Uc Irvine Department Of Family Medicine - Medicare Primary Care in Orange, CA

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Uc Irvine Department Of Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Orange, California. The current practice location for Uc Irvine Department Of Family Medicine is 101 The City Dr S, Orange, California. For appointments, you can reach them via phone at (714) 456-8068. The mailing address for Uc Irvine Department Of Family Medicine is Po Box 31001-2479, Pasadena, California and phone number is () -.

Uc Irvine Department Of Family Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366590762. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 456-8068.

Contact Information

Uc Irvine Department Of Family Medicine
101 The City Dr S
Orange
CA 92868
(714) 456-8068
(714) 456-3765

Map and Direction


Primary Care Clinic Profile

Full NameUc Irvine Department Of Family Medicine
SpecialityFamily Medicine
Location101 The City Dr S, Orange, California
Authorized Official Name and PositionUci Health Provider Relations (UPS PROVIDER RELATIONS)
Authorized Official Contact7144562986
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Uc Irvine Department Of Family Medicine
Po Box 31001-2479
Pasadena
CA 91110-2479

Ph: () -		Uc Irvine Department Of Family Medicine
101 The City Dr S
Orange
CA 92868

Ph: (714) 456-8068

NPI Details:

NPI Number1366590762
Provider Enumeration Date01/08/2007
Last Update Date11/02/2018

Medicare PECOS Information:

