San Diego Critical Care Medical Group, Inc | |
2732 Navajo Rd Ste 202a El Cajon CA 92020-2149 | |
(619) 461-1920 | |
(619) 461-1919 |
Full Name | San Diego Critical Care Medical Group, Inc |
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Speciality | Internal Medicine |
Location | 2732 Navajo Rd Ste 202a, El Cajon, California |
Authorized Official Name and Position | Barzan Mohedin (PRESIDENT) |
Authorized Official Contact | 7607980346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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San Diego Critical Care Medical Group, Inc Po Box 2249 La Mesa CA 91943-2249 Ph: (619) 461-1920 | San Diego Critical Care Medical Group, Inc 2732 Navajo Rd Ste 202a El Cajon CA 92020-2149 Ph: (619) 461-1920 |
NPI Number | 1609915990 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 11/17/2022 |
Medicare PECOS PAC ID | 7911083886 |
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Medicare Enrollment ID | O20090108000551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609915990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph Kazanchi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053336339 PECOS PAC ID: 3173565736 Enrollment ID: I20050524001443 |
Provider Name | David W Lehman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811078355 PECOS PAC ID: 9830143122 Enrollment ID: I20080505000320 |
Provider Name | Leila S Bolandgray |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093931727 PECOS PAC ID: 8729157292 Enrollment ID: I20080523000310 |
Provider Name | Salam Yatooma |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447448493 PECOS PAC ID: 1355404591 Enrollment ID: I20090114000039 |
Provider Name | James D Veltmeyer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679750152 PECOS PAC ID: 5092869040 Enrollment ID: I20090811000249 |
Provider Name | Amir D Meram |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912113556 PECOS PAC ID: 8628144292 Enrollment ID: I20091007000798 |
Provider Name | Shaw Shahriar Eslamian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740467224 PECOS PAC ID: 3274679931 Enrollment ID: I20091009000312 |
Provider Name | Hemangini Desai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275779100 PECOS PAC ID: 7719025287 Enrollment ID: I20091104000257 |
Provider Name | Natalia Cherepnina |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962411512 PECOS PAC ID: 4981608460 Enrollment ID: I20091211000173 |
Provider Name | Rafid B Arabo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902928260 PECOS PAC ID: 3577694678 Enrollment ID: I20100707000323 |
Provider Name | Gunther Ottersbach |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215114533 PECOS PAC ID: 8921130980 Enrollment ID: I20100709000879 |
Provider Name | Farschad K Birdjandi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205823929 PECOS PAC ID: 5395700918 Enrollment ID: I20110329000540 |
Provider Name | Robert Kershaw |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750341673 PECOS PAC ID: 9537194485 Enrollment ID: I20110721000833 |
Provider Name | Sushma Boya |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821260019 PECOS PAC ID: 3971774134 Enrollment ID: I20110919000773 |
Provider Name | Sowmya A/ Muralidhara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851533285 PECOS PAC ID: 5698947992 Enrollment ID: I20111011000043 |
Provider Name | Benton T Ashlock |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1821306648 PECOS PAC ID: 5799959136 Enrollment ID: I20111121000172 |
Provider Name | Oleg Sorokoumov |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1306870548 PECOS PAC ID: 1850322066 Enrollment ID: I20120423000269 |
Provider Name | Rashid Paband |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407089451 PECOS PAC ID: 0244487544 Enrollment ID: I20120821000790 |
Provider Name | Michael E. Romero |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386936862 PECOS PAC ID: 8325298532 Enrollment ID: I20121024000736 |
Provider Name | Ahmed A Salem |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1578798013 PECOS PAC ID: 8527210715 Enrollment ID: I20121217000181 |
Provider Name | Shaunak V Rana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205046182 PECOS PAC ID: 5294992525 Enrollment ID: I20131028001862 |
Provider Name | Firas Alhaddad |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1295963460 PECOS PAC ID: 8628227592 Enrollment ID: I20140528001712 |
Provider Name | Roland El Ghazal |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1649465469 PECOS PAC ID: 8325117930 Enrollment ID: I20141002000046 |
Provider Name | Shabana Siddiqui |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326229295 PECOS PAC ID: 4082761226 Enrollment ID: I20150105001294 |
Provider Name | Amir Fahid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568740355 PECOS PAC ID: 5890915466 Enrollment ID: I20150427001282 |
Provider Name | Rabee Y Paul |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659503241 PECOS PAC ID: 6901055227 Enrollment ID: I20150428000562 |
