| San Joaquin Faculty Medical Group | |
|
500 Hospital Rd French Camp CA 95231-0000 | |
| (209) 473-6555 | |
| (209) 473-6544 |
| Full Name | San Joaquin Faculty Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Hospital Rd, French Camp, California |
| Authorized Official Name and Position | Sheela Kapre (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2094686600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Joaquin Faculty Medical Group Department La 23943 Pasadena CA 91185-3943 Ph: (209) 473-6555 | San Joaquin Faculty Medical Group 500 Hospital Rd French Camp CA 95231-0000 Ph: (209) 473-6555 |
| NPI Number | 1225063761 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 4082631395 |
|---|---|
| Medicare Enrollment ID | O20051026000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225063761 | NPI | - | NPPES |
| 1225063761 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Manal M Schoellerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821060724 PECOS PAC ID: 6608773361 Enrollment ID: I20031218001030 |
| Provider Name | Robert F Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841203825 PECOS PAC ID: 1658265236 Enrollment ID: I20040216000706 |
| Provider Name | Basava P Kunamneni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376558239 PECOS PAC ID: 6406742956 Enrollment ID: I20040223001109 |
| Provider Name | Anne Therese Rodriguez |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316929565 PECOS PAC ID: 9537055298 Enrollment ID: I20040227000620 |
| Provider Name | Wei Zheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881601789 PECOS PAC ID: 6406743202 Enrollment ID: I20040304000224 |
| Provider Name | William J Holmes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629026141 PECOS PAC ID: 3274525423 Enrollment ID: I20040330001622 |
| Provider Name | Sam P Kokoris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578553335 PECOS PAC ID: 5698767044 Enrollment ID: I20040402001095 |
| Provider Name | Archana C Lucchesi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225108533 PECOS PAC ID: 6709871346 Enrollment ID: I20040414001953 |
| Provider Name | Dawn M Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891843900 PECOS PAC ID: 0648251165 Enrollment ID: I20040528000908 |
| Provider Name | Le Lan L Jorgensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720144348 PECOS PAC ID: 2961480967 Enrollment ID: I20040707001263 |
| Provider Name | Crisoforo G Garza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134147762 PECOS PAC ID: 6305817628 Enrollment ID: I20040802000999 |
| Provider Name | David Karlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477552016 PECOS PAC ID: 5395630438 Enrollment ID: I20040806000763 |
| Provider Name | Bret N Namihas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215949722 PECOS PAC ID: 9436125911 Enrollment ID: I20040909000480 |
| Provider Name | Farhad Khorashadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750347316 PECOS PAC ID: 2668441882 Enrollment ID: I20040924000951 |
| Provider Name | Daniel Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750469565 PECOS PAC ID: 7416917729 Enrollment ID: I20041012000797 |
| Provider Name | Garth H Harley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194715078 PECOS PAC ID: 8426032392 Enrollment ID: I20041118000274 |
| Provider Name | Kyle Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407846264 PECOS PAC ID: 9537142641 Enrollment ID: I20041118000346 |
| Provider Name | Juan C De La Riva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467409664 PECOS PAC ID: 7719944669 Enrollment ID: I20041213000855 |
| Provider Name | John B Krpan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992700876 PECOS PAC ID: 3476510231 Enrollment ID: I20041213000991 |
| Provider Name | Ravinder S Sohal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740244466 PECOS PAC ID: 3779541974 Enrollment ID: I20041220000844 |
| Provider Name | Syung M Jung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407874746 PECOS PAC ID: 6002864543 Enrollment ID: I20050111000521 |
| Provider Name | David Alan Edelsohn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104879089 PECOS PAC ID: 8224087325 Enrollment ID: I20050114000888 |
| Provider Name | Ramnik Singh Clair |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1285723502 PECOS PAC ID: 7719967710 Enrollment ID: I20050209000365 |
| Provider Name | William L Pistel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518979418 PECOS PAC ID: 5092762468 Enrollment ID: I20050407000421 |
| Provider Name | Mohsen Saadat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356362958 PECOS PAC ID: 1153360086 Enrollment ID: I20050428001286 |
| Provider Name | Antonio K Coirin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275573446 PECOS PAC ID: 4981643608 Enrollment ID: I20050503000340 |
| Provider Name | Conway Lien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336276450 PECOS PAC ID: 2466494034 Enrollment ID: I20050524000679 |
| Provider Name | Cynthia I Resendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780877845 PECOS PAC ID: 7012950363 Enrollment ID: I20050607001064 |
| Provider Name | Usman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154355832 PECOS PAC ID: 6204879208 Enrollment ID: I20050609000637 |
| Provider Name | Ann E Tomlinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922062041 PECOS PAC ID: 4688618937 Enrollment ID: I20050616001092 |
| Provider Name | Matthew J Thomson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134163314 PECOS PAC ID: 9032153234 Enrollment ID: I20050617001037 |
| Provider Name | Gerardo Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760467559 PECOS PAC ID: 7618905332 Enrollment ID: I20050802001351 |
| Provider Name | Peter C Meade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023079902 PECOS PAC ID: 5799714671 Enrollment ID: I20050810001264 |
| Provider Name | Amy Beth Saft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649493842 PECOS PAC ID: 2769429604 Enrollment ID: I20050817001203 |
| Provider Name | Avanee S Peel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164591616 PECOS PAC ID: 3173554441 Enrollment ID: I20050825001076 |
| Provider Name | Michael V Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205826237 PECOS PAC ID: 5698708998 Enrollment ID: I20050916000465 |
| Provider Name | Walter W Chien |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386615631 PECOS PAC ID: 4183658511 Enrollment ID: I20050923000981 |
| Provider Name | Marcy C Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295848968 PECOS PAC ID: 9830124551 Enrollment ID: I20050930000846 |
| Provider Name | Steven H Williams |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194898023 PECOS PAC ID: 5890720460 Enrollment ID: I20051003000324 |
| Provider Name | Carmelino L Galang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326070046 PECOS PAC ID: 1254369341 Enrollment ID: I20051108000915 |
| Provider Name | Nathaniel M Matolo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134153539 PECOS PAC ID: 8921020918 Enrollment ID: I20051219000553 |
| Provider Name | Bao Quy Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821032475 PECOS PAC ID: 6800802646 Enrollment ID: I20060302000389 |
| Provider Name | Steven H Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083774897 PECOS PAC ID: 3274540885 Enrollment ID: I20060317000243 |
| Provider Name | Luke C Bi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700964202 PECOS PAC ID: 9830108729 Enrollment ID: I20060420000734 |
| Provider Name | Timothy Bechtel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902860950 PECOS PAC ID: 6204883135 Enrollment ID: I20060717000075 |
| Provider Name | Senzan Hsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184677940 PECOS PAC ID: 6002868635 Enrollment ID: I20060720000390 |
| Provider Name | Sarathy T Mandayam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518911023 PECOS PAC ID: 9830192137 Enrollment ID: I20060804000269 |
