| Southwest Medical Associates, Inc | |
|
888 S Rancho Dr Las Vegas NV 89106-3810 | |
| (702) 877-8600 | |
| (702) 560-2928 |
| Full Name | Southwest Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 888 S Rancho Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Emily Castillo (REGIONAL MANAGER) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Associates, Inc Po Box 35380 Las Vegas NV 89133-5380 Ph: (702) 579-3203 | Southwest Medical Associates, Inc 888 S Rancho Dr Las Vegas NV 89106-3810 Ph: (702) 877-8600 |
| NPI Number | 1659346005 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 01/09/2024 |
| Medicare PECOS PAC ID | 6103730544 |
|---|---|
| Medicare Enrollment ID | O20031118001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659346005 | NPI | - | NPPES |
| 100500023 | Medicaid | NV | |
| CI7026 | Other | NV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert P Korcal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558329839 PECOS PAC ID: 6800781154 Enrollment ID: I20040217000352 |
| Provider Name | William L Boren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811091192 PECOS PAC ID: 1850384371 Enrollment ID: I20040408000225 |
| Provider Name | Luke S Cesaretti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659397115 PECOS PAC ID: 5193718625 Enrollment ID: I20040408000252 |
| Provider Name | Tamra Kelly Baldauf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326099268 PECOS PAC ID: 4183618960 Enrollment ID: I20040413001865 |
| Provider Name | Richard C Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114990694 PECOS PAC ID: 8729073812 Enrollment ID: I20040419000078 |
| Provider Name | Lynn Marlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225000250 PECOS PAC ID: 6709875529 Enrollment ID: I20040507000779 |
| Provider Name | Michelle D Conger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730152703 PECOS PAC ID: 3779572557 Enrollment ID: I20040507001059 |
| Provider Name | Gerardo G Lorenzana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740292630 PECOS PAC ID: 5294724944 Enrollment ID: I20040508000364 |
| Provider Name | Lo Fu Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314835 PECOS PAC ID: 9830188309 Enrollment ID: I20040510000913 |
| Provider Name | Cornell Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700990421 PECOS PAC ID: 7719977503 Enrollment ID: I20040514000026 |
| Provider Name | William G Schorgl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528033636 PECOS PAC ID: 5597654897 Enrollment ID: I20040525001045 |
| Provider Name | Dean Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629041041 PECOS PAC ID: 8729061122 Enrollment ID: I20040608000664 |
| Provider Name | Peter H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952372492 PECOS PAC ID: 6800879214 Enrollment ID: I20040608000748 |
| Provider Name | Thaddeus A Laird |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750482097 PECOS PAC ID: 1557346319 Enrollment ID: I20040624000208 |
| Provider Name | Ricardo Mogollon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114993425 PECOS PAC ID: 8921084013 Enrollment ID: I20040629000247 |
| Provider Name | Ross Edward Seibel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1710958699 PECOS PAC ID: 9436139615 Enrollment ID: I20040720001493 |
| Provider Name | Daniel D Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831168517 PECOS PAC ID: 0749250629 Enrollment ID: I20040728000879 |
| Provider Name | Wenwei Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417921412 PECOS PAC ID: 3476524539 Enrollment ID: I20040803000491 |
| Provider Name | Jeffrey P Marcovitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801898465 PECOS PAC ID: 0446222384 Enrollment ID: I20040810001493 |
| Provider Name | Blair K Duddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063414761 PECOS PAC ID: 5799758744 Enrollment ID: I20040817001132 |
| Provider Name | Kevin Anthony Kapov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932192614 PECOS PAC ID: 6709850811 Enrollment ID: I20040824001154 |
| Provider Name | Linda L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033182522 PECOS PAC ID: 9335109149 Enrollment ID: I20041015000674 |
| Provider Name | Guillermo H Fraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104809433 PECOS PAC ID: 0547224271 Enrollment ID: I20041112000901 |
| Provider Name | Jim Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962614388 PECOS PAC ID: 6709850407 Enrollment ID: I20041112001179 |
| Provider Name | Svetlana L Barbarash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417927500 PECOS PAC ID: 7113981200 Enrollment ID: I20041118000130 |
| Provider Name | Dmitriy Kosyagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427020759 PECOS PAC ID: 5597746578 Enrollment ID: I20041118000155 |
| Provider Name | Linda R Churchwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447221221 PECOS PAC ID: 0345132999 Enrollment ID: I20041208001001 |
| Provider Name | Young K Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275503914 PECOS PAC ID: 4183680325 Enrollment ID: I20041208001024 |
| Provider Name | Samuel R Bauzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417929464 PECOS PAC ID: 5395703391 Enrollment ID: I20041222000228 |
| Provider Name | Maria Carmencita C Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316918998 PECOS PAC ID: 7618929704 Enrollment ID: I20050217000088 |
| Provider Name | Cyclopea Anakwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407941016 PECOS PAC ID: 8123072501 Enrollment ID: I20050309000140 |
| Provider Name | Paul Parcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245232750 PECOS PAC ID: 7517957699 Enrollment ID: I20050318000641 |
| Provider Name | Evangelia Papageorge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780657262 PECOS PAC ID: 8628982345 Enrollment ID: I20050401000179 |
| Provider Name | Edward F Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356318174 PECOS PAC ID: 5799683033 Enrollment ID: I20050401000217 |
| Provider Name | Mark Rhee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790755312 PECOS PAC ID: 9133169220 Enrollment ID: I20050509000391 |
| Provider Name | Karen S Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205806429 PECOS PAC ID: 3173557030 Enrollment ID: I20050921000349 |
| Provider Name | Maria Laarni R Maligaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649241225 PECOS PAC ID: 4981638715 Enrollment ID: I20050921000891 |
| Provider Name | Victor Muro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801969381 PECOS PAC ID: 7911922919 Enrollment ID: I20051010000169 |
| Provider Name | Lindley G Avina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649360447 PECOS PAC ID: 5991725509 Enrollment ID: I20051128000819 |
| Provider Name | Nicholas Anthon Tibaldi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760478564 PECOS PAC ID: 1355382235 Enrollment ID: I20051212000683 |
| Provider Name | Ferozan Malal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558336784 PECOS PAC ID: 0446201289 Enrollment ID: I20051220000438 |
| Provider Name | Robert S Musni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518969187 PECOS PAC ID: 4486677739 Enrollment ID: I20060112000434 |
| Provider Name | Laurine Tibaldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427024736 PECOS PAC ID: 1557345691 Enrollment ID: I20060119000118 |
| Provider Name | Ishtiaq A Chowdhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467423822 PECOS PAC ID: 4284649468 Enrollment ID: I20060208000812 |
| Provider Name | C Sinclair Cottingham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083690184 PECOS PAC ID: 2062319569 Enrollment ID: I20060317000224 |
| Provider Name | Suresh K Tawney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235190281 PECOS PAC ID: 7810905494 Enrollment ID: I20060323000203 |
| Provider Name | Maria Manalo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730121096 PECOS PAC ID: 7618946005 Enrollment ID: I20060424000045 |
| Provider Name | Richard Albert Sanchez Paguia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588681498 PECOS PAC ID: 7517978539 Enrollment ID: I20060505000246 |
| Provider Name | Mirit Avram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962438861 PECOS PAC ID: 1052315702 Enrollment ID: I20060912000006 |
| Provider Name | Edward C Van Vooren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770512477 PECOS PAC ID: 5890799431 Enrollment ID: I20060913000055 |
| Provider Name | Neil A Braunstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265434716 PECOS PAC ID: 7214932581 Enrollment ID: I20060919000483 |
| Provider Name | Chris A Caraang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700891470 PECOS PAC ID: 2264476241 Enrollment ID: I20060922000500 |
| Provider Name | Lee H Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811949274 PECOS PAC ID: 8527063429 Enrollment ID: I20060928000111 |
| Provider Name | Lisa Rosenberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326013764 PECOS PAC ID: 3870497795 Enrollment ID: I20061019000531 |
