Sharpcare Medical Group, Apc | |
230 Prospect Place Suite 340-b Coronado CA 92118 | |
(619) 522-4000 | |
(619) 435-0150 |
Full Name | Sharpcare Medical Group, Apc |
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Speciality | Family Medicine |
Location | 230 Prospect Place, Coronado, California |
Authorized Official Name and Position | Kenneth Roth (PRESIDENT) |
Authorized Official Contact | 8585410181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sharpcare Medical Group, Apc 8695 Spectrum Center Blvd. Attn: Network Management - 4th Floor San Diego CA 92123 Ph: (858) 499-4510 | Sharpcare Medical Group, Apc 230 Prospect Place Suite 340-b Coronado CA 92118 Ph: (619) 522-4000 |
NPI Number | 1730521568 |
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Provider Enumeration Date | 07/22/2013 |
Last Update Date | 11/04/2016 |
Medicare PECOS PAC ID | 0244518736 |
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Medicare Enrollment ID | O20161103002472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730521568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Kenneth A Warm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982783379 PECOS PAC ID: 9739127838 Enrollment ID: I20050419001519 |
Provider Name | Roger Oen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710060165 PECOS PAC ID: 1658305263 Enrollment ID: I20050922001191 |
Provider Name | Corinne J Ancona-young |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336168418 PECOS PAC ID: 6103915913 Enrollment ID: I20071201000123 |
Provider Name | Peter R Kelly |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265412779 PECOS PAC ID: 0143390799 Enrollment ID: I20080609000384 |
Provider Name | Jenny Wong |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689837742 PECOS PAC ID: 8527126903 Enrollment ID: I20081029000642 |
Provider Name | Bryan J Fox |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245258433 PECOS PAC ID: 4486779782 Enrollment ID: I20100909001015 |
Provider Name | Nicole Tremain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518922392 PECOS PAC ID: 5799977914 Enrollment ID: I20101006001011 |
Provider Name | Joy Emmanuel-cochrane |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1497887475 PECOS PAC ID: 6103006093 Enrollment ID: I20110303000250 |
Provider Name | Michael Lajin |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1467411702 PECOS PAC ID: 1759569296 Enrollment ID: I20120427000182 |
Provider Name | Amanda Janell Aspeytia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730578238 PECOS PAC ID: 4789988452 Enrollment ID: I20170726001757 |
Provider Name | Abida Faiz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699200105 PECOS PAC ID: 7719239086 Enrollment ID: I20181015002545 |
Provider Name | Ehatsham Ahmad |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1649589243 PECOS PAC ID: 0244574861 Enrollment ID: I20181207000533 |
Provider Name | Andrew J Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629430814 PECOS PAC ID: 4789946559 Enrollment ID: I20190103003023 |
Provider Name | Gregory Scott Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578943858 PECOS PAC ID: 8325356983 Enrollment ID: I20190517000807 |
Provider Name | Lloyd George Burgess |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558304717 PECOS PAC ID: 9436485620 Enrollment ID: I20190725002024 |
Provider Name | Kim Ann V Dang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760872188 PECOS PAC ID: 6709120645 Enrollment ID: I20200120000857 |
Provider Name | Hans L Crumpler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659338473 PECOS PAC ID: 9638259500 Enrollment ID: I20200120000940 |
Provider Name | Hideyuki Murakami |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467959965 PECOS PAC ID: 3577967256 Enrollment ID: I20210803000264 |
Provider Name | Sarah Cunado Delabahan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366111965 PECOS PAC ID: 4587058664 Enrollment ID: I20220307001675 |
Provider Name | Rachel Renee Matthews |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841758182 PECOS PAC ID: 9335480045 Enrollment ID: I20221121001158 |
Sharpcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 | |
Laura Norton Petrovich Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1224 10th St, Suite 200, Coronado, CA 92118 Phone: 619-435-2234 Fax: 619-435-1784 | |
Parmela Sawhney Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1222 1st St, Suite 6, Coronado, CA 92118 Phone: 619-435-4488 Fax: 619-435-4489 | |
Patrick R Yassini M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Orange Ave, #100, Coronado, CA 92118 Phone: 619-522-4005 Fax: 619-522-4014 | |
Crown Island Family Practice A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Prospect Pl, Suite 350, Coronado, CA 92118 Phone: 619-537-6910 Fax: 619-537-6905 | |
Prema Sai Medical, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl Ste 220, Coronado, CA 92118 Phone: 559-593-6450 Fax: 619-297-4490 | |
Coronado Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 |