| Provider Name | Kristin Bennett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922047299 PECOS PAC ID: 5597768655 Enrollment ID: I20060810000525 |
| Provider Name | Neelima Kethineni |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629021662 PECOS PAC ID: 2961405964 Enrollment ID: I20060811000359 |
| Provider Name | Mario P Sattah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063444768 PECOS PAC ID: 1153229414 Enrollment ID: I20060814000327 |
| Provider Name | Sabrina J Hussain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629083902 PECOS PAC ID: 1759308018 Enrollment ID: I20060915000387 |
| Provider Name | Trung L Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396754610 PECOS PAC ID: 1557366291 Enrollment ID: I20061002000197 |
| Provider Name | Louis G Lim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194734103 PECOS PAC ID: 2365449188 Enrollment ID: I20061108000371 |
| Provider Name | Lloyd James Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336134303 PECOS PAC ID: 0749291508 Enrollment ID: I20061213000618 |
| Provider Name | Christopher L Solis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295759355 PECOS PAC ID: 9436158672 Enrollment ID: I20061215000274 |
| Provider Name | John Dowbak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326055237 PECOS PAC ID: 1557362803 Enrollment ID: I20070129000767 |
| Provider Name | Vivian R Cefalo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194853622 PECOS PAC ID: 2163528761 Enrollment ID: I20070427000256 |
| Provider Name | Dean David Sloan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861596017 PECOS PAC ID: 7810094620 Enrollment ID: I20070511000540 |
| Provider Name | Deepak K Shrivastava |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841267317 PECOS PAC ID: 8022115492 Enrollment ID: I20070518000356 |
| Provider Name | Hamid R Rassai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013013218 PECOS PAC ID: 1850498742 Enrollment ID: I20070530000307 |
| Provider Name | Samy Louka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700950136 PECOS PAC ID: 2961392980 Enrollment ID: I20070629000354 |
| Provider Name | Veronique Tache |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720055478 PECOS PAC ID: 6507967064 Enrollment ID: I20070727000330 |
| Provider Name | Edwin A Alvarez |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1710197330 PECOS PAC ID: 3375635832 Enrollment ID: I20070828001084 |
| Provider Name | Gowriharan Thaiyananthan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518164110 PECOS PAC ID: 7113011347 Enrollment ID: I20070919000627 |
| Provider Name | Frank R Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407957509 PECOS PAC ID: 0941396568 Enrollment ID: I20071012000231 |
| Provider Name | Thomas Sungmin Hong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477601490 PECOS PAC ID: 7810083375 Enrollment ID: I20071012000726 |
| Provider Name | Kanwardeep Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205854833 PECOS PAC ID: 0840370425 Enrollment ID: I20080108000950 |
| Provider Name | Julie Facer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881889806 PECOS PAC ID: 7719067206 Enrollment ID: I20080109000827 |
| Provider Name | Priti T Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568440246 PECOS PAC ID: 0244311793 Enrollment ID: I20080122000829 |
| Provider Name | Fram Buhari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811906894 PECOS PAC ID: 0749280089 Enrollment ID: I20080123000872 |
| Provider Name | Oana Mischiu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821112699 PECOS PAC ID: 4880777465 Enrollment ID: I20080206000365 |
| Provider Name | Jason T Bass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770512030 PECOS PAC ID: 0749363323 Enrollment ID: I20080206000414 |
| Provider Name | Waleed A Ibrahim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407052244 PECOS PAC ID: 5395822951 Enrollment ID: I20080407000277 |
| Provider Name | Ladonna Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962500157 PECOS PAC ID: 8123197118 Enrollment ID: I20080516000288 |
| Provider Name | Robert C Fetz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306869177 PECOS PAC ID: 0042108086 Enrollment ID: I20080605000888 |
| Provider Name | Jeanna L Welborn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104808849 PECOS PAC ID: 9335212521 Enrollment ID: I20080722000119 |
| Provider Name | Fredric A Gorin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629052220 PECOS PAC ID: 2062585052 Enrollment ID: I20080724000326 |
| Provider Name | Nancy T Field |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487636296 PECOS PAC ID: 5799859237 Enrollment ID: I20080801000222 |
| Provider Name | Peter B Salamon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851381131 PECOS PAC ID: 4284708637 Enrollment ID: I20080801000463 |
| Provider Name | Patricia C Apolinario |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982632675 PECOS PAC ID: 6406920453 Enrollment ID: I20080808000470 |
| Provider Name | Soraya G Esteva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871778993 PECOS PAC ID: 0143398826 Enrollment ID: I20081008000192 |
| Provider Name | Kevin K Mikaelian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093712200 PECOS PAC ID: 6002818176 Enrollment ID: I20081013000268 |
| Provider Name | Tam T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093929697 PECOS PAC ID: 8820157076 Enrollment ID: I20081104000109 |
| Provider Name | Craig A Bottke |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1730186933 PECOS PAC ID: 5395747463 Enrollment ID: I20081111000496 |
| Provider Name | Moris Senegor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487689030 PECOS PAC ID: 4486714300 Enrollment ID: I20081123000000 |
| Provider Name | Jorge Kurek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730111774 PECOS PAC ID: 5597659763 Enrollment ID: I20081124000354 |
| Provider Name | Tuesday Benavidez-knight |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154581247 PECOS PAC ID: 5193885515 Enrollment ID: I20081208000561 |
| Provider Name | Harmeet K Bhullar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982625257 PECOS PAC ID: 6305840919 Enrollment ID: I20081209000631 |
| Provider Name | Charles K Whitcomb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659353969 PECOS PAC ID: 0345301271 Enrollment ID: I20081210000211 |
| Provider Name | Victor Macko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720085921 PECOS PAC ID: 3577565647 Enrollment ID: I20081220000116 |
| Provider Name | Daa M Xiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184679276 PECOS PAC ID: 5991708109 Enrollment ID: I20081222000274 |
| Provider Name | Mehul Raval |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710157474 PECOS PAC ID: 4486717741 Enrollment ID: I20090113000257 |
| Provider Name | Ronald Kirk Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891793469 PECOS PAC ID: 1850454141 Enrollment ID: I20090116000174 |
| Provider Name | Randy Gray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700954070 PECOS PAC ID: 6305900135 Enrollment ID: I20090122000678 |
| Provider Name | Anh Le |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013095686 PECOS PAC ID: 5294883625 Enrollment ID: I20090423000230 |
| Provider Name | Michelle J Rowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199843 PECOS PAC ID: 2466534490 Enrollment ID: I20090527000185 |
| Provider Name | Michael Wolterbeek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497767396 PECOS PAC ID: 7517017189 Enrollment ID: I20090603000167 |
| Provider Name | Jerry Fessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083792998 PECOS PAC ID: 9133271893 Enrollment ID: I20090710000427 |
| Provider Name | Imad Kafilmout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306950571 PECOS PAC ID: 0446306245 Enrollment ID: I20090921000167 |
