| Scripps Mercy Physicians Cardiology Medical Corporation | |
|
4077 Fifth Avenue Scripps Mercy Hospital San Diego CA 92103 | |
| (619) 359-6600 | |
| (619) 632-5736 |
| Full Name | Scripps Mercy Physicians Cardiology Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4077 Fifth Avenue, San Diego, California |
| Authorized Official Name and Position | Jerrold Glassman (PRESIDENT) |
| Authorized Official Contact | 8583443411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scripps Mercy Physicians Cardiology Medical Corporation 550 Washington St Suite 841 San Diego CA 92103-2213 Ph: (619) 359-6600 | Scripps Mercy Physicians Cardiology Medical Corporation 4077 Fifth Avenue Scripps Mercy Hospital San Diego CA 92103 Ph: (619) 359-6600 |
| NPI Number | 1477644474 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 03/10/2022 |
| Medicare PECOS PAC ID | 0143264879 |
|---|---|
| Medicare Enrollment ID | O20050614000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477644474 | NPI | - | NPPES |
| 2056037 | Other | CA | MEDICAL |
| Provider Name | Jeffry A Mullvain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467557454 PECOS PAC ID: 9436144748 Enrollment ID: I20040416000787 |
| Provider Name | Brett J Berman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457446684 PECOS PAC ID: 8628069226 Enrollment ID: I20040521000837 |
| Provider Name | Alborz Hassankhani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013022615 PECOS PAC ID: 8123001633 Enrollment ID: I20040607001597 |
| Provider Name | Kelli Christine Karches |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891997631 PECOS PAC ID: 0648255463 Enrollment ID: I20040623001579 |
| Provider Name | Eugene M Rosenblatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427123991 PECOS PAC ID: 8022064666 Enrollment ID: I20050325000615 |
| Provider Name | Vimal I Nanavati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851408082 PECOS PAC ID: 8325094535 Enrollment ID: I20050330000508 |
| Provider Name | Jigar D Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225000532 PECOS PAC ID: 2860305091 Enrollment ID: I20050418001294 |
| Provider Name | Emily D Scott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003910456 PECOS PAC ID: 8527008218 Enrollment ID: I20050513000495 |
| Provider Name | Bobak Salami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891700340 PECOS PAC ID: 6709829369 Enrollment ID: I20050603001016 |
| Provider Name | Jerrold Glassman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245326883 PECOS PAC ID: 1658315106 Enrollment ID: I20050615000389 |
| Provider Name | Richard G Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881789196 PECOS PAC ID: 6608810163 Enrollment ID: I20050615000420 |
| Provider Name | Richard I Blum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043310030 PECOS PAC ID: 3072544576 Enrollment ID: I20050824000851 |
| Provider Name | Thomas E Diggs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962418889 PECOS PAC ID: 7012948250 Enrollment ID: I20050826000565 |
| Provider Name | Stewart L Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417051558 PECOS PAC ID: 7012948268 Enrollment ID: I20050826000646 |
| Provider Name | Shahin Keramati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568479392 PECOS PAC ID: 4587695770 Enrollment ID: I20050826000919 |
| Provider Name | Bruce J Kimura |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093809790 PECOS PAC ID: 7911938105 Enrollment ID: I20050826000938 |
| Provider Name | Paul S Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164438081 PECOS PAC ID: 1759312614 Enrollment ID: I20050830000874 |
| Provider Name | Ali Salami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366459190 PECOS PAC ID: 5092746966 Enrollment ID: I20050830000999 |
| Provider Name | Manish K Wadhwa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679589329 PECOS PAC ID: 5597796474 Enrollment ID: I20050830001069 |
| Provider Name | Vitali Aizin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366545733 PECOS PAC ID: 7416965959 Enrollment ID: I20060324000637 |
| Provider Name | Hassan Kafri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730258401 PECOS PAC ID: 0648368258 Enrollment ID: I20071115000338 |
| Provider Name | Noemi Doohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972603884 PECOS PAC ID: 5597793869 Enrollment ID: I20080519000580 |
| Provider Name | Marianne Mckennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376639666 PECOS PAC ID: 6002987690 Enrollment ID: I20080625000772 |
| Provider Name | Poulina Q Uddin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427233493 PECOS PAC ID: 0143374694 Enrollment ID: I20090818000282 |
| Provider Name | Nadeen Hosein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912051715 PECOS PAC ID: 0143406298 Enrollment ID: I20110525000584 |
| Provider Name | Kiyon Chung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972517910 PECOS PAC ID: 6204875792 Enrollment ID: I20110610000297 |
| Provider Name | Brendan James Kidder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275793929 PECOS PAC ID: 1052582418 Enrollment ID: I20110915000789 |
| Provider Name | Hashim Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154504900 PECOS PAC ID: 7214087956 Enrollment ID: I20111101000068 |
| Provider Name | Ryan R Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942435144 PECOS PAC ID: 7911153903 Enrollment ID: I20120807000471 |