| Provider Name | Nancy S Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184658841 PECOS PAC ID: 0648270595 Enrollment ID: I20061228000165 |
| Provider Name | Savita M Chander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447255773 PECOS PAC ID: 9739133125 Enrollment ID: I20061229000329 |
| Provider Name | Pio Clavecilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659349140 PECOS PAC ID: 2769402957 Enrollment ID: I20070102000370 |
| Provider Name | Eddie Gene G Mathis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740292598 PECOS PAC ID: 2466429428 Enrollment ID: I20070110000194 |
| Provider Name | Kevin D Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912953597 PECOS PAC ID: 1456351527 Enrollment ID: I20070115000155 |
| Provider Name | Elliot Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275554057 PECOS PAC ID: 1052325974 Enrollment ID: I20070119000262 |
| Provider Name | Patrick G Ticman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306935473 PECOS PAC ID: 3779584602 Enrollment ID: I20070119000426 |
| Provider Name | Kyra T Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932204443 PECOS PAC ID: 2062413743 Enrollment ID: I20070124000028 |
| Provider Name | Roberto M Martinez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346245362 PECOS PAC ID: 1456257872 Enrollment ID: I20070206000688 |
| Provider Name | Jesus P Hernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982618476 PECOS PAC ID: 1951303809 Enrollment ID: I20070207000032 |
| Provider Name | Howard D Ehrenfeld |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477647170 PECOS PAC ID: 9830126275 Enrollment ID: I20070214000057 |
| Provider Name | Vickie M Stark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740385913 PECOS PAC ID: 6406959568 Enrollment ID: I20070309000150 |
| Provider Name | Michelle L Stacey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982627303 PECOS PAC ID: 2264411040 Enrollment ID: I20070323000301 |
| Provider Name | Kwang C Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871547968 PECOS PAC ID: 1052415668 Enrollment ID: I20070409000157 |
| Provider Name | Caprice Marie Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528280666 PECOS PAC ID: 4981663895 Enrollment ID: I20070803000419 |
| Provider Name | Elizabeth S Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851399109 PECOS PAC ID: 4981674751 Enrollment ID: I20070807000446 |
| Provider Name | Chinenye O Ezeanolue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316154701 PECOS PAC ID: 0143312660 Enrollment ID: I20070828000697 |
| Provider Name | Chang-hoon Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558350827 PECOS PAC ID: 7810946944 Enrollment ID: I20070906000514 |
| Provider Name | Joy L Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750374260 PECOS PAC ID: 8921191974 Enrollment ID: I20070906000632 |
| Provider Name | Michael F Kooyman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487645370 PECOS PAC ID: 8123120722 Enrollment ID: I20070918000540 |
| Provider Name | Kenneth A Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073553244 PECOS PAC ID: 5597736033 Enrollment ID: I20070924000725 |
| Provider Name | Majonel L Ontanillas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235105313 PECOS PAC ID: 6406832674 Enrollment ID: I20071018000583 |
| Provider Name | Huma Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477626273 PECOS PAC ID: 0749282507 Enrollment ID: I20071103000100 |
| Provider Name | Rozanne Bentt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841374816 PECOS PAC ID: 4587554811 Enrollment ID: I20071218000176 |
| Provider Name | Aleksandr Krivonovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386686566 PECOS PAC ID: 6800891565 Enrollment ID: I20080109000465 |
| Provider Name | Hamid T Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811011331 PECOS PAC ID: 8325129653 Enrollment ID: I20080114000004 |
| Provider Name | Paul D Bandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083670863 PECOS PAC ID: 0547174021 Enrollment ID: I20080131000495 |
| Provider Name | Shadi N Daoud |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1699739151 PECOS PAC ID: 3678568730 Enrollment ID: I20080305000511 |
| Provider Name | Ian Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919046 PECOS PAC ID: 7012956493 Enrollment ID: I20080311000066 |
| Provider Name | Stacy L Leifried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265490585 PECOS PAC ID: 6305917345 Enrollment ID: I20080618000328 |
| Provider Name | Howard Francois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285831172 PECOS PAC ID: 3274622899 Enrollment ID: I20080709000291 |
| Provider Name | Ola E Eisa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184806135 PECOS PAC ID: 6507942257 Enrollment ID: I20081104000649 |
| Provider Name | Jennifer Lising |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326162660 PECOS PAC ID: 7416018353 Enrollment ID: I20081210000310 |
| Provider Name | Raafat Khani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487706180 PECOS PAC ID: 3779644620 Enrollment ID: I20081210000417 |
| Provider Name | Ekaterina Pletinskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245267202 PECOS PAC ID: 0840223491 Enrollment ID: I20090109000139 |
| Provider Name | Caroline S Banfro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417179227 PECOS PAC ID: 6305900093 Enrollment ID: I20090123000582 |
| Provider Name | Rachael Ann Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588818207 PECOS PAC ID: 5890852610 Enrollment ID: I20090324000120 |
| Provider Name | Charles H Mcswain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235100801 PECOS PAC ID: 5890846232 Enrollment ID: I20090625000381 |
| Provider Name | Valeria Asimenios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821195413 PECOS PAC ID: 3072562768 Enrollment ID: I20090722000270 |
| Provider Name | Maria R Barlaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316174006 PECOS PAC ID: 1557415890 Enrollment ID: I20090820000360 |
| Provider Name | Chirag Vyas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144392903 PECOS PAC ID: 5092746917 Enrollment ID: I20090827000732 |
| Provider Name | Alejandro S Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528203643 PECOS PAC ID: 9931255817 Enrollment ID: I20090917000360 |
| Provider Name | Justin P Colarco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952531378 PECOS PAC ID: 1153468244 Enrollment ID: I20091021000860 |
| Provider Name | Rajashree Vyas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063456564 PECOS PAC ID: 2860591518 Enrollment ID: I20091022000226 |
| Provider Name | Andrew I Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790968816 PECOS PAC ID: 0749327625 Enrollment ID: I20091026000432 |
| Provider Name | Lopa H Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447238100 PECOS PAC ID: 4284773730 Enrollment ID: I20091123000579 |
| Provider Name | Erickson U Liwanag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255539284 PECOS PAC ID: 0345380812 Enrollment ID: I20091214000320 |
| Provider Name | Janelle Agosto-marquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508068933 PECOS PAC ID: 0749351161 Enrollment ID: I20100107000480 |
| Provider Name | Nauroz I Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356384325 PECOS PAC ID: 4486657731 Enrollment ID: I20100129000318 |
| Provider Name | Matthew G Hudkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356331136 PECOS PAC ID: 3274538319 Enrollment ID: I20100304000794 |
| Provider Name | Susan E Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780764894 PECOS PAC ID: 6507890712 Enrollment ID: I20100312000827 |
| Provider Name | Tania Morales Miedico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255484390 PECOS PAC ID: 3870686637 Enrollment ID: I20100405000191 |
| Provider Name | Jon James |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013988997 PECOS PAC ID: 4385772185 Enrollment ID: I20100517000078 |
| Provider Name | Scott Hambrecht |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730151002 PECOS PAC ID: 8921137472 Enrollment ID: I20100521000708 |
| Provider Name | Jimmy J Shih |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346450087 PECOS PAC ID: 3779636634 Enrollment ID: I20100726000204 |
| Provider Name | Benjamin Muir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497956635 PECOS PAC ID: 5890828255 Enrollment ID: I20100805000378 |
| Provider Name | Esmeralda A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265751085 PECOS PAC ID: 5799800017 Enrollment ID: I20100909001219 |
| Provider Name | Cassanda Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033171715 PECOS PAC ID: 1254346489 Enrollment ID: I20100910000940 |
| Provider Name | Sheldon Mike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685061 PECOS PAC ID: 0749305332 Enrollment ID: I20100920000933 |
| Provider Name | Mark Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164436994 PECOS PAC ID: 0547386807 Enrollment ID: I20100924000328 |
