| San Mateo Medical Center | |
|
222 W 39th Ave San Mateo CA 94403-4364 | |
| (650) 573-3702 | |
| 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) 573-3702 | San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-3702 |
| NPI Number | 1831268580 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 9032023171 |
|---|---|
| Medicare Enrollment ID | O20040123000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831268580 | NPI | - | NPPES |
| GR0028882 | Medicaid | CA | |
| GR0028887 | Medicaid | CA | |
| GR0028872 | Medicaid | CA | |
| GR0028870 | Medicaid | CA | |
| GR0028880 | Medicaid | CA | |
| GR0028871 | Medicaid | CA | |
| GR0028881 | Medicaid | CA |
| 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 | David Ellison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033139076 PECOS PAC ID: 9133027865 Enrollment ID: I20040109001041 |
| 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 | Anjana Vinayak Harnoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023196839 PECOS PAC ID: 5890685101 Enrollment ID: I20040318001863 |
| 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 | Arash Shamsinejad Babaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750498119 PECOS PAC ID: 0446244438 Enrollment ID: I20040413000372 |
| Provider Name | Michael C Sepulveda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164425757 PECOS PAC ID: 0648265876 Enrollment ID: I20040417000231 |
| 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 | Sunye K Vuong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154357556 PECOS PAC ID: 0749271062 Enrollment ID: I20040527001048 |
| 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 | Stephen Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124050505 PECOS PAC ID: 9830097179 Enrollment ID: I20040618000879 |
| 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 | Angela M Quang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427006733 PECOS PAC ID: 6002893617 Enrollment ID: I20040701000920 |
| Provider Name | Herminigildo V Valle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689758526 PECOS PAC ID: 4385622216 Enrollment ID: I20040708000715 |
| 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 | Joanne C Imperial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225101884 PECOS PAC ID: 9133190127 Enrollment ID: I20040803001541 |
| 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 | Alexander C Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497834147 PECOS PAC ID: 2961476999 Enrollment ID: I20040824001309 |
| Provider Name | Winnie F Yee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942357074 PECOS PAC ID: 9133197205 Enrollment ID: I20040917000404 |
| Provider Name | Donnis S Hobson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912944802 PECOS PAC ID: 2668441635 Enrollment ID: I20040927000800 |
| Provider Name | Thusha N Nathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295718211 PECOS PAC ID: 0547221939 Enrollment ID: I20041019001330 |
| Provider Name | Patrick J Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992851471 PECOS PAC ID: 3678536612 Enrollment ID: I20041110000494 |
| Provider Name | Keith Lawton Duncan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194815910 PECOS PAC ID: 9032173588 Enrollment ID: I20041115001303 |
| Provider Name | Soma Mandal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255419008 PECOS PAC ID: 4082671094 Enrollment ID: I20041210000868 |
| 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 | Swaroopa R Bussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003994856 PECOS PAC ID: 3173579315 Enrollment ID: I20050330000744 |
| 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 | 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 | Pooja C Mittal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215916200 PECOS PAC ID: 6901842905 Enrollment ID: I20050629001158 |
| Provider Name | Huu N Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811966492 PECOS PAC ID: 4385531482 Enrollment ID: I20050720001018 |
| 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 | Tamar S Besson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134287543 PECOS PAC ID: 7012949357 Enrollment ID: I20050907000775 |
| Provider Name | Susan E Fernyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679688014 PECOS PAC ID: 2264457365 Enrollment ID: I20051007000550 |
| Provider Name | Sarah Yasmin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023175247 PECOS PAC ID: 5698767465 Enrollment ID: I20051115001074 |
| Provider Name | Catherine S Sallenave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316927387 PECOS PAC ID: 5496775835 Enrollment ID: I20051130000880 |
| Provider Name | Nellie Nanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346285855 PECOS PAC ID: 7416978242 Enrollment ID: I20051208000533 |
| Provider Name | Nancy Michelle Inforzato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043362841 PECOS PAC ID: 9638107667 Enrollment ID: I20051215000251 |
| Provider Name | Cynthia R Chatterjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508089582 PECOS PAC ID: 1052334018 Enrollment ID: I20060105000535 |
| Provider Name | Howard Eun Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891702312 PECOS PAC ID: 9032132212 Enrollment ID: I20060113000514 |
| 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 | 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 | 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 | Anamika Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144301722 PECOS PAC ID: 2567463607 Enrollment ID: I20070116000512 |
| 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 | Sadha Tivakaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720150543 PECOS PAC ID: 3971505348 Enrollment ID: I20070214000088 |
| 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 | Andrea Marie Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366501181 PECOS PAC ID: 4789780016 Enrollment ID: I20070503000282 |