Medicare PECOS PAC ID3779689518
Medicare Enrollment IDO20070510000532

Medical Identifiers

Medical identifiers for Uc Irvine Department Of Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366590762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QA0000XFamily Medicine - Adolescent Medicine (* (Not Available))Secondary
207QA0505XFamily Medicine - Adult Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Uc Irvine Department Of Family Medicine acts as a billing entity for following providers:
Provider NameHien T Nghiem
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1689754855
PECOS PAC ID: 5890773832
Enrollment ID: I20040707001555
Provider NameMarianita A Raymundo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043390297
PECOS PAC ID: 3870573504
Enrollment ID: I20040722001427
Provider NameChinh D Le
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649350307
PECOS PAC ID: 6305817057
Enrollment ID: I20040804001802
Provider NameMenezha Rahimi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568403731
PECOS PAC ID: 8820052475
Enrollment ID: I20041115000454
Provider NameDavid F Jesse
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093730061
PECOS PAC ID: 9436102209
Enrollment ID: I20050222000567
Provider NameCamille Fitzpatrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619059896
PECOS PAC ID: 8325093982
Enrollment ID: I20050316000493
Provider NameLamia Kadir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942366638
PECOS PAC ID: 7517905664
Enrollment ID: I20050420000387
Provider NameKaren L Babel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558366260
PECOS PAC ID: 4486696457
Enrollment ID: I20050531000953
Provider NameLowell J Kleinman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407875941
PECOS PAC ID: 8729024302
Enrollment ID: I20050705000961
Provider NameLouis Salazar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669407102
PECOS PAC ID: 1658307152
Enrollment ID: I20050715000771
Provider NameHuy T Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578657847
PECOS PAC ID: 1759311426
Enrollment ID: I20050812001020
Provider NameSonia R Sehgal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992885149
PECOS PAC ID: 8921030065
Enrollment ID: I20050908001221
Provider NameJaesu Han
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104802149
PECOS PAC ID: 0345274494
Enrollment ID: I20050919001049
Provider NameStanley W Cho
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780610014
PECOS PAC ID: 7113815697
Enrollment ID: I20051019000708
Provider NameRobert S Doomun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043221898
PECOS PAC ID: 3870502297
Enrollment ID: I20060412000789
Provider NameSteven P Tam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114959228
PECOS PAC ID: 8527062462
Enrollment ID: I20060906000544
Provider NameDavid L Franklin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1902996747
PECOS PAC ID: 9931109915
Enrollment ID: I20061226000130
Provider NameKathryn M Larsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598845638
PECOS PAC ID: 0941306781
Enrollment ID: I20070510000544
Provider NameDavid K Morohashi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821178088
PECOS PAC ID: 6204932056
Enrollment ID: I20070510000559
Provider NameMichael D Prislin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871673012
PECOS PAC ID: 5496842031
Enrollment ID: I20071030000316
Provider NameMina Oak
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1114051919
PECOS PAC ID: 1153402441
Enrollment ID: I20080111000642
Provider NameCharles P Vega
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427152016
PECOS PAC ID: 7618058322
Enrollment ID: I20080119000148
Provider NameLisa M Gibbs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578643623
PECOS PAC ID: 1254412968
Enrollment ID: I20080119000152
Provider NameEmily E Dow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275613317
PECOS PAC ID: 1951483338
Enrollment ID: I20080123000873
Provider NameCecilia A Florio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770663825
PECOS PAC ID: 1759336308
Enrollment ID: I20080131000713
Provider NameSusanne J Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538167861
PECOS PAC ID: 3577649698
Enrollment ID: I20080328000463
Provider NameArlene S Ing
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528249430
PECOS PAC ID: 7810060175
Enrollment ID: I20080718000490
Provider NameDavid W Kruse
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891993150
PECOS PAC ID: 1951477470
Enrollment ID: I20080908000334
Provider NameSusie Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760671549
PECOS PAC ID: 5496823122
Enrollment ID: I20081008000610
Provider NameDavid B Kilgore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528150109
PECOS PAC ID: 7517940836
Enrollment ID: I20081015000440
Provider NameMatthew J Butteri
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558488700
PECOS PAC ID: 8224121652
Enrollment ID: I20081020000523
Provider NameJose Mayorga
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295925154
PECOS PAC ID: 9335200674
Enrollment ID: I20081205000185
Provider NameSusan M Tiso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336259126
PECOS PAC ID: 5294897203
Enrollment ID: I20081230000312
Provider NameLynette Bui Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164674503
PECOS PAC ID: 1355405978
Enrollment ID: I20090127000323
Provider NameMegan Whalen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851339212
PECOS PAC ID: 2062577646
