| San Mateo Medical Center | |
|
222 W 39th Ave San Mateo CA 94403-4364 | |
| (650) 573-3962 | |
| Not Available |
| Full Name | San Mateo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 W 39th Ave, San Mateo, California |
| Authorized Official Name and Position | Kris Rozzi (REIMBURSEMENT) |
| Authorized Official Contact | 6505732120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-3962 | San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-3962 |
| NPI Number | 1679642326 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 06/25/2008 |
| Medicare PECOS PAC ID | 9032023171 |
|---|---|
| Medicare Enrollment ID | O20031126000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679642326 | NPI | - | NPPES |
| GR0062370 | Medicaid | CA | |
| ZZZ93230Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Grace D Hassid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700957099 PECOS PAC ID: 7911810155 Enrollment ID: I20031222000483 |
| Provider Name | Diana Beth Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790730984 PECOS PAC ID: 0840198065 Enrollment ID: I20031226000150 |
| Provider Name | David Ellison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033139076 PECOS PAC ID: 9133027865 Enrollment ID: I20040109001041 |
| Provider Name | Marianne G Maneja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568590891 PECOS PAC ID: 0345142501 Enrollment ID: I20040127000377 |
| Provider Name | Judy L Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265574388 PECOS PAC ID: 6901793686 Enrollment ID: I20040228000318 |
| Provider Name | Lisa L Gooze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053484162 PECOS PAC ID: 0648168286 Enrollment ID: I20040305001104 |
| Provider Name | Joshua P Vanderschaaf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144300435 PECOS PAC ID: 1557353562 Enrollment ID: I20040331000775 |
| Provider Name | Narayana Rao Gunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720026271 PECOS PAC ID: 0244223659 Enrollment ID: I20040402001519 |
| Provider Name | Richard A Woo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649367491 PECOS PAC ID: 9830182765 Enrollment ID: I20040406001622 |
| Provider Name | Arash Shamsinejad Babaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750498119 PECOS PAC ID: 0446244438 Enrollment ID: I20040413000372 |
| Provider Name | Eutiquio Imperial |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659337467 PECOS PAC ID: 8022004787 Enrollment ID: I20040420001763 |
| Provider Name | Nancy Chiao-castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578619052 PECOS PAC ID: 3577552256 Enrollment ID: I20040507001254 |
| Provider Name | Irene S Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366516205 PECOS PAC ID: 2466441167 Enrollment ID: I20040507001346 |
| Provider Name | Tamar Meidav |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154571123 PECOS PAC ID: 0840289294 Enrollment ID: I20040510001651 |
| Provider Name | Sunye K Vuong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154357556 PECOS PAC ID: 0749271062 Enrollment ID: I20040527001048 |
| Provider Name | Adam Selig Rubenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538286505 PECOS PAC ID: 9032192240 Enrollment ID: I20040609000924 |
| Provider Name | Lovella P Caluya Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497956320 PECOS PAC ID: 8729061403 Enrollment ID: I20040611001473 |
| Provider Name | Irwin M Reich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578551073 PECOS PAC ID: 8325023039 Enrollment ID: I20040618000483 |
| Provider Name | Pedro R Guevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043338734 PECOS PAC ID: 8123004835 Enrollment ID: I20040624001362 |
| Provider Name | Michelle Hoaitrang Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811967920 PECOS PAC ID: 5092791731 Enrollment ID: I20040624001581 |
| Provider Name | Herminigildo V Valle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689758526 PECOS PAC ID: 4385622216 Enrollment ID: I20040708000715 |
| Provider Name | Barry Robert Sanchez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609934652 PECOS PAC ID: 3173501038 Enrollment ID: I20040708000948 |
| Provider Name | Michael C Lai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851333918 PECOS PAC ID: 9032198049 Enrollment ID: I20040714001078 |
| Provider Name | Bruce A Eliashof |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568555324 PECOS PAC ID: 0244201689 Enrollment ID: I20040802000369 |
| Provider Name | Kenneth Gee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851489975 PECOS PAC ID: 2961474150 Enrollment ID: I20040809000849 |
| Provider Name | Patti P Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578749115 PECOS PAC ID: 9133191075 Enrollment ID: I20040810001528 |
| Provider Name | Anita M Prakash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578578050 PECOS PAC ID: 3173593845 Enrollment ID: I20040811000764 |
| Provider Name | Jennifer H W Pien-wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699702456 PECOS PAC ID: 3476526682 Enrollment ID: I20040816001504 |
| Provider Name | Alexander C Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497834147 PECOS PAC ID: 2961476999 Enrollment ID: I20040824001309 |
| Provider Name | Jeffrey M Do |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225088552 PECOS PAC ID: 9234103060 Enrollment ID: I20040825001483 |
| Provider Name | Gilda L Major |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366569642 PECOS PAC ID: 8022083153 Enrollment ID: I20040831001512 |
| Provider Name | Arthur E Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619923430 PECOS PAC ID: 1052388899 Enrollment ID: I20040913000364 |
| Provider Name | Christopher J Yoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295776672 PECOS PAC ID: 4789651530 Enrollment ID: I20040913000441 |
| Provider Name | Winnie F Yee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942357074 PECOS PAC ID: 9133197205 Enrollment ID: I20040917000404 |
| Provider Name | Thusha N Nathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295718211 PECOS PAC ID: 0547221939 Enrollment ID: I20041019001330 |
| Provider Name | Gemma G Guillermo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831154418 PECOS PAC ID: 2769445113 Enrollment ID: I20041108000434 |
| Provider Name | Patrick J Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992851471 PECOS PAC ID: 3678536612 Enrollment ID: I20041110000494 |
| Provider Name | Elzbieta Wiesla Jurka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558433623 PECOS PAC ID: 5597729046 Enrollment ID: I20041115001286 |
| Provider Name | Keith Lawton Duncan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194815910 PECOS PAC ID: 9032173588 Enrollment ID: I20041115001303 |
| Provider Name | Heidemarie Ernst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790819472 PECOS PAC ID: 9638137433 Enrollment ID: I20041227000638 |
| Provider Name | Sapna K Dalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144380338 PECOS PAC ID: 9234188152 Enrollment ID: I20050118000969 |
| Provider Name | Josef H Lemire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407892847 PECOS PAC ID: 2769431246 Enrollment ID: I20050121000797 |
| Provider Name | Susan D Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801960497 PECOS PAC ID: 6507819471 Enrollment ID: I20050302001108 |
| Provider Name | Chris Bernard Threatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568466589 PECOS PAC ID: 8325093990 Enrollment ID: I20050316000616 |
| Provider Name | Jonathan D Maskin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386668366 PECOS PAC ID: 9537061338 Enrollment ID: I20050329000540 |
| Provider Name | Charles J Starrett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023120565 PECOS PAC ID: 9931146248 Enrollment ID: I20050408000312 |
| Provider Name | Milan G Chavarkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194852467 PECOS PAC ID: 5890733596 Enrollment ID: I20050422000568 |
| Provider Name | Geri M Archibald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346311149 PECOS PAC ID: 6507805652 Enrollment ID: I20050427001276 |
| Provider Name | John C Furman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639251697 PECOS PAC ID: 9830139518 Enrollment ID: I20050512000264 |
| Provider Name | Sophie O Shaughnessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649322330 PECOS PAC ID: 5193768489 Enrollment ID: I20050607001359 |
| Provider Name | Victoria Galanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851465553 PECOS PAC ID: 1254375074 Enrollment ID: I20050613001282 |
| Provider Name | Robert Sanchez Cadotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760423768 PECOS PAC ID: 3678517273 Enrollment ID: I20050614001425 |
| Provider Name | Jeffrey E Frank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639128895 PECOS PAC ID: 3476598491 Enrollment ID: I20050621000645 |
| Provider Name | Mary Jo Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245301571 PECOS PAC ID: 3870539091 Enrollment ID: I20050628001079 |
| Provider Name | Vivian Levy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053485748 PECOS PAC ID: 8123064045 Enrollment ID: I20050630000850 |
| Provider Name | Claire Toutant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073687844 PECOS PAC ID: 2264468115 Enrollment ID: I20050712000517 |
| Provider Name | Andrea Petron Metkus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306987409 PECOS PAC ID: 4486680824 Enrollment ID: I20050715001038 |
| Provider Name | Bruce Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639210743 PECOS PAC ID: 3779519111 Enrollment ID: I20050715001100 |
| Provider Name | Dirk Stephen Baumann |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013058122 PECOS PAC ID: 9931135316 Enrollment ID: I20050718000277 |
| Provider Name | Pamela E Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598806606 PECOS PAC ID: 9335176890 Enrollment ID: I20050726001024 |
| Provider Name | Betty M Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134168750 PECOS PAC ID: 7416985486 Enrollment ID: I20050801000332 |
| Provider Name | Bertha D Saucedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114005634 PECOS PAC ID: 8325076326 Enrollment ID: I20050801000584 |
| Provider Name | Hector L Santiesteban |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245235738 PECOS PAC ID: 5799713657 Enrollment ID: I20050801001166 |
| Provider Name | Carrie Kallen Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134498926 PECOS PAC ID: 8426089228 Enrollment ID: I20050822000820 |
| Provider Name | Sylvie Leah Blumstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033296983 PECOS PAC ID: 1153352034 Enrollment ID: I20050830001057 |
| Provider Name | Tamar S Besson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134287543 PECOS PAC ID: 7012949357 Enrollment ID: I20050907000775 |
| Provider Name | David J. Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225036320 PECOS PAC ID: 4587699822 Enrollment ID: I20051005000657 |
| Provider Name | Susan E Fernyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679688014 PECOS PAC ID: 2264457365 Enrollment ID: I20051007000550 |
| Provider Name | Daniel J Mcfarland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881795904 PECOS PAC ID: 2466479209 Enrollment ID: I20051031000684 |
| Provider Name | Kieron S. Leslie |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578514824 PECOS PAC ID: 7416975016 Enrollment ID: I20051102000658 |
| Provider Name | Sarah Yasmin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023175247 PECOS PAC ID: 5698767465 Enrollment ID: I20051115001074 |
| Provider Name | Sanjay Bindra |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1528080256 PECOS PAC ID: 6709807019 Enrollment ID: I20051214000866 |