| Provider Name | Amy I Chuang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952433740 PECOS PAC ID: 2567560311 Enrollment ID: I20070601000597 |
| 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 | Lai Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396945127 PECOS PAC ID: 7911092556 Enrollment ID: I20070927000664 |
| 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 | Evelyn V Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295936755 PECOS PAC ID: 4880780493 Enrollment ID: I20071012000166 |
| Provider Name | Deanna M Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326164369 PECOS PAC ID: 2860588043 Enrollment ID: I20071018000822 |
| 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 | 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 | Chwen Yuen A Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114100476 PECOS PAC ID: 1052496064 Enrollment ID: I20080313000685 |
| Provider Name | Erika M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275713943 PECOS PAC ID: 0547346827 Enrollment ID: I20080326001004 |
| 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 | 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 | Douglas Hayden Owyang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902847841 PECOS PAC ID: 1456424050 Enrollment ID: I20080715000506 |
| 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 | Elizabeth R Jensen |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1710191820 PECOS PAC ID: 0244308534 Enrollment ID: I20081014000648 |
| 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 | 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 | Alvaro Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497797559 PECOS PAC ID: 9537221130 Enrollment ID: I20081216000260 |
| 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 | Haresh M Ruparel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124071477 PECOS PAC ID: 4789746231 Enrollment ID: I20081217000736 |
| 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 | Naoum Baladi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295740173 PECOS PAC ID: 5092878140 Enrollment ID: I20090209000309 |
| 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 | 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 | Jamison D Feramisco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043410871 PECOS PAC ID: 4688724602 Enrollment ID: I20090615000077 |
| 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 | Owen P Palmer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194907162 PECOS PAC ID: 3274689245 Enrollment ID: I20090916000089 |
| 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 | Mimi Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659588457 PECOS PAC ID: 1355488008 Enrollment ID: I20091028000686 |
| Provider Name | Deepa K Rathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381799 PECOS PAC ID: 9436297736 Enrollment ID: I20091106000125 |
| Provider Name | Chandra Duggirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255592408 PECOS PAC ID: 9931263720 Enrollment ID: I20091201000337 |
| Provider Name | Clifton C Watt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104096551 PECOS PAC ID: 1254471741 Enrollment ID: I20091214000526 |
| Provider Name | Hyung Jun Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992970206 PECOS PAC ID: 6103967294 Enrollment ID: I20100112000332 |
| 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 | 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 | Kelly Ann F Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780823526 PECOS PAC ID: 4082771126 Enrollment ID: I20100706000357 |
| 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 | Kitty I Poon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699907428 PECOS PAC ID: 7315062254 Enrollment ID: I20100915000401 |
| 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 | Kimberly Dalal |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1831168368 PECOS PAC ID: 9931392867 Enrollment ID: I20101022001075 |
| Provider Name | Michael Paul Jaffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417081274 PECOS PAC ID: 6901090497 Enrollment ID: I20101028000820 |
| Provider Name | Melissa K Egge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922261957 PECOS PAC ID: 8527141035 Enrollment ID: I20101109001449 |
| Provider Name | Amit A Gohil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760634141 PECOS PAC ID: 5890980023 Enrollment ID: I20101112000486 |
| 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 | Vidya Choudary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437336377 PECOS PAC ID: 0840487484 Enrollment ID: I20101209000090 |
| Provider Name | Christopher E Woods |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740460088 PECOS PAC ID: 4789871161 Enrollment ID: I20101210000667 |
| Provider Name | Reebu Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003068321 PECOS PAC ID: 6507053907 Enrollment ID: I20101210000817 |
| 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 | Sumita Kalra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194856112 PECOS PAC ID: 5395927164 Enrollment ID: I20110315000982 |
| Provider Name | Tasha Souter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831206697 PECOS PAC ID: 0941483911 Enrollment ID: I20110329000432 |
| Provider Name | Janele M Auranicky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639379506 PECOS PAC ID: 2769666015 Enrollment ID: I20110411000488 |
| 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 | 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 | Rebecca M Ashe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003980798 PECOS PAC ID: 7315125077 Enrollment ID: I20110628000367 |
| 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 | Joshua M Sternbach |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225293038 PECOS PAC ID: 6608044235 Enrollment ID: I20110726000104 |
| 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 | Kyaw K Maung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154612604 PECOS PAC ID: 3274702154 Enrollment ID: I20110810000291 |
