Ucla Dept Of Medicine - Medicare Primary Care in Los Angeles, CA

Ucla Dept Of Medicine is a medicare enrolled primary clinic (Internal Medicine) in Los Angeles, California. The current practice location for Ucla Dept Of Medicine is 200 Medical Plaza, Suite 365,530,420,250,120,214, Los Angeles, California. For appointments, you can reach them via phone at (310) 794-1276. The mailing address for Ucla Dept Of Medicine is 5767 W Century Blvd Ste 400, Los Angeles, California and phone number is (310) 301-8707.

Ucla Dept Of Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235107566. 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 (310) 794-1276.

Contact Information

Ucla Dept Of Medicine
200 Medical Plaza
Suite 365,530,420,250,120,214
Los Angeles
CA 90095-0001
(310) 794-1276
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameUcla Dept Of Medicine
SpecialityInternal Medicine
Location200 Medical Plaza, Los Angeles, California
Authorized Official Name and PositionKatherine Ann Hale (DIRECTOR OF ACCOUNTING)
Authorized Official Contact3103015311
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ucla Dept Of Medicine
5767 W Century Blvd Ste 400
Los Angeles
CA 90045-5631

Ph: (310) 301-8707
Ucla Dept Of Medicine
200 Medical Plaza
Suite 365,530,420,250,120,214
Los Angeles
CA 90095-0001

Ph: (310) 794-1276

NPI Details:

NPI Number1235107566
Provider Enumeration Date03/11/2006
Last Update Date12/19/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1355248584
Medicare Enrollment IDO20031223000439

Medical Identifiers

Medical identifiers for Ucla Dept Of Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235107566NPI-NPPES
GR005503VMedicaidCA
GR005503WMedicaidCA
GR005503EMedicaidCA
GR005503JMedicaidCA
GR005503PMedicaidCA
GR0055030MedicaidCA
GR0055035MedicaidCA
GR005503FMedicaidCA
GR0055038MedicaidCA
GR0055031MedicaidCA
GR0055039MedicaidCA
GR005503HMedicaidCA
GR005503TMedicaidCA
GR0055036MedicaidCA
GR005503AMedicaidCA
GR005503DMedicaidCA
GR005503LMedicaidCA
GR0055037MedicaidCA
GR005503KMedicaidCA
GR005503MMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RA0201XInternal Medicine - Allergy & Immunology (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RC0200XInternal Medicine - Critical Care Medicine (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Secondary
207RI0001XInternal Medicine - Clinical & Laboratory Immunology (* (Not Available))Secondary
207RI0008XInternal Medicine - Hepatology (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology (* (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. Ucla Dept Of Medicine acts as a billing entity for following providers:
Provider NameDaniel Cruz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1427090091
PECOS PAC ID: 4587577994
Enrollment ID: I20031111000704
Provider NameSaeed Sadeghi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1144240334
PECOS PAC ID: 6709783467
Enrollment ID: I20031218001026
Provider NameMina W Ma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215956594
PECOS PAC ID: 1052219656
Enrollment ID: I20031219000860
Provider NameAmy Weimer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1396713426
PECOS PAC ID: 0042118861
Enrollment ID: I20031230000543
Provider NameDeborah J Villa
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1194726042
PECOS PAC ID: 4486552221
Enrollment ID: I20031230000634
Provider NameAnnapoorna R Chirra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083648380
PECOS PAC ID: 2860391737
Enrollment ID: I20040108000816
Provider NameMichael E Lazarus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689693582
PECOS PAC ID: 8527969518
Enrollment ID: I20040113000800
Provider NameAlexander C Black
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1104851500
PECOS PAC ID: 6800797697
Enrollment ID: I20040115000476
Provider NameRoman E Leibzon
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447252218
PECOS PAC ID: 0749181899
Enrollment ID: I20040120000823
Provider NameAnne M Arikian
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144321522
PECOS PAC ID: 7214839901
Enrollment ID: I20040122001248
Provider NameRichard S Finn
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1811912074
PECOS PAC ID: 4284537994
Enrollment ID: I20040129001180
Provider NameLichuan Fang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508895004
PECOS PAC ID: 4789578022
Enrollment ID: I20040209001107
Provider NameJanet P Pregler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386664977
PECOS PAC ID: 2567356702
Enrollment ID: I20040210000384
Provider NameDavid Ellsworth Hjerpe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578507216
PECOS PAC ID: 8123912094
Enrollment ID: I20040211000687
Provider NamePhioanh Nghiemphu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1871519017
PECOS PAC ID: 0840185542
Enrollment ID: I20040220000599
Provider NameAndrew Quon
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1356404180
PECOS PAC ID: 7618864398