| Provider Name | James K Saffier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912929464 PECOS PAC ID: 4486791589 Enrollment ID: I20091022000038 |
| Provider Name | Kinnari R Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922259498 PECOS PAC ID: 3779620489 Enrollment ID: I20091029000415 |
| Provider Name | Alexander Liu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982721718 PECOS PAC ID: 7315087913 Enrollment ID: I20091211000469 |
| Provider Name | Emmanuel N Obanor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689615007 PECOS PAC ID: 2365582418 Enrollment ID: I20091221000456 |
| Provider Name | John J Casey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811909716 PECOS PAC ID: 1254417108 Enrollment ID: I20100205000477 |
| Provider Name | Shareef M Riad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417111477 PECOS PAC ID: 0042353336 Enrollment ID: I20100209000433 |
| Provider Name | Donn C Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407186042 PECOS PAC ID: 5193869105 Enrollment ID: I20100215000214 |
| Provider Name | Christopher Lindeken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164616702 PECOS PAC ID: 4688719693 Enrollment ID: I20100302000600 |
| Provider Name | Robert White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245435791 PECOS PAC ID: 1759416779 Enrollment ID: I20100316000817 |
| Provider Name | Macarthur Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992994487 PECOS PAC ID: 1759418965 Enrollment ID: I20100420000681 |
| Provider Name | Ramiro Zuniga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679593198 PECOS PAC ID: 7315076726 Enrollment ID: I20100524000545 |
| Provider Name | Deborah D Titre-hayfron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689831919 PECOS PAC ID: 5193858678 Enrollment ID: I20100804000654 |
| Provider Name | Earl Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780697987 PECOS PAC ID: 4789718206 Enrollment ID: I20100818001104 |
| Provider Name | Gurinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689904310 PECOS PAC ID: 2961527999 Enrollment ID: I20100915000128 |
| Provider Name | Frederick Karl Gregorius |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013936608 PECOS PAC ID: 8426240391 Enrollment ID: I20101011000491 |
| Provider Name | Karl Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477564094 PECOS PAC ID: 4688867930 Enrollment ID: I20101020000066 |
| Provider Name | Rajani Rudrangi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487841482 PECOS PAC ID: 2163546086 Enrollment ID: I20101020000809 |
| Provider Name | Jonathan P Coll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679803977 PECOS PAC ID: 3779776539 Enrollment ID: I20101025001058 |
| Provider Name | Rajdeep K Sahota |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336311760 PECOS PAC ID: 4880738988 Enrollment ID: I20101029000628 |
| Provider Name | Omar I Mian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477714921 PECOS PAC ID: 5092909333 Enrollment ID: I20101101001069 |
| Provider Name | Gabriel Herscu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528230679 PECOS PAC ID: 4284829920 Enrollment ID: I20101108001309 |
| Provider Name | Tonja L Harris-stansil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578653028 PECOS PAC ID: 5698960011 Enrollment ID: I20101111000434 |
| Provider Name | Robert G Yavrouian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568483923 PECOS PAC ID: 4385839687 Enrollment ID: I20101112000071 |
| Provider Name | Esther Ogunjimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013229871 PECOS PAC ID: 5193911774 Enrollment ID: I20101122000512 |
| Provider Name | Saleha Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275561805 PECOS PAC ID: 8325235732 Enrollment ID: I20101210000943 |
| Provider Name | Farhan Fadoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093850786 PECOS PAC ID: 9335337401 Enrollment ID: I20101216000598 |
| Provider Name | Sangita Batish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245470749 PECOS PAC ID: 3375723786 Enrollment ID: I20110202000032 |
| Provider Name | Michael Jeffrey Cooper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851416317 PECOS PAC ID: 5294915278 Enrollment ID: I20110208000677 |
| Provider Name | Alexander Ierokomos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528009990 PECOS PAC ID: 1254237001 Enrollment ID: I20110214000362 |
| Provider Name | Satinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861642019 PECOS PAC ID: 8729269378 Enrollment ID: I20110302000261 |
| Provider Name | Zeest Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780872192 PECOS PAC ID: 4880877273 Enrollment ID: I20110322000980 |
| Provider Name | Vijayalakshmi M Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598828022 PECOS PAC ID: 7810170123 Enrollment ID: I20110324000215 |
| Provider Name | Asma B Jafri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487700894 PECOS PAC ID: 6901985696 Enrollment ID: I20110411000705 |
| Provider Name | Lon Taff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548254295 PECOS PAC ID: 5092991224 Enrollment ID: I20110523000751 |
| Provider Name | Vanessa A Kennedy |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528229507 PECOS PAC ID: 4385822121 Enrollment ID: I20110628000026 |
| Provider Name | Amandeep Gill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285838359 PECOS PAC ID: 8921286543 Enrollment ID: I20110630000576 |
| Provider Name | Ye K Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720241904 PECOS PAC ID: 9032387998 Enrollment ID: I20110719000866 |
| Provider Name | Matthew J Coates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073762217 PECOS PAC ID: 5799955738 Enrollment ID: I20110830000163 |
| Provider Name | Hilary Silver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720201221 PECOS PAC ID: 5496927840 Enrollment ID: I20111007000539 |
| Provider Name | Joel R Angel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644571 PECOS PAC ID: 2567634769 Enrollment ID: I20111012000527 |
| Provider Name | Archana Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679641104 PECOS PAC ID: 9830137009 Enrollment ID: I20111122000588 |
| Provider Name | Christianne Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437375094 PECOS PAC ID: 9931154028 Enrollment ID: I20111123000658 |
| Provider Name | Siva Natarajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003127234 PECOS PAC ID: 4486829678 Enrollment ID: I20111216000627 |
| Provider Name | Bhanu P Wunnava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497965677 PECOS PAC ID: 7214015924 Enrollment ID: I20120320000588 |
| Provider Name | Sreelatha Pottala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841426947 PECOS PAC ID: 2163683558 Enrollment ID: I20120411000603 |
| Provider Name | Joan E Seacrist |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255605143 PECOS PAC ID: 0840451696 Enrollment ID: I20120423000206 |
| Provider Name | Lindsay M Karaelias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598036832 PECOS PAC ID: 7214199736 Enrollment ID: I20120430000435 |
| Provider Name | Ismael P Moreno |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679716278 PECOS PAC ID: 9830354125 Enrollment ID: I20120712000343 |
| Provider Name | Patricia Manuse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467766147 PECOS PAC ID: 5395901219 Enrollment ID: I20120723000118 |
| Provider Name | Inna Keselman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003075037 PECOS PAC ID: 0547426934 Enrollment ID: I20120731000140 |
| Provider Name | Elyas Parsa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902034168 PECOS PAC ID: 5698953057 Enrollment ID: I20120801000141 |
| Provider Name | Heidi L Frankel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457311797 PECOS PAC ID: 4981637394 Enrollment ID: I20120803000661 |
| Provider Name | Shannon L Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295922912 PECOS PAC ID: 7113173931 Enrollment ID: I20120810000341 |