| Provider Name | Nader N Helmi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932376407 PECOS PAC ID: 0749472074 Enrollment ID: I20101005001088 |
| Provider Name | Daniel Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538132022 PECOS PAC ID: 3375735475 Enrollment ID: I20101007000853 |
| Provider Name | Marguerite Brathwaite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609846518 PECOS PAC ID: 9234323825 Enrollment ID: I20101027001115 |
| Provider Name | Yolanda Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215907969 PECOS PAC ID: 4183818438 Enrollment ID: I20101030000225 |
| Provider Name | Concepcion R Singson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114998325 PECOS PAC ID: 7517151350 Enrollment ID: I20101105000069 |
| Provider Name | Neeta Soni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841261203 PECOS PAC ID: 5395930366 Enrollment ID: I20101116000822 |
| Provider Name | Michael J Petruso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336112382 PECOS PAC ID: 1052507183 Enrollment ID: I20101201000194 |
| Provider Name | Sandra M Francis Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497935183 PECOS PAC ID: 2567501208 Enrollment ID: I20101206000529 |
| Provider Name | Barry K Gould |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265476691 PECOS PAC ID: 6507869823 Enrollment ID: I20101207000894 |
| Provider Name | Michael R Gauron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992799514 PECOS PAC ID: 8729277504 Enrollment ID: I20110110000345 |
| Provider Name | Farheen Rasool |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538346374 PECOS PAC ID: 4486833951 Enrollment ID: I20110131000134 |
| Provider Name | Gary C Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720200132 PECOS PAC ID: 1456531615 Enrollment ID: I20110207000174 |
| Provider Name | Carl Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043284995 PECOS PAC ID: 9638253917 Enrollment ID: I20110215000276 |
| Provider Name | Gary L. Chambers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538139621 PECOS PAC ID: 7416138300 Enrollment ID: I20110225000179 |
| Provider Name | April D Neumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919343 PECOS PAC ID: 4284816307 Enrollment ID: I20110310000977 |
| Provider Name | Zelluyah W Gaitho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659672939 PECOS PAC ID: 2961685268 Enrollment ID: I20110324000137 |
| Provider Name | Kweku Hutchful |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093782583 PECOS PAC ID: 9133303985 Enrollment ID: I20110404000105 |
| Provider Name | Margaret M Hwang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720261597 PECOS PAC ID: 7012191539 Enrollment ID: I20110407000536 |
| Provider Name | Paula M Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992963219 PECOS PAC ID: 2062697022 Enrollment ID: I20110506000501 |
| Provider Name | Rutu Sudhakar Ezhuthachan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730159815 PECOS PAC ID: 8628158193 Enrollment ID: I20110506000675 |
| Provider Name | Bennett E Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639140205 PECOS PAC ID: 9436063872 Enrollment ID: I20110513000635 |
| Provider Name | Anita Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144292129 PECOS PAC ID: 3577749001 Enrollment ID: I20110518000663 |
| Provider Name | Nader Rouhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407825185 PECOS PAC ID: 5092992396 Enrollment ID: I20110615000082 |
| Provider Name | Randy Hitt Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609969492 PECOS PAC ID: 6901082494 Enrollment ID: I20110617000173 |
| Provider Name | Stephen Hoye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467620005 PECOS PAC ID: 2567586829 Enrollment ID: I20110620000150 |
| Provider Name | Dolores Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669775516 PECOS PAC ID: 5496933988 Enrollment ID: I20110705000416 |
| Provider Name | Cuong T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881668143 PECOS PAC ID: 6103004692 Enrollment ID: I20110705000444 |
| Provider Name | Raul Romero Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336247246 PECOS PAC ID: 0345349742 Enrollment ID: I20110713000850 |
| Provider Name | Ryan N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790758068 PECOS PAC ID: 4688842610 Enrollment ID: I20110719000331 |
| Provider Name | Trey Q Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659559334 PECOS PAC ID: 4880745330 Enrollment ID: I20110801000590 |
| Provider Name | James Oliver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467425785 PECOS PAC ID: 9931378049 Enrollment ID: I20110805000749 |
| Provider Name | Kaveh Kardooni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558492124 PECOS PAC ID: 7315087079 Enrollment ID: I20110830000183 |
| Provider Name | Nikki V Macalalad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922209071 PECOS PAC ID: 8022180397 Enrollment ID: I20111011000514 |
| Provider Name | Karen E Laux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497034300 PECOS PAC ID: 6103099882 Enrollment ID: I20111025000070 |
| Provider Name | Charalee Basaldua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609036086 PECOS PAC ID: 6305019860 Enrollment ID: I20111027000635 |
| Provider Name | Susan Schuder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912978107 PECOS PAC ID: 1153596192 Enrollment ID: I20111202000499 |
| Provider Name | Antonio T Alamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821013798 PECOS PAC ID: 0547152670 Enrollment ID: I20120229000586 |
| Provider Name | John Charles Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316258171 PECOS PAC ID: 5092974659 Enrollment ID: I20120319000019 |
| Provider Name | Diana M Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306817069 PECOS PAC ID: 3870756299 Enrollment ID: I20120523000169 |
| Provider Name | Eric A Moldestad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104018951 PECOS PAC ID: 2062582174 Enrollment ID: I20120626000401 |
| Provider Name | Catherine King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225236862 PECOS PAC ID: 5991755126 Enrollment ID: I20120912000048 |
| Provider Name | Mara J Posner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477765634 PECOS PAC ID: 2961433453 Enrollment ID: I20120917000535 |
| Provider Name | Ivan A Arce-munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750518908 PECOS PAC ID: 4880843267 Enrollment ID: I20120928000049 |
| Provider Name | Savneet Gill Shroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891042974 PECOS PAC ID: 0941459333 Enrollment ID: I20120928000204 |
| Provider Name | Jonathan H Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780667709 PECOS PAC ID: 5092964999 Enrollment ID: I20121010000167 |
| Provider Name | Nilesh Neil Gokal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164653432 PECOS PAC ID: 9436309671 Enrollment ID: I20121023000789 |
| Provider Name | Gail A Rattigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104045178 PECOS PAC ID: 7618128752 Enrollment ID: I20121119000199 |
| Provider Name | Daniel John Hering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518203512 PECOS PAC ID: 7517102403 Enrollment ID: I20130325000487 |
| Provider Name | Robert D Tolentino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487746350 PECOS PAC ID: 1456256775 Enrollment ID: I20130403000453 |
| Provider Name | Stephanie Ashman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417279423 PECOS PAC ID: 2769629666 Enrollment ID: I20130514000187 |
| Provider Name | Dina R Gabaeff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538127568 PECOS PAC ID: 3072410851 Enrollment ID: I20130523000514 |
| Provider Name | Sudipkumar K Bhanderi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841497757 PECOS PAC ID: 8921246232 Enrollment ID: I20130528000636 |
| Provider Name | Abdul Muneer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528036340 PECOS PAC ID: 2769620574 Enrollment ID: I20130605000611 |
| Provider Name | Chad Poopat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538178561 PECOS PAC ID: 1355374620 Enrollment ID: I20130608000028 |
| Provider Name | Bradley Potsic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063533412 PECOS PAC ID: 0244470672 Enrollment ID: I20130709000225 |
| Provider Name | Laura L Gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871564351 PECOS PAC ID: 5698917896 Enrollment ID: I20130819000557 |
| Provider Name | Sukhjinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538398573 PECOS PAC ID: 1951579002 Enrollment ID: I20130903000542 |
| Provider Name | Scott P Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841568425 PECOS PAC ID: 4082849120 Enrollment ID: I20131028001027 |
| Provider Name | Olivia O Yuson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841487618 PECOS PAC ID: 0143455980 Enrollment ID: I20131101000356 |
| Provider Name | Kevin Hsiung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255631313 PECOS PAC ID: 3476740929 Enrollment ID: I20131212000279 |
