 5698995421 Enrollment ID: I20150422001173 |
| Provider Name | Jia Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093145898 PECOS PAC ID: 5991026502 Enrollment ID: I20150608003097 |
| Provider Name | Satish Kabra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588826192 PECOS PAC ID: 4385817097 Enrollment ID: I20150619001559 |
| Provider Name | Emily Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083812028 PECOS PAC ID: 0749455228 Enrollment ID: I20150710001853 |
| Provider Name | Kitae Kevin Park |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437335361 PECOS PAC ID: 0143351999 Enrollment ID: I20150717002519 |
| Provider Name | Rakhee R Makhija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336403369 PECOS PAC ID: 9830402437 Enrollment ID: I20150724010557 |
| Provider Name | Ann Nguyen-traxler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376770933 PECOS PAC ID: 2365696523 Enrollment ID: I20150812007957 |
| Provider Name | Hana N Abuershaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497164016 PECOS PAC ID: 4880900232 Enrollment ID: I20150831000744 |
| Provider Name | Leevaneigh C Reghunathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295148328 PECOS PAC ID: 7315254091 Enrollment ID: I20150911002157 |
| Provider Name | Maria M Montenegro-barreto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719199 PECOS PAC ID: 4880796655 Enrollment ID: I20150916001875 |
| Provider Name | Nadir Y Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043578610 PECOS PAC ID: 4385951714 Enrollment ID: I20150917002325 |
| Provider Name | Darlene F Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104880962 PECOS PAC ID: 3375852148 Enrollment ID: I20151016001913 |
| Provider Name | Sundeep Singh Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366633547 PECOS PAC ID: 6800077256 Enrollment ID: I20151019000402 |
| Provider Name | Rafayel Vahratyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245593458 PECOS PAC ID: 6305156910 Enrollment ID: I20151111002084 |
| Provider Name | Engelbert Tito Ranada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063770063 PECOS PAC ID: 2365742814 Enrollment ID: I20151204002088 |
| Provider Name | Waheed S Ibrahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174716583 PECOS PAC ID: 1254487010 Enrollment ID: I20151210002055 |
| Provider Name | Vilasinee Morkjaroenpong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346288065 PECOS PAC ID: 7416981782 Enrollment ID: I20160127002587 |
| Provider Name | Ganesh Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376807990 PECOS PAC ID: 0345544177 Enrollment ID: I20160215001554 |
| Provider Name | Christina Toledo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821332016 PECOS PAC ID: 6204080427 Enrollment ID: I20160427002288 |
| Provider Name | Mahmoud Shoib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952532350 PECOS PAC ID: 0143486894 Enrollment ID: I20160428002029 |
| Provider Name | Ranvir S Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467610170 PECOS PAC ID: 1153622907 Enrollment ID: I20160602002357 |
| Provider Name | Pranav P Kansara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861654881 PECOS PAC ID: 2961717228 Enrollment ID: I20160624000744 |
| Provider Name | Mufadda J Hasan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265703847 PECOS PAC ID: 9032401047 Enrollment ID: I20160712002849 |
| Provider Name | Satyakant Chitturi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184989980 PECOS PAC ID: 8426209776 Enrollment ID: I20160721001302 |
| Provider Name | Priti A Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932517968 PECOS PAC ID: 1456644665 Enrollment ID: I20160726002004 |
| Provider Name | Seth K Katz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568757441 PECOS PAC ID: 5597985085 Enrollment ID: I20160802000702 |
| Provider Name | Reza Ronaghi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326305541 PECOS PAC ID: 7719271949 Enrollment ID: I20160810000931 |
| Provider Name | Mariam Lotia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437599065 PECOS PAC ID: 3072807213 Enrollment ID: I20160810001366 |
| Provider Name | Naresh Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457710998 PECOS PAC ID: 8224323175 Enrollment ID: I20160817001157 |
| Provider Name | Alison Jane Rigby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871948398 PECOS PAC ID: 0244526820 Enrollment ID: I20160907002932 |
| Provider Name | Karanjodh Singh Johal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548687114 PECOS PAC ID: 3870817067 Enrollment ID: I20160909000410 |
| Provider Name | Uyen-chi Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205271335 PECOS PAC ID: 2961798277 Enrollment ID: I20160913002487 |
| Provider Name | Lashunda Kelley Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477962595 PECOS PAC ID: 9436371275 Enrollment ID: I20160920002707 |