| Provider Name | Wei Loong Glenn Koh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013101633 PECOS PAC ID: 8921152612 Enrollment ID: I20120831000636 |
| Provider Name | Nguyen Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164742185 PECOS PAC ID: 2668620774 Enrollment ID: I20120914000449 |
| Provider Name | Eleanore M Yee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053596767 PECOS PAC ID: 7517116213 Enrollment ID: I20121011000886 |
| Provider Name | Ilia Gur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598966186 PECOS PAC ID: 6002085974 Enrollment ID: I20121109000549 |
| Provider Name | Meenakshi Pant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528290079 PECOS PAC ID: 9436301934 Enrollment ID: I20121207000468 |
| Provider Name | Alan Dale Sabino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831179845 PECOS PAC ID: 1355311721 Enrollment ID: I20121214000313 |
| Provider Name | Marc A. Trzeciak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033111026 PECOS PAC ID: 0042294605 Enrollment ID: I20130201000125 |
| Provider Name | Deepika Aluru |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750313235 PECOS PAC ID: 9335335983 Enrollment ID: I20130206000506 |
| Provider Name | Victoria Hsu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295930527 PECOS PAC ID: 3375671704 Enrollment ID: I20130220000143 |
| Provider Name | Niv Decalo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053511667 PECOS PAC ID: 5294921888 Enrollment ID: I20130307000371 |
| Provider Name | Joshua J. Leeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689818718 PECOS PAC ID: 7517104821 Enrollment ID: I20130506000060 |
| Provider Name | Toni Amundsen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548560451 PECOS PAC ID: 8022256213 Enrollment ID: I20130529000809 |
| Provider Name | Sarah L Louie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982929535 PECOS PAC ID: 1052550522 Enrollment ID: I20130612000540 |
| Provider Name | Gregory E Federer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487817706 PECOS PAC ID: 1658510011 Enrollment ID: I20130614000181 |
| Provider Name | Ketsada Pairot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346363330 PECOS PAC ID: 5597906453 Enrollment ID: I20130719000115 |
| Provider Name | Wayne H Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417156126 PECOS PAC ID: 2769624360 Enrollment ID: I20130812000106 |
| Provider Name | Khin Tha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598864191 PECOS PAC ID: 9335210095 Enrollment ID: I20130903000043 |
| Provider Name | Parvathy Thaikkendiyil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770774622 PECOS PAC ID: 8527154780 Enrollment ID: I20131023000181 |
| Provider Name | Waseem Aslam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902111339 PECOS PAC ID: 5890920490 Enrollment ID: I20131107001193 |
| Provider Name | Meena Srai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982919312 PECOS PAC ID: 7719112200 Enrollment ID: I20131111000284 |
| Provider Name | Ajay Rachakonda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467605014 PECOS PAC ID: 9830382860 Enrollment ID: I20140130000132 |
| Provider Name | Thomas P Lo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629285309 PECOS PAC ID: 2769611029 Enrollment ID: I20140207000168 |
| Provider Name | Chirag Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982905808 PECOS PAC ID: 2961632757 Enrollment ID: I20140221001298 |
| Provider Name | Beth A Ganetsos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174690481 PECOS PAC ID: 1355324930 Enrollment ID: I20140318001445 |
| Provider Name | Arshian Mahajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164737623 PECOS PAC ID: 6709018922 Enrollment ID: I20140422000873 |
| Provider Name | Julie Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376819433 PECOS PAC ID: 8628213592 Enrollment ID: I20140522000617 |
| Provider Name | Maria Villareal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881018604 PECOS PAC ID: 0042434847 Enrollment ID: I20140618000701 |
| Provider Name | Jonathan Pettegrew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053552745 PECOS PAC ID: 1052554268 Enrollment ID: I20140702002173 |
| Provider Name | Jaspreet S Mann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467654699 PECOS PAC ID: 7517032352 Enrollment ID: I20140703000794 |
| Provider Name | Pamir J Mateen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336429695 PECOS PAC ID: 2860617784 Enrollment ID: I20140709003068 |
| Provider Name | Simranjit Sekhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558632505 PECOS PAC ID: 4688899503 Enrollment ID: I20140709003070 |
| Provider Name | Megha Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386911782 PECOS PAC ID: 5597980318 Enrollment ID: I20140710000386 |
| Provider Name | Onkar S Judge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184931693 PECOS PAC ID: 6204052640 Enrollment ID: I20140721002525 |
| Provider Name | Catherine A Fontecha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093978314 PECOS PAC ID: 6901022219 Enrollment ID: I20140723000283 |
| Provider Name | Bjorn M Lobo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275703969 PECOS PAC ID: 6901041524 Enrollment ID: I20140804001524 |
| Provider Name | Vishwa Sheth |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366722365 PECOS PAC ID: 5890912166 Enrollment ID: I20140809000083 |
| Provider Name | Maninder S Sanghera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164702437 PECOS PAC ID: 3072730019 Enrollment ID: I20140814001326 |
| Provider Name | Abbas Bahari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447469176 PECOS PAC ID: 2567699796 Enrollment ID: I20140908002582 |
| Provider Name | Soujanya Sodavarapu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831470129 PECOS PAC ID: 7416176722 Enrollment ID: I20140918002346 |
| Provider Name | Jean M Marine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942226774 PECOS PAC ID: 8921903907 Enrollment ID: I20141105002803 |
| Provider Name | Harbinder Khangura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710292073 PECOS PAC ID: 2961724521 Enrollment ID: I20141210000425 |
| Provider Name | Steven W Feick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922075530 PECOS PAC ID: 5395646285 Enrollment ID: I20141231002133 |
| Provider Name | John Kettelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598783607 PECOS PAC ID: 6406954353 Enrollment ID: I20150105001114 |
| Provider Name | Jennifer Jean Mcneil |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1366465841 PECOS PAC ID: 9234108275 Enrollment ID: I20150113000979 |
| Provider Name | Julie A Reid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487704318 PECOS PAC ID: 9537483292 Enrollment ID: I20150129000161 |
| Provider Name | Hassan A Al-balas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336323492 PECOS PAC ID: 5698969749 Enrollment ID: I20150205002525 |
| Provider Name | Christopher L Walters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992109748 PECOS PAC ID: 4981920444 Enrollment ID: I20150302000016 |
| Provider Name | Marie M Simonetti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881083533 PECOS PAC ID: 0648597146 Enrollment ID: I20150321000042 |
| Provider Name | Gail Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356770747 PECOS PAC ID: 3678891884 Enrollment ID: I20150421000022 |
| Provider Name | Quazi Z Al-tariq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003059395 PECOS PAC ID: 6305157108 Enrollment ID: I20150619002124 |
| Provider Name | Earnest E Gilliam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841268737 PECOS PAC ID: 5294627972 Enrollment ID: I20150622002493 |
| Provider Name | Gurpartap S Sahota |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477868818 PECOS PAC ID: 9931412491 Enrollment ID: I20150714000135 |