| Provider Name | Melinda Y Kwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639483746 PECOS PAC ID: 7618104308 Enrollment ID: I20131231000265 |
| Provider Name | Wong Y Khaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366762684 PECOS PAC ID: 2163650433 Enrollment ID: I20140113000482 |
| Provider Name | Hitesh Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164432597 PECOS PAC ID: 3173416633 Enrollment ID: I20140114000901 |
| Provider Name | Kamran R Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629394085 PECOS PAC ID: 1557505534 Enrollment ID: I20140115000438 |
| Provider Name | Sylvester Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255568929 PECOS PAC ID: 8820246275 Enrollment ID: I20140115000507 |
| Provider Name | Funchi Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497927610 PECOS PAC ID: 7012178270 Enrollment ID: I20140115000583 |
| Provider Name | Todd Alan Steinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548218464 PECOS PAC ID: 3476535048 Enrollment ID: I20140326001745 |
| Provider Name | Candy Y Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427489913 PECOS PAC ID: 0345472296 Enrollment ID: I20140409000176 |
| Provider Name | Michael Mecca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992729727 PECOS PAC ID: 5698786341 Enrollment ID: I20140415000088 |
| Provider Name | Ma. Aleli De Guzman Malonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194146811 PECOS PAC ID: 3870716814 Enrollment ID: I20140521000306 |
| Provider Name | Douglas Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003064999 PECOS PAC ID: 3375783038 Enrollment ID: I20140529001281 |
| Provider Name | Richard Penfil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063571164 PECOS PAC ID: 3971585621 Enrollment ID: I20140611001657 |
| Provider Name | Kirk Yamato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598862914 PECOS PAC ID: 0547225799 Enrollment ID: I20140619001310 |
| Provider Name | Tiffiny Boyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558523118 PECOS PAC ID: 9335364033 Enrollment ID: I20140714002464 |
| Provider Name | Charles H Weintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629021795 PECOS PAC ID: 8022908599 Enrollment ID: I20140716002018 |
| Provider Name | Elan Bomsztyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477714525 PECOS PAC ID: 6406072669 Enrollment ID: I20140723002289 |
| Provider Name | Padma M Ariyawansa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629051826 PECOS PAC ID: 6204052988 Enrollment ID: I20140801001955 |
| Provider Name | Kranthi Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093923526 PECOS PAC ID: 5597982942 Enrollment ID: I20140808001505 |
| Provider Name | Javier Ismael Garduno |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720141120 PECOS PAC ID: 9638396856 Enrollment ID: I20140812002557 |
| Provider Name | Kelly Y Twells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710395496 PECOS PAC ID: 6305063298 Enrollment ID: I20140818001046 |
| Provider Name | Darla G Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689086860 PECOS PAC ID: 6103044722 Enrollment ID: I20140822002660 |
| Provider Name | Ralph Joseph R Borromeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013329515 PECOS PAC ID: 1658599923 Enrollment ID: I20140828000007 |
| Provider Name | Christina S Reynoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174939250 PECOS PAC ID: 0941428908 Enrollment ID: I20140904001338 |
| Provider Name | Ricardo Manuel Garateix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902122872 PECOS PAC ID: 2466671946 Enrollment ID: I20140915002703 |
| Provider Name | Lauren E Maxham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326347154 PECOS PAC ID: 1951521582 Enrollment ID: I20141002002458 |
| Provider Name | James Joslin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164713400 PECOS PAC ID: 6406076751 Enrollment ID: I20141008001648 |
| Provider Name | Jacki M Deguzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013206614 PECOS PAC ID: 6800016171 Enrollment ID: I20141008002284 |
| Provider Name | Margaret E Sweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518391077 PECOS PAC ID: 9638390982 Enrollment ID: I20141029002812 |
| Provider Name | Joseph P Hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942386776 PECOS PAC ID: 7214929579 Enrollment ID: I20141031000436 |
| Provider Name | Nneka Anuligo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245438878 PECOS PAC ID: 7517189848 Enrollment ID: I20141120001910 |
| Provider Name | Rosa M Hayek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093042939 PECOS PAC ID: 7113141409 Enrollment ID: I20141209000374 |
| Provider Name | Joan Asperin Zamberletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932507845 PECOS PAC ID: 0547584120 Enrollment ID: I20150131000110 |
| Provider Name | Elena N Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588751556 PECOS PAC ID: 8527167188 Enrollment ID: I20150218001035 |
| Provider Name | Darryl L Fortson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538255823 PECOS PAC ID: 4587615471 Enrollment ID: I20150330000417 |
| Provider Name | Sara Kabsoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427240928 PECOS PAC ID: 6002062122 Enrollment ID: I20150413002589 |
| Provider Name | Glenn Edgar Irwin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093793598 PECOS PAC ID: 2163412347 Enrollment ID: I20150506000822 |
| Provider Name | Kandarp Yogesh Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215165147 PECOS PAC ID: 7012132889 Enrollment ID: I20150508001271 |
| Provider Name | Chaorui Tian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801057625 PECOS PAC ID: 1052632734 Enrollment ID: I20150605002371 |
| Provider Name | Casey C Burchill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922437821 PECOS PAC ID: 9739400052 Enrollment ID: I20150611000856 |
| Provider Name | Sandra Pagnussat |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841491917 PECOS PAC ID: 5597911438 Enrollment ID: I20150616001622 |
| Provider Name | Candance M Leaphart-st Cloud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700836905 PECOS PAC ID: 0345253829 Enrollment ID: I20150706002109 |
| Provider Name | Joyce M Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902283252 PECOS PAC ID: 7214249903 Enrollment ID: I20150709000895 |
| Provider Name | Khursheeda Pathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225106131 PECOS PAC ID: 3870805377 Enrollment ID: I20150710001555 |
| Provider Name | Jeana R Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548649379 PECOS PAC ID: 9537472873 Enrollment ID: I20150716000531 |
| Provider Name | Joshua A Rosenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023078987 PECOS PAC ID: 1254360738 Enrollment ID: I20150721001817 |
| Provider Name | Susan Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932537511 PECOS PAC ID: 6608093703 Enrollment ID: I20150724011083 |
| Provider Name | Ruby K Bhullar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346502085 PECOS PAC ID: 8224342746 Enrollment ID: I20150728005897 |
| Provider Name | Viken Manjikian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225094683 PECOS PAC ID: 5395638027 Enrollment ID: I20150731015091 |
| Provider Name | Marie Grace Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497008247 PECOS PAC ID: 6608001185 Enrollment ID: I20150804005739 |
| Provider Name | Jeffrey Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407856503 PECOS PAC ID: 5294927885 Enrollment ID: I20150806010804 |
| Provider Name | Cori Lee Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518132216 PECOS PAC ID: 5597921163 Enrollment ID: I20150810000695 |
| Provider Name | Monique L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772651 PECOS PAC ID: 8224343546 Enrollment ID: I20150817000522 |
| Provider Name | Girisha Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619238748 PECOS PAC ID: 5092949545 Enrollment ID: I20150817002824 |
| Provider Name | Bibi W Omar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275755001 PECOS PAC ID: 1153471370 Enrollment ID: I20150818004719 |
| Provider Name | Daniel Joseph Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417211624 PECOS PAC ID: 2264671106 Enrollment ID: I20150821012593 |
| Provider Name | Michael Isara Saiyasombat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811174089 PECOS PAC ID: 7214257559 Enrollment ID: I20150824002588 |
| Provider Name | Manuel Proenza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336401256 PECOS PAC ID: 9931348521 Enrollment ID: I20150826000165 |
| Provider Name | Julie Lynn Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457655482 PECOS PAC ID: 0648450627 Enrollment ID: I20150903002892 |
| Provider Name | Sherry A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154619781 PECOS PAC ID: 1355511841 Enrollment ID: I20150910002688 |
| Provider Name | Anthony Welch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518201771 PECOS PAC ID: 4688981822 Enrollment ID: I20150921000731 |