Enrollment ID: I20040228000269
Provider NameSilvia Darie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104827989
PECOS PAC ID: 9032007323
Enrollment ID: I20040308001454
Provider NameSteven H Applebaum
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1295760221
PECOS PAC ID: 4183513930
Enrollment ID: I20040311000578
Provider NameJesus Araujo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518990639
PECOS PAC ID: 2466342654
Enrollment ID: I20040319000714
Provider NameOlga N Popel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265518054
PECOS PAC ID: 9638060437
Enrollment ID: I20040322001479
Provider NameShirley X Xu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790791945
PECOS PAC ID: 7416848239
Enrollment ID: I20040322001671
Provider NameKaren Cheng
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487689386
PECOS PAC ID: 4082505359
Enrollment ID: I20040324000828
Provider NameCamelia A Davtyan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154356871
PECOS PAC ID: 8426040023
Enrollment ID: I20040401001811
Provider NameCarolyn J Crandall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275559171
PECOS PAC ID: 1658363254
Enrollment ID: I20040401001847
Provider NameAntoni Ribas
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1730109331
PECOS PAC ID: 8022000520
Enrollment ID: I20040402000726
Provider NameMichael Harry Rosove
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1528088549
PECOS PAC ID: 5799778916
Enrollment ID: I20040405001093
Provider NameMaurice J Berkowitz
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1538187547
PECOS PAC ID: 1658365440
Enrollment ID: I20040413001926
Provider NameSoheil Azimi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841203163
PECOS PAC ID: 0749275949
Enrollment ID: I20040416001501
Provider NameSiamak Basiratmand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225165731
PECOS PAC ID: 6002802576
Enrollment ID: I20040421000721
Provider NameHawkin E Woo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184644213
PECOS PAC ID: 2961499124
Enrollment ID: I20040428001641
Provider NameClaudine L Armand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902909294
PECOS PAC ID: 5991794828
Enrollment ID: I20040506001812
Provider NameCorinna R Mosher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992801716
PECOS PAC ID: 8123019312
Enrollment ID: I20040518001039
Provider NameJodi L Friedman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265457444
PECOS PAC ID: 6608867981
Enrollment ID: I20040524001324
Provider NameBlake Matthew Alban
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619980406
PECOS PAC ID: 9739161696
Enrollment ID: I20040603001112
Provider NameMihaela Taylor
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1952321101
PECOS PAC ID: 7911989470
Enrollment ID: I20040607001271
Provider NameRam Raj Singh
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1013937218
PECOS PAC ID: 0648262675
Enrollment ID: I20040607001567
Provider NameShadi Vahdat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760494314
PECOS PAC ID: 5294718078
Enrollment ID: I20040611000670
Provider NamePhoebe Yi-hsi Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528163870
PECOS PAC ID: 2860476306
Enrollment ID: I20040615000713
Provider NameLee S Rosen
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1346295870
PECOS PAC ID: 7618954371
Enrollment ID: I20040702000503
Provider NameRajan Saggar
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1255351854
PECOS PAC ID: 3779561642
Enrollment ID: I20040708000989
Provider NameOlga M Olevsky
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1841306743
PECOS PAC ID: 7911985643
Enrollment ID: I20040709000787
Provider NameJamil A Aboulhosn
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356382717
PECOS PAC ID: 6002886199
Enrollment ID: I20040727001093
Provider NameGayle M Kookootsedes
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1720428048
PECOS PAC ID: 9335119379
Enrollment ID: I20040728000506
Provider NameZhaoping Li
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851310684
PECOS PAC ID: 1456322783
Enrollment ID: I20040802001039
Provider NameBernard J Katz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750317772
PECOS PAC ID: 5496728735
Enrollment ID: I20040816000884
Provider NameDebra S Lotstein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1396858783
PECOS PAC ID: 7719951854
Enrollment ID: I20040824000550
Provider NameLorraine C Young
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1497789143
PECOS PAC ID: 2264406024
Enrollment ID: I20040825001706
Provider NameRisa M Hoffman
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1881841914
PECOS PAC ID: 8729053863
Enrollment ID: I20040831001535
Provider NameKalyanam Shivkumar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1144240748
PECOS PAC ID: 0143296087
Enrollment ID: I20040902000707
Provider NameGerald S Lipshutz
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649205543