| Provider Name | Ehsan Tabaraee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528394202 PECOS PAC ID: 2668603861 Enrollment ID: I20150716000887 |
| Provider Name | Parminder P Jagur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083053342 PECOS PAC ID: 1153634357 Enrollment ID: I20150716002842 |
| Provider Name | Mandeep Kaur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427377324 PECOS PAC ID: 4183754625 Enrollment ID: I20150722003599 |
| Provider Name | Foad Elahi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154657716 PECOS PAC ID: 7315124971 Enrollment ID: I20150806010072 |
| Provider Name | Roy Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417074907 PECOS PAC ID: 8628292075 Enrollment ID: I20150908002681 |
| Provider Name | Yinn M Htwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967493 PECOS PAC ID: 7618284175 Enrollment ID: I20150915003310 |
| Provider Name | Joseph Grajo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578512620 PECOS PAC ID: 7911938956 Enrollment ID: I20150930000374 |
| Provider Name | Rick D Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912333980 PECOS PAC ID: 6406165331 Enrollment ID: I20151015002141 |
| Provider Name | Harish Chander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972595163 PECOS PAC ID: 1254326762 Enrollment ID: I20151103001970 |
| Provider Name | Jhenelle T Forbes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427327345 PECOS PAC ID: 0446411490 Enrollment ID: I20151119002988 |
| Provider Name | Philip Dinh Truong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477918670 PECOS PAC ID: 5496057804 Enrollment ID: I20151231000682 |
| Provider Name | Hiral V Desai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841580321 PECOS PAC ID: 0941442339 Enrollment ID: I20160204001951 |
| Provider Name | Rawel S Randhawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689781361 PECOS PAC ID: 4789602715 Enrollment ID: I20160209002667 |
| Provider Name | Mahnoosh K Seifoddini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003836909 PECOS PAC ID: 5294984043 Enrollment ID: I20160216001191 |
| Provider Name | Tobyn Derby-talbot |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568884922 PECOS PAC ID: 9537465307 Enrollment ID: I20160304001917 |
| Provider Name | Navjot K Sanghera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306205489 PECOS PAC ID: 3971809575 Enrollment ID: I20160308001705 |
| Provider Name | Yvonne M Cabero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245602531 PECOS PAC ID: 8729384052 Enrollment ID: I20160311000998 |
| Provider Name | Aalia Al-barwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437388352 PECOS PAC ID: 3476707431 Enrollment ID: I20160321002402 |
| Provider Name | Julienne A Angeles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770839045 PECOS PAC ID: 7214235480 Enrollment ID: I20160421000854 |
| Provider Name | Azeem O Oladunjoye |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285892513 PECOS PAC ID: 8224351689 Enrollment ID: I20160613001155 |
| Provider Name | Lydia Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184081150 PECOS PAC ID: 7810294642 Enrollment ID: I20160718000500 |
| Provider Name | Mehdi Akhavan-heidari |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1346414562 PECOS PAC ID: 4284709908 Enrollment ID: I20160719002816 |
| Provider Name | Anthony H Chau |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699055988 PECOS PAC ID: 3971895640 Enrollment ID: I20160727002852 |
| Provider Name | Shahin Foroutan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508171570 PECOS PAC ID: 2062707599 Enrollment ID: I20160823002722 |
| Provider Name | Azeez O Saka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568711851 PECOS PAC ID: 8426208091 Enrollment ID: I20160824000938 |
| Provider Name | Deanna M Pollock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790041556 PECOS PAC ID: 3274764659 Enrollment ID: I20160907002564 |
| Provider Name | Ashok N Veeranki |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1922138726 PECOS PAC ID: 3274829460 Enrollment ID: I20160914002932 |
| Provider Name | Timothy M Nardine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639435969 PECOS PAC ID: 3870897838 Enrollment ID: I20161010001791 |
| Provider Name | Nidhi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982862280 PECOS PAC ID: 9335216613 Enrollment ID: I20161110002138 |
| Provider Name | Jonathan K Lu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821230988 PECOS PAC ID: 0941589832 Enrollment ID: I20161116002965 |
| Provider Name | Sarah M Kelly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265821854 PECOS PAC ID: 1254611536 Enrollment ID: I20161201002102 |
| Provider Name | Robert Torrance Andrews |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376685412 PECOS PAC ID: 5395896914 Enrollment ID: I20161208001219 |
| Provider Name | Annie Thor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750831178 PECOS PAC ID: 3577844117 Enrollment ID: I20161220000289 |
| Provider Name | Joaquin Galvan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417292715 PECOS PAC ID: 8527204262 Enrollment ID: I20161223000002 |
| Provider Name | Neha Vashishtha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568767085 PECOS PAC ID: 2860631231 Enrollment ID: I20170201002821 |
| Provider Name | Loc Bao |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235673062 PECOS PAC ID: 2365726916 Enrollment ID: I20170228001172 |
| Provider Name | Juan Chiriboga Hurtado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740621747 PECOS PAC ID: 7618252362 Enrollment ID: I20170321001814 |
| Provider Name | Victor A Segura-perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093251753 PECOS PAC ID: 6608152855 Enrollment ID: I20170424002310 |
| Provider Name | Kambrie Y Kato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235424284 PECOS PAC ID: 7911290069 Enrollment ID: I20170502000667 |
| Provider Name | Stephen Kolakowski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003971102 PECOS PAC ID: 9133229461 Enrollment ID: I20170511001340 |
| Provider Name | Lien N Doan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740518547 PECOS PAC ID: 0345560058 Enrollment ID: I20170511002382 |
| Provider Name | Lindsay T Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134586068 PECOS PAC ID: 0749557361 Enrollment ID: I20170601001146 |
| Provider Name | Jonathan M Deguzman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962820597 PECOS PAC ID: 4688941222 Enrollment ID: I20170601002012 |
| Provider Name | Indervir S Grewal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366704652 PECOS PAC ID: 0244508372 Enrollment ID: I20170614001710 |
| Provider Name | Nathalie M Ung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366980906 PECOS PAC ID: 6800164872 Enrollment ID: I20170615000582 |
| Provider Name | Kanwar Singh Kelley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336438670 PECOS PAC ID: 8921317801 Enrollment ID: I20170615002079 |
| Provider Name | Jaspreet S Sidhu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396023032 PECOS PAC ID: 8325270382 Enrollment ID: I20170717002615 |
| Provider Name | Sabhrup Biring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770974065 PECOS PAC ID: 6507136892 Enrollment ID: I20170719002095 |
| Provider Name | Toni C Moody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083792477 PECOS PAC ID: 6305116377 Enrollment ID: I20170725000047 |
| Provider Name | Kyle Ross Mcclintock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477831527 PECOS PAC ID: 1951550151 Enrollment ID: I20170725000806 |
| Provider Name | Tony Ha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477841070 PECOS PAC ID: 0042581712 Enrollment ID: I20170731001325 |
| Provider Name | Mandana Motameni |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609208677 PECOS PAC ID: 6305117888 Enrollment ID: I20170801003381 |