Enrollment ID: I20090213000460
Provider NameSamuel C Lin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407910847
PECOS PAC ID: 8123178621
Enrollment ID: I20090603000588
Provider NameTan Q Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942468525
PECOS PAC ID: 3476699281
Enrollment ID: I20091008000435
Provider NameRegan A Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558546341
PECOS PAC ID: 4587703541
Enrollment ID: I20091203000733
Provider NameNina N Vadecha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568610483
PECOS PAC ID: 1951443852
Enrollment ID: I20100114000671
Provider NameDavid L Sodaro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659460947
PECOS PAC ID: 8224165303
Enrollment ID: I20100421000605
Provider NameAntoine Mourra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447278296
PECOS PAC ID: 1759416795
Enrollment ID: I20100510000535
Provider NameHanh T Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558516476
PECOS PAC ID: 0547391542
Enrollment ID: I20100707000486
Provider NameDavid Sabet
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1538294996
PECOS PAC ID: 8729164884
Enrollment ID: I20100927000426
Provider NameRegina Y Mojica
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134290166
PECOS PAC ID: 5890980122
Enrollment ID: I20101112000357
Provider NameKatayoun Khalighi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861719221
PECOS PAC ID: 8123208428
Enrollment ID: I20110203000407
Provider NameRoxann Sonia Engle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710981303
PECOS PAC ID: 5496939068
Enrollment ID: I20110405000976
Provider NamePamela R Kushner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871670828
PECOS PAC ID: 6800088782
Enrollment ID: I20111121000939
Provider NameSandra P Klein
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1609926062
PECOS PAC ID: 7012174717
Enrollment ID: I20120208000535
Provider NameSarah Lynn Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881967040
PECOS PAC ID: 6406018670
Enrollment ID: I20120504000150
Provider NameHerbert C Sier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881627446
PECOS PAC ID: 0244292043
Enrollment ID: I20120618000466
Provider NameRaciela B Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871843375
PECOS PAC ID: 2860642469
Enrollment ID: I20121017000038
Provider NameChristopher A Kroner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477785681
PECOS PAC ID: 6901057090
Enrollment ID: I20121120000199
Provider NameRosemary J Canales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366602146
PECOS PAC ID: 3971678574
Enrollment ID: I20130416000165
Provider NameBaotran Vo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356661235
PECOS PAC ID: 6901048958
Enrollment ID: I20130805000362
Provider NameJohn W Hann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689968224
PECOS PAC ID: 2567697451
Enrollment ID: I20131031000224
Provider NameTiffany K Nielsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639519473
PECOS PAC ID: 4880825561
Enrollment ID: I20140321000991
Provider NameCandice E Whealon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790830404
PECOS PAC ID: 5991938318
Enrollment ID: I20140508001499
Provider NameAngela Jun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689725566
PECOS PAC ID: 8123242922
Enrollment ID: I20140618000724
Provider NameAnna M Halbeisen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801044862
PECOS PAC ID: 3072766203
Enrollment ID: I20140811002845
Provider NameHai N Ho
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952447914
PECOS PAC ID: 6800014416
Enrollment ID: I20140822002361
Provider NameBetzy K Salcedo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013202589
PECOS PAC ID: 8820218654
Enrollment ID: I20140930000994
Provider NamePrajakta A Deshpande
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760576094
PECOS PAC ID: 8729078134
Enrollment ID: I20150205002363
Provider NameBrian Y Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033404645
PECOS PAC ID: 6507177193
Enrollment ID: I20150623003107
Provider NameAnjani Kolahi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306103791
PECOS PAC ID: 2466765425
Enrollment ID: I20150720002034
Provider NameElana M Craemer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750645289
PECOS PAC ID: 0143535054
Enrollment ID: I20150820010655
Provider NameYasser M Giron
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073878922
PECOS PAC ID: 5799093795
Enrollment ID: I20150924000922
Provider NameNicole Annmarie Vidal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376903724
PECOS PAC ID: 1850690785
Enrollment ID: I20160427002470
Provider NameVanessa Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700230059
PECOS PAC ID: 9537459102
Enrollment ID: I20160609002508
Provider NameAlexa J Merchant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194168724
PECOS PAC ID: 6709104656
Enrollment ID: I20160804001492
Provider NameReza Talebi Dolouei
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639431836
PECOS PAC ID: 6507167053
Enrollment ID: I20160908001938
Provider NameElham Arghami
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285992420
PECOS PAC ID: 5092017780
Enrollment ID: I20170228000705
Provider NameJeffrey S Arroyo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780064055
PECOS PAC ID: 0446534531
Enrollment ID: I20170829004316
Provider NameMegan Mary Greenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740623420
PECOS PAC ID: 6800167990
Enrollment ID: I20171130000816