| Provider Name | Roshanak Najibi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710326087 PECOS PAC ID: 7214225481 Enrollment ID: I20161004002509 |
| Provider Name | Lakshmi P Manchineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104123017 PECOS PAC ID: 4789853219 Enrollment ID: I20161213001957 |
| Provider Name | Mohammad Albaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861589962 PECOS PAC ID: 0345331153 Enrollment ID: I20170112001316 |
| Provider Name | Tatiana Vladimirovna Sams |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174815427 PECOS PAC ID: 0345468492 Enrollment ID: I20170209001323 |
| Provider Name | Sarat Chandra Jampana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831402882 PECOS PAC ID: 8628218120 Enrollment ID: I20170213001104 |
| Provider Name | Rajeev R Malireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467884775 PECOS PAC ID: 5597042556 Enrollment ID: I20170501001963 |
| Provider Name | Wen Dong Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174942015 PECOS PAC ID: 8921307141 Enrollment ID: I20170517002051 |
| Provider Name | John Kern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588930879 PECOS PAC ID: 5294003349 Enrollment ID: I20170614002441 |
| Provider Name | Raed El Hajjaoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902224462 PECOS PAC ID: 7517236953 Enrollment ID: I20170628002783 |
| Provider Name | Shilpi Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467864363 PECOS PAC ID: 5395014369 Enrollment ID: I20170706002701 |
| Provider Name | Curtis D Converse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013385061 PECOS PAC ID: 5193094050 Enrollment ID: I20170707002758 |
| Provider Name | Anna Melkonyan Lafian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700206182 PECOS PAC ID: 7517236284 Enrollment ID: I20170712001417 |
| Provider Name | Linda Joanne Lazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999559 PECOS PAC ID: 5092085290 Enrollment ID: I20170720002324 |
| Provider Name | Sara Tabrizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770902256 PECOS PAC ID: 2769752567 Enrollment ID: I20170727001693 |
| Provider Name | Lourdes Cruz Garin Isarraras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811410145 PECOS PAC ID: 8224301858 Enrollment ID: I20170901002756 |
| Provider Name | Sumaira A Cheema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437677655 PECOS PAC ID: 5092080556 Enrollment ID: I20171009003161 |
| Provider Name | Michele Senbertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467754879 PECOS PAC ID: 8022293497 Enrollment ID: I20171018001162 |
| Provider Name | Miteshkumar Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255910 PECOS PAC ID: 2769626324 Enrollment ID: I20171020002034 |
| Provider Name | Noenoe M Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073924346 PECOS PAC ID: 4688940489 Enrollment ID: I20171023002943 |
| Provider Name | Anthony Gan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902223092 PECOS PAC ID: 5698041929 Enrollment ID: I20171031003306 |
| Provider Name | Michelle Ann Neveu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639607666 PECOS PAC ID: 3072879063 Enrollment ID: I20171107003087 |
| Provider Name | Mustafa S Al Lami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689088361 PECOS PAC ID: 7618233156 Enrollment ID: I20171115003624 |
| Provider Name | Hung Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740379312 PECOS PAC ID: 5698732634 Enrollment ID: I20171117002233 |
| Provider Name | Siddhesh R Lotlikar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124243431 PECOS PAC ID: 6305015223 Enrollment ID: I20171204000483 |
| Provider Name | Khushleen Jaggi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262643 PECOS PAC ID: 2668622663 Enrollment ID: I20171221001904 |
| Provider Name | Yan Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346640604 PECOS PAC ID: 7517225485 Enrollment ID: I20171222001221 |
| Provider Name | Rami Sami El-yousef |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861750846 PECOS PAC ID: 2062708274 Enrollment ID: I20180515001347 |
| Provider Name | Nicholas Kenji Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699156281 PECOS PAC ID: 9133495872 Enrollment ID: I20180611001478 |
| Provider Name | Kristina Djekic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417343732 PECOS PAC ID: 2264787977 Enrollment ID: I20180621001007 |
| Provider Name | Richard Hidalgo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427053115 PECOS PAC ID: 1759359441 Enrollment ID: I20180706001669 |
| Provider Name | Nicholas Dan Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689053720 PECOS PAC ID: 1153678875 Enrollment ID: I20180725003314 |
| Provider Name | Jason T Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073957718 PECOS PAC ID: 5496057291 Enrollment ID: I20181016002235 |