| Provider Name | Cynthia R Chatterjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508089582 PECOS PAC ID: 1052334018 Enrollment ID: I20060105000535 |
| Provider Name | Sara Franklin Sherman-levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720114325 PECOS PAC ID: 2668495524 Enrollment ID: I20060106000422 |
| Provider Name | Anthony L Barreiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093840373 PECOS PAC ID: 4284657032 Enrollment ID: I20060109000252 |
| Provider Name | Jedediah M Hooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144300690 PECOS PAC ID: 7719901834 Enrollment ID: I20060117000365 |
| Provider Name | Juanchito D Crisostomo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730254186 PECOS PAC ID: 0840206843 Enrollment ID: I20060228000784 |
| Provider Name | Masaru J Fisher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063518868 PECOS PAC ID: 9032125919 Enrollment ID: I20060301000711 |
| Provider Name | Frank Duy Duc Trinh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720133705 PECOS PAC ID: 7113936113 Enrollment ID: I20060419000829 |
| Provider Name | Faye Eileen Siegler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104984541 PECOS PAC ID: 4789693623 Enrollment ID: I20060420000367 |
| Provider Name | Uday Jain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487694931 PECOS PAC ID: 6103836994 Enrollment ID: I20060424000445 |
| Provider Name | Mofiz Haque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811967375 PECOS PAC ID: 9739103771 Enrollment ID: I20060502000853 |
| Provider Name | Mina K Fisher |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1124037874 PECOS PAC ID: 9931110012 Enrollment ID: I20060606000274 |
| Provider Name | Eliza B Newbold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811913023 PECOS PAC ID: 4082617444 Enrollment ID: I20060824000540 |
| Provider Name | Jacklyn B Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225051360 PECOS PAC ID: 0446254338 Enrollment ID: I20060907000361 |
| Provider Name | Barbara Jane Gambaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417061052 PECOS PAC ID: 9234134511 Enrollment ID: I20060919000565 |
| Provider Name | Aviva Y Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962420364 PECOS PAC ID: 7719982651 Enrollment ID: I20060927000118 |
| Provider Name | Indu Fotedar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508960766 PECOS PAC ID: 4981601275 Enrollment ID: I20061030000348 |
| Provider Name | Gregory F Lum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366554537 PECOS PAC ID: 1355340282 Enrollment ID: I20061204000248 |
| Provider Name | Anna Lou |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649358185 PECOS PAC ID: 9436150463 Enrollment ID: I20070118000162 |
| Provider Name | Cynthia Weller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750483830 PECOS PAC ID: 7911908751 Enrollment ID: I20070123000145 |
| Provider Name | Sadha Tivakaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720150543 PECOS PAC ID: 3971505348 Enrollment ID: I20070214000088 |
| Provider Name | Stephanie Lin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598839052 PECOS PAC ID: 1557464823 Enrollment ID: I20070307000607 |
| Provider Name | Rodolfo Caballes Soto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962426429 PECOS PAC ID: 7719081256 Enrollment ID: I20070322000584 |
| Provider Name | Larry K Fan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316925183 PECOS PAC ID: 3375647407 Enrollment ID: I20070329000695 |
| Provider Name | Diana V Jao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780683789 PECOS PAC ID: 0941304687 Enrollment ID: I20070405000168 |
| Provider Name | Andrea Marie Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366501181 PECOS PAC ID: 4789780016 Enrollment ID: I20070503000282 |
| Provider Name | Helena T Yip |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033193826 PECOS PAC ID: 5991801169 Enrollment ID: I20070503000687 |
| Provider Name | Jimmy Moe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801908322 PECOS PAC ID: 6901902741 Enrollment ID: I20070510000497 |
| Provider Name | Amy I Chuang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952433740 PECOS PAC ID: 2567560311 Enrollment ID: I20070601000597 |
| Provider Name | Jonathan Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174617963 PECOS PAC ID: 1456459189 Enrollment ID: I20070604000756 |
| Provider Name | Sourav Ray |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669698163 PECOS PAC ID: 0840390019 Enrollment ID: I20070717000614 |
| Provider Name | John T Sorrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417166695 PECOS PAC ID: 3577663756 Enrollment ID: I20070717000718 |
| Provider Name | Diana L Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194836494 PECOS PAC ID: 7618078718 Enrollment ID: I20070719000281 |
| Provider Name | Avanti Ambekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356447627 PECOS PAC ID: 4587755061 Enrollment ID: I20070813000610 |
| Provider Name | Jessie Y Hwang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083766810 PECOS PAC ID: 1355434432 Enrollment ID: I20070905000653 |
| Provider Name | Michael Mccarthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982616553 PECOS PAC ID: 7719902832 Enrollment ID: I20070928000688 |
| Provider Name | Denise R Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003955493 PECOS PAC ID: 2769577014 Enrollment ID: I20071001000721 |
| Provider Name | Tuan Minh Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306059357 PECOS PAC ID: 4486749512 Enrollment ID: I20071003000709 |
| Provider Name | Roberto Diaz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669453775 PECOS PAC ID: 7810083573 Enrollment ID: I20071011000424 |
| Provider Name | Evelyn V Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295936755 PECOS PAC ID: 4880780493 Enrollment ID: I20071012000166 |
| Provider Name | Meena Ammani Swaminathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710184288 PECOS PAC ID: 2668568932 Enrollment ID: I20071017000905 |
| Provider Name | Suja Georgie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497812507 PECOS PAC ID: 4183658354 Enrollment ID: I20071101000418 |
| Provider Name | Melissa J Selner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861448573 PECOS PAC ID: 2365539426 Enrollment ID: I20071106000561 |
| Provider Name | Matthew R Denny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336283621 PECOS PAC ID: 0648369629 Enrollment ID: I20071128000417 |
| Provider Name | Tarunpreet Bains |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144416009 PECOS PAC ID: 7315036357 Enrollment ID: I20071128000854 |
| Provider Name | Madhavi Chenumalla |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225122849 PECOS PAC ID: 0547350746 Enrollment ID: I20071211000805 |
| Provider Name | Peter A Dell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699806059 PECOS PAC ID: 2062593262 Enrollment ID: I20080114000564 |
| Provider Name | Alyse Gabriel |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053329144 PECOS PAC ID: 0941382055 Enrollment ID: I20080129000235 |
| Provider Name | Divya Chander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487850079 PECOS PAC ID: 1153403951 Enrollment ID: I20080201000285 |
| Provider Name | Susan C Marks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801835079 PECOS PAC ID: 7416031414 Enrollment ID: I20080229000208 |
| Provider Name | Richard J O'leary |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275585937 PECOS PAC ID: 9133178874 Enrollment ID: I20080318000360 |
| Provider Name | Erika M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275713943 PECOS PAC ID: 0547346827 Enrollment ID: I20080326001004 |
| Provider Name | Albert Wetter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417098427 PECOS PAC ID: 1557448529 Enrollment ID: I20080402000177 |
| Provider Name | Randolph Alan Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962502872 PECOS PAC ID: 2264465236 Enrollment ID: I20080404000145 |
| Provider Name | Lorna M Thornton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104909027 PECOS PAC ID: 7517859416 Enrollment ID: I20080425000249 |
| Provider Name | David Goldschmid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831137025 PECOS PAC ID: 3577641893 Enrollment ID: I20080425000625 |
| Provider Name | Toby A Maurer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871668509 PECOS PAC ID: 3971682840 Enrollment ID: I20080502000456 |
| Provider Name | Chin-po P Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730257726 PECOS PAC ID: 8224117551 Enrollment ID: I20080512000282 |
| Provider Name | Crystal L Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588841365 PECOS PAC ID: 4587733704 Enrollment ID: I20080514000442 |
| Provider Name | Lily Yee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861544488 PECOS PAC ID: 8921177163 Enrollment ID: I20080514000571 |
| Provider Name | Susan S Hong Crandall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659550226 PECOS PAC ID: 8022189398 Enrollment ID: I20080612000915 |
| Provider Name | Randolph Wy Wong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811038649 PECOS PAC ID: 9537231196 Enrollment ID: I20080626000658 |
| Provider Name | Clay Napper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053352815 PECOS PAC ID: 0941372429 Enrollment ID: I20080627000143 |
| Provider Name | Daniel J Buckley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013916733 PECOS PAC ID: 1658443924 Enrollment ID: I20080701000434 |
| Provider Name | John S Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871537308 PECOS PAC ID: 1153229372 Enrollment ID: I20080708000509 |
| Provider Name | Dorra Sellami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528186780 PECOS PAC ID: 8224100052 Enrollment ID: I20080710000410 |
| Provider Name | Kelly Clark Broderick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609821891 PECOS PAC ID: 4385717008 Enrollment ID: I20080714000398 |
| Provider Name | Douglas Hayden Owyang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902847841 PECOS PAC ID: 1456424050 Enrollment ID: I20080715000506 |
| Provider Name | Wilson E Cheng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508944174 PECOS PAC ID: 0648343269 Enrollment ID: I20080715000717 |
| Provider Name | Mark N Pederson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063457034 PECOS PAC ID: 1951474428 Enrollment ID: I20080716000345 |
| Provider Name | Humayun Tufail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902947625 PECOS PAC ID: 0840363016 Enrollment ID: I20080721000815 |
| Provider Name | Fred Lui |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265461644 PECOS PAC ID: 1951321652 Enrollment ID: I20080722000294 |
| Provider Name | Elaine S Date |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023107364 PECOS PAC ID: 2163595281 Enrollment ID: I20080723000483 |
| Provider Name | Gregory Matthew Lim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437105251 PECOS PAC ID: 7012080831 Enrollment ID: I20080725000727 |
| Provider Name | David S Marcus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528014347 PECOS PAC ID: 7416855630 Enrollment ID: I20080725000736 |
| Provider Name | Bradley P Graw |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578737029 PECOS PAC ID: 8527136019 Enrollment ID: I20081010000450 |
| Provider Name | Ronald S Greenwald |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316954191 PECOS PAC ID: 2961570312 Enrollment ID: I20081013000108 |
| Provider Name | Elizabeth R Jensen |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1710191820 PECOS PAC ID: 0244308534 Enrollment ID: I20081014000648 |
| Provider Name | Deborah Altemus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821180993 PECOS PAC ID: 8628002847 Enrollment ID: I20081022000620 |