| Provider Name | Meaghan A Clark-johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851837314 PECOS PAC ID: 4385915719 Enrollment ID: I20170803002175 |
| Provider Name | James G Olanda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659332781 PECOS PAC ID: 6103198882 Enrollment ID: I20170815002732 |
| Provider Name | Rachel Ruskin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1457680738 PECOS PAC ID: 7214168475 Enrollment ID: I20170830000051 |
| Provider Name | Imeline H Troncales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205149978 PECOS PAC ID: 3375828817 Enrollment ID: I20170907003372 |
| Provider Name | Theresa Nwaoha-ezekwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326573494 PECOS PAC ID: 6204100852 Enrollment ID: I20170920000966 |
| Provider Name | Alfred D Troncales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710249883 PECOS PAC ID: 9032497714 Enrollment ID: I20170926000625 |
| Provider Name | Qui N Tang |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114454998 PECOS PAC ID: 0648544759 Enrollment ID: I20170927003234 |
| Provider Name | Shota Yamamoto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609165356 PECOS PAC ID: 6901170067 Enrollment ID: I20170928000736 |
| Provider Name | Joshua T Nicholson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487916599 PECOS PAC ID: 2264726918 Enrollment ID: I20171012002720 |
| Provider Name | Grace Loehr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134409253 PECOS PAC ID: 0840431631 Enrollment ID: I20171023002008 |
| Provider Name | Christian Conderman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063741056 PECOS PAC ID: 3476786708 Enrollment ID: I20171027002325 |
| Provider Name | Tamira Zarza |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689191025 PECOS PAC ID: 1850657842 Enrollment ID: I20171107003276 |
| Provider Name | Rashna F Ginwalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093962284 PECOS PAC ID: 9638294416 Enrollment ID: I20171109000495 |
| Provider Name | Lauren K Brown-berchtold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770927972 PECOS PAC ID: 7911200787 Enrollment ID: I20171113001886 |
| Provider Name | Terrin L Colee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144528647 PECOS PAC ID: 9830375468 Enrollment ID: I20171117000187 |
| Provider Name | Dinesh Vyas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528274503 PECOS PAC ID: 9931252731 Enrollment ID: I20171122002223 |
| Provider Name | Paul W Shin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972028470 PECOS PAC ID: 1254698376 Enrollment ID: I20171128002424 |
| Provider Name | Levia A Sutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639326713 PECOS PAC ID: 8628144995 Enrollment ID: I20180123003325 |
| Provider Name | Sunita Verma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720378581 PECOS PAC ID: 7810132727 Enrollment ID: I20180406001915 |
| Provider Name | Theresa Yuh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265523930 PECOS PAC ID: 3173576154 Enrollment ID: I20180410001382 |
| Provider Name | Ramesh S Pundi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508099508 PECOS PAC ID: 0749327716 Enrollment ID: I20180410002616 |
| Provider Name | Xavier Garcia-rojas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083895379 PECOS PAC ID: 1355529744 Enrollment ID: I20180522000423 |
| Provider Name | Hank Haw Sun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427493220 PECOS PAC ID: 3678880150 Enrollment ID: I20180523000231 |
| Provider Name | Monish Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619359833 PECOS PAC ID: 7618232505 Enrollment ID: I20180523003289 |
| Provider Name | Barjinder Sandhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306105531 PECOS PAC ID: 8628324811 Enrollment ID: I20180629002325 |
| Provider Name | Nidhi S Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447540398 PECOS PAC ID: 6507008935 Enrollment ID: I20180705002806 |
| Provider Name | Jonathon James Diulio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124447073 PECOS PAC ID: 6901170547 Enrollment ID: I20180709002401 |
| Provider Name | Zar Baqai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427477355 PECOS PAC ID: 5597012088 Enrollment ID: I20180713002511 |
| Provider Name | Siamak Mehdizadehseraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720460942 PECOS PAC ID: 1557618592 Enrollment ID: I20180720002457 |
| Provider Name | Randeep S Johl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518349737 PECOS PAC ID: 7719234517 Enrollment ID: I20180725002275 |
| Provider Name | Shailja Munagala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538470604 PECOS PAC ID: 7214183482 Enrollment ID: I20180731002649 |
| Provider Name | Nagvir K Sandhu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285077669 PECOS PAC ID: 0749589844 Enrollment ID: I20180830001946 |
| Provider Name | Matthew Hermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477990521 PECOS PAC ID: 0345482212 Enrollment ID: I20181003002326 |
| Provider Name | Sukalpa Chowdhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417398496 PECOS PAC ID: 9133350622 Enrollment ID: I20181010003377 |
| Provider Name | Muhaiminu Hossain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720460884 PECOS PAC ID: 5092068346 Enrollment ID: I20181102001062 |
| Provider Name | Joel Louis Frazier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366448466 PECOS PAC ID: 1456397199 Enrollment ID: I20181217002548 |
| Provider Name | Majid Roubach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639550130 PECOS PAC ID: 3870893829 Enrollment ID: I20190109000986 |
| Provider Name | Darbi L Invergo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124356381 PECOS PAC ID: 1355569542 Enrollment ID: I20190201001132 |
| Provider Name | Geoffrey Miles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932672714 PECOS PAC ID: 0840532636 Enrollment ID: I20190426000858 |
| Provider Name | Neil Anand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508271149 PECOS PAC ID: 8325380900 Enrollment ID: I20190501000592 |
| Provider Name | Mary Angelyn Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887455 PECOS PAC ID: 1052644382 Enrollment ID: I20190531000835 |
| Provider Name | Arpita Vyas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982806436 PECOS PAC ID: 7618009135 Enrollment ID: I20190618000047 |
| Provider Name | Arian Nikpour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205279726 PECOS PAC ID: 1951636935 Enrollment ID: I20190712001823 |
| Provider Name | Dherain Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386097889 PECOS PAC ID: 9931436029 Enrollment ID: I20190813000463 |
| Provider Name | Margie Belinda N Aquino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437672722 PECOS PAC ID: 3072840065 Enrollment ID: I20190814001472 |
| Provider Name | Bhupinder Romana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710319447 PECOS PAC ID: 2365679388 Enrollment ID: I20190819003785 |
| Provider Name | Eric Glen Huish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821356189 PECOS PAC ID: 0749408003 Enrollment ID: I20190904002436 |
| Provider Name | Jackline E Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689027252 PECOS PAC ID: 3375874118 Enrollment ID: I20191009002865 |
| Provider Name | Sreyasi Bhattacharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447602446 PECOS PAC ID: 3779814991 Enrollment ID: I20191018001416 |
| Provider Name | Hayder J Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588927222 PECOS PAC ID: 5395000632 Enrollment ID: I20191021001313 |
| Provider Name | Zachary J Plotz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730341751 PECOS PAC ID: 5890939995 Enrollment ID: I20191104000552 |
| Provider Name | Anuja Oza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013365402 PECOS PAC ID: 0840587168 Enrollment ID: I20191106002521 |
| Provider Name | Ramona M Bahnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942653159 PECOS PAC ID: 1254763501 Enrollment ID: I20191107001849 |