| Provider Name | Sarah A Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215465877 PECOS PAC ID: 2769736511 Enrollment ID: I20181113003079 |
| Provider Name | Boon P Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255447959 PECOS PAC ID: 1850308693 Enrollment ID: I20181117000356 |
| Provider Name | Varadarajan Subbiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083879985 PECOS PAC ID: 8224186812 Enrollment ID: I20190131000906 |
| Provider Name | Edward Anafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841429461 PECOS PAC ID: 8729235866 Enrollment ID: I20190214001583 |
| Provider Name | Ariamsi A Ricardo-ventura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326228776 PECOS PAC ID: 1254671183 Enrollment ID: I20190312003523 |
| Provider Name | Haaris R Naji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023582194 PECOS PAC ID: 1355683012 Enrollment ID: I20190429001165 |
| Provider Name | Marut K Thongcharoen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710132980 PECOS PAC ID: 0244425361 Enrollment ID: I20190510000660 |
| Provider Name | Ejaz Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205099553 PECOS PAC ID: 1355526500 Enrollment ID: I20190604002558 |
| Provider Name | Aftab A Qadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851753545 PECOS PAC ID: 9830422393 Enrollment ID: I20190614002307 |
| Provider Name | Andrew D Karas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306291562 PECOS PAC ID: 8527391085 Enrollment ID: I20190614002476 |
| Provider Name | Sunita R Hingorani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841654233 PECOS PAC ID: 4587999123 Enrollment ID: I20190718001294 |
| Provider Name | Eileen T Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083068787 PECOS PAC ID: 9335475847 Enrollment ID: I20190722001921 |
| Provider Name | Kristina L Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508227976 PECOS PAC ID: 5395071708 Enrollment ID: I20190723002464 |
| Provider Name | Brianna L Ray |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477915932 PECOS PAC ID: 8921348434 Enrollment ID: I20190730003040 |
| Provider Name | Pydi Akella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417305624 PECOS PAC ID: 0840586475 Enrollment ID: I20190919003070 |
| Provider Name | Amandeep Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376997866 PECOS PAC ID: 0840520540 Enrollment ID: I20190923002976 |
| Provider Name | Wenbai Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841644143 PECOS PAC ID: 9638409196 Enrollment ID: I20190925002922 |
| Provider Name | Ji Yeon Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295189850 PECOS PAC ID: 0244562213 Enrollment ID: I20191023002651 |
| Provider Name | Rodrigo N Cordero-pangrazio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033571161 PECOS PAC ID: 1355673955 Enrollment ID: I20191031002078 |
| Provider Name | Andrew Tachung Lu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164884318 PECOS PAC ID: 0941633127 Enrollment ID: I20191202000572 |
| Provider Name | Suarna Mehulic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023248762 PECOS PAC ID: 6608195219 Enrollment ID: I20191202000939 |
| Provider Name | Sindhu N Gundapuneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023469384 PECOS PAC ID: 8022303643 Enrollment ID: I20191203000441 |
| Provider Name | Freda O Boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386832848 PECOS PAC ID: 5193893659 Enrollment ID: I20200123002861 |
| Provider Name | Ethan Win Thein Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255871711 PECOS PAC ID: 6305270018 Enrollment ID: I20200131000730 |
| Provider Name | Zohray M Talib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427117944 PECOS PAC ID: 2365474335 Enrollment ID: I20200219002728 |
| Provider Name | Jessica Karaan Costales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063948537 PECOS PAC ID: 1052647948 Enrollment ID: I20200304002454 |
| Provider Name | Misa Stroker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053799767 PECOS PAC ID: 2668802091 Enrollment ID: I20200424002692 |
| Provider Name | Ahmad Alazzeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194037945 PECOS PAC ID: 4183867591 Enrollment ID: I20200507002957 |
| Provider Name | Homayoun C Farahani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447439682 PECOS PAC ID: 3173691946 Enrollment ID: I20200602002060 |
| Provider Name | Julie Anna Smithwick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609315613 PECOS PAC ID: 2264854801 Enrollment ID: I20200626001775 |
| Provider Name | Mobeen Danish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851785083 PECOS PAC ID: 3971927013 Enrollment ID: I20200722000123 |
| Provider Name | Anthony R Rajasingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619400777 PECOS PAC ID: 9830516939 Enrollment ID: I20200831003067 |