| Provider Name | Marina Obolnikov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174732713 PECOS PAC ID: 6305904988 Enrollment ID: I20081027000228 |
| Provider Name | Aileen Shieu |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1154515385 PECOS PAC ID: 8224197587 Enrollment ID: I20081101000094 |
| Provider Name | Gordon K Mak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447330725 PECOS PAC ID: 5890854871 Enrollment ID: I20081105000521 |
| Provider Name | Stephen E Cummings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063567063 PECOS PAC ID: 7618037839 Enrollment ID: I20081118000642 |
| Provider Name | Todd May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679528335 PECOS PAC ID: 3678634136 Enrollment ID: I20081203000328 |
| Provider Name | Katherine R Elsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053388645 PECOS PAC ID: 0840351888 Enrollment ID: I20081209000290 |
| Provider Name | Alpa Sanghavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376633628 PECOS PAC ID: 7113089657 Enrollment ID: I20081217000677 |
| Provider Name | Teja Bedi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871777573 PECOS PAC ID: 0244392785 Enrollment ID: I20081217000725 |
| Provider Name | Jason Niksch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609921667 PECOS PAC ID: 5890857882 Enrollment ID: I20081230000162 |
| Provider Name | Susan J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194843607 PECOS PAC ID: 5496817249 Enrollment ID: I20090102000461 |
| Provider Name | Mary T Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063657906 PECOS PAC ID: 1254494701 Enrollment ID: I20090110000012 |
| Provider Name | Nabeela Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689855595 PECOS PAC ID: 5991868374 Enrollment ID: I20090112000221 |
| Provider Name | Kathleen M Mckenna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699711358 PECOS PAC ID: 0446314421 Enrollment ID: I20090206000127 |
| Provider Name | Cheryl Woo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538310149 PECOS PAC ID: 8426113770 Enrollment ID: I20090219000582 |
| Provider Name | Scott A Morrow |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548316342 PECOS PAC ID: 7113083221 Enrollment ID: I20090225000400 |
| Provider Name | Caroline A Bowker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992876254 PECOS PAC ID: 6305903550 Enrollment ID: I20090316000365 |
| Provider Name | Stanley Rockman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447318829 PECOS PAC ID: 1658438106 Enrollment ID: I20090327000035 |
| Provider Name | Rakhi Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083763981 PECOS PAC ID: 4587711684 Enrollment ID: I20090407000246 |
| Provider Name | Nancy S Shulman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356498091 PECOS PAC ID: 4688723695 Enrollment ID: I20090521000640 |
| Provider Name | Oliver O Aalami |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225229024 PECOS PAC ID: 9032203757 Enrollment ID: I20090604000510 |
| Provider Name | Vicky Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700926821 PECOS PAC ID: 2567514003 Enrollment ID: I20090715000186 |
| Provider Name | Meghan M Trojnar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265638621 PECOS PAC ID: 6204989817 Enrollment ID: I20090729000755 |
| Provider Name | Paul R Holland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447462726 PECOS PAC ID: 7113070970 Enrollment ID: I20090813000435 |
| Provider Name | Cameron D Quanbeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275517120 PECOS PAC ID: 8921152596 Enrollment ID: I20090817000243 |
| Provider Name | Jenny C Kuo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639136286 PECOS PAC ID: 5294881249 Enrollment ID: I20090916000812 |
| Provider Name | David Jegge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659593556 PECOS PAC ID: 7810033479 Enrollment ID: I20091013000123 |
| Provider Name | Deepa K Rathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381799 PECOS PAC ID: 9436297736 Enrollment ID: I20091106000125 |
| Provider Name | David B Schatz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801082375 PECOS PAC ID: 9335281112 Enrollment ID: I20100115000638 |
| Provider Name | Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013013416 PECOS PAC ID: 3971648718 Enrollment ID: I20100304000820 |
| Provider Name | Mark L Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346309440 PECOS PAC ID: 3375688005 Enrollment ID: I20100305000785 |
| Provider Name | Jason T Bromley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598835142 PECOS PAC ID: 6709921141 Enrollment ID: I20100309000883 |
| Provider Name | Howard Belfer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740206457 PECOS PAC ID: 9032244504 Enrollment ID: I20100323000371 |
| Provider Name | Jenny Inchin Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629274238 PECOS PAC ID: 9537297288 Enrollment ID: I20100517000742 |
| Provider Name | George A Crits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992922926 PECOS PAC ID: 7113056664 Enrollment ID: I20100521000689 |
| Provider Name | Joseph T Broderick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497813869 PECOS PAC ID: 6709916752 Enrollment ID: I20100617000580 |
| Provider Name | Bryan Gescuk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295815579 PECOS PAC ID: 8224169750 Enrollment ID: I20100628000746 |
| Provider Name | Jeanette Aviles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184772576 PECOS PAC ID: 0143352567 Enrollment ID: I20100721000443 |
| Provider Name | Trupti Nangare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679805089 PECOS PAC ID: 6305978438 Enrollment ID: I20100724000253 |
| Provider Name | Michael Siegel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699794115 PECOS PAC ID: 2769514819 Enrollment ID: I20100726000032 |
| Provider Name | David S Shields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578671608 PECOS PAC ID: 4587797345 Enrollment ID: I20100729000895 |
| Provider Name | Victor W Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518920602 PECOS PAC ID: 4981737558 Enrollment ID: I20100803000536 |
| Provider Name | Allen K Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841467701 PECOS PAC ID: 7810011145 Enrollment ID: I20100824000326 |
| Provider Name | Scott D Oesterling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457422701 PECOS PAC ID: 2062536196 Enrollment ID: I20100826000616 |
| Provider Name | Rose Drago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306904982 PECOS PAC ID: 9739138322 Enrollment ID: I20100920000500 |
| Provider Name | Shan Wen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194056465 PECOS PAC ID: 8921124231 Enrollment ID: I20100923001268 |
| Provider Name | Aparna M Bhagavat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144254806 PECOS PAC ID: 2466534474 Enrollment ID: I20100929000759 |
| Provider Name | Marina Urman-yotam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114187960 PECOS PAC ID: 9931391372 Enrollment ID: I20101004001390 |
| Provider Name | Lisa Choon Hong Tsang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952565582 PECOS PAC ID: 6103018866 Enrollment ID: I20101013000440 |
| Provider Name | Sio M Tong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891813762 PECOS PAC ID: 9739372061 Enrollment ID: I20101019001517 |
| Provider Name | Don Y Park |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578750774 PECOS PAC ID: 5496948192 Enrollment ID: I20101026000202 |
| Provider Name | Michael Paul Jaffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417081274 PECOS PAC ID: 6901090497 Enrollment ID: I20101028000820 |
| Provider Name | Evelyn A Alarcon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386873610 PECOS PAC ID: 2567657364 Enrollment ID: I20101105000886 |
| Provider Name | Doriana M Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477783900 PECOS PAC ID: 9537354253 Enrollment ID: I20101108001074 |
| Provider Name | Melissa K Egge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922261957 PECOS PAC ID: 8527141035 Enrollment ID: I20101109001449 |
| Provider Name | Elizabeth K Long Goldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578877932 PECOS PAC ID: 3375739253 Enrollment ID: I20101118000782 |
| Provider Name | Carol A Tabak |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760560312 PECOS PAC ID: 2769678986 Enrollment ID: I20101130000186 |
| Provider Name | Anuradha Y Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285964759 PECOS PAC ID: 2365638400 Enrollment ID: I20101201000270 |
| Provider Name | Deepa Srinivasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326214545 PECOS PAC ID: 4789871054 Enrollment ID: I20101213000626 |
| Provider Name | Mark Scott Reisman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124106919 PECOS PAC ID: 8729267877 Enrollment ID: I20110121000717 |
| Provider Name | Laura Greicus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689751786 PECOS PAC ID: 9638358286 Enrollment ID: I20110127000966 |
| Provider Name | Barbara Y Weissman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619194743 PECOS PAC ID: 9537340518 Enrollment ID: I20110223001137 |
| Provider Name | Harry F Bowles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255355251 PECOS PAC ID: 2668374463 Enrollment ID: I20110308000986 |
| Provider Name | Tasha Souter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831206697 PECOS PAC ID: 0941483911 Enrollment ID: I20110329000432 |
| Provider Name | Stephan P Wyss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932287539 PECOS PAC ID: 8628251469 Enrollment ID: I20110331000608 |
| Provider Name | Janele M Auranicky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639379506 PECOS PAC ID: 2769666015 Enrollment ID: I20110411000488 |
| Provider Name | Michael T Nwynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629157367 PECOS PAC ID: 0244376788 Enrollment ID: I20110420000605 |
| Provider Name | Neeraja V Maramreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093893109 PECOS PAC ID: 4082899638 Enrollment ID: I20110426000711 |
| Provider Name | Zachary A Plaut |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598946683 PECOS PAC ID: 6204011786 Enrollment ID: I20110427000233 |
| Provider Name | Samuel Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588737894 PECOS PAC ID: 8729263082 Enrollment ID: I20110430000031 |
| Provider Name | John L Herbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396775870 PECOS PAC ID: 4880879014 Enrollment ID: I20110503000235 |
| Provider Name | Michael L Getzell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174601942 PECOS PAC ID: 0547306128 Enrollment ID: I20110504000147 |
| Provider Name | Joshua S Sckolnick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487802526 PECOS PAC ID: 5698812279 Enrollment ID: I20110505000426 |
| Provider Name | Nandini Ganpule |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326110156 PECOS PAC ID: 6901082999 Enrollment ID: I20110509000287 |
| Provider Name | Chuan Hsin Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033377841 PECOS PAC ID: 2163608035 Enrollment ID: I20110511000334 |
| Provider Name | Brendan E Scherer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598930208 PECOS PAC ID: 5890971675 Enrollment ID: I20110511000599 |
| Provider Name | Kathleen H Akiyama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194886879 PECOS PAC ID: 6204012818 Enrollment ID: I20110517000087 |
| Provider Name | Elizabeth P Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225154776 PECOS PAC ID: 6406033869 Enrollment ID: I20110613000123 |