Provider Name | Anuja Vyas |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1316171283 PECOS PAC ID: 3870713332 Enrollment ID: I20150711000189 |
Provider Name | Xiangli Li |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851657001 PECOS PAC ID: 0446569859 Enrollment ID: I20151027000823 |
Provider Name | Anmar Bashir Jalil |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588907174 PECOS PAC ID: 4587961156 Enrollment ID: I20160324002259 |
Provider Name | Mohamed K Hassanein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164794673 PECOS PAC ID: 3173812112 Enrollment ID: I20160516000949 |
Provider Name | Jandark Yuseif |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114361284 PECOS PAC ID: 0244532224 Enrollment ID: I20161020001899 |
Provider Name | Mohammed G Al-janabi |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1760773725 PECOS PAC ID: 3678862273 Enrollment ID: I20170808003669 |
Provider Name | Mohsen Damavand |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1215332010 PECOS PAC ID: 2769757491 Enrollment ID: I20171005003630 |
Provider Name | Ahlam Sabri |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346627809 PECOS PAC ID: 4688922446 Enrollment ID: I20180810000458 |
Provider Name | Mouhib Naddour |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1730546029 PECOS PAC ID: 6800184425 Enrollment ID: I20190405001411 |
Provider Name | Anthony Fam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114245800 PECOS PAC ID: 8729214127 Enrollment ID: I20190605000164 |
Provider Name | Niv Hakami Majd |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1215382635 PECOS PAC ID: 6901231752 Enrollment ID: I20200124000527 |
Provider Name | Sinan Khayyat |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578092318 PECOS PAC ID: 3870864101 Enrollment ID: I20200325001644 |
Provider Name | Tina Ramineni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174059893 PECOS PAC ID: 3577993351 Enrollment ID: I20200417003126 |
Provider Name | Mariam Mostamand |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942739248 PECOS PAC ID: 1153751359 Enrollment ID: I20200429002834 |
Provider Name | Charlotte Angie Zhong |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346604493 PECOS PAC ID: 1052742756 Enrollment ID: I20200513002055 |
Provider Name | Anish Ramanlal Patel |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932553096 PECOS PAC ID: 8224459409 Enrollment ID: I20200526000201 |
Provider Name | Gurvijay Sasan |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1770962847 PECOS PAC ID: 2365740313 Enrollment ID: I20201224000150 |
Provider Name | Manveen Bassi Sasan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174902142 PECOS PAC ID: 5092012559 Enrollment ID: I20201228002055 |
Provider Name | Mustafa Kaisi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457742934 PECOS PAC ID: 3678860533 Enrollment ID: I20210219001888 |
Provider Name | Stephen Sun |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437644242 PECOS PAC ID: 4587063888 Enrollment ID: I20210518002239 |
Provider Name | Joanne B Malinak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265920722 PECOS PAC ID: 4587064753 Enrollment ID: I20210609001085 |
Provider Name | Soofia Salehi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508286352 PECOS PAC ID: 9931404886 Enrollment ID: I20210611001536 |
Provider Name | Rauf Muhammed Sadiqi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1235624248 PECOS PAC ID: 9537579735 Enrollment ID: I20210716001178 |
Provider Name | Benjamin D Goldenberg |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982082186 PECOS PAC ID: 8224457890 Enrollment ID: I20220202000647 |
Provider Name | Aiyang Allen Jiang |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1720519200 PECOS PAC ID: 8527452572 Enrollment ID: I20220308002096 |
Provider Name | Michael Chengdin Jang |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1326574518 PECOS PAC ID: 7719254515 Enrollment ID: I20220414001150 |
Provider Name | Tyler John Mitchell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831718931 PECOS PAC ID: 1557736428 Enrollment ID: I20230406000336 |
Provider Name | Andy M Chan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104480912 PECOS PAC ID: 3274908918 Enrollment ID: I20230411000580 |
Provider Name | Caprice Nicoline Emmer Thompson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528521788 PECOS PAC ID: 3577926252 Enrollment ID: I20230829000472 |
Provider Name | Mina Naiel Askar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457939928 PECOS PAC ID: 3173968468 Enrollment ID: I20240226004131 |
Provider Name | Alexis A Clay |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1821558396 PECOS PAC ID: 7517293921 Enrollment ID: I20240309000369 |
Provider Name | Pranay Rag Bonagiri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104403591 PECOS PAC ID: 0648610113 Enrollment ID: I20240501000472 |
Provider Name | Emily Vu States |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992386130 PECOS PAC ID: 3375086614 Enrollment ID: I20240614003100 |
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