| Provider Name | Pawan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518114594 PECOS PAC ID: 5991974503 Enrollment ID: I20200901001798 |
| Provider Name | John G Daliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760836662 PECOS PAC ID: 3476970773 Enrollment ID: I20200901002834 |
| Provider Name | Bhagya Laxmi Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255862710 PECOS PAC ID: 0042596470 Enrollment ID: I20200910002244 |
| Provider Name | Aayah Nabil Fatayerji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932552361 PECOS PAC ID: 4385062629 Enrollment ID: I20200917002618 |
| Provider Name | Daniel H Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568993665 PECOS PAC ID: 6406275957 Enrollment ID: I20200918000853 |
| Provider Name | Emmeline Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407395197 PECOS PAC ID: 7719306323 Enrollment ID: I20201001000859 |
| Provider Name | Nour M Tlimat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972033785 PECOS PAC ID: 6800216367 Enrollment ID: I20201021003446 |
| Provider Name | Amelia Lynn Henninger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932634805 PECOS PAC ID: 6103246558 Enrollment ID: I20201023000932 |
| Provider Name | Bushra Komal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063928422 PECOS PAC ID: 9638400575 Enrollment ID: I20210106002477 |
| Provider Name | Tiffany Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932632338 PECOS PAC ID: 7810300852 Enrollment ID: I20210111002887 |
| Provider Name | Christopher Sungmin Choo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063946267 PECOS PAC ID: 9931526274 Enrollment ID: I20210201001322 |
| Provider Name | Kia Nikoomanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902260375 PECOS PAC ID: 8325453640 Enrollment ID: I20210219000307 |
| Provider Name | Thuy Tien B Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418302 PECOS PAC ID: 4183921786 Enrollment ID: I20210401001276 |
| Provider Name | Hayder Alzubaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912263260 PECOS PAC ID: 8224317029 Enrollment ID: I20210514001427 |
| Provider Name | Huong N Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518457761 PECOS PAC ID: 0941600548 Enrollment ID: I20210618002117 |
| Provider Name | Ali Ghassan Darwish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679079958 PECOS PAC ID: 6901209428 Enrollment ID: I20210721003007 |
| Provider Name | Chia-chi Jenny Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609221506 PECOS PAC ID: 1658774195 Enrollment ID: I20210721003851 |
| Provider Name | Ankit Takyar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447749882 PECOS PAC ID: 8426451402 Enrollment ID: I20210728002712 |
| Provider Name | Gopika Dasari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801393467 PECOS PAC ID: 5597029025 Enrollment ID: I20210816001627 |
| Provider Name | Mousa Matar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992116982 PECOS PAC ID: 2567737026 Enrollment ID: I20210907001912 |
| Provider Name | Hina Guezmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396076279 PECOS PAC ID: 6709057011 Enrollment ID: I20210908002712 |
| Provider Name | Anahita Rashidion Shahabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114428950 PECOS PAC ID: 0143627059 Enrollment ID: I20210920002944 |
| Provider Name | Nasim Poorjafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639673064 PECOS PAC ID: 5294132999 Enrollment ID: I20210922003675 |
| Provider Name | Afshin Hamidi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609222090 PECOS PAC ID: 6709113087 Enrollment ID: I20211109002124 |
| Provider Name | Hootan F Mehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649755513 PECOS PAC ID: 1759771231 Enrollment ID: I20211124002297 |
| Provider Name | Essam K Nagori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285165076 PECOS PAC ID: 1456622174 Enrollment ID: I20220104002077 |
| Provider Name | Sherif Moustafa Aly Elkinany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407377203 PECOS PAC ID: 8224422662 Enrollment ID: I20220228002057 |
| Provider Name | Sundeep Srikakulam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972851491 PECOS PAC ID: 1153621339 Enrollment ID: I20220303002782 |
| Provider Name | Michael T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902392665 PECOS PAC ID: 8022411420 Enrollment ID: I20220307001995 |
| Provider Name | Francis Essien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801381736 PECOS PAC ID: 0244581874 Enrollment ID: I20220331000437 |
| Provider Name | Calvin Andrew He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902302128 PECOS PAC ID: 4284983495 Enrollment ID: I20220603000363 |
| Provider Name | Katherine Bourbeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790245116 PECOS PAC ID: 6709203177 Enrollment ID: I20220705001289 |