Provider NameElizabeth A Symanski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538471222
PECOS PAC ID: 4183982812
Enrollment ID: I20171229000185
Provider NameCynthia L Haq
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881646917
PECOS PAC ID: 5496944704
Enrollment ID: I20180105000376
Provider NameAmanda J Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073023420
PECOS PAC ID: 3971862343
Enrollment ID: I20180109003249
Provider NameSara Etemad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043623499
PECOS PAC ID: 2062708159
Enrollment ID: I20180618003252
Provider NameEdna Elvira Biddy
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1407295702
PECOS PAC ID: 8022367283
Enrollment ID: I20180821002355
Provider NameVirginia A Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548735715
PECOS PAC ID: 9234476425
Enrollment ID: I20190125001680
Provider NameMy Phuong Thi Phan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659878882
PECOS PAC ID: 8729328745
Enrollment ID: I20190328001704
Provider NameKristin Masukawa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063809911
PECOS PAC ID: 0749522704
Enrollment ID: I20190424000362
Provider NameVanessa Yu-wen Wu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699138511
PECOS PAC ID: 9638426562
Enrollment ID: I20190620001209
Provider NameKimberly Navarro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144635848
PECOS PAC ID: 0648504779
Enrollment ID: I20190624003326
Provider NameK.a. Manisha Perera
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952783862
PECOS PAC ID: 8022373414
Enrollment ID: I20190625001987
Provider NameKaren P. Brandeis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336426840
PECOS PAC ID: 2668706391
Enrollment ID: I20190628001217
Provider NameNisa K Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326536590
PECOS PAC ID: 5092068247
Enrollment ID: I20190813002632
Provider NameAndrew S Nobe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316326952
PECOS PAC ID: 1153605225
Enrollment ID: I20190827003548
Provider NameBrenda Lee Flores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548329451
PECOS PAC ID: 4688966914
Enrollment ID: I20200114000238
Provider NameEliana Marquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306310750
PECOS PAC ID: 2860828597
Enrollment ID: I20200128003210
Provider NameLaetitia Truong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831622588
PECOS PAC ID: 3779816772
Enrollment ID: I20200630001836
Provider NameThomas Marwan Azeizat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558894907
PECOS PAC ID: 4183957145
Enrollment ID: I20200630002293
Provider NameMatteo Leveroni-calvi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427497262
PECOS PAC ID: 6305080813
Enrollment ID: I20200715003123
Provider NameMaria Na Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447784590
PECOS PAC ID: 1759614720
Enrollment ID: I20200727001276
Provider NameShannon Melcher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285161968
PECOS PAC ID: 9234462219
Enrollment ID: I20200730001471
Provider NameBhavana Gandotra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891971156
PECOS PAC ID: 1759454481
Enrollment ID: I20200810001853
Provider NameDylan Rebecca Hanami
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033642996
PECOS PAC ID: 8426381963
Enrollment ID: I20200821001410
Provider NameAlex Joseph Kipp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235440330
PECOS PAC ID: 7214164169
Enrollment ID: I20200930001482
Provider NameEllexis Emily Khan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336671536
PECOS PAC ID: 9638584360
Enrollment ID: I20210210002439
Provider NameChloe S Courchesne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255864021
PECOS PAC ID: 8628404787
Enrollment ID: I20210714000394
Provider NameKatherine Marie De Azambuja
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336672187
PECOS PAC ID: 7517290588
Enrollment ID: I20210802002192
Provider NameStephen Chang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043715410
PECOS PAC ID: 9133523137
Enrollment ID: I20210813000162
Provider NameLaura Esmeralda Zavala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376047597
PECOS PAC ID: 5991128837
Enrollment ID: I20210813002129
Provider NameSonia Sedano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003328709
PECOS PAC ID: 5395084578
Enrollment ID: I20211019003318
Provider NamePartha Sarathi Gonavaram
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053473090
PECOS PAC ID: 1951403955
Enrollment ID: I20211110002233
Provider NameIrmina Sultana Haq
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740542612
PECOS PAC ID: 0345501094
Enrollment ID: I20220224001309
Provider NameAn Thien Pham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346889623
PECOS PAC ID: 8921493149
Enrollment ID: I20220324001411
Provider NameJung Hyun Lee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821557885
PECOS PAC ID: 5395131049
Enrollment ID: I20220405001637
Provider NameNichole Rene Yamashiro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366084253
PECOS PAC ID: 0547638413
Enrollment ID: I20221128000111
Provider NameNafiseh Khodaparast
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306403837
PECOS PAC ID: 2365805595
Enrollment ID: I20230905003691
Provider NameKelly Michelle Moquin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689009110
PECOS PAC ID: 6901262369
Enrollment ID: I20230919001623

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.