| Provider Name | Erin L Imler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649455841 PECOS PAC ID: 7517155948 Enrollment ID: I20110629000494 |
| Provider Name | Amanda L Hing Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215243522 PECOS PAC ID: 2769660125 Enrollment ID: I20110707000264 |
| Provider Name | Thien Gangopadhyay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952586232 PECOS PAC ID: 7618146945 Enrollment ID: I20110803000219 |
| Provider Name | Steven M Hassid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528132248 PECOS PAC ID: 2860661881 Enrollment ID: I20110809000387 |
| Provider Name | Alvin H Lau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053446625 PECOS PAC ID: 6204005804 Enrollment ID: I20110817000261 |
| Provider Name | Eddie Yuti Lo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376722017 PECOS PAC ID: 4183893613 Enrollment ID: I20110817000702 |
| Provider Name | Brita C Almog |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033402847 PECOS PAC ID: 4587833066 Enrollment ID: I20110818000294 |
| Provider Name | Yi Yi Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255416236 PECOS PAC ID: 1850561374 Enrollment ID: I20110818000917 |
| Provider Name | Jessica A Kassis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033394424 PECOS PAC ID: 0749450203 Enrollment ID: I20110819000414 |
| Provider Name | Currie Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568629707 PECOS PAC ID: 0749450211 Enrollment ID: I20110819000550 |
| Provider Name | William Andres Triana Rojas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528216033 PECOS PAC ID: 3274703459 Enrollment ID: I20110825000295 |
| Provider Name | Michael C D Trindade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114116779 PECOS PAC ID: 2264602184 Enrollment ID: I20110902000025 |
| Provider Name | Matthew C. Mcandrew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215928197 PECOS PAC ID: 5294770491 Enrollment ID: I20110928000190 |
| Provider Name | Martha E Funkhouser |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235195157 PECOS PAC ID: 6709918865 Enrollment ID: I20111013000394 |
| Provider Name | Rajalakshmi Kalimuthu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477707750 PECOS PAC ID: 5799957783 Enrollment ID: I20111018000177 |
| Provider Name | Melissa B Fledderjohann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295864791 PECOS PAC ID: 4385817089 Enrollment ID: I20111025000327 |
| Provider Name | Richard E Ehling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124187950 PECOS PAC ID: 5193998722 Enrollment ID: I20111027000121 |
| Provider Name | Sara F Okabayashi-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427169762 PECOS PAC ID: 5294812525 Enrollment ID: I20111028000550 |
| Provider Name | Swati Shandilya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962781195 PECOS PAC ID: 5395918239 Enrollment ID: I20111109000381 |
| Provider Name | Mamatha Chivukula |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750353280 PECOS PAC ID: 0244270775 Enrollment ID: I20111109000569 |
| Provider Name | Chester J Kunnappilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437220704 PECOS PAC ID: 4284801747 Enrollment ID: I20120124000562 |
| Provider Name | Ana M Mummah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588734073 PECOS PAC ID: 4688841976 Enrollment ID: I20120127000563 |
| Provider Name | Jennifer C Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336342708 PECOS PAC ID: 1557528775 Enrollment ID: I20120131000227 |
| Provider Name | William S Lock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770656753 PECOS PAC ID: 8628235892 Enrollment ID: I20120131000889 |
| Provider Name | Ahalya P Joisha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760536577 PECOS PAC ID: 3476713421 Enrollment ID: I20120328000712 |
| Provider Name | Lhasa M Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306005293 PECOS PAC ID: 8729243373 Enrollment ID: I20120703000602 |
| Provider Name | Kenton D Fong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932388444 PECOS PAC ID: 8325203565 Enrollment ID: I20120713000097 |
| Provider Name | Justin Cuff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063600567 PECOS PAC ID: 9133375132 Enrollment ID: I20120807000644 |
| Provider Name | Elizabeth E Uy Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467789446 PECOS PAC ID: 1254588254 Enrollment ID: I20120827000624 |
| Provider Name | Ryan Johnston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780815522 PECOS PAC ID: 7113176827 Enrollment ID: I20121012000118 |
| Provider Name | Scion C Mangubat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851656946 PECOS PAC ID: 8123278579 Enrollment ID: I20121022000384 |
| Provider Name | Michael H Vagts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215223193 PECOS PAC ID: 7315198165 Enrollment ID: I20121105000068 |
| Provider Name | Katalin A Szabo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770879900 PECOS PAC ID: 7810148194 Enrollment ID: I20121114000260 |
| Provider Name | Harmeet S Bedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548402084 PECOS PAC ID: 7517119340 Enrollment ID: I20121130000356 |
| Provider Name | Gaurav Abbi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700074853 PECOS PAC ID: 7719139864 Enrollment ID: I20121218000418 |
| Provider Name | Kiran R Vaswani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467537126 PECOS PAC ID: 6507019544 Enrollment ID: I20121227000066 |
| Provider Name | Martin Deilmann |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598024382 PECOS PAC ID: 7113170671 Enrollment ID: I20130111000189 |
| Provider Name | Michael E Kase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083885164 PECOS PAC ID: 0749425098 Enrollment ID: I20130314000479 |
| Provider Name | Rachel Shorr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023211273 PECOS PAC ID: 3870779523 Enrollment ID: I20130322000284 |
| Provider Name | Lisa C Zaba |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710286398 PECOS PAC ID: 4385881242 Enrollment ID: I20130513000480 |
| Provider Name | Thuy Bao Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811228059 PECOS PAC ID: 7113165226 Enrollment ID: I20130531000405 |
| Provider Name | Amy Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306048145 PECOS PAC ID: 6204020688 Enrollment ID: I20130603000352 |
| Provider Name | Alexander Ding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871778720 PECOS PAC ID: 2567629470 Enrollment ID: I20130612000545 |
| Provider Name | James Rice Meier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316011034 PECOS PAC ID: 2466691654 Enrollment ID: I20130619000390 |
| Provider Name | Barbara F Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487796066 PECOS PAC ID: 6901046549 Enrollment ID: I20130703000030 |
| Provider Name | Leeanna T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750434015 PECOS PAC ID: 5799927547 Enrollment ID: I20130807001006 |
| Provider Name | Mariam Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851604847 PECOS PAC ID: 7517109127 Enrollment ID: I20130812000306 |
| Provider Name | Edouard Aboian |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588830566 PECOS PAC ID: 9436391570 Enrollment ID: I20130820000336 |
| Provider Name | Trushna Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144502998 PECOS PAC ID: 8426291394 Enrollment ID: I20130823001109 |
| Provider Name | Shubhangi Kesavan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164799656 PECOS PAC ID: 8426291311 Enrollment ID: I20130824000065 |
| Provider Name | Hoang H Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346551819 PECOS PAC ID: 1557504016 Enrollment ID: I20130830000628 |
| Provider Name | Neda Moshasha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558303321 PECOS PAC ID: 6507758349 Enrollment ID: I20130903000141 |
| Provider Name | Huaiyu Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043346729 PECOS PAC ID: 3375786536 Enrollment ID: I20130909000115 |
| Provider Name | Sharon R Cu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831483262 PECOS PAC ID: 0042445108 Enrollment ID: I20131025000249 |
| Provider Name | Mithu M Tharayil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245531607 PECOS PAC ID: 2769617398 Enrollment ID: I20131106001376 |
| Provider Name | Alexander S Cardenas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720342116 PECOS PAC ID: 7214163781 Enrollment ID: I20131112001182 |
| Provider Name | Joan A Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891000188 PECOS PAC ID: 4284828187 Enrollment ID: I20131113000233 |
| Provider Name | George K Lee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730363581 PECOS PAC ID: 7113153222 Enrollment ID: I20131120000614 |
| Provider Name | Hong Zheng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861796807 PECOS PAC ID: 7315173168 Enrollment ID: I20131126001503 |
| Provider Name | Linh L Tran |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518194836 PECOS PAC ID: 5991931628 Enrollment ID: I20131202000354 |
| Provider Name | Christopher L White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528377553 PECOS PAC ID: 1355577909 Enrollment ID: I20131204000642 |
| Provider Name | Nicole Westercamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447514658 PECOS PAC ID: 6901033588 Enrollment ID: I20131206000824 |
| Provider Name | Amy Hsu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346565660 PECOS PAC ID: 0749417400 Enrollment ID: I20131230001222 |
| Provider Name | Emily E Crozier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497920219 PECOS PAC ID: 0547497216 Enrollment ID: I20131230001766 |
| Provider Name | Stefani A Lafrenierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750645743 PECOS PAC ID: 8527296755 Enrollment ID: I20140116000279 |
| Provider Name | Bradd Joel Silver |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083715817 PECOS PAC ID: 3072588391 Enrollment ID: I20140305001256 |
| Provider Name | Dana Ioana Rosca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518125624 PECOS PAC ID: 3476785494 Enrollment ID: I20140407000021 |
| Provider Name | Juan Casillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003165135 PECOS PAC ID: 9537308515 Enrollment ID: I20140505001805 |
| Provider Name | Jennifer D Perkins Chen |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1194967174 PECOS PAC ID: 5496978330 Enrollment ID: I20140522001449 |
| Provider Name | Vanessa Breen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497190763 PECOS PAC ID: 3870726839 Enrollment ID: I20140612001861 |
| Provider Name | Matthew Lincoln Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215282785 PECOS PAC ID: 3072738111 Enrollment ID: I20140707000217 |
| Provider Name | Pranjal R Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255620787 PECOS PAC ID: 8729203781 Enrollment ID: I20140707001133 |
| Provider Name | Stacie A Solt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518194562 PECOS PAC ID: 3476779448 Enrollment ID: I20140728001873 |
| Provider Name | Ellen Aoki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801923719 PECOS PAC ID: 5395962088 Enrollment ID: I20140804000308 |
| Provider Name | Yuwen Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366701419 PECOS PAC ID: 3870710908 Enrollment ID: I20140813000322 |
| Provider Name | Anne Henzel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942355953 PECOS PAC ID: 5890914105 Enrollment ID: I20140919000061 |
| Provider Name | Macy K Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255622890 PECOS PAC ID: 8527288208 Enrollment ID: I20140930002795 |
| Provider Name | Abhishek Gowda |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710114772 PECOS PAC ID: 4385865328 Enrollment ID: I20141016001386 |