| Provider Name | Timothy Yaopruke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841759842 PECOS PAC ID: 9638559503 Enrollment ID: I20220708003307 |
| Provider Name | Shahrukh Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306309273 PECOS PAC ID: 9234519083 Enrollment ID: I20220711001546 |
| Provider Name | David E Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205396231 PECOS PAC ID: 8426439803 Enrollment ID: I20220715002169 |
| Provider Name | Monique Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053873356 PECOS PAC ID: 5597146977 Enrollment ID: I20220715002264 |
| Provider Name | Kasra J Behizad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487117974 PECOS PAC ID: 5890181689 Enrollment ID: I20220815000955 |
| Provider Name | Peter D Nguyen-dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710449822 PECOS PAC ID: 4688058118 Enrollment ID: I20220901002706 |
| Provider Name | Luke E Buxton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548792161 PECOS PAC ID: 4486924701 Enrollment ID: I20220902002553 |
| Provider Name | Desiree Carmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528521465 PECOS PAC ID: 4880078062 Enrollment ID: I20220907003316 |
| Provider Name | Gilbert Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013479120 PECOS PAC ID: 4587049481 Enrollment ID: I20220913002773 |
| Provider Name | Megan E Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558821868 PECOS PAC ID: 4981076791 Enrollment ID: I20230203001577 |
| Provider Name | Sogol Sara Amjadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730636457 PECOS PAC ID: 2163754466 Enrollment ID: I20230224002152 |
| Provider Name | Joel Edward Herness |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023379260 PECOS PAC ID: 0244478048 Enrollment ID: I20230301001639 |
| Provider Name | Katherine Jean Mower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629632740 PECOS PAC ID: 8921464389 Enrollment ID: I20230510001676 |
| Provider Name | Michael M Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912469446 PECOS PAC ID: 5597099382 Enrollment ID: I20230524002641 |
| Provider Name | Timothy Joseph Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659870939 PECOS PAC ID: 3779833553 Enrollment ID: I20230718001506 |
| Provider Name | Niki Molla Mohammadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801424759 PECOS PAC ID: 0941613376 Enrollment ID: I20230815003396 |
| Provider Name | Douglas Forrest Fedder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922625466 PECOS PAC ID: 9830553940 Enrollment ID: I20230907003058 |
| Provider Name | Nasam B Alfraji |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124589254 PECOS PAC ID: 1759745516 Enrollment ID: I20230912002412 |
| Provider Name | Jonathan Hao Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750811659 PECOS PAC ID: 0244663029 Enrollment ID: I20230914001066 |
| Provider Name | Mohmad S Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962031955 PECOS PAC ID: 0941654156 Enrollment ID: I20230921002607 |
| Provider Name | Tinu Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194354399 PECOS PAC ID: 1052766045 Enrollment ID: I20231011001902 |
| Provider Name | Adrian Rivera Torbela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457970998 PECOS PAC ID: 3779938667 Enrollment ID: I20231012002474 |
| Provider Name | Nina Karni Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508494337 PECOS PAC ID: 3072933001 Enrollment ID: I20231013002075 |
| Provider Name | Taran William Silva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306308606 PECOS PAC ID: 9234468380 Enrollment ID: I20231101002749 |
| Provider Name | Mohammad Mohtashemi Pour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992334098 PECOS PAC ID: 9739537812 Enrollment ID: I20231130000155 |
| Provider Name | Susie Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528685997 PECOS PAC ID: 8325407497 Enrollment ID: I20231213001450 |
| Provider Name | Natalie Krystal Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578136081 PECOS PAC ID: 3274939640 Enrollment ID: I20240411004549 |
John F. Randolph,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue, Colton, CA 92324 Phone: 909-580-1675 Fax: 909-580-1916 | |
Molina Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr Ste 106, Colton, CA 92324 Phone: 909-825-8373 Fax: 909-825-3276 | |
Colton Clinica Medica Familiar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S La Cadena Dr, Colton, CA 92324 Phone: 909-219-5093 Fax: 909-219-5260 | |
Lizarraga Medical Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 W Valley Blvd, Colton, CA 92324 Phone: 909-824-3389 | |
Mt. Vernon Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-422-8015 Fax: 909-422-0625 | |
Inland Empire Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E Washington St # 101, Colton, CA 92324 Phone: 800-418-0850 | |
Arrowhead Family Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6230 Fax: 909-580-6308 |