| |
39765 Date St Ste 102 Murrieta CA 92563-2005 | |
(951) 894-4665 | |
(951) 894-4667 |
Full Name | |
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Speciality | Internal Medicine |
Location | 39765 Date St Ste 102, Murrieta, California |
Authorized Official Name and Position | Victor Nguyen (MD) |
Authorized Official Contact | 9518944665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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39765 Date St Ste 102 Murrieta CA 92563-2005 Ph: (951) 894-4665 | 39765 Date St Ste 102 Murrieta CA 92563-2005 Ph: (951) 894-4665 |
NPI Number | 1518953298 |
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Provider Enumeration Date | 09/27/2005 |
Last Update Date | 09/13/2018 |
Medicare PECOS PAC ID | 5294721197 |
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Medicare Enrollment ID | O20040424000455 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518953298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
Provider Name | Arun S Hatwalkar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689600090 PECOS PAC ID: 9234120767 Enrollment ID: I20040521001116 |
Provider Name | Debralynne Zickafoose |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265406797 PECOS PAC ID: 0345215828 Enrollment ID: I20040827001183 |
Provider Name | Brian Yang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962441592 PECOS PAC ID: 4385611201 Enrollment ID: I20040910001128 |
Provider Name | Dennis Kim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487766382 PECOS PAC ID: 8224094214 Enrollment ID: I20041201000868 |
Provider Name | Suzanne E Chang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780603852 PECOS PAC ID: 3274561337 Enrollment ID: I20050729000670 |
Provider Name | Phillip Tafoya |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073509469 PECOS PAC ID: 4183657455 Enrollment ID: I20050916000257 |
Provider Name | Leeann J Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013993658 PECOS PAC ID: 5890717367 Enrollment ID: I20051227000439 |
Provider Name | Vinh H Vu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568426740 PECOS PAC ID: 0345242418 Enrollment ID: I20070202000473 |
Provider Name | Christopher Lineback |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619027752 PECOS PAC ID: 2365533718 Enrollment ID: I20070814000525 |
Provider Name | Victor C Coelho |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407904428 PECOS PAC ID: 6800988023 Enrollment ID: I20070817000311 |
Provider Name | Diane T Bui |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1700077245 PECOS PAC ID: 2466534771 Enrollment ID: I20080125000225 |
Provider Name | Genaro A Martinez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1235157843 PECOS PAC ID: 6709798465 Enrollment ID: I20090106000198 |
Provider Name | Victor Nguyen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144330051 PECOS PAC ID: 7012903917 Enrollment ID: I20090923000811 |
Provider Name | Rakesh M Shishodia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831191287 PECOS PAC ID: 5496801391 Enrollment ID: I20090924000724 |
Provider Name | Jonathan Dinh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710089081 PECOS PAC ID: 9830185735 Enrollment ID: I20090924000738 |
Provider Name | Natalia Cherepnina |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962411512 PECOS PAC ID: 4981608460 Enrollment ID: I20091211000173 |
Provider Name | Trinh Kosobucki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497965941 PECOS PAC ID: 3072657568 Enrollment ID: I20100222000702 |
Provider Name | Sivaraman Gounder |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740436237 PECOS PAC ID: 8426196825 Enrollment ID: I20110322000719 |
Provider Name | Maltin Repishti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811048291 PECOS PAC ID: 3779637871 Enrollment ID: I20111227000775 |
Provider Name | Jeanine C Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982932539 PECOS PAC ID: 2466594676 Enrollment ID: I20121114000506 |
Provider Name | Kourosh Khamooshian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659523975 PECOS PAC ID: 9133253958 Enrollment ID: I20130502000050 |
Provider Name | Helen L Tran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356654313 PECOS PAC ID: 4587891643 Enrollment ID: I20131217000100 |
Provider Name | Christopher A Toupin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467618249 PECOS PAC ID: 5890955231 Enrollment ID: I20140529002346 |
Provider Name | Pranav Barve |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972899839 PECOS PAC ID: 0042434920 Enrollment ID: I20140616001517 |
Provider Name | Johnny Do |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235371675 PECOS PAC ID: 0042453359 Enrollment ID: I20150918000346 |
Provider Name | Nikita V Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760870091 PECOS PAC ID: 4789984311 Enrollment ID: I20151203000360 |
Provider Name | Jeffrey W Edmunds |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376737601 PECOS PAC ID: 1951603570 Enrollment ID: I20160113001282 |
Provider Name | Poonam Sood |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1578706859 PECOS PAC ID: 8224351507 Enrollment ID: I20160602001655 |
Provider Name | Suhail Jafrey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023137486 PECOS PAC ID: 2365580354 Enrollment ID: I20160701001381 |
Provider Name | Lindsey Lee Block |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851645642 PECOS PAC ID: 1850679671 Enrollment ID: I20161031000446 |
Provider Name | Heather J Pleskow-weisman |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1871757914 PECOS PAC ID: 2365618345 Enrollment ID: I20161228001845 |
Provider Name | Grace Hillard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720492648 PECOS PAC ID: 5799004990 Enrollment ID: I20170210001053 |
Provider Name | Irene Saldana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912432998 PECOS PAC ID: 0143591628 Enrollment ID: I20170801003261 |
Provider Name | Kaven Hosseinzadeh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912359605 PECOS PAC ID: 3274827993 Enrollment ID: I20191009001635 |
Provider Name | Anna P Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295398717 PECOS PAC ID: 0042643272 Enrollment ID: I20191202002412 |
Provider Name | Adiofel Mark F Mendoza |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144631623 PECOS PAC ID: 1951679414 Enrollment ID: I20200109002500 |
Provider Name | Courtney Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053949917 PECOS PAC ID: 4688094576 Enrollment ID: I20201014002732 |
Provider Name | Mercedes Ann Tolentino De Las Alas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477587673 PECOS PAC ID: 0749336907 Enrollment ID: I20210629003926 |
Provider Name | Sojourner Lynn Bixler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104485580 PECOS PAC ID: 9830427798 Enrollment ID: I20211027001869 |
Provider Name | Patrick Sola |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700977840 PECOS PAC ID: 2769647106 Enrollment ID: I20220203001749 |
Provider Name | Sandra Qaseem |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629083191 PECOS PAC ID: 8325099393 Enrollment ID: I20220607002761 |
Provider Name | Anesh Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558820845 PECOS PAC ID: 6305229196 Enrollment ID: I20220811000568 |
Provider Name | Danielle N Contreras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952778912 PECOS PAC ID: 3072989136 Enrollment ID: I20221014002277 |
Provider Name | Jonathan K Goorhuis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548898810 PECOS PAC ID: 3173986072 Enrollment ID: I20230824003514 |
Provider Name | Shakuntala Sachin Patil |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1437599867 PECOS PAC ID: 4284926130 Enrollment ID: I20231023002155 |
Rhoda Estrella-itchon, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25495 Medical Center Dr, Suite 301, Murrieta, CA 92562 Phone: 951-461-1070 | |
Munif Salek, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28078 Baxter Rd, Ste. 324, Murrieta, CA 92563 Phone: 951-566-5646 Fax: 951-566-5670 | |
Tuan Ngoc Nguyen Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28078 Baxter Rd, Suite 320, Murrieta, CA 92563 Phone: 951-246-4546 Fax: 951-672-9036 | |