| 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 | William Andres Triana Rojas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528216033 PECOS PAC ID: 3274703459 Enrollment ID: I20110825000295 |
| Provider Name | Michael Manuel Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356503056 PECOS PAC ID: 5991976565 Enrollment ID: I20110913000250 |
| 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 | Melissa B Fledderjohann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295864791 PECOS PAC ID: 4385817089 Enrollment ID: I20111025000327 |
| Provider Name | Marilyn J Tan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770899395 PECOS PAC ID: 2365615085 Enrollment ID: I20111025000519 |
| 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 | Sandra L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396728044 PECOS PAC ID: 0840465324 Enrollment ID: I20111212000548 |
| Provider Name | Michael Gelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700996295 PECOS PAC ID: 5597931659 Enrollment ID: I20111220000855 |
| Provider Name | Chester J Kunnappilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437220704 PECOS PAC ID: 4284801747 Enrollment ID: I20120124000562 |
| 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 | Nicholas Brian K Monaco |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457404816 PECOS PAC ID: 7416051081 Enrollment ID: I20120605000734 |
| Provider Name | Tina T Au |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063736254 PECOS PAC ID: 4688836406 Enrollment ID: I20120607000210 |
| 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 | Benjamin Tim Pence |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811013386 PECOS PAC ID: 3779732037 Enrollment ID: I20121001000323 |
| Provider Name | Ryan Johnston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780815522 PECOS PAC ID: 7113176827 Enrollment ID: I20121012000118 |
| Provider Name | David Joseph Iberri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821300625 PECOS PAC ID: 9234389735 Enrollment ID: I20121018000233 |
| Provider Name | Shanon T Peter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447554035 PECOS PAC ID: 2264682772 Enrollment ID: I20121018000330 |
| Provider Name | Scion C Mangubat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851656946 PECOS PAC ID: 8123278579 Enrollment ID: I20121022000384 |
| Provider Name | Lauren Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598070898 PECOS PAC ID: 2466602560 Enrollment ID: I20121026000176 |
| 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 | 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 | Hui Shan Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578889689 PECOS PAC ID: 5496908873 Enrollment ID: I20130115000254 |
| 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 | James Rice Meier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316011034 PECOS PAC ID: 2466691654 Enrollment ID: I20130619000390 |
| Provider Name | Ashish A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932413200 PECOS PAC ID: 7911147509 Enrollment ID: I20130702000277 |
| Provider Name | Abren Belay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194030593 PECOS PAC ID: 8628218500 Enrollment ID: I20130717000877 |
| 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 | 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 | 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 | Nicole Westercamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447514658 PECOS PAC ID: 6901033588 Enrollment ID: I20131206000824 |
| Provider Name | Alpa Vora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861769408 PECOS PAC ID: 8729217682 Enrollment ID: I20140219000542 |
| Provider Name | Bradd Joel Silver |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083715817 PECOS PAC ID: 3072588391 Enrollment ID: I20140305001256 |
| Provider Name | Satish K Deshpande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255399960 PECOS PAC ID: 2769424738 Enrollment ID: I20140318001534 |
| Provider Name | Michele A Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912223389 PECOS PAC ID: 3072746783 Enrollment ID: I20140505001222 |
| Provider Name | Sylvia Espinoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376617084 PECOS PAC ID: 7012131196 Enrollment ID: I20140611000450 |
| 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 | Dayana O Carcamo Molina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417119827 PECOS PAC ID: 7810115003 Enrollment ID: I20140829002043 |
| Provider Name | Arun Singh Kulthia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760778427 PECOS PAC ID: 2163640210 Enrollment ID: I20140902001802 |
| 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 | 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 | Margaret A Monge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629415310 PECOS PAC ID: 9638494917 Enrollment ID: I20150207000422 |
| Provider Name | Sarah Y Ree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467858290 PECOS PAC ID: 9931425956 Enrollment ID: I20150310000002 |
| Provider Name | Kavitha Chidambaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225317068 PECOS PAC ID: 9830416296 Enrollment ID: I20150323002438 |
| Provider Name | Maureen Dudgeon |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699976134 PECOS PAC ID: 1557271558 Enrollment ID: I20150324002381 |
| Provider Name | Nicholas J Kwaan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952628828 PECOS PAC ID: 9335364140 Enrollment ID: I20150404000039 |
| Provider Name | Runjhun Misra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386965101 PECOS PAC ID: 2062640725 Enrollment ID: I20150415001761 |
| Provider Name | Jeffrey John Crudo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508987371 PECOS PAC ID: 5092767897 Enrollment ID: I20150507002116 |
| Provider Name | Jelili A Apalara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609067719 PECOS PAC ID: 2961695101 Enrollment ID: I20150605002784 |