| Provider Name | Luca J Kelava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982004032 PECOS PAC ID: 8729209622 Enrollment ID: I20141017000929 |
| Provider Name | Davina E Lopes De Menezes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013200278 PECOS PAC ID: 9133341209 Enrollment ID: I20141105002657 |
| Provider Name | Christian R Washburn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023270485 PECOS PAC ID: 2365764917 Enrollment ID: I20141209002488 |
| Provider Name | Yousef Y Turshani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720279060 PECOS PAC ID: 5991940629 Enrollment ID: I20141223002310 |
| Provider Name | Seamus Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083054803 PECOS PAC ID: 7719200419 Enrollment ID: I20150105002033 |
| Provider Name | Josephus Sanjorjo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073808168 PECOS PAC ID: 6901084227 Enrollment ID: I20150117000293 |
| Provider Name | Marta A Banh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568717213 PECOS PAC ID: 3072837210 Enrollment ID: I20150119000622 |
| Provider Name | Teresa T Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003012907 PECOS PAC ID: 2062606007 Enrollment ID: I20150119000634 |
| Provider Name | Mu Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346507902 PECOS PAC ID: 1557685419 Enrollment ID: I20150123001483 |
| Provider Name | Sanjay P Muttreja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447201173 PECOS PAC ID: 3476539230 Enrollment ID: I20150203002289 |
| Provider Name | Emerson M De Jesus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962700187 PECOS PAC ID: 2567787997 Enrollment ID: I20150206000395 |
| Provider Name | Reena Trivedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417237827 PECOS PAC ID: 2769707066 Enrollment ID: I20150209000805 |
| Provider Name | Sarah Y Ree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467858290 PECOS PAC ID: 9931425956 Enrollment ID: I20150310000002 |
| Provider Name | Maureen Dudgeon |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699976134 PECOS PAC ID: 1557271558 Enrollment ID: I20150324002381 |
| Provider Name | Steven Sust |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407174477 PECOS PAC ID: 7416274543 Enrollment ID: I20150328000062 |
| Provider Name | Jeffrey John Crudo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508987371 PECOS PAC ID: 5092767897 Enrollment ID: I20150507002116 |
| Provider Name | Kathryn Mulholland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548647522 PECOS PAC ID: 3678884871 Enrollment ID: I20150615001249 |
| Provider Name | Dong Li Hou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912342882 PECOS PAC ID: 5496066482 Enrollment ID: I20150617001556 |
| Provider Name | Joshua Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114289550 PECOS PAC ID: 7416260823 Enrollment ID: I20150714002091 |
| Provider Name | Matthew B Mccarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790049567 PECOS PAC ID: 3870806995 Enrollment ID: I20150720000419 |
| Provider Name | Yunghui Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497153282 PECOS PAC ID: 6800101775 Enrollment ID: I20150820012521 |
| Provider Name | George Zhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679956031 PECOS PAC ID: 2062727878 Enrollment ID: I20150821013869 |
| Provider Name | Richard Jinwhan Han |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578799276 PECOS PAC ID: 1850607920 Enrollment ID: I20150903001944 |
| Provider Name | Arpita Mukherjee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791244 PECOS PAC ID: 7214198928 Enrollment ID: I20150916000117 |
| Provider Name | Stephen R Beckwith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134235260 PECOS PAC ID: 2860443249 Enrollment ID: I20150916000616 |
| Provider Name | Olivia S Ghaussy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861874398 PECOS PAC ID: 5597073510 Enrollment ID: I20150924001762 |
| Provider Name | Chrystal V Wa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407174410 PECOS PAC ID: 9133437825 Enrollment ID: I20150929003225 |
| Provider Name | Johanna M Wolgast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558467522 PECOS PAC ID: 2860592110 Enrollment ID: I20151007000320 |
| Provider Name | Anthony Saeed Sayegh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326395583 PECOS PAC ID: 9133437437 Enrollment ID: I20151007000445 |
| Provider Name | John N Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013082429 PECOS PAC ID: 2365750676 Enrollment ID: I20151007001155 |
| Provider Name | Sharon A Pao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285987636 PECOS PAC ID: 7911215116 Enrollment ID: I20151008001554 |
| Provider Name | Christopher King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801271549 PECOS PAC ID: 3173831203 Enrollment ID: I20151008002784 |
| Provider Name | Jaishree Rajagopalan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356340764 PECOS PAC ID: 6709856040 Enrollment ID: I20151014000961 |
| Provider Name | Grace S Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356758635 PECOS PAC ID: 3375867518 Enrollment ID: I20151015000047 |
| Provider Name | Alysia A Cirona-singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831323294 PECOS PAC ID: 0244549871 Enrollment ID: I20151022001256 |
| Provider Name | Charlene Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528330933 PECOS PAC ID: 4880903244 Enrollment ID: I20151026001547 |
| Provider Name | Marissa Aillaud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699090894 PECOS PAC ID: 2163732009 Enrollment ID: I20151105001783 |
| Provider Name | Miranda G Haskins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396005542 PECOS PAC ID: 5294045050 Enrollment ID: I20151106000037 |
| Provider Name | Sara Pfender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700256054 PECOS PAC ID: 8729398458 Enrollment ID: I20151110001569 |
| Provider Name | Julie Birdsong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578909776 PECOS PAC ID: 5193035590 Enrollment ID: I20151116001683 |
| Provider Name | Agnieszka Kalinowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679917678 PECOS PAC ID: 4284944596 Enrollment ID: I20151116002696 |
| Provider Name | Ako M Walther |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588907836 PECOS PAC ID: 1850691171 Enrollment ID: I20151118001301 |
| Provider Name | Judith A Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407225121 PECOS PAC ID: 8123328887 Enrollment ID: I20151202000431 |
| Provider Name | Tiffany N Lambright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295108843 PECOS PAC ID: 0941500458 Enrollment ID: I20151204000701 |
| Provider Name | Clarissa M Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878151 PECOS PAC ID: 3870894181 Enrollment ID: I20151210001097 |
| Provider Name | Meredith Q Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987352 PECOS PAC ID: 7416258769 Enrollment ID: I20151210002458 |
| Provider Name | Carolyn M Senger |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1083866834 PECOS PAC ID: 7113228347 Enrollment ID: I20151214000599 |
| Provider Name | Namui Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295123727 PECOS PAC ID: 6800103680 Enrollment ID: I20151214002576 |
| Provider Name | Kortney Michele Parman Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952546103 PECOS PAC ID: 2961703723 Enrollment ID: I20151221001015 |
| Provider Name | Sonia A Ter Kuile |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407221021 PECOS PAC ID: 9830490424 Enrollment ID: I20151228001011 |
| Provider Name | Rumi Yokota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336482363 PECOS PAC ID: 7416259171 Enrollment ID: I20160112002361 |
| Provider Name | Estela Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225319825 PECOS PAC ID: 7517260003 Enrollment ID: I20160115000977 |
| Provider Name | John James Openshaw |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679720460 PECOS PAC ID: 5597068551 Enrollment ID: I20160125002657 |
| Provider Name | Gabriela Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376951558 PECOS PAC ID: 1557686144 Enrollment ID: I20160222001815 |
| Provider Name | Marissa S Pfohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851525703 PECOS PAC ID: 4486959707 Enrollment ID: I20160224003004 |
| Provider Name | Diana L Wertz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205147113 PECOS PAC ID: 6406152404 Enrollment ID: I20160316001633 |
| Provider Name | Christopher J Balkissoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598159410 PECOS PAC ID: 5698072379 Enrollment ID: I20160323001551 |
| Provider Name | Kokil M Chopra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831350677 PECOS PAC ID: 2163663832 Enrollment ID: I20160323001911 |
| Provider Name | Mrudula Penta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568670917 PECOS PAC ID: 2668770710 Enrollment ID: I20160406001016 |
| Provider Name | Woosung Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477844629 PECOS PAC ID: 6305144361 Enrollment ID: I20160407002169 |
| Provider Name | Kapil Chopra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912169137 PECOS PAC ID: 0941451298 Enrollment ID: I20160427000592 |
| Provider Name | Aruna Rajagopalan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114105053 PECOS PAC ID: 2365752797 Enrollment ID: I20160427001912 |
| Provider Name | Michelle E Hauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417241712 PECOS PAC ID: 0840581658 Enrollment ID: I20160627001301 |
| Provider Name | Amanda M Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659748242 PECOS PAC ID: 8921399668 Enrollment ID: I20160627002571 |
| Provider Name | Rahi Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730452806 PECOS PAC ID: 9032340385 Enrollment ID: I20160706000900 |
| Provider Name | Rebecca M Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326296187 PECOS PAC ID: 6204146145 Enrollment ID: I20160712003035 |
| Provider Name | Ajay S Dharia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548595127 PECOS PAC ID: 9830481662 Enrollment ID: I20160714001055 |
| Provider Name | Erin Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144562489 PECOS PAC ID: 0547552234 Enrollment ID: I20160718001370 |
| Provider Name | Jacqueline D Baras Shreibati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780997064 PECOS PAC ID: 4688967391 Enrollment ID: I20160718002171 |
| Provider Name | Michelle Solone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982023016 PECOS PAC ID: 9436442555 Enrollment ID: I20160727001890 |
| Provider Name | Wutt Yie Linn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528401742 PECOS PAC ID: 8527297977 Enrollment ID: I20160824000828 |
| Provider Name | Elizabeth Anne Zambricki |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629368485 PECOS PAC ID: 7719273317 Enrollment ID: I20160908000476 |
| Provider Name | Mary G Leong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437401031 PECOS PAC ID: 1850687237 Enrollment ID: I20160912000526 |
| Provider Name | Aparna R Dalal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700032729 PECOS PAC ID: 6709935141 Enrollment ID: I20160912002380 |
| Provider Name | Shannon R Moore-langston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598179509 PECOS PAC ID: 3375839590 Enrollment ID: I20160914000472 |
| Provider Name | Emily Np Rodda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619300423 PECOS PAC ID: 7315235371 Enrollment ID: I20161007000796 |
| Provider Name | Armando Jr Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760865950 PECOS PAC ID: 2860780228 Enrollment ID: I20161018001550 |
| Provider Name | Michele R Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124495247 PECOS PAC ID: 9436438579 Enrollment ID: I20161114001843 |