PECOS PAC ID: 8224004064
Enrollment ID: I20040902001403
Provider NameHolly R Steindel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386711273
PECOS PAC ID: 8123094349
Enrollment ID: I20040908001158
Provider NameMarcia Hogeling
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1871786293
PECOS PAC ID: 8426024506
Enrollment ID: I20040909000673
Provider NameDavid C Khan
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1649274150
PECOS PAC ID: 4789663527
Enrollment ID: I20041001000509
Provider NameMartin Sebastian Allen-auerbach
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1750325973
PECOS PAC ID: 2668431818
Enrollment ID: I20041005000338
Provider NameNoel G Boyle
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1174574917
PECOS PAC ID: 9931169257
Enrollment ID: I20041013000901
Provider NameMalcolm B Taw
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982624599
PECOS PAC ID: 0244290112
Enrollment ID: I20041014000855
Provider NameDavid A Cesario
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1033147541
PECOS PAC ID: 8921068545
Enrollment ID: I20041018000485
Provider NameJames M Wilson
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1912943168
PECOS PAC ID: 3072574243
Enrollment ID: I20041020001414
Provider NameSammy Saab
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720008899
PECOS PAC ID: 1951363589
Enrollment ID: I20041027000392
Provider NameSteven-huy Bui Han
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1841218880
PECOS PAC ID: 0345202982
Enrollment ID: I20041027000449
Provider NameFrancisco A Durazo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427070010
PECOS PAC ID: 3577525120
Enrollment ID: I20041027000498
Provider NameKevin R Pimstone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205938362
PECOS PAC ID: 4789642927
Enrollment ID: I20041220001152
Provider NameMaria P Hamilton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972704856
PECOS PAC ID: 9234197526
Enrollment ID: I20050103001047
Provider NameTimothy F Cloughesy
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1154356053
PECOS PAC ID: 8527017755
Enrollment ID: I20050114000394
Provider NameSven De Vos
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1528093713
PECOS PAC ID: 8820047061
Enrollment ID: I20050114000451
Provider NameGary J Schiller
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1851311930
PECOS PAC ID: 9133178395
Enrollment ID: I20050114000564
Provider NamePatricia Ganz
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1871528471
PECOS PAC ID: 2466401625
Enrollment ID: I20050114000600
Provider NameJoel R Hecht
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790703742
PECOS PAC ID: 7719936871
Enrollment ID: I20050114000623
Provider NameElizabeth E Turner
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1699880781
PECOS PAC ID: 8729038310
Enrollment ID: I20050201000299
Provider NameJonathan W Goldman
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1750593844
PECOS PAC ID: 7719930742
Enrollment ID: I20050301001020
Provider NameTram T Tran
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1437187234
PECOS PAC ID: 9830146471
Enrollment ID: I20050405001248
Provider NameBalbir S Brar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629006408
PECOS PAC ID: 3072550037
Enrollment ID: I20050411001263
Provider NameVirginia M Galan-burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972522753
PECOS PAC ID: 2163469883
Enrollment ID: I20050414000356
Provider NameChristiaan W Schiepers
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1073549838
PECOS PAC ID: 9931146354
Enrollment ID: I20050415000874
Provider NameTimothy C Bullard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306801766
PECOS PAC ID: 2466491493
Enrollment ID: I20050428001239
Provider NameStacey D Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053374397
PECOS PAC ID: 9931149044
Enrollment ID: I20050509000512
Provider NameShelley M Shapiro
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760402846
PECOS PAC ID: 6709820533
Enrollment ID: I20050613001372
Provider NameRita Kachru
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1285647487
PECOS PAC ID: 0648214874
Enrollment ID: I20050617000380
Provider NameJason D Napolitano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629098397
PECOS PAC ID: 2466497797
Enrollment ID: I20050627000781
Provider NameSpencer R Adams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487688198
PECOS PAC ID: 8426093758
Enrollment ID: I20050627000810
Provider NameMelvin Weiwen Chiu
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1275566788
PECOS PAC ID: 9436194776
Enrollment ID: I20050627000905
Provider NameKeiko Tochikura
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417242389
PECOS PAC ID: 2466354998
Enrollment ID: I20050713000650
Provider NameRome Jutabha
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790785434
PECOS PAC ID: 9537195011