| Provider Name | Ajith K Chickaballapur Narayanaswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265779342 PECOS PAC ID: 7315189198 Enrollment ID: I20150707003079 |
| Provider Name | Rachandeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386755056 PECOS PAC ID: 6507930559 Enrollment ID: I20150708002648 |
| Provider Name | Emily Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083812028 PECOS PAC ID: 0749455228 Enrollment ID: I20150710001853 |
| 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 | Benjamin Ge |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134415177 PECOS PAC ID: 3577876184 Enrollment ID: I20150724010841 |
| 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 | 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 | Charlene Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528330933 PECOS PAC ID: 4880903244 Enrollment ID: I20151026001547 |
| 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 | 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 | Sonia A Ter Kuile |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407221021 PECOS PAC ID: 9830490424 Enrollment ID: I20151228001011 |
| 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 | 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 | Kapil Chopra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912169137 PECOS PAC ID: 0941451298 Enrollment ID: I20160427000592 |
| Provider Name | Andrew John Sweatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134361124 PECOS PAC ID: 4587800875 Enrollment ID: I20160604000015 |
| 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 | Jessica Tsui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821227711 PECOS PAC ID: 9436441722 Enrollment ID: I20160706002534 |
| 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 | Wutt Yie Linn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528401742 PECOS PAC ID: 8527297977 Enrollment ID: I20160824000828 |
| 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 | Sonia Jhurani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215279526 PECOS PAC ID: 2365739851 Enrollment ID: I20160927002519 |
| 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 | 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 | Robertino D Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215318134 PECOS PAC ID: 2668751298 Enrollment ID: I20161122001195 |
| Provider Name | Siya Mehtani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629459615 PECOS PAC ID: 1153618350 Enrollment ID: I20161222001057 |
| Provider Name | Amanda A Kamali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548478951 PECOS PAC ID: 1254465230 Enrollment ID: I20161228001056 |
| Provider Name | Camelot Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770964082 PECOS PAC ID: 0840571139 Enrollment ID: I20161228001249 |
| Provider Name | Abhinav Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366756447 PECOS PAC ID: 7214174325 Enrollment ID: I20161229000833 |
| 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 | Corinna L Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962503672 PECOS PAC ID: 5294708129 Enrollment ID: I20170206002630 |
| 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 | 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 | Alyan Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649566001 PECOS PAC ID: 9537446067 Enrollment ID: I20170510000196 |
| Provider Name | Sidney H Allison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275893752 PECOS PAC ID: 2264709377 Enrollment ID: I20170525002692 |
| Provider Name | Sheeva M Rajaei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285056481 PECOS PAC ID: 6002183787 Enrollment ID: I20170531000926 |
| 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 | 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 | Kyaw Khine Md Soe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588058788 PECOS PAC ID: 2668724352 Enrollment ID: I20181008002064 |
| 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 | Cassandra Gutierrez Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689140642 PECOS PAC ID: 0547504425 Enrollment ID: I20181204000627 |
| 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 | 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 | 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 | Lorenzo T Hughes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033230404 PECOS PAC ID: 2466646583 Enrollment ID: I20200819003547 |
| 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 | 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 | 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 | 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 | Ketetha Claude Geraldine Olengue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013545995 PECOS PAC ID: 8628457330 Enrollment ID: I20220625000000 |
| Provider Name | Oya Seyalioglu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457657132 PECOS PAC ID: 6406108760 Enrollment ID: I20220813000416 |
| Provider Name | Katrina L Pinkerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194183038 PECOS PAC ID: 9133401243 Enrollment ID: I20221027002976 |
| Provider Name | Elisa K Dolowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033708797 PECOS PAC ID: 8729479738 Enrollment ID: I20230105001221 |
| Provider Name | Renee C Drolet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144610825 PECOS PAC ID: 3476892753 Enrollment ID: I20230221001778 |
| 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 | Serena R Deverich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902513559 PECOS PAC ID: 8628436003 Enrollment ID: I20230615003619 |
| Provider Name | Max David Farber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227791 PECOS PAC ID: 3779929732 Enrollment ID: I20240312004180 |
| Provider Name | Amy Tomoko Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740900786 PECOS PAC ID: 3971940305 Enrollment ID: I20240321001487 |
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 |