| Provider Name | Farah Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760828990 PECOS PAC ID: 4284913203 Enrollment ID: I20161115002775 |
| Provider Name | Elizabeth D Grady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578634820 PECOS PAC ID: 2860771730 Enrollment ID: I20161116002455 |
| Provider Name | Laleh Rezaei-homami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104170844 PECOS PAC ID: 6204064132 Enrollment ID: I20161116002740 |
| Provider Name | Anna H Jung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306181193 PECOS PAC ID: 3870872682 Enrollment ID: I20161118001634 |
| Provider Name | Faith Rohlke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730592791 PECOS PAC ID: 0749569473 Enrollment ID: I20161121000025 |
| Provider Name | Robertino D Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215318134 PECOS PAC ID: 2668751298 Enrollment ID: I20161122001195 |
| Provider Name | Jennifer L Brodsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480136 PECOS PAC ID: 9830326487 Enrollment ID: I20161214001587 |
| Provider Name | Siya Mehtani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629459615 PECOS PAC ID: 1153618350 Enrollment ID: I20161222001057 |
| Provider Name | Andrea R Quintana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225462658 PECOS PAC ID: 2860701455 Enrollment ID: I20161223000443 |
| Provider Name | Camelot Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770964082 PECOS PAC ID: 0840571139 Enrollment ID: I20161228001249 |
| Provider Name | Guiqing Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710364856 PECOS PAC ID: 3971884040 Enrollment ID: I20170103001761 |
| Provider Name | Demetra S Stamm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396906269 PECOS PAC ID: 5496036469 Enrollment ID: I20170105001626 |
| Provider Name | Takeo Toyoshima |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639597313 PECOS PAC ID: 7618268475 Enrollment ID: I20170106001084 |
| Provider Name | Arter L Biggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619312469 PECOS PAC ID: 4880975705 Enrollment ID: I20170106001118 |
| Provider Name | Eric Kubat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215266770 PECOS PAC ID: 3577861632 Enrollment ID: I20170203002419 |
| Provider Name | Reina Remigio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417494006 PECOS PAC ID: 7012290364 Enrollment ID: I20170210000875 |
| Provider Name | Sangjun Yeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295198851 PECOS PAC ID: 0749563641 Enrollment ID: I20170217002085 |
| Provider Name | Anand Oroskar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538587340 PECOS PAC ID: 0547544041 Enrollment ID: I20170301000589 |
| Provider Name | Aimee D Camano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184080699 PECOS PAC ID: 5991089930 Enrollment ID: I20170310001813 |
| Provider Name | Margarita Abramov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629513395 PECOS PAC ID: 9931276615 Enrollment ID: I20170322001723 |
| Provider Name | Anupam Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265483523 PECOS PAC ID: 4486603057 Enrollment ID: I20170404001969 |
| Provider Name | Alexander T Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780946285 PECOS PAC ID: 5991932188 Enrollment ID: I20170407001093 |
| Provider Name | Naomi L Koester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306281225 PECOS PAC ID: 6305123597 Enrollment ID: I20170425001697 |
| Provider Name | Alison Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750568275 PECOS PAC ID: 3577613306 Enrollment ID: I20170508001475 |
| Provider Name | Tyler Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912227125 PECOS PAC ID: 9335311059 Enrollment ID: I20170523002901 |
| Provider Name | Maya E Kotas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922441443 PECOS PAC ID: 3971895202 Enrollment ID: I20170608002564 |
| Provider Name | Meghan L Devlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083086573 PECOS PAC ID: 8729381074 Enrollment ID: I20170615000700 |
| Provider Name | Zena Colleen Kharsa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720422561 PECOS PAC ID: 1456629138 Enrollment ID: I20170621002373 |
| Provider Name | Lisette Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417324690 PECOS PAC ID: 2466720032 Enrollment ID: I20170622002776 |
| Provider Name | Audrey L Sanford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073930400 PECOS PAC ID: 3870803125 Enrollment ID: I20170626001894 |
| Provider Name | James Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326452087 PECOS PAC ID: 2062704380 Enrollment ID: I20170627002635 |
| Provider Name | Sreekanth R Ambati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750592887 PECOS PAC ID: 7416137963 Enrollment ID: I20170713000656 |
| Provider Name | Erin Marie Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407290281 PECOS PAC ID: 4284903832 Enrollment ID: I20170713000658 |
| Provider Name | Vijay Pottathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053546945 PECOS PAC ID: 1951579770 Enrollment ID: I20170714001426 |
| Provider Name | Eric Flagg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588001838 PECOS PAC ID: 4880964089 Enrollment ID: I20170720002424 |
| Provider Name | Kyaw L Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831599968 PECOS PAC ID: 9436420221 Enrollment ID: I20170814001026 |
| Provider Name | David S Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639330806 PECOS PAC ID: 0143492702 Enrollment ID: I20170823003082 |
| Provider Name | Fadi Arodaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720499023 PECOS PAC ID: 5092084723 Enrollment ID: I20170828002001 |
| Provider Name | Jessica R Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831433770 PECOS PAC ID: 7315210291 Enrollment ID: I20170829003385 |
| Provider Name | Simone C Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275893190 PECOS PAC ID: 0840419875 Enrollment ID: I20170906002267 |
| Provider Name | Charlene Kallusch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538359179 PECOS PAC ID: 5890923601 Enrollment ID: I20170922003005 |
| Provider Name | Michael Glenn Holmes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770842841 PECOS PAC ID: 9931474657 Enrollment ID: I20171005003157 |
| Provider Name | Jennifer Jen Wei Wan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356616544 PECOS PAC ID: 9436424090 Enrollment ID: I20171006001530 |
| Provider Name | Gabriel Z Man |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255599759 PECOS PAC ID: 7214120435 Enrollment ID: I20171006002656 |
| Provider Name | Amelia K Read |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720344344 PECOS PAC ID: 5294000576 Enrollment ID: I20171012002198 |
| Provider Name | Clayton A Barnes Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922453513 PECOS PAC ID: 6608142831 Enrollment ID: I20171016002708 |
| Provider Name | David Spelber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447646898 PECOS PAC ID: 5991071169 Enrollment ID: I20171017001086 |
| Provider Name | Lung San Louie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487995684 PECOS PAC ID: 3072832369 Enrollment ID: I20171017001574 |
| Provider Name | Angela A Solleder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942740832 PECOS PAC ID: 5799051595 Enrollment ID: I20171023002824 |
| Provider Name | Raisa Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770918005 PECOS PAC ID: 6608132899 Enrollment ID: I20171103000419 |
| Provider Name | Tandis M Arani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235648007 PECOS PAC ID: 6204192206 Enrollment ID: I20171107003471 |
| Provider Name | Zunaira Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548598055 PECOS PAC ID: 2062665268 Enrollment ID: I20171114000901 |
| Provider Name | Carol L Lemmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972661379 PECOS PAC ID: 2365709045 Enrollment ID: I20171205002711 |
| Provider Name | Khushleen Jaggi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262643 PECOS PAC ID: 2668622663 Enrollment ID: I20171221001904 |
| Provider Name | Esther I Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124223771 PECOS PAC ID: 2668669821 Enrollment ID: I20171229001469 |
| Provider Name | Ruth S Hsu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558757120 PECOS PAC ID: 5799044210 Enrollment ID: I20180109000545 |
| Provider Name | Kalynn A Yastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043766678 PECOS PAC ID: 5890082051 Enrollment ID: I20180205001572 |
| Provider Name | Marina C Cervantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811308281 PECOS PAC ID: 1759662216 Enrollment ID: I20180205002607 |
| Provider Name | Moira Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578900767 PECOS PAC ID: 7810284478 Enrollment ID: I20180214002800 |
| Provider Name | Jennifer D Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174033062 PECOS PAC ID: 1557622131 Enrollment ID: I20180222000168 |
| Provider Name | Simone Heron-carmignani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023420742 PECOS PAC ID: 8628339876 Enrollment ID: I20180302001263 |
| Provider Name | Daniel P Irby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114373370 PECOS PAC ID: 6709147671 Enrollment ID: I20180312000549 |
| Provider Name | Vincent C Auyeung |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881011963 PECOS PAC ID: 5799076030 Enrollment ID: I20180314001754 |
| Provider Name | Christopher A Berger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356609663 PECOS PAC ID: 4981916798 Enrollment ID: I20180314001959 |
| Provider Name | Navneet Sandhu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245585884 PECOS PAC ID: 6406110816 Enrollment ID: I20180511001774 |
| Provider Name | Hubert Shih |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770873606 PECOS PAC ID: 3375808017 Enrollment ID: I20180529002899 |
| Provider Name | Joseph Yang |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1003254137 PECOS PAC ID: 6002161874 Enrollment ID: I20180619001748 |
| Provider Name | Sindhura Kodali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861811408 PECOS PAC ID: 2466746896 Enrollment ID: I20180705002871 |
| Provider Name | Amanda Vastag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417396466 PECOS PAC ID: 7810217775 Enrollment ID: I20180831001124 |
| Provider Name | Jacqueline Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609111665 PECOS PAC ID: 9133489016 Enrollment ID: I20180926002827 |
| Provider Name | Karen Blake Jacobson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396130464 PECOS PAC ID: 0840507521 Enrollment ID: I20181002003091 |
| Provider Name | Kyaw Khine Md Soe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588058788 PECOS PAC ID: 2668724352 Enrollment ID: I20181008002064 |
| Provider Name | Miriam R Maher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780689554 PECOS PAC ID: 4183669393 Enrollment ID: I20181009003063 |
| Provider Name | Blake Mastin Read |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1184981474 PECOS PAC ID: 1658625447 Enrollment ID: I20181114001095 |
| Provider Name | Prerana Sangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216862 PECOS PAC ID: 5092771006 Enrollment ID: I20181204003682 |
| Provider Name | Matthew T Sachs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114408176 PECOS PAC ID: 6406190107 Enrollment ID: I20181206002880 |
| Provider Name | Vanessa I Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194292763 PECOS PAC ID: 2567708456 Enrollment ID: I20190114003274 |
| Provider Name | Juan D Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386170785 PECOS PAC ID: 8123365426 Enrollment ID: I20190124001782 |