Enrollment ID: I20050715000593
Provider NameRun Yu
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1154493674
PECOS PAC ID: 6800823170
Enrollment ID: I20050719000972
Provider NameRoger M Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710906094
PECOS PAC ID: 4688602857
Enrollment ID: I20050728001210
Provider NameEric F Buch
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1285671016
PECOS PAC ID: 3072542604
Enrollment ID: I20050804000451
Provider NameVeena Ranganath
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1730109323
PECOS PAC ID: 7416988076
Enrollment ID: I20050824000397
Provider NameAndrew D Watson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1992725071
PECOS PAC ID: 5890726319
Enrollment ID: I20050824001037
Provider NameRamin Tabibiazar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912919911
PECOS PAC ID: 1456382837
Enrollment ID: I20050825000389
Provider NameArnold Baas
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720013717
PECOS PAC ID: 8628009008
Enrollment ID: I20050825000392
Provider NameAnjay Rastogi
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1003836602
PECOS PAC ID: 2163454414
Enrollment ID: I20050907000832
Provider NameMichael Ong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598785776
PECOS PAC ID: 0446283816
Enrollment ID: I20050915000767
Provider NameJulie M Yabu
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1801840053
PECOS PAC ID: 3476579434
Enrollment ID: I20051019000219
Provider NameNancy R Feldman
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1538184700
PECOS PAC ID: 5991721466
Enrollment ID: I20051024000691
Provider NameEdward K Hui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184657488
PECOS PAC ID: 6406874056
Enrollment ID: I20051102001005
Provider NamePeter P Balingit
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114952264
PECOS PAC ID: 3375561814
Enrollment ID: I20051103000548
Provider NameArdis A Moe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851408876
PECOS PAC ID: 7618995911
Enrollment ID: I20051104000519
Provider NameRonald T Mitsuyasu
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1376562215
PECOS PAC ID: 9234157538
Enrollment ID: I20051104000533
Provider NameNeveen S El Farra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881629509
PECOS PAC ID: 3870511181
Enrollment ID: I20051104000629
Provider NamePhilip J Clements
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1811913924
PECOS PAC ID: 2860410826
Enrollment ID: I20051108000633
Provider NameSheldon J Davidson
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457350738
PECOS PAC ID: 7517985534
Enrollment ID: I20051108001088
Provider NameAmy S Wang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265662290
PECOS PAC ID: 3577581339
Enrollment ID: I20051109001255
Provider NameColleen L Channick
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1023043775
PECOS PAC ID: 6507884293
Enrollment ID: I20051110001008
Provider NameSoma Wali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497833420
PECOS PAC ID: 5799704052
Enrollment ID: I20051115001212
Provider NameEmery H Chang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649221383
PECOS PAC ID: 9234159054
Enrollment ID: I20051122000884
Provider NameStephen Axelrode
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871694398
PECOS PAC ID: 1557381209
Enrollment ID: I20051128000320
Provider NameSuphamai Bunnapradist
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1821076639
PECOS PAC ID: 6800817594
Enrollment ID: I20051208001020
Provider NameSanjay Bindra
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1528080256
PECOS PAC ID: 6709807019
Enrollment ID: I20051214000866
Provider NameDonald Chang
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861427643
PECOS PAC ID: 5890716070
Enrollment ID: I20051215000384
Provider NameGustavo A Machicado
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1568434652
PECOS PAC ID: 0244251361
Enrollment ID: I20051215000804
Provider NameShiri Morgan
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1295816338
PECOS PAC ID: 2961425905
Enrollment ID: I20060105000456
Provider NameJudith S Currier
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1508882614
PECOS PAC ID: 8224051271
Enrollment ID: I20060105000465
Provider NameShreeti Hasmukh Patel
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1154322691
PECOS PAC ID: 0244253003
Enrollment ID: I20060106000460
Provider NameShelly R Cote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306871009
PECOS PAC ID: 0446273023
Enrollment ID: I20060110000382
Provider NameAdelita Tajolosa Cabagnot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639250319
PECOS PAC ID: 6002839545
Enrollment ID: I20060110001035
Provider NameKevin M Shannon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629005368
PECOS PAC ID: 8224051404
Enrollment ID: I20060113000501
Provider NameGeorge P Sarantopoulos
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1457398356
