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3400 Douglas Blvd Ste 225 Roseville CA 95661-4283 | |
| (916) 740-3721 | |
| (916) 783-0513 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Douglas Blvd Ste 225, Roseville, California |
| Authorized Official Name and Position | Javeed Siddiqui (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9167403721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3400 Douglas Blvd Ste 225 Roseville CA 95661-4283 Ph: (916) 740-3721 | 3400 Douglas Blvd Ste 225 Roseville CA 95661-4283 Ph: (916) 740-3721 |
| NPI Number | 1326338237 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 01/14/2021 |
| Medicare PECOS PAC ID | 9830351824 |
|---|---|
| Medicare Enrollment ID | O20120509000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326338237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (California) | Primary |
| Provider Name | Barry E Shibuya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275746935 PECOS PAC ID: 8820983489 Enrollment ID: I20040225000430 |
| Provider Name | Gary A Belaga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720196744 PECOS PAC ID: 1355332925 Enrollment ID: I20040521000574 |
| Provider Name | Vance D Rodgers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427039916 PECOS PAC ID: 8022085141 Enrollment ID: I20040917000484 |
| Provider Name | Vu A Tran |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1528021490 PECOS PAC ID: 8921059502 Enrollment ID: I20050201001038 |
| Provider Name | Nagma Andalid Hossain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528141520 PECOS PAC ID: 7810949765 Enrollment ID: I20050218000403 |
| Provider Name | Wun Ling Chang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194734111 PECOS PAC ID: 6305892944 Enrollment ID: I20050325000600 |
| Provider Name | Ramesh V Nathan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215025291 PECOS PAC ID: 1951349141 Enrollment ID: I20050419000677 |
| Provider Name | Radha Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780652073 PECOS PAC ID: 0648218875 Enrollment ID: I20050419000993 |
| Provider Name | Richard Granese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437175189 PECOS PAC ID: 6002704384 Enrollment ID: I20050627001109 |
| Provider Name | Christina Hopson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265404537 PECOS PAC ID: 1557328093 Enrollment ID: I20050630001167 |
| Provider Name | Bonnie V Bock |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225226558 PECOS PAC ID: 1153337670 Enrollment ID: I20060221000663 |
| Provider Name | Robert D Frey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912934779 PECOS PAC ID: 0345250619 Enrollment ID: I20060502000193 |
| Provider Name | Joel B Younger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023088127 PECOS PAC ID: 9537129705 Enrollment ID: I20060712000333 |
| Provider Name | Javeed Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770563967 PECOS PAC ID: 7416052857 Enrollment ID: I20070413000331 |
| Provider Name | Amitpal Singh Kohli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215151071 PECOS PAC ID: 3375640279 Enrollment ID: I20070529000261 |
| Provider Name | Emily Rymland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912949777 PECOS PAC ID: 6507957099 Enrollment ID: I20070813000707 |
| Provider Name | Elliott Eisenbud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548288723 PECOS PAC ID: 2466533500 Enrollment ID: I20080115000661 |
| Provider Name | Lana Gafter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376529552 PECOS PAC ID: 6103905344 Enrollment ID: I20080429000986 |
| Provider Name | Benjamin Fritz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265482772 PECOS PAC ID: 3678590502 Enrollment ID: I20080606000206 |
| Provider Name | Brian W Dorman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447278122 PECOS PAC ID: 1153492814 Enrollment ID: I20080624000496 |
| Provider Name | Anuj Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871766428 PECOS PAC ID: 2860552395 Enrollment ID: I20081113000610 |
| Provider Name | Grace Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083634323 PECOS PAC ID: 3779644109 Enrollment ID: I20081204000215 |
| Provider Name | Cyrus A Badii |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134274350 PECOS PAC ID: 2961548169 Enrollment ID: I20091001000135 |
| Provider Name | Erika D Deshmukh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013248517 PECOS PAC ID: 5890830590 Enrollment ID: I20100305000499 |
| Provider Name | James Rau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528130671 PECOS PAC ID: 3678608924 Enrollment ID: I20100312000002 |
| Provider Name | Maria Arambulo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013169986 PECOS PAC ID: 7810042991 Enrollment ID: I20100809001064 |