| Provider Name | Michael J Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306372834 PECOS PAC ID: 0446597645 Enrollment ID: I20190125002007 |
| Provider Name | Divy Ravindranath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093840142 PECOS PAC ID: 2860676699 Enrollment ID: I20190127000001 |
| Provider Name | Neir Eshel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497118921 PECOS PAC ID: 0648518100 Enrollment ID: I20190208001904 |
| Provider Name | Katherine Y Shadish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336589043 PECOS PAC ID: 3779822200 Enrollment ID: I20190228000756 |
| Provider Name | Jennifer A. Papac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548696420 PECOS PAC ID: 2365783800 Enrollment ID: I20190409003446 |
| Provider Name | Naomi Mei Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083172068 PECOS PAC ID: 6103169016 Enrollment ID: I20190516001571 |
| Provider Name | Arpan M Bhakta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417160250 PECOS PAC ID: 7012081607 Enrollment ID: I20190606002008 |
| Provider Name | Aikisha L Harley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699252957 PECOS PAC ID: 1456685841 Enrollment ID: I20190618002586 |
| Provider Name | Wilbur Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497154314 PECOS PAC ID: 3971839317 Enrollment ID: I20190724000080 |
| Provider Name | Nathan L Ewigman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104298603 PECOS PAC ID: 4880922509 Enrollment ID: I20190820000700 |
| Provider Name | Anne Caitlin Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174090161 PECOS PAC ID: 6507194230 Enrollment ID: I20190820001254 |
| Provider Name | Brian Elmer C Garrido |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952753907 PECOS PAC ID: 7315275880 Enrollment ID: I20190821002732 |
| Provider Name | Natasha Bangera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457599946 PECOS PAC ID: 4789910209 Enrollment ID: I20190924002005 |
| Provider Name | Janet J Baek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407353170 PECOS PAC ID: 2769814250 Enrollment ID: I20191121002839 |
| Provider Name | Anna Pasternak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164990677 PECOS PAC ID: 8123450509 Enrollment ID: I20191125000531 |
| Provider Name | Nicholas Hedemann Juul |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497015911 PECOS PAC ID: 7618300997 Enrollment ID: I20191126002295 |
| Provider Name | Kristoffer C Strauss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710484456 PECOS PAC ID: 7113350927 Enrollment ID: I20191210000845 |
| Provider Name | Patrick Mulligan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710321138 PECOS PAC ID: 2062845886 Enrollment ID: I20191210001142 |
| Provider Name | Zachary M Lenane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023514130 PECOS PAC ID: 1153755996 Enrollment ID: I20200102001513 |
| Provider Name | Andrew C Guzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275194185 PECOS PAC ID: 3072949254 Enrollment ID: I20200206001717 |
| Provider Name | Joan Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785949 PECOS PAC ID: 1153757976 Enrollment ID: I20200213002626 |
| Provider Name | Elizabeth A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265787170 PECOS PAC ID: 7315373487 Enrollment ID: I20200228001146 |
| Provider Name | Kara A Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568965069 PECOS PAC ID: 2365871530 Enrollment ID: I20200415002055 |
| Provider Name | Brittany L Gray |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194112789 PECOS PAC ID: 9436480340 Enrollment ID: I20200512000523 |
| Provider Name | Kathleen Dolan Emerson Emerdello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063955011 PECOS PAC ID: 7315375516 Enrollment ID: I20200528001070 |
| Provider Name | Jason R Pai |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1548648827 PECOS PAC ID: 5395167035 Enrollment ID: I20200625000733 |
| Provider Name | Jonathan Chuu Ming Tsang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225563299 PECOS PAC ID: 7315369154 Enrollment ID: I20200708001344 |
| Provider Name | Nicholas R Degner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174985451 PECOS PAC ID: 9133543911 Enrollment ID: I20200715001667 |
| Provider Name | Natalia Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194118927 PECOS PAC ID: 1052644077 Enrollment ID: I20200728003449 |
| Provider Name | Lorenzo T Hughes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033230404 PECOS PAC ID: 2466646583 Enrollment ID: I20200819003547 |
| Provider Name | Amar Dixit |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316381650 PECOS PAC ID: 4981997640 Enrollment ID: I20200827001875 |
| Provider Name | Geoffrey Krampitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003040353 PECOS PAC ID: 5991068215 Enrollment ID: I20200903002030 |
| Provider Name | Jonathan J Urena |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538691589 PECOS PAC ID: 2163840836 Enrollment ID: I20200909003489 |
| Provider Name | Joelle Ivy Rosser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528485547 PECOS PAC ID: 6800110594 Enrollment ID: I20200911000904 |
| Provider Name | Monica M Grova |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265866487 PECOS PAC ID: 9436414778 Enrollment ID: I20200911001554 |
| Provider Name | Justine E Della Fave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487108957 PECOS PAC ID: 5991124356 Enrollment ID: I20201005000233 |
| Provider Name | Larissa Belsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063042380 PECOS PAC ID: 0648680132 Enrollment ID: I20201112001637 |
| Provider Name | Alan K Tam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154960334 PECOS PAC ID: 0143633206 Enrollment ID: I20210108001852 |
| Provider Name | Jessica Stewart Hightower |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619362605 PECOS PAC ID: 8022425545 Enrollment ID: I20210330001858 |
| Provider Name | Sejal N Parekh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821523168 PECOS PAC ID: 7618388232 Enrollment ID: I20210330002454 |
| Provider Name | Emily C Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730693037 PECOS PAC ID: 4688931116 Enrollment ID: I20210412002070 |
| Provider Name | Christine Au |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487230843 PECOS PAC ID: 3678972346 Enrollment ID: I20210528002231 |
| Provider Name | Zaira Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821673427 PECOS PAC ID: 3971905274 Enrollment ID: I20210708003299 |
| Provider Name | Sage Bearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861880536 PECOS PAC ID: 6406258144 Enrollment ID: I20210716002293 |
| Provider Name | Kyoko Suzuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679089056 PECOS PAC ID: 3678976040 Enrollment ID: I20210722001134 |
| Provider Name | Saskia Devaughn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215510060 PECOS PAC ID: 9133524564 Enrollment ID: I20210908003732 |
| Provider Name | Carly Zankman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295341899 PECOS PAC ID: 1456758515 Enrollment ID: I20210916002296 |
| Provider Name | Nicole R Lederman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699152694 PECOS PAC ID: 1759695349 Enrollment ID: I20211004000455 |
| Provider Name | Bernard Kempis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174182497 PECOS PAC ID: 7719389071 Enrollment ID: I20211008001986 |
| Provider Name | Taha Jabbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407341571 PECOS PAC ID: 1759787369 Enrollment ID: I20211021002783 |
| Provider Name | Katharine A Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457013021 PECOS PAC ID: 2567853070 Enrollment ID: I20211216002044 |
| Provider Name | Rennie M Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306465125 PECOS PAC ID: 3779974886 Enrollment ID: I20211228002109 |
| Provider Name | Rabab Rafique |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326719592 PECOS PAC ID: 6709279136 Enrollment ID: I20220208002008 |
| Provider Name | Elisa Frances R Nasol |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154754539 PECOS PAC ID: 6709279813 Enrollment ID: I20220214002153 |
| Provider Name | Tan Q Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487187290 PECOS PAC ID: 7810382603 Enrollment ID: I20220314000965 |
| Provider Name | Cai Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760916563 PECOS PAC ID: 5597034553 Enrollment ID: I20220314002068 |
| Provider Name | Eddy D Zandee Van Rilland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124551460 PECOS PAC ID: 0446639645 Enrollment ID: I20220617001881 |
| Provider Name | Ketetha Claude Geraldine Olengue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013545995 PECOS PAC ID: 8628457330 Enrollment ID: I20220625000000 |
| Provider Name | Yan Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548791734 PECOS PAC ID: 2264702000 Enrollment ID: I20220711001953 |
| Provider Name | Katrina L Pinkerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194183038 PECOS PAC ID: 9133401243 Enrollment ID: I20221027002976 |
| Provider Name | Ashley A Shatola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134748361 PECOS PAC ID: 7618346800 Enrollment ID: I20221209002052 |
| Provider Name | Elisa K Dolowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033708797 PECOS PAC ID: 8729479738 Enrollment ID: I20230105001221 |
| Provider Name | Thien Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841796018 PECOS PAC ID: 4486909009 Enrollment ID: I20230123001800 |
| Provider Name | Kristy S Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083382337 PECOS PAC ID: 7618348996 Enrollment ID: I20230124002772 |
| Provider Name | Christina R Vasquez-leiva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194088609 PECOS PAC ID: 6103297304 Enrollment ID: I20230126001686 |
| Provider Name | Renee C Drolet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144610825 PECOS PAC ID: 3476892753 Enrollment ID: I20230221001778 |
| Provider Name | Andrew Tardiff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619617842 PECOS PAC ID: 0749653285 Enrollment ID: I20230302001755 |
| Provider Name | Jennifer R Purcell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619353919 PECOS PAC ID: 1052784550 Enrollment ID: I20230303001162 |
| Provider Name | Abigail C Monberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659752012 PECOS PAC ID: 7911370374 Enrollment ID: I20230306000933 |
| Provider Name | Shelly Kwong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699058180 PECOS PAC ID: 5597138867 Enrollment ID: I20230307002831 |
| Provider Name | Hiba Abudamous |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811398373 PECOS PAC ID: 2668847781 Enrollment ID: I20230403002026 |
| Provider Name | Julia Fries |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770933608 PECOS PAC ID: 0042587032 Enrollment ID: I20230404002051 |
| Provider Name | Que P Vuong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124466248 PECOS PAC ID: 9830564392 Enrollment ID: I20230414000494 |
| Provider Name | Tomoki Kimura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295391738 PECOS PAC ID: 9931564077 Enrollment ID: I20230425002181 |
| Provider Name | Michael A Carnevale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710400460 PECOS PAC ID: 5496110496 Enrollment ID: I20230426002265 |
| Provider Name | Serena R Deverich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902513559 PECOS PAC ID: 8628436003 Enrollment ID: I20230615003619 |
| Provider Name | Luis Alfonso Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639440977 PECOS PAC ID: 1850755299 Enrollment ID: I20230918003873 |