PECOS PAC ID: 1557385283
Enrollment ID: I20060120000824
Provider NameJeanne Marie Huchting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912925967
PECOS PAC ID: 3375557853
Enrollment ID: I20060203000605
Provider NameVenkataraman R Muthusamy
Provider TypePractitioner - Gastroenterology
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PECOS PAC ID: 9234465451
Enrollment ID: I20230602002658
Provider NameTien Sy Dong
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1730443177
PECOS PAC ID: 3870726599
Enrollment ID: I20230605001433
Provider NameSarah Wai Ying Mizufune Takimoto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710514658
PECOS PAC ID: 0648663898
Enrollment ID: I20230606001855
Provider NameBeda Minkyu Cha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366079857
PECOS PAC ID: 1153704077
Enrollment ID: I20230608001414
Provider NameYe Tian
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1407316060
PECOS PAC ID: 5294112843
Enrollment ID: I20230608003113
Provider NameJay Mukesh Patel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1619331303
PECOS PAC ID: 4587021373
Enrollment ID: I20230609001854
Provider NameAung Zaw Lin
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1124521935
PECOS PAC ID: 1951738525
Enrollment ID: I20230609002066
Provider NameChristopher Michael Cooper Miller
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1194250076
PECOS PAC ID: 3678842325
Enrollment ID: I20230609002303
Provider NameVivy Tran Cusumano
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1639600638
PECOS PAC ID: 5890037022
Enrollment ID: I20230609002337
Provider NameMarwah Shahid
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1073042503
PECOS PAC ID: 6901263706
Enrollment ID: I20230609002570
Provider NameSamuel Paul Haslam
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1346777570
PECOS PAC ID: 7719344514
Enrollment ID: I20230609002574
Provider NameMelody Christina Avakian
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386261816
PECOS PAC ID: 5890152607
Enrollment ID: I20230609002648
Provider NameLauren Hanna Beshay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073010757
PECOS PAC ID: 3678980380
Enrollment ID: I20230612000566
Provider NameChesca Czarina Arbolado Barrios
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1821595307
PECOS PAC ID: 3779940424
Enrollment ID: I20230612001317
Provider NameSarah Grace Soliman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1528528023
PECOS PAC ID: 0042633810
Enrollment ID: I20230613000893
Provider NamePinting Chen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528694593
PECOS PAC ID: 3375953276
Enrollment ID: I20230613003532
Provider NameJordan M Jacquez
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1073035044
PECOS PAC ID: 0840561734
Enrollment ID: I20230614001013
Provider NameMichael Patrick Troy
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1487017810
PECOS PAC ID: 9537408844
Enrollment ID: I20230614003884
Provider NameBorna Patrick Vajdi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134744626
PECOS PAC ID: 3173981602
Enrollment ID: I20230615001427
Provider NameVivek Bose
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1154858215
PECOS PAC ID: 3870919343
Enrollment ID: I20230615003746
Provider NameAshley Fran Stein-merlob
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1417335589
PECOS PAC ID: 1052779352
Enrollment ID: I20230619001551
Provider NameDhananjay Chatterjee
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1497117782
PECOS PAC ID: 2668830829
Enrollment ID: I20230620002297
Provider NameSamih Lutfi Samih Khauli
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1104266600
PECOS PAC ID: 5395989347
Enrollment ID: I20230620002860
Provider NameKimberly Alzuphar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811428469
PECOS PAC ID: 5991041287
Enrollment ID: I20230621001411
Provider NamePriyanka Rajendra Moolchandani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558997460
PECOS PAC ID: 9335537059
Enrollment ID: I20230621002719
Provider NameChristine Michelle Willinger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508493107
PECOS PAC ID: 3274991245
Enrollment ID: I20230623000131
Provider NameBenjamin S Noble
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619537750
PECOS PAC ID: 7214268184
Enrollment ID: I20230623002567
Provider NameSahar Askarinam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730717513
PECOS PAC ID: 4284092123
Enrollment ID: I20230623003060
Provider NameAmit Kartar Singh Sumal
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1932603172
PECOS PAC ID: 7719378074
Enrollment ID: I20230627000703
Provider NameGrace Genevieve Firestone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780203216
PECOS PAC ID: 1557729340
Enrollment ID: I20230627001647
Provider NameIan Downs
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1790216406
PECOS PAC ID: 2860763901