| Provider Name | Gregory L Thalken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861547317 PECOS PAC ID: 9830333541 Enrollment ID: I20191203001812 |
| Provider Name | Marylou Solbrig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861572091 PECOS PAC ID: 6002126505 Enrollment ID: I20191204001197 |
| Provider Name | Yvan Tranquille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134573827 PECOS PAC ID: 1355776022 Enrollment ID: I20200128000260 |
| Provider Name | William Allison Barret |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891012696 PECOS PAC ID: 2668618315 Enrollment ID: I20200203000742 |
| Provider Name | Feroze Sidhwa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619276896 PECOS PAC ID: 4981827847 Enrollment ID: I20200207001013 |
| Provider Name | Andrew Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104883693 PECOS PAC ID: 0547249393 Enrollment ID: I20200207001329 |
| Provider Name | Rosemary Nunez-davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417396235 PECOS PAC ID: 1355778978 Enrollment ID: I20200220001942 |
| Provider Name | John H Hotchkiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720259476 PECOS PAC ID: 3678880416 Enrollment ID: I20200227000615 |
| Provider Name | Janani Sankaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013379403 PECOS PAC ID: 5395174163 Enrollment ID: I20200330001624 |
| Provider Name | Huan P Cui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053378968 PECOS PAC ID: 9931247707 Enrollment ID: I20200514001590 |
| Provider Name | Judith Hutchinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154309730 PECOS PAC ID: 7911892567 Enrollment ID: I20200515000991 |
| Provider Name | Charles J Fredericks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952747628 PECOS PAC ID: 8325346430 Enrollment ID: I20200630000671 |
| Provider Name | Joseph Hallisey Frey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528441219 PECOS PAC ID: 2062836844 Enrollment ID: I20200727002492 |
| Provider Name | Robert Assibey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942739487 PECOS PAC ID: 6305262965 Enrollment ID: I20200813002657 |
| Provider Name | Gurinder Singh Ghotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891223608 PECOS PAC ID: 0143646406 Enrollment ID: I20200817003369 |
| Provider Name | James Morley Friedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184063265 PECOS PAC ID: 1759708449 Enrollment ID: I20200826001651 |
| Provider Name | Estefania S. Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164950762 PECOS PAC ID: 2567889108 Enrollment ID: I20200827003725 |
| Provider Name | Amirhossin Afshar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043749757 PECOS PAC ID: 4183042849 Enrollment ID: I20200911001013 |
| Provider Name | Tina Hedayat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477841492 PECOS PAC ID: 2769794346 Enrollment ID: I20200911001459 |
| Provider Name | Matthew P Evitts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952368318 PECOS PAC ID: 9133129075 Enrollment ID: I20200921003099 |
| Provider Name | Neeta Shroff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427411214 PECOS PAC ID: 3577807254 Enrollment ID: I20200929003680 |
| Provider Name | Dmitriy Shnayderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346687670 PECOS PAC ID: 8729498928 Enrollment ID: I20201028003067 |
| Provider Name | Andy Akira Aoki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558326629 PECOS PAC ID: 2860495041 Enrollment ID: I20201110001791 |
| Provider Name | Charles Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982661823 PECOS PAC ID: 7810885241 Enrollment ID: I20201118001209 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225144967 PECOS PAC ID: 4880006709 Enrollment ID: I20201218000170 |
| Provider Name | Sean Meshkin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790162600 PECOS PAC ID: 0042623613 Enrollment ID: I20201229001525 |
| Provider Name | Nilesh Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467400580 PECOS PAC ID: 2062304603 Enrollment ID: I20210310002849 |
| Provider Name | Bridget Nkiruka Dike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750806378 PECOS PAC ID: 1759798259 Enrollment ID: I20210330000896 |
| Provider Name | Amarpreet Everest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063943629 PECOS PAC ID: 3375889652 Enrollment ID: I20210330001553 |
| Provider Name | Rinky Prasad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447865787 PECOS PAC ID: 1153739222 Enrollment ID: I20210409002183 |
| Provider Name | Whitney Dorame |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992358105 PECOS PAC ID: 9133451636 Enrollment ID: I20210413002854 |
| Provider Name | Barbara Walston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396206165 PECOS PAC ID: 7810305083 Enrollment ID: I20210428001457 |
| Provider Name | Kristen Diane Pierce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528658374 PECOS PAC ID: 8022427186 Enrollment ID: I20210503001206 |
| Provider Name | Julia Goldin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306305396 PECOS PAC ID: 1153730924 Enrollment ID: I20210506002369 |
| Provider Name | Simon Onderi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871850438 PECOS PAC ID: 5496003170 Enrollment ID: I20210524000597 |
| Provider Name | Artin Aharonian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992740187 PECOS PAC ID: 8224098942 Enrollment ID: I20210524002220 |
| Provider Name | Richard E Gellman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356446074 PECOS PAC ID: 9133220833 Enrollment ID: I20210525000986 |
| Provider Name | Aleisha Jenee Woods |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639550965 PECOS PAC ID: 0345649059 Enrollment ID: I20210601001009 |
| Provider Name | Tae H Ro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952750739 PECOS PAC ID: 3476953068 Enrollment ID: I20210618001757 |
| Provider Name | Jonathan Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033643887 PECOS PAC ID: 6709288582 Enrollment ID: I20210715004151 |
| Provider Name | Joyce Ja-ning Lu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154772515 PECOS PAC ID: 9638572936 Enrollment ID: I20210723002540 |
| Provider Name | Srinidhi Raghavendra Vittal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023781697 PECOS PAC ID: 6305240946 Enrollment ID: I20210804002660 |
| Provider Name | Nelson Uzquiano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477549830 PECOS PAC ID: 9537143615 Enrollment ID: I20210809003891 |
| Provider Name | Julia Kang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609329853 PECOS PAC ID: 3072894906 Enrollment ID: I20210817002521 |
| Provider Name | Kimberley Stephania Yescas Garibay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255824884 PECOS PAC ID: 0143625384 Enrollment ID: I20210825003448 |
| Provider Name | Erin Felkey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063700797 PECOS PAC ID: 3173795796 Enrollment ID: I20211230001104 |
| Provider Name | Shannon Bownds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518911726 PECOS PAC ID: 6901817386 Enrollment ID: I20220117000164 |
| Provider Name | Estefania De Jesus Macias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649949876 PECOS PAC ID: 0941694137 Enrollment ID: I20220304000587 |
| Provider Name | Bassem Ghobrial |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1619359874 PECOS PAC ID: 8022403039 Enrollment ID: I20220309001949 |
| Provider Name | Liisa Marie Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780346072 PECOS PAC ID: 9830584887 Enrollment ID: I20220310000216 |
| Provider Name | Christina Marie Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538547716 PECOS PAC ID: 6507166048 Enrollment ID: I20220331002222 |
| Provider Name | Giriraj Sharma |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780977066 PECOS PAC ID: 1052683091 Enrollment ID: I20220701001313 |