| Provider Name | Randall Ow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336142009 PECOS PAC ID: 1355410499 Enrollment ID: I20101129000634 |
| Provider Name | Arline M Tsuchiya |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114098167 PECOS PAC ID: 6406044288 Enrollment ID: I20101221000208 |
| Provider Name | Baowei Tang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427084607 PECOS PAC ID: 5193728137 Enrollment ID: I20110131001022 |
| Provider Name | Caleb Fontes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265716765 PECOS PAC ID: 9931369725 Enrollment ID: I20120402000680 |
| Provider Name | Ellsworth P Pryor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952344988 PECOS PAC ID: 8224298328 Enrollment ID: I20120626000647 |
| Provider Name | Marchita R Masters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043330467 PECOS PAC ID: 9133372352 Enrollment ID: I20130118000376 |
| Provider Name | Sasan Sazgar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770896722 PECOS PAC ID: 3375785942 Enrollment ID: I20130809000625 |
| Provider Name | Christian B Ramers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381385 PECOS PAC ID: 3072680529 Enrollment ID: I20140204001834 |
| Provider Name | Ross Mandeville |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205084183 PECOS PAC ID: 7012146269 Enrollment ID: I20140210001289 |
| Provider Name | James T Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336378371 PECOS PAC ID: 3577781194 Enrollment ID: I20140822002616 |
| Provider Name | Andrew Ma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528299708 PECOS PAC ID: 7517288178 Enrollment ID: I20150608001591 |
| Provider Name | Mohsen A Aljayeh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770785859 PECOS PAC ID: 5698876787 Enrollment ID: I20150702002645 |
| Provider Name | Devin Callister |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376856757 PECOS PAC ID: 8224341326 Enrollment ID: I20150720000068 |
| Provider Name | Aditi B Bhaduri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114029329 PECOS PAC ID: 2668417569 Enrollment ID: I20151013001026 |
| Provider Name | Maria Sol Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962729673 PECOS PAC ID: 9537478326 Enrollment ID: I20151019000010 |
| Provider Name | Brian F Licuanan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508241779 PECOS PAC ID: 9830490325 Enrollment ID: I20151229002206 |
| Provider Name | Matthew Edward Leach |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508151580 PECOS PAC ID: 0749582286 Enrollment ID: I20160916001924 |
| Provider Name | Julio A Gutierrez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801092440 PECOS PAC ID: 9931327129 Enrollment ID: I20161028001729 |
| Provider Name | Tulika Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467692947 PECOS PAC ID: 7517135700 Enrollment ID: I20170118001446 |
| Provider Name | Sanaz Parsa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295923902 PECOS PAC ID: 2769536382 Enrollment ID: I20170215001655 |
| Provider Name | Vincent A Covelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354347 PECOS PAC ID: 4385911924 Enrollment ID: I20170601002153 |
| Provider Name | Brenda B Spriggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720323355 PECOS PAC ID: 2769750926 Enrollment ID: I20170613001393 |
| Provider Name | Stuart C Seigel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073763983 PECOS PAC ID: 7416198080 Enrollment ID: I20170711003484 |
| Provider Name | Linda Joanne Lazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999559 PECOS PAC ID: 5092085290 Enrollment ID: I20170720002324 |
| Provider Name | Laurie C D'avignon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700851433 PECOS PAC ID: 4880841147 Enrollment ID: I20170914001107 |
| Provider Name | Mrinal Dhar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417275256 PECOS PAC ID: 8325234271 Enrollment ID: I20171013002785 |
| Provider Name | Yaser Fathi Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811289911 PECOS PAC ID: 0749412591 Enrollment ID: I20180219002436 |
| Provider Name | Jean-claude Bassila |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487817854 PECOS PAC ID: 6204065220 Enrollment ID: I20180627000513 |
| Provider Name | Melissa S Butts |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790945756 PECOS PAC ID: 6608170386 Enrollment ID: I20180628002790 |
| Provider Name | Nida Ali |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881075646 PECOS PAC ID: 5496058448 Enrollment ID: I20181119003406 |
| Provider Name | Cynthia Go |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639259443 PECOS PAC ID: 3274507629 Enrollment ID: I20190306002752 |