Enrollment ID: I20230627001812
Provider NameSophie Mestman Cannon
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1538658273
PECOS PAC ID: 4981000551
Enrollment ID: I20230627003098
Provider NamePhilip Mark Cacchione
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083233100
PECOS PAC ID: 1759701964
Enrollment ID: I20230628001577
Provider NameLisle Amanda Winston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154884377
PECOS PAC ID: 1153659818
Enrollment ID: I20230629003490
Provider NameJetrina Sabado Maque
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1689201436
PECOS PAC ID: 6709274673
Enrollment ID: I20230630001598
Provider NameMary Henary
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1245849926
PECOS PAC ID: 2769841261
Enrollment ID: I20230630001748
Provider NameMaryam Shabihkhani
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1699153841
PECOS PAC ID: 9234450404
Enrollment ID: I20230630002049
Provider NameSeth Scott Brunner
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1285131938
PECOS PAC ID: 6002293990
Enrollment ID: I20230703000765
Provider NameNina Jreige
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1053948877
PECOS PAC ID: 9638589955
Enrollment ID: I20230703001207
Provider NameOlivia Jean Jordan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497382642
PECOS PAC ID: 2860851250
Enrollment ID: I20230703001391
Provider NameLindsey Madison Ward
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346878824
PECOS PAC ID: 1052770450
Enrollment ID: I20230703001660
Provider NameJustin Maxwell Rogoski
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1770100794
PECOS PAC ID: 2365865052
Enrollment ID: I20230703002266
Provider NameMegan Marie Mcconnell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699272211
PECOS PAC ID: 8325417025
Enrollment ID: I20230705000720
Provider NameMaryam Masood
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1710468616
PECOS PAC ID: 3476952078
Enrollment ID: I20230705001270
Provider NameSung Hyun Lim
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1629538160
PECOS PAC ID: 5597175620
Enrollment ID: I20230706001274
Provider NameDanny Xia Nan Xu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1821626045
PECOS PAC ID: 2860851060
Enrollment ID: I20230706002145
Provider NameMavis Song Peng
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1922637966
PECOS PAC ID: 9436518636
Enrollment ID: I20230706002356
Provider NameJorge Daniel Flautero Arcos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366070013
PECOS PAC ID: 5496171571
Enrollment ID: I20230707003407
Provider NameAretha Kou
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1124656228
PECOS PAC ID: 4385003227
Enrollment ID: I20230710002639
Provider NameAhmed Abbas Ashary
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124641907
PECOS PAC ID: 6103285911
Enrollment ID: I20230711001799
Provider NameCourtney Linde Decan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659831212
PECOS PAC ID: 5294149092
Enrollment ID: I20230713003741
Provider NameCarolyn Kayuk Kan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1891322780
PECOS PAC ID: 3072933597
Enrollment ID: I20230714002830
Provider NameCatherine Claire Lindsay
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1770043812
PECOS PAC ID: 8325458300
Enrollment ID: I20230714003119
Provider NameCelso Leonardo Diaz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033650478
PECOS PAC ID: 6709134927
Enrollment ID: I20230719002713
Provider NameAdrian William Sturich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386008134
PECOS PAC ID: 0547552366
Enrollment ID: I20230720001286
Provider NameZenith Sanaa Khan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184109100
PECOS PAC ID: 7911367040
Enrollment ID: I20230720001451
Provider NameDaniel John Crossman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1114132842
PECOS PAC ID: 8628176245
Enrollment ID: I20230720003324
Provider NameChristina Marie Fasulo
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1770147829
PECOS PAC ID: 0648630665
Enrollment ID: I20230721001026
Provider NameYuqing Alexandria Gao
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1760837009
PECOS PAC ID: 6507157013
Enrollment ID: I20230724001927
Provider NameJessica Erin Eby
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194285585
PECOS PAC ID: 2668832593
Enrollment ID: I20230724002321
Provider NameEllie Ying Chen
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1417485350
PECOS PAC ID: 5799146569
Enrollment ID: I20230727000532
Provider NameKaren Ashley Keniston
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1730716416
PECOS PAC ID: 8921471368
Enrollment ID: I20230727002006
Provider NameMatthew Clinton Mulroy
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1295294098
PECOS PAC ID: 1850708405
Enrollment ID: I20230728000863
Provider NameAnand Hemant Upadhyaya
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1740806561