| Provider Name | Steven Sarkis Zourabian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578918926 PECOS PAC ID: 1254734007 Enrollment ID: I20220713001434 |
| Provider Name | Victoria L Hill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336806256 PECOS PAC ID: 2466834668 Enrollment ID: I20220804002263 |
| Provider Name | Robert A Maxey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639165954 PECOS PAC ID: 1658334198 Enrollment ID: I20220824000986 |
| Provider Name | Nancy Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518379171 PECOS PAC ID: 7719272442 Enrollment ID: I20221005003774 |
| Provider Name | Uday Gajjandra Sandhu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275951055 PECOS PAC ID: 0244657807 Enrollment ID: I20221021000494 |
| Provider Name | Maham Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427518422 PECOS PAC ID: 9133597263 Enrollment ID: I20221122000805 |
| Provider Name | Ali Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538655451 PECOS PAC ID: 1951770346 Enrollment ID: I20221206003387 |
| Provider Name | Demetrice Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962710780 PECOS PAC ID: 0446406573 Enrollment ID: I20221213001265 |
| Provider Name | Ryan Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497997050 PECOS PAC ID: 4587789326 Enrollment ID: I20221220001399 |
| Provider Name | Tamanna Mahbub Noyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275160681 PECOS PAC ID: 6709259484 Enrollment ID: I20230228000518 |
| Provider Name | Jinnie Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316507643 PECOS PAC ID: 7517331598 Enrollment ID: I20230314001074 |
| Provider Name | Margaret Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396900593 PECOS PAC ID: 0446385157 Enrollment ID: I20230407001492 |
| Provider Name | Lauren Anne Barton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699487108 PECOS PAC ID: 9931574712 Enrollment ID: I20230410001675 |
| Provider Name | David Serrano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417480336 PECOS PAC ID: 3476802166 Enrollment ID: I20230417001545 |
| Provider Name | Jane Hur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689019804 PECOS PAC ID: 5597980805 Enrollment ID: I20230731000997 |
| Provider Name | Marcin Adam Kopec |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407147044 PECOS PAC ID: 5799065454 Enrollment ID: I20230802002399 |
| Provider Name | Philip A Eisinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750371852 PECOS PAC ID: 4587636584 Enrollment ID: I20230824000875 |
| Provider Name | Jialing Zhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679134597 PECOS PAC ID: 0840616389 Enrollment ID: I20230824001749 |
| Provider Name | Kathleen Carey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225337868 PECOS PAC ID: 4385887603 Enrollment ID: I20230830000041 |
| Provider Name | Adeyinka Owoyele |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629450994 PECOS PAC ID: 1153692215 Enrollment ID: I20230831000003 |
| Provider Name | Alisa Tanakit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285165613 PECOS PAC ID: 8224389606 Enrollment ID: I20230915002537 |
| Provider Name | Sunil K Gujrathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982706974 PECOS PAC ID: 6406953165 Enrollment ID: I20231023001797 |
| Provider Name | David L Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871586685 PECOS PAC ID: 3577547751 Enrollment ID: I20231026001906 |
| Provider Name | Murali Krishna K Meka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245498542 PECOS PAC ID: 6406073980 Enrollment ID: I20231106003008 |
| Provider Name | Jeremy D Theisen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881954501 PECOS PAC ID: 1355571746 Enrollment ID: I20231113003179 |
| Provider Name | Juliana Xie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518408723 PECOS PAC ID: 6103177431 Enrollment ID: I20231115001725 |
| Provider Name | Maher Salahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124317474 PECOS PAC ID: 2466752548 Enrollment ID: I20231121002399 |
| Provider Name | Mignonne B Morrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861663924 PECOS PAC ID: 6103069851 Enrollment ID: I20231204000512 |
| Provider Name | Max L Terry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295775815 PECOS PAC ID: 0840283404 Enrollment ID: I20231219003792 |
| Provider Name | Arena Shafeque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487278560 PECOS PAC ID: 1456701895 Enrollment ID: I20231227000949 |
| Provider Name | John Thamar C Ybarsabal Engaling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023703725 PECOS PAC ID: 5597116848 Enrollment ID: I20240110005058 |
| Provider Name | Mariam Youssef |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861101198 PECOS PAC ID: 9739530098 Enrollment ID: I20240110005219 |
| Provider Name | Neal Dexter Ketchum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225770670 PECOS PAC ID: 1355793845 Enrollment ID: I20240119003788 |
| Provider Name | Heather Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326662552 PECOS PAC ID: 4688026909 Enrollment ID: I20240122004294 |
| Provider Name | Hyun Ju Oh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336766237 PECOS PAC ID: 8527486992 Enrollment ID: I20240125003396 |
| Provider Name | Amy Kirby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588616783 PECOS PAC ID: 0648276626 Enrollment ID: I20240207002563 |
| Provider Name | Rebecca J Rohrer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225300346 PECOS PAC ID: 9133579501 Enrollment ID: I20240220004787 |
| Provider Name | Gary Wei |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457038861 PECOS PAC ID: 2961847330 Enrollment ID: I20240226002997 |
| Provider Name | Danielle Berera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518497973 PECOS PAC ID: 1254776321 Enrollment ID: I20240228002310 |
| Provider Name | Michael Millar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114604626 PECOS PAC ID: 6901241595 Enrollment ID: I20240305004102 |
| Provider Name | Danielle S Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578829669 PECOS PAC ID: 1456628403 Enrollment ID: I20240318001472 |
| Provider Name | Michael J Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861889909 PECOS PAC ID: 2062792542 Enrollment ID: I20240327003012 |
| Provider Name | Gulam Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528055001 PECOS PAC ID: 4183519812 Enrollment ID: I20240328003282 |
| Provider Name | Sean V Pottenger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346813557 PECOS PAC ID: 6608210984 Enrollment ID: I20240419002056 |
| Provider Name | Steven Dustin Bright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881875896 PECOS PAC ID: 8628265212 Enrollment ID: I20240503001775 |
| Provider Name | Navneet Virk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821858739 PECOS PAC ID: 7113368085 Enrollment ID: I20240509000361 |
| Provider Name | Colleen Anne Martin Chicoine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699538975 PECOS PAC ID: 8527500859 Enrollment ID: I20240603000637 |
County Of San Joaquin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Hospital Rd Ste A, French Camp, CA 95231 Phone: 209-468-6937 Fax: 209-468-6114 | |
San Joaquin County Clinics Fmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 West Hospital Rd Suite B, French Camp, CA 95231 Phone: 209-953-6400 Fax: 209-468-6212 | |
San Joaquin County Clinics Hbf Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 W Hospital Rd Suite A, French Camp, CA 95231 Phone: 209-953-6400 Fax: 209-468-7177 | |
San Joaquin County Clinics Pmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 W Hospital Rd Suite C, French Camp, CA 95231 Phone: 209-953-6400 Fax: 209-468-7162 | |
San Joaquin County Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Hospital Rd Ste A, French Camp, CA 95231 Phone: 209-468-6820 |