| Provider Name | Sima C Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922495464 PECOS PAC ID: 4880999614 Enrollment ID: I20191014002632 |
| Provider Name | Justine Shum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730592437 PECOS PAC ID: 9638417389 Enrollment ID: I20191121001518 |
| Provider Name | Jessica L Paredes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043623168 PECOS PAC ID: 3274968821 Enrollment ID: I20200109000291 |
| Provider Name | Mary De Leon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184692006 PECOS PAC ID: 0345224663 Enrollment ID: I20200116003086 |
| Provider Name | Desiree Levyim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497167985 PECOS PAC ID: 3971574062 Enrollment ID: I20200508001624 |
| Provider Name | Alice T Chuang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316333065 PECOS PAC ID: 4981959350 Enrollment ID: I20200625001671 |
| Provider Name | Rana Abbas Feidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740600972 PECOS PAC ID: 4385944842 Enrollment ID: I20200630003299 |
| Provider Name | Jessica Sonita Yoon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831352418 PECOS PAC ID: 8921284076 Enrollment ID: I20200713001531 |
| Provider Name | Jodi B Nagelberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720474141 PECOS PAC ID: 8921384116 Enrollment ID: I20200820001255 |
| Provider Name | Miesty Woodburn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295122000 PECOS PAC ID: 7618281577 Enrollment ID: I20200820002641 |
| Provider Name | Fernando Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972917672 PECOS PAC ID: 9133546146 Enrollment ID: I20200903003546 |
| Provider Name | Yelena Victorovna Usmanova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740225473 PECOS PAC ID: 5092841346 Enrollment ID: I20210413002235 |
| Provider Name | Anna Chacon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073950689 PECOS PAC ID: 8527207919 Enrollment ID: I20210611002404 |
| Provider Name | Kiffen Karress Sauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861060873 PECOS PAC ID: 8123429016 Enrollment ID: I20210629003498 |
| Provider Name | Priyanka Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326466145 PECOS PAC ID: 9133436512 Enrollment ID: I20210708000361 |
| Provider Name | Katherine Loraine Griffin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114112646 PECOS PAC ID: 9537564786 Enrollment ID: I20210825003826 |
| Provider Name | Charles Sweet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164568283 PECOS PAC ID: 8123181989 Enrollment ID: I20220208002492 |
| Provider Name | Manan A Jhaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306285739 PECOS PAC ID: 0941590152 Enrollment ID: I20220404002528 |
| Provider Name | Patricia Louise Kulbeth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821338112 PECOS PAC ID: 4688005853 Enrollment ID: I20220809003837 |
| Provider Name | Farhan Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750408381 PECOS PAC ID: 9638221773 Enrollment ID: I20220825003799 |
| Provider Name | Hirsh Trivedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578902540 PECOS PAC ID: 9638438179 Enrollment ID: I20220928001831 |
| Provider Name | Daniel H Libraty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255314100 PECOS PAC ID: 4082791918 Enrollment ID: I20221017002184 |
| Provider Name | Christine Misako Akamine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154709764 PECOS PAC ID: 9830506310 Enrollment ID: I20221027001456 |
| Provider Name | Joshua Paulos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871957639 PECOS PAC ID: 4284001124 Enrollment ID: I20221104001728 |
| Provider Name | Divyansu Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710178702 PECOS PAC ID: 2668546771 Enrollment ID: I20230126002330 |
| Provider Name | Jean-phillip Okhovat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497103105 PECOS PAC ID: 0941595862 Enrollment ID: I20230202002028 |
| Provider Name | Mona-gekanju Toeque |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780068882 PECOS PAC ID: 0547632283 Enrollment ID: I20230207001368 |
| Provider Name | Sheila N Behimehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053969766 PECOS PAC ID: 1850621913 Enrollment ID: I20230510001250 |
| Provider Name | Sitwat Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376004556 PECOS PAC ID: 4183967961 Enrollment ID: I20230606001209 |
| Provider Name | Lawrence Eskew |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104859305 PECOS PAC ID: 1456329044 Enrollment ID: I20230628004448 |
| Provider Name | Yvonne Efeoghene Erusiafe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780145607 PECOS PAC ID: 6204178189 Enrollment ID: I20230911003696 |
| Provider Name | Joshpaul Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942706825 PECOS PAC ID: 3577965748 Enrollment ID: I20231006001762 |