PECOS PAC ID: 9133547151
Enrollment ID: I20230728002312
Provider NameJessica Wenting Ma
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1457989626
PECOS PAC ID: 6406217876
Enrollment ID: I20230801003676
Provider NameLydia Wing Tung Chau
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1821630872
PECOS PAC ID: 8123489598
Enrollment ID: I20230801003685
Provider NameNegeen Shahandeh
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1750745717
PECOS PAC ID: 6709130644
Enrollment ID: I20230803003711
Provider NameShirin Moftakhar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760010284
PECOS PAC ID: 7719348838
Enrollment ID: I20230804001006
Provider NameChristine Mai-anh Bui
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1093102279
PECOS PAC ID: 7719357797
Enrollment ID: I20230804002581
Provider NamePauline Ngoc Anh Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255718532
PECOS PAC ID: 7012378045
Enrollment ID: I20230807001976
Provider NamePratyaksh Kumar Srivastava
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1417319955
PECOS PAC ID: 2961756713
Enrollment ID: I20230807002311
Provider NameJohn Marshall Horton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1538663513
PECOS PAC ID: 2860815164
Enrollment ID: I20230807003038
Provider NameVance Marshal Washington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811376908
PECOS PAC ID: 4183931017
Enrollment ID: I20230809000731
Provider NamePamela Weiling Yao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942837422
PECOS PAC ID: 2860854528
Enrollment ID: I20230811000809
Provider NameAndrea Sunae Shin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1316108418
PECOS PAC ID: 0244491645
Enrollment ID: I20230811001395
Provider NameJessica Anne Hendricks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689278087
PECOS PAC ID: 6901268556
Enrollment ID: I20230814001701
Provider NameShirin Poustchi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386104412
PECOS PAC ID: 7214313360
Enrollment ID: I20230815001680
Provider NameAimee Lin Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861053159
PECOS PAC ID: 3870829526
Enrollment ID: I20230815003306
Provider NameLina Saeed
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1407315666
PECOS PAC ID: 3072937416
Enrollment ID: I20230815003319
Provider NameNiharika Reddy Mallepally
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1679001333
PECOS PAC ID: 6002278447
Enrollment ID: I20230816002629
Provider NameJerry Luo
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1649732025
PECOS PAC ID: 3173924099
Enrollment ID: I20230816002759
Provider NameMonica Cristina Abreu Diaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598294126
PECOS PAC ID: 1355722281
Enrollment ID: I20230816003349
Provider NameVanessa Denyse Olvera
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407475122
PECOS PAC ID: 4880056134
Enrollment ID: I20230817002955
Provider NameAmy Ruth Vandiver
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1740716190
PECOS PAC ID: 5294197554
Enrollment ID: I20230817003283
Provider NameWilliam Ruxi Zhang
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1679034649
PECOS PAC ID: 5395158075
Enrollment ID: I20230817003635
Provider NameJasmine D Mistry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386271476
PECOS PAC ID: 1153783444
Enrollment ID: I20230818000509
Provider NameDemetrios George Stavrakis
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1780118968
PECOS PAC ID: 6002171832
Enrollment ID: I20230821004102
Provider NameSona Hurtz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831727759
PECOS PAC ID: 1456713528
Enrollment ID: I20230822001592
Provider NameKaram Paul Singh Gill
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1174152888
PECOS PAC ID: 2365805462
Enrollment ID: I20230822002969
Provider NameMarla Danielle Lipsyc-sharf
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1689105124
PECOS PAC ID: 7012288269
Enrollment ID: I20230901002097
Provider NameAmir Razmjou Razmjou
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1154862431
PECOS PAC ID: 7416288360
Enrollment ID: I20230911002932
Provider NameVictor Lei
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760006894
PECOS PAC ID: 0547624975
Enrollment ID: I20230918002879
Provider NameKatelyn Hope Anderson Klein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336600261
PECOS PAC ID: 3870903172
Enrollment ID: I20230918004042
Provider NameAmie Sanjay Patel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790281145
PECOS PAC ID: 8628432952
Enrollment ID: I20230919003704
Provider NameSoraya Azzawi
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1255892063
PECOS PAC ID: 7315301603
Enrollment ID: I20230920000786
Provider NameYunying Chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558944520
PECOS PAC ID: 0941604516
Enrollment ID: I20230920001196
Provider NameGino Satoshi Melillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306524343
PECOS PAC ID: 5294189536
Enrollment ID: I20230920003465
Provider NameEri Hirofuji
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184099335
PECOS PAC ID: 6305198854
Enrollment ID: I20230920003794
Provider NameJulia Lindsay Boland
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1922637891
PECOS PAC ID: 6406200435
Enrollment ID: I20230926000324
Provider NameSarah Lauren Garvey
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1841829413
PECOS PAC ID: 3173923612
Enrollment ID: I20231004000972
Provider NameJames Addison Cook
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790245264
PECOS PAC ID: 9032564208
Enrollment ID: I20231006003047
Provider NameMaya Alexandra Appley
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1588160451
PECOS PAC ID: 7113393448
Enrollment ID: I20231016000645
Provider NameCecile Lia Yama
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760974067
PECOS PAC ID: 4587904354
Enrollment ID: I20231016000722
Provider NameGarrett Bao Kha Tran Long
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548873110
PECOS PAC ID: 9931555299
Enrollment ID: I20231024001317
Provider NameRyan Yavorsky
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720549850
PECOS PAC ID: 3870828155
Enrollment ID: I20231024001842
Provider NameKarolina Faysman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336320407
PECOS PAC ID: 3274836911
Enrollment ID: I20231027003441
Provider NameSeyed Sina Mirbagheri
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1801425673
PECOS PAC ID: 5395191290
Enrollment ID: I20231030001255
Provider NameEdson Enrique Carias
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1538559257
PECOS PAC ID: 1951653203
Enrollment ID: I20231109000948
Provider NameSabrina Carvalho Barata
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255892923
PECOS PAC ID: 7012398027
Enrollment ID: I20231109002061
Provider NameTue Thi Duc Te
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821524133
PECOS PAC ID: 4385918655
Enrollment ID: I20231115002005
Provider NameJoseph Windheim
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1033739339
PECOS PAC ID: 5890142657
Enrollment ID: I20231115003792
Provider NameNavpreet Singh Badesha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225698624
PECOS PAC ID: 8325373822
Enrollment ID: I20231117000757
Provider NameDouglas Wilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023034725
PECOS PAC ID: 9436148178
Enrollment ID: I20231128001879
Provider NameJessica Lane Lucier
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1407350218
PECOS PAC ID: 5193132843
Enrollment ID: I20231129000878
Provider NameNiyati Vijay Vaidya
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427430990
PECOS PAC ID: 8729478706
Enrollment ID: I20231219003849
Provider NameShida Haghighat
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1629519848
PECOS PAC ID: 0648631960
Enrollment ID: I20240208004374
Provider NameMae Xintong Huo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770946089
PECOS PAC ID: 1153661640
Enrollment ID: I20240209000057
Provider NameHenry Jorge Zelada Castro
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1417339540
PECOS PAC ID: 0446560122
Enrollment ID: I20240215004358
Provider NameThomas Robert Elliott
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609372606
PECOS PAC ID: 6800144197
Enrollment ID: I20240219002111
Provider NameShauna E Davis
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1609583707
PECOS PAC ID: 7618315367
Enrollment ID: I20240401002795
Provider NameAlexandra Millicent Zindman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699251181
PECOS PAC ID: 0244570976
Enrollment ID: I20240415001572
Provider NameMeray Malena Ohanessian
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114459807
PECOS PAC ID: 1850667643
Enrollment ID: I20240503000169
Provider NameJosephine Arcilla Evangelista
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275704587
PECOS PAC ID: 5193950814
Enrollment ID: I20240517002142

Reviews and Comments


Internal Medicine in Los Angeles, CA

Joseph I Kang Md Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004
Phone: 323-664-7777    
Clinica Virgen De Guadalupe
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037
Phone: 323-234-6300    
Ssg San Pedro
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011
Phone: 213-553-1800    
John L Sherman Md Amc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048
Phone: 310-855-8081    Fax: 310-855-0438
Altamed Medical Group Eapc Prop 99
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040
Phone: 323-725-8751    Fax: 323-889-7399
Altamed Health Services Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022
Phone: 323-832-7527    Fax: 323-832-7599
Apla Health & Wellness - David Geffen Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005
Phone: 213-201-1623    Fax: 213-201-1595

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.