| Rancho Santa Fe Physician Consultants, Inc | |
|
162 South Rancho Santa Fe Road, Suite E70-103 Encinitas CA 92024-4300 | |
| (858) 951-6087 | |
| (833) 209-2103 |
| Full Name | Rancho Santa Fe Physician Consultants, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 162 South Rancho Santa Fe Road, Suite E70-103, Encinitas, California |
| Authorized Official Name and Position | Enoch Joseph Wang (CEO) |
| Authorized Official Contact | 8589516087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Santa Fe Physician Consultants, Inc 162 South Rancho Santa Fe Road, Suite E70-103 Encinitas CA 92024-4300 Ph: (858) 951-6087 | Rancho Santa Fe Physician Consultants, Inc 162 South Rancho Santa Fe Road, Suite E70-103 Encinitas CA 92024-4300 Ph: (858) 951-6087 |
| NPI Number | 1316436645 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 0749544781 |
|---|---|
| Medicare Enrollment ID | O20180427002373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316436645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farhad F Shadan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427014653 PECOS PAC ID: 8022104041 Enrollment ID: I20071022000400 |
| Provider Name | Sheryl Y Nespor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669482667 PECOS PAC ID: 8224187653 Enrollment ID: I20090514000261 |
| Provider Name | Enoch J Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275507857 PECOS PAC ID: 9638208903 Enrollment ID: I20100525000352 |
| Provider Name | Jenessy L Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225302300 PECOS PAC ID: 2567618465 Enrollment ID: I20120808000812 |
| Provider Name | James L Hart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134408057 PECOS PAC ID: 4082863600 Enrollment ID: I20120925000614 |
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