| Provider Name | Sana Afroz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356724074 PECOS PAC ID: 0446548440 Enrollment ID: I20231030000923 |
| Provider Name | Sandy Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013404912 PECOS PAC ID: 2769839323 Enrollment ID: I20231103002447 |
| Provider Name | Kathleen Pressoir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710373162 PECOS PAC ID: 8628495587 Enrollment ID: I20231215003448 |
| Provider Name | Cynthia Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053607069 PECOS PAC ID: 8820355357 Enrollment ID: I20240214002863 |
| Provider Name | Mary Furman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124576822 PECOS PAC ID: 2466418041 Enrollment ID: I20240301001305 |
| Provider Name | Yaser T Dawod |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104232065 PECOS PAC ID: 1254552003 Enrollment ID: I20240326002077 |
| Provider Name | Sonia Erlinda Herrera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124307632 PECOS PAC ID: 1951742378 Enrollment ID: I20240515003337 |
| Provider Name | Stephany Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508252305 PECOS PAC ID: 6709106610 Enrollment ID: I20240626002353 |
| Provider Name | Sana Habib |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629431747 PECOS PAC ID: 3678866746 Enrollment ID: I20240729003343 |
| Provider Name | Morgan Biggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972124998 PECOS PAC ID: 1355790296 Enrollment ID: I20240804000078 |
| Provider Name | Erika Bernhard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710757596 PECOS PAC ID: 0840737870 Enrollment ID: I20240807003819 |
| Provider Name | Wendy Johanna Colocho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407625643 PECOS PAC ID: 2365980208 Enrollment ID: I20240809003526 |
| Provider Name | Susan M. Eckert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952082380 PECOS PAC ID: 1759829419 Enrollment ID: I20240813004212 |
| Provider Name | Uneeb Ahmed Qureshi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376049262 PECOS PAC ID: 0345780821 Enrollment ID: I20240911001221 |
| Provider Name | Mantinderpreet Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689089625 PECOS PAC ID: 1658627492 Enrollment ID: I20240911001406 |
| Provider Name | Brandy Mckaig Manzano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932227600 PECOS PAC ID: 7618417023 Enrollment ID: I20240912001322 |
| Provider Name | May Alattar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154523371 PECOS PAC ID: 3678739893 Enrollment ID: I20241003002771 |
| Provider Name | Olivia Zieve Wernick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902275381 PECOS PAC ID: 6204368848 Enrollment ID: I20241021001728 |
| Provider Name | Steven Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619960655 PECOS PAC ID: 3072407527 Enrollment ID: I20241030004168 |
| Provider Name | Tiffiny Denise Turner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154538973 PECOS PAC ID: 9335674035 Enrollment ID: I20241118003382 |
| Provider Name | Minerva Guzman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104034420 PECOS PAC ID: 5799210902 Enrollment ID: I20241125004034 |
| Provider Name | Nicole Randazzo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699406546 PECOS PAC ID: 8729424049 Enrollment ID: I20241126003014 |
| Provider Name | Neha Chaudhry |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851734404 PECOS PAC ID: 8820221674 Enrollment ID: I20241206001948 |
| Provider Name | Courtney Corbeil |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174948608 PECOS PAC ID: 8123322674 Enrollment ID: I20241209000487 |
Richard B. D. Chun, M.d. Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Sunrise Ave, Ste 619, Roseville, CA 95661 Phone: 916-783-7118 | |
Capitol Gastroenterology Consultants Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Medical Plaza Dr Ste 205, Roseville, CA 95661 Phone: 916-773-6200 Fax: 916-782-4550 | |
Pacific Healthcare Partners Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2999 Douglas Blvd, Suite 180, Roseville, CA 95661 Phone: 916-918-9418 | |
Veeone Medical Group Ii Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 Rocky Ridge Dr Ste 300, Roseville, CA 95661 Phone: 850-459-6238 | |
Wellspace Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Sunrise Ave Ste 1309, Roseville, CA 95661 Phone: 916-469-4698 | |
Trinity Health And Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 N Sunrise Ave, Suite 220, Roseville, CA 95661 Phone: 916-773-3444 Fax: 916-773-3474 | |
Manish Upadhyay, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Gibson Dr, Suite No 270, Roseville, CA 95678 Phone: 916-786-6727 Fax: 916-786-6748 |