| Provider Name | Jacob P Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194309724 PECOS PAC ID: 8820448228 Enrollment ID: I20231227002925 |
| Provider Name | Megan M Byrne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538643903 PECOS PAC ID: 2062816242 Enrollment ID: I20240115001007 |
| Provider Name | Karen J Pyles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992091870 PECOS PAC ID: 1254775562 Enrollment ID: I20240214003209 |
| Provider Name | Lear S Blitzstein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740619964 PECOS PAC ID: 8921442161 Enrollment ID: I20240215003598 |
| Provider Name | Yuliya Skuba |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437586617 PECOS PAC ID: 0840634093 Enrollment ID: I20240215003970 |
| Provider Name | Martin Mansmann |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740307024 PECOS PAC ID: 1557705704 Enrollment ID: I20240215004049 |
| Provider Name | Kenza Marie Boumoula |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780248633 PECOS PAC ID: 5698119592 Enrollment ID: I20240220000377 |
| Provider Name | Sonia M Velasquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902982895 PECOS PAC ID: 2163867367 Enrollment ID: I20240227004310 |
| Provider Name | Annelys C Guisasola |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447374814 PECOS PAC ID: 2961847165 Enrollment ID: I20240227004384 |
| Provider Name | Kent R Halpern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780889451 PECOS PAC ID: 5597100792 Enrollment ID: I20240227004443 |
| Provider Name | Samantha E Vigil |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588212971 PECOS PAC ID: 9032554233 Enrollment ID: I20240227004451 |
| Provider Name | Linda C Hildreth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033542162 PECOS PAC ID: 7012352180 Enrollment ID: I20240228002521 |
| Provider Name | Ryan D Noble |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912452764 PECOS PAC ID: 6305281411 Enrollment ID: I20240228003647 |
| Provider Name | Yolanda A Booker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154543114 PECOS PAC ID: 3678918711 Enrollment ID: I20240228004851 |
| Provider Name | Rhia Farrah Young |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396231643 PECOS PAC ID: 3971948969 Enrollment ID: I20240229002060 |
| Provider Name | Adriana V Valencia-vidal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770778946 PECOS PAC ID: 8123463155 Enrollment ID: I20240229003378 |
| Provider Name | Claudia Ramirez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578942207 PECOS PAC ID: 7911342845 Enrollment ID: I20240229003923 |
| Provider Name | Jose L Ochoa Sierra |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609246115 PECOS PAC ID: 6608212162 Enrollment ID: I20240307000885 |
| Provider Name | Glenda E Masis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962698761 PECOS PAC ID: 9830536366 Enrollment ID: I20240320001346 |
| Provider Name | John V Zamora |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710238084 PECOS PAC ID: 5698112126 Enrollment ID: I20240320001600 |
| Provider Name | Panayiotis G Frangos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669833638 PECOS PAC ID: 4688011141 Enrollment ID: I20240320002509 |
| Provider Name | Arturo Blanco Villegas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043685886 PECOS PAC ID: 0143667501 Enrollment ID: I20240320002827 |
| Provider Name | Fernando Gutierrez Bejar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558885848 PECOS PAC ID: 1658718010 Enrollment ID: I20240320002973 |
| Provider Name | Jessica Zamora |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558621102 PECOS PAC ID: 6103263561 Enrollment ID: I20240320002996 |
| Provider Name | Sean V Vallor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699333138 PECOS PAC ID: 6901244516 Enrollment ID: I20240402001734 |
| Provider Name | Maureen M Lin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710066170 PECOS PAC ID: 3476992991 Enrollment ID: I20240417001435 |
| Provider Name | Wesley N Kobashigawa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639512759 PECOS PAC ID: 4486093911 Enrollment ID: I20240417001834 |
| Provider Name | Kris Gamayo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346392552 PECOS PAC ID: 0547609075 Enrollment ID: I20240417001959 |
| Provider Name | Maura M Amaral |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437625571 PECOS PAC ID: 6507205044 Enrollment ID: I20240417002238 |
| Provider Name | Ana Murray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902325392 PECOS PAC ID: 5799124137 Enrollment ID: I20240417002677 |
| Provider Name | James R Rutherford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255458220 PECOS PAC ID: 9931548351 Enrollment ID: I20240418001922 |
| Provider Name | Marta V Guandique |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437434081 PECOS PAC ID: 3072952498 Enrollment ID: I20240418002114 |
| Provider Name | Iris B Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417387564 PECOS PAC ID: 6507205655 Enrollment ID: I20240422002948 |
| Provider Name | Jennifer M Nakamura |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598950735 PECOS PAC ID: 4486093549 Enrollment ID: I20240422003074 |
| Provider Name | Meliza Sandoval |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861733131 PECOS PAC ID: 6103265269 Enrollment ID: I20240422003143 |
| Provider Name | Nadia S Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437465564 PECOS PAC ID: 3678912763 Enrollment ID: I20240423001078 |
| Provider Name | Samantha N Dogadkin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487120721 PECOS PAC ID: 8628417714 Enrollment ID: I20240423001236 |
| Provider Name | Amy E Medina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326472937 PECOS PAC ID: 9638518731 Enrollment ID: I20240423001634 |
| Provider Name | Iris Godinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831617331 PECOS PAC ID: 1052750056 Enrollment ID: I20240423001856 |
| Provider Name | Carla M Arellano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013384742 PECOS PAC ID: 9931548930 Enrollment ID: I20240423001986 |
| Provider Name | Aaron J Gonzales |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891178091 PECOS PAC ID: 5597102509 Enrollment ID: I20240424003804 |
| Provider Name | Patricia L Merlos-lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457575474 PECOS PAC ID: 1153761093 Enrollment ID: I20240425003244 |
| Provider Name | Rebeca Aceret |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114274396 PECOS PAC ID: 7810337771 Enrollment ID: I20240425004020 |
| Provider Name | Daniela Baybay |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073032918 PECOS PAC ID: 0446690218 Enrollment ID: I20240426000251 |
| Provider Name | Liezl Grace T Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770747917 PECOS PAC ID: 0143660910 Enrollment ID: I20240426000354 |
| Provider Name | Erica A Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922508324 PECOS PAC ID: 4082054887 Enrollment ID: I20240426001622 |
| Provider Name | Allyce Bess |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760624381 PECOS PAC ID: 1850731696 Enrollment ID: I20240426002971 |
| Provider Name | Katherine Eggers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306170212 PECOS PAC ID: 3072953819 Enrollment ID: I20240426003228 |
| Provider Name | Lilia Gallegos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194956425 PECOS PAC ID: 2769822444 Enrollment ID: I20240429000957 |
| Provider Name | Jasmine M Navarrete |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124477401 PECOS PAC ID: 5193165884 Enrollment ID: I20240429001096 |
| Provider Name | Peggy C Kwok |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306002050 PECOS PAC ID: 0143660886 Enrollment ID: I20240429003085 |
| Provider Name | Stephanie A Padrez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164541249 PECOS PAC ID: 0547600280 Enrollment ID: I20240429003269 |
| Provider Name | Iris Rodriguez-costello |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033310867 PECOS PAC ID: 4789024316 Enrollment ID: I20240430003141 |
| Provider Name | Martha A Madrigal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336363332 PECOS PAC ID: 7517307150 Enrollment ID: I20240430003479 |
| Provider Name | Nicholas P Zwerdling |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689087884 PECOS PAC ID: 3476993817 Enrollment ID: I20240501003939 |
| Provider Name | Gino E Inesi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841469525 PECOS PAC ID: 8527408673 Enrollment ID: I20240506004621 |
| Provider Name | Ivette M Huerta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447496336 PECOS PAC ID: 6406296581 Enrollment ID: I20240507000680 |
| Provider Name | Erika A Esquivel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114211224 PECOS PAC ID: 8729428800 Enrollment ID: I20240507000857 |
| Provider Name | Cynthia Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356923635 PECOS PAC ID: 5890135982 Enrollment ID: I20240507001297 |
| Provider Name | Sergio M Trejo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306128681 PECOS PAC ID: 8022458116 Enrollment ID: I20240507001457 |
| Provider Name | Katherine P Donnell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083864078 PECOS PAC ID: 3173963261 Enrollment ID: I20240507001593 |
| Provider Name | Giacomo R Solari |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033237516 PECOS PAC ID: 8729429816 Enrollment ID: I20240507001959 |
| Provider Name | Heather M Hamilton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417171786 PECOS PAC ID: 6709227770 Enrollment ID: I20240508004079 |
| Provider Name | Russhelle L Preeshl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801346499 PECOS PAC ID: 8820430911 Enrollment ID: I20240521001813 |
| Provider Name | My Ngoc D Nguyen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427586411 PECOS PAC ID: 3870935927 Enrollment ID: I20240521003889 |
| Provider Name | Imelda C Jones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427463041 PECOS PAC ID: 4880036938 Enrollment ID: I20240521004300 |
| Provider Name | Sharzad Kaviani |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780870295 PECOS PAC ID: 8224470273 Enrollment ID: I20240522003676 |
| Provider Name | Catherine M Lacroix |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366873879 PECOS PAC ID: 4789026675 Enrollment ID: I20240523001383 |
| Provider Name | Perle A Crownover |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215647961 PECOS PAC ID: 8628410115 Enrollment ID: I20240529003907 |
| Provider Name | Marcia P Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629789888 PECOS PAC ID: 6709228166 Enrollment ID: I20240530002424 |
| Provider Name | Winnie Z Liao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306495007 PECOS PAC ID: 6103268586 Enrollment ID: I20240530003126 |
| Provider Name | Nathalie D Schepers Gangel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124276449 PECOS PAC ID: 1355883612 Enrollment ID: I20240603001820 |
| Provider Name | Julie S Leong |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093002685 PECOS PAC ID: 2668914664 Enrollment ID: I20240605003089 |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 | |
Pradeepa Selvakumar Md Inc, A California Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-435-8211 Fax: 844-965-9436 | |
Home Based Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-360-9309 | |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3962 | |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3602 | |
Shu Chiropractic And Associates Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N San Mateo Dr, Suite 5, San Mateo, CA 94401 Phone: 415-509-6632 | |
San Mateo Medical Centerr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 |