| Provider Name | Aaron Bellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205931656 PECOS PAC ID: 3375527344 Enrollment ID: I20150929001616 |
| Provider Name | Laura L Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164634697 PECOS PAC ID: 1557598794 Enrollment ID: I20150930000038 |
| Provider Name | Janice A Aguinaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992085 PECOS PAC ID: 9436467180 Enrollment ID: I20150930001637 |
| Provider Name | Stacy Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992030928 PECOS PAC ID: 3870632235 Enrollment ID: I20151002002034 |
| Provider Name | Neil V Kaura |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194979856 PECOS PAC ID: 3577719616 Enrollment ID: I20151009000650 |
| Provider Name | Brent Devera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609134048 PECOS PAC ID: 5395069041 Enrollment ID: I20151015000981 |
| Provider Name | Teresa Marie Praus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932579711 PECOS PAC ID: 5294044814 Enrollment ID: I20151022001038 |
| Provider Name | Jae Wook Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558624957 PECOS PAC ID: 3678899622 Enrollment ID: I20151123002690 |
| Provider Name | Johnette Maria Seecof |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043285661 PECOS PAC ID: 2860464047 Enrollment ID: I20151125001262 |
| Provider Name | Wendy L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356727754 PECOS PAC ID: 4486954120 Enrollment ID: I20151201003145 |
| Provider Name | Perry J Horwich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053498147 PECOS PAC ID: 0941272058 Enrollment ID: I20151207002755 |
| Provider Name | Tamaris Samantha Cotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003253881 PECOS PAC ID: 9335440551 Enrollment ID: I20151214000462 |
| Provider Name | Prentice Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295962900 PECOS PAC ID: 4284871153 Enrollment ID: I20151214002430 |
| Provider Name | Jacquelyn Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124181722 PECOS PAC ID: 8921008509 Enrollment ID: I20160120001327 |
| Provider Name | Aileen Serrano Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720166234 PECOS PAC ID: 7618955618 Enrollment ID: I20160201002995 |
| Provider Name | Sara Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821024480 PECOS PAC ID: 2769452069 Enrollment ID: I20160205000439 |
| Provider Name | Helen Sue Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942301288 PECOS PAC ID: 1254339427 Enrollment ID: I20160216002483 |
| Provider Name | Miriam Sithole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619292943 PECOS PAC ID: 4385773522 Enrollment ID: I20160331002004 |
| Provider Name | Sydnee K Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730457292 PECOS PAC ID: 7315190063 Enrollment ID: I20160504001515 |
| Provider Name | Jessica A Knirk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194933465 PECOS PAC ID: 2567643125 Enrollment ID: I20160608002082 |
| Provider Name | Wahida Azimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821292079 PECOS PAC ID: 6002005782 Enrollment ID: I20160706001041 |
| Provider Name | Pamela Bellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740256189 PECOS PAC ID: 2668433517 Enrollment ID: I20160720001696 |
| Provider Name | Lukasz Chebes |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1689878878 PECOS PAC ID: 5193919363 Enrollment ID: I20160725001581 |
| Provider Name | Patricia Elaine Case |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710985700 PECOS PAC ID: 9537155973 Enrollment ID: I20160809002722 |
| Provider Name | Trina Wiggins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568816056 PECOS PAC ID: 3072808971 Enrollment ID: I20160816002733 |
| Provider Name | Mitzilene Tuazon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528402351 PECOS PAC ID: 3779701198 Enrollment ID: I20160816002929 |
| Provider Name | Teja V Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275875130 PECOS PAC ID: 2163717091 Enrollment ID: I20160817000745 |
| Provider Name | Sean Jeet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346684982 PECOS PAC ID: 1850686445 Enrollment ID: I20160822001324 |
| Provider Name | Karen Barbara Alderfer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043534654 PECOS PAC ID: 1759676240 Enrollment ID: I20160823001505 |
| Provider Name | Natalia Ermakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194173732 PECOS PAC ID: 7214222694 Enrollment ID: I20160824001670 |
| Provider Name | Yasmin Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194041665 PECOS PAC ID: 8325289283 Enrollment ID: I20160825002473 |
| Provider Name | Richard Jeffery Curren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891133005 PECOS PAC ID: 1850686825 Enrollment ID: I20160830001353 |
| Provider Name | David Jonathan Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427361534 PECOS PAC ID: 2769706522 Enrollment ID: I20160920002626 |
| Provider Name | Lauren Branch Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325992 PECOS PAC ID: 8426367798 Enrollment ID: I20160921001827 |
| Provider Name | Edward C Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330842 PECOS PAC ID: 3577850346 Enrollment ID: I20160921002415 |
| Provider Name | Anna Harutyunyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972930493 PECOS PAC ID: 3072800507 Enrollment ID: I20160927000288 |
| Provider Name | Linda Sue Van Roeyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427089614 PECOS PAC ID: 0244387306 Enrollment ID: I20160928002337 |
| Provider Name | Mit P Dave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679816987 PECOS PAC ID: 4587952718 Enrollment ID: I20161004001322 |
| Provider Name | Jerifaye B Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588024822 PECOS PAC ID: 5395037857 Enrollment ID: I20161004001550 |
| Provider Name | John Arthur Seibel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730182148 PECOS PAC ID: 8426245317 Enrollment ID: I20161005000954 |
| Provider Name | Damaris Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518412642 PECOS PAC ID: 2365730165 Enrollment ID: I20161011001968 |
| Provider Name | Julie Laplante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588016430 PECOS PAC ID: 7113215724 Enrollment ID: I20161014000987 |
| Provider Name | Zandra Kay Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710223995 PECOS PAC ID: 2769619493 Enrollment ID: I20161020000245 |
| Provider Name | Ann Marie Mallory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801203948 PECOS PAC ID: 1456641901 Enrollment ID: I20161115002083 |
| Provider Name | Carlo Buena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770857484 PECOS PAC ID: 8123325032 Enrollment ID: I20161121002700 |
| Provider Name | Leticia J Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508124868 PECOS PAC ID: 1850687880 Enrollment ID: I20161123000438 |
| Provider Name | Armando Corbilla Sarmiento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072250 PECOS PAC ID: 8527348721 Enrollment ID: I20161205002128 |
| Provider Name | Royal Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043769185 PECOS PAC ID: 6002197571 Enrollment ID: I20161222000398 |
| Provider Name | Jamie Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811357627 PECOS PAC ID: 4587956693 Enrollment ID: I20161230000825 |
| Provider Name | Trisha Sibayan Tantorres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316498520 PECOS PAC ID: 5799067179 Enrollment ID: I20170119001063 |
| Provider Name | Mistie April Loggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316335888 PECOS PAC ID: 7810212990 Enrollment ID: I20170126001534 |
| Provider Name | Katherine Hinton Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114475357 PECOS PAC ID: 0941583538 Enrollment ID: I20170206000675 |
| Provider Name | Christina Clignett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194821744 PECOS PAC ID: 2860629615 Enrollment ID: I20170228000533 |
| Provider Name | Michelle Marie Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528510419 PECOS PAC ID: 2769766799 Enrollment ID: I20170310001529 |
| Provider Name | Jeffrey C Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770794216 PECOS PAC ID: 4082808951 Enrollment ID: I20170316001690 |
| Provider Name | Cheryll G Udani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548604713 PECOS PAC ID: 3274819149 Enrollment ID: I20170406002425 |
| Provider Name | Caroline Emily R Romualdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094316 PECOS PAC ID: 4688950074 Enrollment ID: I20170419002848 |
| Provider Name | Cedric M Ojeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336685353 PECOS PAC ID: 9234416082 Enrollment ID: I20170503001129 |
| Provider Name | Dustin Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336587641 PECOS PAC ID: 3577882984 Enrollment ID: I20170512001207 |
| Provider Name | Yeon Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629210505 PECOS PAC ID: 9739307901 Enrollment ID: I20170524000505 |
| Provider Name | Ann De Jong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871700823 PECOS PAC ID: 8527141316 Enrollment ID: I20170614001496 |
| Provider Name | Anna Gotardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457644932 PECOS PAC ID: 2062639990 Enrollment ID: I20170622000998 |
| Provider Name | Marie Kota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861931636 PECOS PAC ID: 5092083576 Enrollment ID: I20170626001706 |
| Provider Name | Mullissa Michelle Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104827492 PECOS PAC ID: 4981642576 Enrollment ID: I20170628002247 |
| Provider Name | Jonathan Hastings Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326331133 PECOS PAC ID: 7719132521 Enrollment ID: I20170717003643 |
| Provider Name | Faegh V Aderangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942644760 PECOS PAC ID: 7214158666 Enrollment ID: I20170726002208 |
| Provider Name | Kenneth G Brandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073925467 PECOS PAC ID: 3476879412 Enrollment ID: I20170727001230 |
| Provider Name | Sean V Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255741914 PECOS PAC ID: 7113298688 Enrollment ID: I20170801002819 |
| Provider Name | Travis Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508255068 PECOS PAC ID: 8921379124 Enrollment ID: I20170807001791 |
| Provider Name | Jay V Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780001867 PECOS PAC ID: 4880813948 Enrollment ID: I20170807002144 |
| Provider Name | Ricardo Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104236215 PECOS PAC ID: 2466779434 Enrollment ID: I20170810003673 |
| Provider Name | Nicholas Hoang Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699195388 PECOS PAC ID: 9830461417 Enrollment ID: I20170816002714 |
| Provider Name | Monivirin Son |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699751776 PECOS PAC ID: 3678545241 Enrollment ID: I20170816003624 |
| Provider Name | David Renton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629488739 PECOS PAC ID: 7315263225 Enrollment ID: I20170817001878 |
| Provider Name | Jahan Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700192416 PECOS PAC ID: 4183871643 Enrollment ID: I20170817002011 |
| Provider Name | John Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437558111 PECOS PAC ID: 6800181223 Enrollment ID: I20170817004184 |
| Provider Name | Cristy Dawn Oconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972047629 PECOS PAC ID: 4183996127 Enrollment ID: I20170825000218 |
| Provider Name | Michelle L Trapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053637108 PECOS PAC ID: 1658695812 Enrollment ID: I20170825001193 |
| Provider Name | Rosaly Diaz Torruellas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114340858 PECOS PAC ID: 7012237878 Enrollment ID: I20170901001749 |
| Provider Name | Hannah Taft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053725069 PECOS PAC ID: 8729205679 Enrollment ID: I20170919002547 |
| Provider Name | Silvia A Bevilacqua |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558411207 PECOS PAC ID: 6507015427 Enrollment ID: I20171013001467 |
| Provider Name | Bhavani Naginani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669702155 PECOS PAC ID: 4587709571 Enrollment ID: I20171019000816 |
| Provider Name | Glenda Grino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770553893 PECOS PAC ID: 9638445299 Enrollment ID: I20171026000065 |
| Provider Name | Dennis Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720508658 PECOS PAC ID: 8820368954 Enrollment ID: I20171106001007 |
| Provider Name | Sean S Gupton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396796504 PECOS PAC ID: 9436122264 Enrollment ID: I20171108002244 |
| Provider Name | Ursula Inge Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053327809 PECOS PAC ID: 8628334117 Enrollment ID: I20171116001920 |
| Provider Name | Jessica Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659641769 PECOS PAC ID: 7517124076 Enrollment ID: I20171207001731 |
| Provider Name | Lissette Rodriguez De Armas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487940383 PECOS PAC ID: 8527325034 Enrollment ID: I20171207001972 |
| Provider Name | Varun Mitroo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336222025 PECOS PAC ID: 0840275145 Enrollment ID: I20171214002743 |
| Provider Name | Laura Millener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194034330 PECOS PAC ID: 9830418144 Enrollment ID: I20180112000433 |
| Provider Name | Wael M Abdel Kawy Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649458431 PECOS PAC ID: 8022295146 Enrollment ID: I20180215001386 |
| Provider Name | Vanessa Medina Antolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679932842 PECOS PAC ID: 8527341254 Enrollment ID: I20180215002742 |
| Provider Name | Pamela Gay O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457624751 PECOS PAC ID: 9739341058 Enrollment ID: I20180326000610 |
| Provider Name | Billy Escaba Leonardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588174361 PECOS PAC ID: 1759644586 Enrollment ID: I20180409002799 |
| Provider Name | Eleanor Karanne Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780822866 PECOS PAC ID: 9234296567 Enrollment ID: I20180410001108 |
| Provider Name | Mark Edward Ogilvie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043579873 PECOS PAC ID: 3971866559 Enrollment ID: I20180412001358 |
| Provider Name | Julienne Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972006476 PECOS PAC ID: 6709149297 Enrollment ID: I20180416001403 |
| Provider Name | Rizza Marie Cruz Tawatao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679075519 PECOS PAC ID: 4385908490 Enrollment ID: I20180425002253 |
| Provider Name | Carol G Reddick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639566383 PECOS PAC ID: 6103113766 Enrollment ID: I20180510001525 |
| Provider Name | Stanley Wayne Whitaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487653267 PECOS PAC ID: 9335043702 Enrollment ID: I20180515000542 |
| Provider Name | Jackie L Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134618531 PECOS PAC ID: 4587928791 Enrollment ID: I20180515002224 |
| Provider Name | Leila R. Olivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619049426 PECOS PAC ID: 6204996747 Enrollment ID: I20180522001681 |
| Provider Name | Michele M K Shimizu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750395273 PECOS PAC ID: 3072537273 Enrollment ID: I20180522002258 |
| Provider Name | Socorro Cabato Townes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356309165 PECOS PAC ID: 0143391375 Enrollment ID: I20180522003132 |
| Provider Name | Charity T Rosendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851585855 PECOS PAC ID: 4082709399 Enrollment ID: I20180524002797 |
| Provider Name | Claudia J Foster-olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528014636 PECOS PAC ID: 9931118833 Enrollment ID: I20180601001972 |
| Provider Name | Michael Hwang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700137148 PECOS PAC ID: 5991099103 Enrollment ID: I20180619003484 |
| Provider Name | Anil G Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083657514 PECOS PAC ID: 6305860719 Enrollment ID: I20180621002836 |
| Provider Name | Jennifer H Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538650619 PECOS PAC ID: 6901151356 Enrollment ID: I20180626002252 |
| Provider Name | Ori Edmond Devera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326425984 PECOS PAC ID: 3274831052 Enrollment ID: I20180628002973 |
| Provider Name | Adrienne Marie Pan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790123925 PECOS PAC ID: 8729305313 Enrollment ID: I20180629002416 |
| Provider Name | Julian D Hardman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780908335 PECOS PAC ID: 5193027431 Enrollment ID: I20180705001940 |
| Provider Name | Justine Suba-cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346629896 PECOS PAC ID: 6103173703 Enrollment ID: I20180726002900 |
| Provider Name | Shihshiang Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154511756 PECOS PAC ID: 6608928502 Enrollment ID: I20180803000112 |
| Provider Name | Shanna Marie Baltar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205251840 PECOS PAC ID: 8123311404 Enrollment ID: I20180810002892 |
| Provider Name | Allison Fain Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144579806 PECOS PAC ID: 0345499372 Enrollment ID: I20180820001149 |
| Provider Name | Paul C. Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427071448 PECOS PAC ID: 9537309406 Enrollment ID: I20180820001528 |
| Provider Name | Antoinette Orton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134536436 PECOS PAC ID: 0648590398 Enrollment ID: I20180827000063 |
| Provider Name | Donald J Brust |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255332656 PECOS PAC ID: 8224060157 Enrollment ID: I20180906002986 |
| Provider Name | Hilary Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770963001 PECOS PAC ID: 9234420738 Enrollment ID: I20180906003391 |
| Provider Name | Theresa Hilton-berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326292624 PECOS PAC ID: 7012071772 Enrollment ID: I20180912001165 |
| Provider Name | Gurinderpal Singh Khaira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547828 PECOS PAC ID: 5698911469 Enrollment ID: I20180913003185 |
| Provider Name | Valeria Avendano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225436991 PECOS PAC ID: 0446577373 Enrollment ID: I20180926001431 |
| Provider Name | Michael J Albring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225424203 PECOS PAC ID: 7113223579 Enrollment ID: I20181011002217 |
| Provider Name | Tamara L Crawford-fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720568702 PECOS PAC ID: 2264785856 Enrollment ID: I20181029002447 |
| Provider Name | Brian Francis Mcquillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538458732 PECOS PAC ID: 8123315009 Enrollment ID: I20181030002956 |
| Provider Name | Amanda L Fagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245617802 PECOS PAC ID: 7810295698 Enrollment ID: I20181108002812 |
| Provider Name | Sandra Vega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760454979 PECOS PAC ID: 3476520909 Enrollment ID: I20181119000973 |
| Provider Name | John M Mckittrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891879706 PECOS PAC ID: 5294042107 Enrollment ID: I20181121002365 |
| Provider Name | Amanda L Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396031464 PECOS PAC ID: 9133397763 Enrollment ID: I20181128001455 |
| Provider Name | Sandra Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588189021 PECOS PAC ID: 8022352178 Enrollment ID: I20181130001691 |
| Provider Name | Sabreen H Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881827814 PECOS PAC ID: 2466602859 Enrollment ID: I20181220001130 |
| Provider Name | Peihong Huo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770899833 PECOS PAC ID: 6901077635 Enrollment ID: I20190214001212 |
| Provider Name | Michael Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356736631 PECOS PAC ID: 4082935705 Enrollment ID: I20190219000505 |
| Provider Name | Randi E Lampert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003133711 PECOS PAC ID: 5193064558 Enrollment ID: I20190228002837 |
| Provider Name | Samir S Hadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861746935 PECOS PAC ID: 9830335629 Enrollment ID: I20190228002880 |
| Provider Name | Mohammad H Sheikhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972584274 PECOS PAC ID: 6800889114 Enrollment ID: I20190305002631 |
| Provider Name | Sabita Moktan Sheikhai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720031255 PECOS PAC ID: 5193747616 Enrollment ID: I20190312002593 |
| Provider Name | Nicholas Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992096614 PECOS PAC ID: 5799924940 Enrollment ID: I20190313002215 |
| Provider Name | Francis Joseph Lacina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225130768 PECOS PAC ID: 5991758229 Enrollment ID: I20190314002402 |
| Provider Name | Dominic Mason Etli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962934885 PECOS PAC ID: 9335419522 Enrollment ID: I20190315000768 |
| Provider Name | Monique Cherie Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720556780 PECOS PAC ID: 2860732112 Enrollment ID: I20190322001371 |
| Provider Name | Dulce Novakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396214375 PECOS PAC ID: 3678813987 Enrollment ID: I20190325001122 |
| Provider Name | Edward G. Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841239654 PECOS PAC ID: 9032127048 Enrollment ID: I20190326001607 |
| Provider Name | Nepistance Shoko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780861880 PECOS PAC ID: 3870623986 Enrollment ID: I20190327000764 |
| Provider Name | Natoya N Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013301498 PECOS PAC ID: 7113247388 Enrollment ID: I20190327001577 |
| Provider Name | Mona Baidwan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487830709 PECOS PAC ID: 0547501306 Enrollment ID: I20190405000094 |
| Provider Name | Julie J Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780143164 PECOS PAC ID: 0749522373 Enrollment ID: I20190501002835 |
| Provider Name | Marko Esteves Marbella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164764395 PECOS PAC ID: 9931401114 Enrollment ID: I20190502001437 |
| Provider Name | Amanda Lynette Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376000349 PECOS PAC ID: 9133461585 Enrollment ID: I20190503002132 |
| Provider Name | John A Moorhead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245289057 PECOS PAC ID: 9032245907 Enrollment ID: I20190513002572 |
| Provider Name | Reyleth Joy Basa Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730641531 PECOS PAC ID: 7911240809 Enrollment ID: I20190516000690 |
| Provider Name | Dominique R Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487053716 PECOS PAC ID: 4880951714 Enrollment ID: I20190522002561 |
| Provider Name | Darneen Antoinette Pang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215490453 PECOS PAC ID: 7416280607 Enrollment ID: I20190603001075 |
| Provider Name | Tyler Alan Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467800243 PECOS PAC ID: 9638464597 Enrollment ID: I20190603002037 |
| Provider Name | Harold Robert Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215377817 PECOS PAC ID: 8123383874 Enrollment ID: I20190607002342 |
| Provider Name | Robin Suzanne Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396201414 PECOS PAC ID: 9436482239 Enrollment ID: I20190611000891 |
| Provider Name | Nachell Escobedo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225548886 PECOS PAC ID: 8325306798 Enrollment ID: I20190613000418 |
| Provider Name | William Won Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386201341 PECOS PAC ID: 8224362538 Enrollment ID: I20190620000407 |
| Provider Name | Evelyn Mcclinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700144409 PECOS PAC ID: 0042476681 Enrollment ID: I20190624001088 |
| Provider Name | Apeksha Dilip Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386801769 PECOS PAC ID: 1254403991 Enrollment ID: I20190627001563 |
| Provider Name | Anthony G Arslan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619132800 PECOS PAC ID: 4486872975 Enrollment ID: I20190628003019 |
| Provider Name | Cedric D Mcclinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879445 PECOS PAC ID: 4587964440 Enrollment ID: I20190702003554 |
| Provider Name | Gregory Desimone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851785687 PECOS PAC ID: 4688966328 Enrollment ID: I20190708002335 |
| Provider Name | Laura Anne Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255703799 PECOS PAC ID: 7618278334 Enrollment ID: I20190711002596 |
| Provider Name | Denisha Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043659352 PECOS PAC ID: 0547565848 Enrollment ID: I20190711002950 |
| Provider Name | Arshia Rassi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306225750 PECOS PAC ID: 9537463021 Enrollment ID: I20190717000414 |
| Provider Name | Jake Arthur Armbrust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235585522 PECOS PAC ID: 1850682345 Enrollment ID: I20190723002931 |
| Provider Name | Nader Eldris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801152863 PECOS PAC ID: 6901195635 Enrollment ID: I20190724004012 |
| Provider Name | Andrew Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427405869 PECOS PAC ID: 8729371224 Enrollment ID: I20190725003929 |
| Provider Name | Jennifer Trang Marbella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073928651 PECOS PAC ID: 6305062787 Enrollment ID: I20190726000185 |
| Provider Name | Moayad Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104273218 PECOS PAC ID: 9436485513 Enrollment ID: I20190726001858 |
| Provider Name | Christopher Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699195420 PECOS PAC ID: 2961707021 Enrollment ID: I20190726002102 |
| Provider Name | Joobin Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588028807 PECOS PAC ID: 8022353135 Enrollment ID: I20190729002364 |
| Provider Name | Gaurav Kumar Zirath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205281292 PECOS PAC ID: 1951648492 Enrollment ID: I20190730000097 |
| Provider Name | Mark Barnett Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740623818 PECOS PAC ID: 6305149766 Enrollment ID: I20190730001649 |
| Provider Name | John Everardo Villasenor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811271 PECOS PAC ID: 1658666706 Enrollment ID: I20190730004076 |
| Provider Name | Mohammed Merajul Hoque |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336482702 PECOS PAC ID: 5092064204 Enrollment ID: I20190731000926 |
| Provider Name | Jing Qian Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710340179 PECOS PAC ID: 2062749781 Enrollment ID: I20190802002527 |
| Provider Name | David M Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265896880 PECOS PAC ID: 3678858768 Enrollment ID: I20190805001141 |
| Provider Name | Louis T Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528264157 PECOS PAC ID: 2466698444 Enrollment ID: I20190822002342 |
| Provider Name | Heather Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730745217 PECOS PAC ID: 9234468984 Enrollment ID: I20190905003549 |
| Provider Name | Mauricio Joel Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821445032 PECOS PAC ID: 9234468299 Enrollment ID: I20190917001914 |
| Provider Name | Laura Lynn Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992257885 PECOS PAC ID: 8527399518 Enrollment ID: I20191004001851 |
| Provider Name | Haamid Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720368186 PECOS PAC ID: 0547493835 Enrollment ID: I20191016003341 |
| Provider Name | Amy Lynn Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699138933 PECOS PAC ID: 6103110184 Enrollment ID: I20191018000476 |
| Provider Name | Daniel J Boylan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508316449 PECOS PAC ID: 1658650288 Enrollment ID: I20191104002902 |
| Provider Name | Vernon D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730166737 PECOS PAC ID: 3971646316 Enrollment ID: I20191120001010 |
| Provider Name | Donghyun Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548614563 PECOS PAC ID: 6305130592 Enrollment ID: I20191121001546 |
| Provider Name | Jill Antell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720104649 PECOS PAC ID: 6901067578 Enrollment ID: I20191121002017 |
| Provider Name | Elvira Prifti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942848429 PECOS PAC ID: 6305271461 Enrollment ID: I20200117000911 |
| Provider Name | Michael Chartrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851317192 PECOS PAC ID: 2163501677 Enrollment ID: I20200129000650 |
| Provider Name | Natasha Leah Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720543903 PECOS PAC ID: 8325474646 Enrollment ID: I20200205001583 |
| Provider Name | Alisha V Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945784 PECOS PAC ID: 4385070556 Enrollment ID: I20200206001042 |
| Provider Name | Denay Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505131 PECOS PAC ID: 7113998774 Enrollment ID: I20200210000261 |
| Provider Name | Shayne Preyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962048520 PECOS PAC ID: 2860828951 Enrollment ID: I20200210000583 |
| Provider Name | Adrienne Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184092272 PECOS PAC ID: 9739498262 Enrollment ID: I20200217004254 |
| Provider Name | Lisa Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104122647 PECOS PAC ID: 8426209149 Enrollment ID: I20200219000042 |
| Provider Name | Michelle Romashko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730681099 PECOS PAC ID: 8628324837 Enrollment ID: I20200408001441 |
| Provider Name | Rebecca I Campalans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750921920 PECOS PAC ID: 5991134298 Enrollment ID: I20200408001912 |
| Provider Name | Kendra Evelyn Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831329754 PECOS PAC ID: 7618191818 Enrollment ID: I20200422002941 |
| Provider Name | Osman Tahir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881905305 PECOS PAC ID: 5890929111 Enrollment ID: I20200506002331 |
| Provider Name | Florentina Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962897306 PECOS PAC ID: 3577869577 Enrollment ID: I20200508001201 |
| Provider Name | Lubna J. Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306027024 PECOS PAC ID: 3375604283 Enrollment ID: I20200511001108 |
| Provider Name | Julia Cameron-morrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861806937 PECOS PAC ID: 9931493186 Enrollment ID: I20200511002648 |
| Provider Name | Magdalena Szczepanska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841539434 PECOS PAC ID: 3375773898 Enrollment ID: I20200629002593 |
| Provider Name | Sarah Nicole Javier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598111304 PECOS PAC ID: 2961797212 Enrollment ID: I20200714001740 |
| Provider Name | Teinesha M Irvey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912361791 PECOS PAC ID: 9931532553 Enrollment ID: I20200721002630 |
| Provider Name | Angela M Mike |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770038929 PECOS PAC ID: 1254605678 Enrollment ID: I20200821001458 |
| Provider Name | Charina Mae C Picornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972115772 PECOS PAC ID: 9830516343 Enrollment ID: I20200828002377 |
| Provider Name | Ryan Mccomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669813952 PECOS PAC ID: 9234429192 Enrollment ID: I20200831003106 |
| Provider Name | Sameer Rehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043652423 PECOS PAC ID: 0143647370 Enrollment ID: I20200902000459 |
| Provider Name | Scarlett Maryam Cavalli Daneshvar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992236145 PECOS PAC ID: 8224302914 Enrollment ID: I20200903002587 |
| Provider Name | Jane Chie Trevorah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326280959 PECOS PAC ID: 8527486687 Enrollment ID: I20200922002016 |
| Provider Name | Eugene Won |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720407067 PECOS PAC ID: 2668725532 Enrollment ID: I20201022002099 |
| Provider Name | Phillip A Triantos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104821297 PECOS PAC ID: 9931003035 Enrollment ID: I20201106002126 |
| Provider Name | Denise Kulesha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356374813 PECOS PAC ID: 6204861297 Enrollment ID: I20201123002098 |
| Provider Name | Susan L Cunningham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861453086 PECOS PAC ID: 5991710543 Enrollment ID: I20210324000480 |
| Provider Name | Farhad Mehrkhani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972990604 PECOS PAC ID: 3476952466 Enrollment ID: I20210524002733 |
| Provider Name | Terry Keifer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528095999 PECOS PAC ID: 2961398946 Enrollment ID: I20210611001637 |
| Provider Name | Masters M Richards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427314038 PECOS PAC ID: 8820393986 Enrollment ID: I20210715003422 |
| Provider Name | Xi Xue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700261583 PECOS PAC ID: 1456642305 Enrollment ID: I20210720003876 |
| Provider Name | Hakeem F. Hindi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093174617 PECOS PAC ID: 2860880408 Enrollment ID: I20211101000841 |
| Provider Name | Jon R Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790813970 PECOS PAC ID: 2264652759 Enrollment ID: I20211109001796 |
| Provider Name | Jacob Gerald Burns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447784616 PECOS PAC ID: 2163801218 Enrollment ID: I20220620001047 |
| Provider Name | Kareem Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593581 PECOS PAC ID: 6608152368 Enrollment ID: I20220718001720 |
| Provider Name | Alan J True |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184086985 PECOS PAC ID: 3779878160 Enrollment ID: I20221207002713 |
| Provider Name | Tariq Hesham Balawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235364894 PECOS PAC ID: 6800034620 Enrollment ID: I20230314002505 |
| Provider Name | Ryan Gene O'hara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821154121 PECOS PAC ID: 9931294618 Enrollment ID: I20230517001022 |
| Provider Name | Monish Merchant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609187186 PECOS PAC ID: 9436444320 Enrollment ID: I20231219003107 |
| Provider Name | David Brousseau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598710857 PECOS PAC ID: 8729023619 Enrollment ID: I20240322003902 |
| Provider Name | David Mcnaul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144262668 PECOS PAC ID: 2163318189 Enrollment ID: I20240401000879 |
| Provider Name | Anthony Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770531204 PECOS PAC ID: 3779574512 Enrollment ID: I20240410000585 |
Medical Group At Sun City, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-240-8155 Fax: 702-240-8161 | |
Viren B Patel Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Smoke Ranch Rd, Suite 120, Las Vegas, NV 89128 Phone: 702-477-7044 Fax: 702-259-4843 | |
Shari Klein Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8571 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128 Phone: 702-545-0283 Fax: 702-545-0285 | |
Ardeshir Rohani Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3824 S Jones Blvd Ste A, Las Vegas, NV 89103 Phone: 702-463-3000 Fax: 702-463-3000 | |
Mai Health And Beauty Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 W Charleston Blvd, Ste. B, Las Vegas, NV 89146 Phone: 702-480-2044 | |
Rebecca Garcia Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 435-896-7944 | |
Bedrock Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 E Flamingo Rd Ste 144, Las Vegas, NV 89119 Phone: 702-272-9500 |