| Provider Name | Courtney A Summers-day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124288873 PECOS PAC ID: 3476707415 Enrollment ID: I20130129000263 |
| Provider Name | Benedict S. Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710142708 PECOS PAC ID: 1153576350 Enrollment ID: I20130219000057 |
| Provider Name | Katherine N White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801112925 PECOS PAC ID: 3577705300 Enrollment ID: I20130807000781 |
| Provider Name | Peter Morcos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922207430 PECOS PAC ID: 8224153986 Enrollment ID: I20140915002452 |
| Provider Name | Arvin P S Narula |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144535709 PECOS PAC ID: 1658590674 Enrollment ID: I20140923002713 |
| Provider Name | Gavin N Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609033182 PECOS PAC ID: 1850533779 Enrollment ID: I20150303002438 |
| Provider Name | Raghava R Gollapudi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467429191 PECOS PAC ID: 1951303569 Enrollment ID: I20150305000032 |
| Provider Name | Jay Pandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407997406 PECOS PAC ID: 2769536242 Enrollment ID: I20150325000564 |
| Provider Name | Cristina Deis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639478811 PECOS PAC ID: 0840415451 Enrollment ID: I20150521001286 |
| Provider Name | Vartan N Garibyan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790084143 PECOS PAC ID: 5395069520 Enrollment ID: I20150721003336 |
| Provider Name | Danielle M Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609142892 PECOS PAC ID: 4385950146 Enrollment ID: I20150825004374 |
| Provider Name | Justin M Cox |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821144718 PECOS PAC ID: 7012225683 Enrollment ID: I20150930002962 |
| Provider Name | Amanda Lynn Jainchill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720426901 PECOS PAC ID: 2264755255 Enrollment ID: I20160929000717 |
| Provider Name | Melissa Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427475318 PECOS PAC ID: 3577857267 Enrollment ID: I20170712003414 |
| Provider Name | Karen Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205253150 PECOS PAC ID: 7810281920 Enrollment ID: I20170914001002 |
| Provider Name | Keshav R Nayak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043246531 PECOS PAC ID: 6800199407 Enrollment ID: I20170927001019 |
| Provider Name | Tuan Van Mai |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326280231 PECOS PAC ID: 6901061399 Enrollment ID: I20180529002584 |
| Provider Name | Farah Zuhair Dawood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922263466 PECOS PAC ID: 4587838883 Enrollment ID: I20180605000494 |
| Provider Name | Genaro Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073768891 PECOS PAC ID: 5799979928 Enrollment ID: I20180606002859 |
| Provider Name | Antonio C Christophy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871897678 PECOS PAC ID: 0749410249 Enrollment ID: I20181119000823 |
| Provider Name | Nadia A Mohamedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477947364 PECOS PAC ID: 3678817434 Enrollment ID: I20181205000565 |
| Provider Name | Ramsey Abdul Salem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245401298 PECOS PAC ID: 0446599419 Enrollment ID: I20190710000955 |
| Provider Name | Teah O Caine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972966679 PECOS PAC ID: 4183950967 Enrollment ID: I20190731004079 |
| Provider Name | Janani Sankara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811341795 PECOS PAC ID: 0446683783 Enrollment ID: I20191127001681 |
| Provider Name | Mihir Barvalia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568723922 PECOS PAC ID: 2668784547 Enrollment ID: I20200122002920 |
| Provider Name | Michaela Christine Staley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912438250 PECOS PAC ID: 2365873494 Enrollment ID: I20200505002699 |
| Provider Name | Miguel Alvarez-estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197826 PECOS PAC ID: 5799108247 Enrollment ID: I20200701000629 |
| Provider Name | Krystal A Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922531250 PECOS PAC ID: 2365855418 Enrollment ID: I20210108001052 |
| Provider Name | Joshua Ocegueda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336643345 PECOS PAC ID: 4789074964 Enrollment ID: I20211201002964 |
| Provider Name | Ana Karen Ortiz Ilizaliturri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316407026 PECOS PAC ID: 6901281831 Enrollment ID: I20220913004136 |
| Provider Name | Roshni Kakaiya |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1073179529 PECOS PAC ID: 1658747977 Enrollment ID: I20221011002566 |
| Provider Name | Calvin M. Kagan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437543733 PECOS PAC ID: 5698094035 Enrollment ID: I20230818000890 |
| Provider Name | Arienne Malekmadani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124648332 PECOS PAC ID: 4880040005 Enrollment ID: I20231025000200 |
| Provider Name | Benjamin A Van Pratt Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619438330 PECOS PAC ID: 9830570803 Enrollment ID: I20231109002465 |
| Provider Name | Nery Magdalena Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346866589 PECOS PAC ID: 3971956251 Enrollment ID: I20240202001527 |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |