| Sharp Rees-stealy Medical Group, Inc | |
|
5651 Copley Dr Ste A, San Diego, CA 92111-7903 | |
| (858) 262-6666 | |
| (858) 262-6777 |
| Full Name | Sharp Rees-stealy Medical Group, Inc |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 5651 Copley Dr Ste A, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285616177 | NPI | - | NPPES |
| GR0021720 | Medicaid | CA | |
| GR0021724 | Medicaid | CA | |
| GR0021722 | Medicaid | CA | |
| GR0021721 | Medicaid | CA | |
| GR0021725 | Medicaid | CA | |
| GR0021726 | Medicaid | CA | |
| GR0021729 | Medicaid | CA | |
| GR0021728 | Medicaid | CA | |
| GR0021727 | Medicaid | CA | |
| GR0021723 | Medicaid | CA |
| Provider Name | Warren K Snider |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467466706 PECOS PAC ID: 7214837806 Enrollment ID: I20040110000221 |
| Provider Name | Ning Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972670800 PECOS PAC ID: 3971404070 Enrollment ID: I20040120000581 |
| Provider Name | Jack J Springer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104828284 PECOS PAC ID: 8527960210 Enrollment ID: I20040122001235 |
| Provider Name | Sonal Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881702348 PECOS PAC ID: 3072416023 Enrollment ID: I20040128000911 |
| Provider Name | Sloane Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750357364 PECOS PAC ID: 8224921176 Enrollment ID: I20040204000702 |
| Provider Name | Joseph M Bellezzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760450340 PECOS PAC ID: 0941194823 Enrollment ID: I20040213000278 |
| Provider Name | Eric R Lovell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346240967 PECOS PAC ID: 1951296433 Enrollment ID: I20040216000656 |
| Provider Name | Franklin Boyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063420297 PECOS PAC ID: 3870490998 Enrollment ID: I20040219000700 |
| Provider Name | Saha Sadeghi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417918582 PECOS PAC ID: 0840186805 Enrollment ID: I20040225001237 |
| Provider Name | Diana L Rowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932285004 PECOS PAC ID: 4789571100 Enrollment ID: I20040301001245 |
| Provider Name | Bradford Hugh Stiles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487713327 PECOS PAC ID: 0941198626 Enrollment ID: I20040304001357 |
| Provider Name | Benjamin R Saben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992802151 PECOS PAC ID: 8729976683 Enrollment ID: I20040310001018 |
| Provider Name | Mark D Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508886730 PECOS PAC ID: 9931098571 Enrollment ID: I20040406000976 |
| Provider Name | Sangeetha P Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053393843 PECOS PAC ID: 4688568587 Enrollment ID: I20040412001434 |
| Provider Name | John C Thompson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770663890 PECOS PAC ID: 9830184035 Enrollment ID: I20040416001500 |
| Provider Name | Edward W Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265401368 PECOS PAC ID: 6002801206 Enrollment ID: I20040416001505 |
| Provider Name | Caroline M Thornton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245341882 PECOS PAC ID: 4688669740 Enrollment ID: I20040417000491 |
| Provider Name | Ricardo A Soltero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841295482 PECOS PAC ID: 5991792517 Enrollment ID: I20040427000635 |
| Provider Name | Don Charoen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720155542 PECOS PAC ID: 7719974674 Enrollment ID: I20040430000712 |
| Provider Name | Babita J Sethi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215985486 PECOS PAC ID: 7113916396 Enrollment ID: I20040511001744 |
| Provider Name | Eric T Goodman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891704177 PECOS PAC ID: 4183613268 Enrollment ID: I20040512000760 |
| Provider Name | David S Weinman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417068800 PECOS PAC ID: 8921098021 Enrollment ID: I20040512001009 |
| Provider Name | Emi Misao Latham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871594903 PECOS PAC ID: 5395735641 Enrollment ID: I20040517001477 |
| Provider Name | Andrew P Hampshire |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1073559068 PECOS PAC ID: 5395728281 Enrollment ID: I20040610001779 |
| Provider Name | Ulysses G Carino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265441596 PECOS PAC ID: 0446234652 Enrollment ID: I20040615001719 |
| Provider Name | Mark M Boiskin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437154143 PECOS PAC ID: 0648180067 Enrollment ID: I20040625001163 |
| Provider Name | Colleen J Buono |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467494179 PECOS PAC ID: 2567449812 Enrollment ID: I20040702001294 |
| Provider Name | Barry Lumkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831207588 PECOS PAC ID: 3375520414 Enrollment ID: I20040706001325 |
| Provider Name | Emad D Bishay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821087511 PECOS PAC ID: 9830187889 Enrollment ID: I20040712000735 |
| Provider Name | Margaret Timmons Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639170475 PECOS PAC ID: 8527048545 Enrollment ID: I20040721000964 |
| Provider Name | Timothy Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962412403 PECOS PAC ID: 1254303308 Enrollment ID: I20040809001347 |
| Provider Name | Henry J Shin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780775379 PECOS PAC ID: 9739151853 Enrollment ID: I20040810000413 |
| Provider Name | Justin E Dominick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669497038 PECOS PAC ID: 2769455542 Enrollment ID: I20040818001456 |
| Provider Name | Mark W Sornson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629189550 PECOS PAC ID: 8325012008 Enrollment ID: I20040819001624 |
| Provider Name | Prachi A Karnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134131725 PECOS PAC ID: 8820063944 Enrollment ID: I20040831001463 |
| Provider Name | Louis G Christiansen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639187743 PECOS PAC ID: 3678548526 Enrollment ID: I20040901001480 |
| Provider Name | Patricia A Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588677314 PECOS PAC ID: 6406822865 Enrollment ID: I20040907001184 |
| Provider Name | Afshin A Nahavandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518935808 PECOS PAC ID: 9830099712 Enrollment ID: I20040914001069 |
| Provider Name | Erik F Perkins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881801413 PECOS PAC ID: 3577531680 Enrollment ID: I20040917000223 |
| Provider Name | Gregory M Steele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255444360 PECOS PAC ID: 1355319344 Enrollment ID: I20040917000644 |
| Provider Name | Barry Borm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285736843 PECOS PAC ID: 4587632260 Enrollment ID: I20040921000263 |
| Provider Name | Dean F Mayer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609886019 PECOS PAC ID: 8729057757 Enrollment ID: I20040927001229 |
| Provider Name | Jennifer A Dorward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609809045 PECOS PAC ID: 6406825371 Enrollment ID: I20040928000361 |
| Provider Name | Habib Dalhoumi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275533465 PECOS PAC ID: 3072582428 Enrollment ID: I20041001000291 |
| Provider Name | Swathi Lavu-rao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497789630 PECOS PAC ID: 0840193645 Enrollment ID: I20041005000946 |
| Provider Name | Jennifer Lyn Avila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437143088 PECOS PAC ID: 0042279887 Enrollment ID: I20041006001507 |
| Provider Name | Susan K Chu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033127162 PECOS PAC ID: 7315907425 Enrollment ID: I20041013000894 |
| Provider Name | Jill Siren Meoni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932147469 PECOS PAC ID: 1557321569 Enrollment ID: I20041014000246 |
| Provider Name | Teh Shan Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255340535 PECOS PAC ID: 8325008345 Enrollment ID: I20041014000312 |
| Provider Name | Jennifer M Kostrinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639181134 PECOS PAC ID: 3072574136 Enrollment ID: I20041021000782 |
| Provider Name | David S Namazy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477558013 PECOS PAC ID: 2163483959 Enrollment ID: I20041025000878 |
| Provider Name | Sarah E Stone |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104878545 PECOS PAC ID: 2466413109 Enrollment ID: I20041025001219 |
| Provider Name | Jane D Goodwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619082096 PECOS PAC ID: 5698736288 Enrollment ID: I20041026001181 |
| Provider Name | Allan Gamagami |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053329193 PECOS PAC ID: 2466415526 Enrollment ID: I20041109000997 |
| Provider Name | Aireen L Gutierrez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306857701 PECOS PAC ID: 7911960836 Enrollment ID: I20041110001145 |
| Provider Name | Aristotelis T Laliotis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124076435 PECOS PAC ID: 9335104629 Enrollment ID: I20041129000561 |
| Provider Name | Susan Rhinelander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104976349 PECOS PAC ID: 7113982158 Enrollment ID: I20041201000420 |
| Provider Name | Nasser Bayati |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902851744 PECOS PAC ID: 8426040783 Enrollment ID: I20041201001118 |
| Provider Name | Tony T Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922136647 PECOS PAC ID: 0648237156 Enrollment ID: I20041216000458 |
| Provider Name | Tatiana Marie Mamantov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629069059 PECOS PAC ID: 6608833975 Enrollment ID: I20041217000787 |
| Provider Name | Luan Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780751545 PECOS PAC ID: 3375591258 Enrollment ID: I20050106001057 |
| Provider Name | David F Sitler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174536742 PECOS PAC ID: 3072564715 Enrollment ID: I20050209001081 |
| Provider Name | Zehui Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134230725 PECOS PAC ID: 0143274936 Enrollment ID: I20050303001096 |
| Provider Name | Ellenbeth G Rodarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205808714 PECOS PAC ID: 8325092158 Enrollment ID: I20050304000291 |
| Provider Name | Mary L Schroeder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164431664 PECOS PAC ID: 4486600822 Enrollment ID: I20050329000447 |
| Provider Name | Isabel J Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295838803 PECOS PAC ID: 9032166228 Enrollment ID: I20050330001262 |
| Provider Name | Momo C Kurosaka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205848363 PECOS PAC ID: 5193772051 Enrollment ID: I20050401000913 |
| Provider Name | Hanny C Chan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669520524 PECOS PAC ID: 6901853548 Enrollment ID: I20050405001170 |
| Provider Name | Shahriar Shahrestani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063584068 PECOS PAC ID: 0143277442 Enrollment ID: I20050407000749 |
| Provider Name | James K Amsberry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689736522 PECOS PAC ID: 2163469545 Enrollment ID: I20050418000228 |
| Provider Name | Roderick I Mountain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396855292 PECOS PAC ID: 8921046020 Enrollment ID: I20050419001505 |
| Provider Name | Margaret M Wafer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356665111 PECOS PAC ID: 7517905391 Enrollment ID: I20050421000995 |
| Provider Name | Hope A Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225035991 PECOS PAC ID: 6305884107 Enrollment ID: I20050421001145 |
| Provider Name | Alfonso Camberos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942225388 PECOS PAC ID: 2769421205 Enrollment ID: I20050425001245 |
| Provider Name | Cynthia L Lindsay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912011461 PECOS PAC ID: 6709826068 Enrollment ID: I20050505000566 |
| Provider Name | Trung Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275543670 PECOS PAC ID: 2860433372 Enrollment ID: I20050516000230 |
| Provider Name | Michael A Keefe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710999396 PECOS PAC ID: 9931140456 Enrollment ID: I20050516000258 |
| Provider Name | Theophilos E Yphantides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215031752 PECOS PAC ID: 6406897685 Enrollment ID: I20050518000429 |
| Provider Name | Kathryn P Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366453151 PECOS PAC ID: 0345284337 Enrollment ID: I20050610000219 |
| Provider Name | Jeremy L Hogan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508876905 PECOS PAC ID: 8628013901 Enrollment ID: I20050627001236 |
| Provider Name | Angela S Witucki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477503514 PECOS PAC ID: 6204871593 Enrollment ID: I20050627001284 |
| Provider Name | Kathleen M Flores-dahms |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750487773 PECOS PAC ID: 5496791832 Enrollment ID: I20050707000295 |
| Provider Name | Elias A Jaraicie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013929900 PECOS PAC ID: 1951337393 Enrollment ID: I20050715001108 |
| Provider Name | Neelima V Chu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154407443 PECOS PAC ID: 6507893609 Enrollment ID: I20050720000672 |
| Provider Name | Nikhil R Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609934538 PECOS PAC ID: 6800823774 Enrollment ID: I20050721000939 |
| Provider Name | Corrie D Broudy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558467514 PECOS PAC ID: 1355378282 Enrollment ID: I20050722000410 |
| Provider Name | Adeunice Sanchez Mata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790811404 PECOS PAC ID: 0244267995 Enrollment ID: I20050725000456 |
| Provider Name | Sharon Y Chien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316955420 PECOS PAC ID: 2769410927 Enrollment ID: I20050728001155 |
| Provider Name | Sabrina A Falquier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366537854 PECOS PAC ID: 6507895240 Enrollment ID: I20050811001057 |
| Provider Name | Anastasia S Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093790982 PECOS PAC ID: 5496785693 Enrollment ID: I20050817000649 |
| Provider Name | Elizabeth Lozada-pastorio |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730160425 PECOS PAC ID: 2567493158 Enrollment ID: I20050823001052 |
| Provider Name | Elan Hekier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225092463 PECOS PAC ID: 2264463280 Enrollment ID: I20050829000885 |
| Provider Name | Joshua James Minuto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851503718 PECOS PAC ID: 4688605603 Enrollment ID: I20050829000919 |
| Provider Name | Marife P Dy Stroika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285744433 PECOS PAC ID: 2860424306 Enrollment ID: I20050906001055 |
| Provider Name | Richard S Campbell |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1497764393 PECOS PAC ID: 5496787798 Enrollment ID: I20050907001211 |
| Provider Name | Robyn R Heister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811075302 PECOS PAC ID: 5597797779 Enrollment ID: I20050908000681 |
| Provider Name | Lisa A Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629088372 PECOS PAC ID: 1153354618 Enrollment ID: I20050914001360 |
| Provider Name | Michael C Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629088026 PECOS PAC ID: 3375577851 Enrollment ID: I20050923000465 |
| Provider Name | Stephen H Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760430995 PECOS PAC ID: 2668497959 Enrollment ID: I20051005001105 |
| Provider Name | Lee H Remington Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164421012 PECOS PAC ID: 6507884194 Enrollment ID: I20051102000565 |
| Provider Name | Rajiv B Roy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437207214 PECOS PAC ID: 8527086685 Enrollment ID: I20051107000913 |
| Provider Name | Craig C Liu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275649238 PECOS PAC ID: 8628098092 Enrollment ID: I20051130000283 |
| Provider Name | Tommy S Korn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659383149 PECOS PAC ID: 2860412087 Enrollment ID: I20051202000529 |
| Provider Name | Eric J Linebarger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730199209 PECOS PAC ID: 0840210068 Enrollment ID: I20051202000542 |
| Provider Name | Barry K Lipson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801903513 PECOS PAC ID: 5991725111 Enrollment ID: I20051202000571 |
| Provider Name | Ann Lopez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750391231 PECOS PAC ID: 8527088640 Enrollment ID: I20051202000597 |
| Provider Name | Mohan Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821199001 PECOS PAC ID: 1254237571 Enrollment ID: I20051228000762 |
| Provider Name | Gary D Levinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255399523 PECOS PAC ID: 6800810730 Enrollment ID: I20060118001039 |
| Provider Name | Christopher Fernandez Del Riego |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063446763 PECOS PAC ID: 4385662139 Enrollment ID: I20060123000671 |
| Provider Name | Shadi Omidi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366454548 PECOS PAC ID: 8022022706 Enrollment ID: I20060201000873 |
| Provider Name | Albana Smurlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972614964 PECOS PAC ID: 9133133580 Enrollment ID: I20060206000628 |
| Provider Name | Rudolph Bear Anthony Gamboa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902847932 PECOS PAC ID: 4082628474 Enrollment ID: I20060206000897 |
| Provider Name | Brij Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532543 PECOS PAC ID: 0446228928 Enrollment ID: I20060208000303 |
| Provider Name | Lynn Ann Shih |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215987698 PECOS PAC ID: 0941217475 Enrollment ID: I20060308000579 |
| Provider Name | Ronald A Mathiasen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790740629 PECOS PAC ID: 1658388046 Enrollment ID: I20060309000331 |
| Provider Name | Imtiaz Akram Malik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346278546 PECOS PAC ID: 2668489725 Enrollment ID: I20060314000637 |
| Provider Name | Laurie D Publicover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679537377 PECOS PAC ID: 6103833041 Enrollment ID: I20060316000627 |
| Provider Name | Cassandra M Stroud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013985050 PECOS PAC ID: 9931116811 Enrollment ID: I20060317000276 |
| Provider Name | Glenn M Silverman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063480671 PECOS PAC ID: 8123035037 Enrollment ID: I20060317000537 |
| Provider Name | William K Fornaciari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083682546 PECOS PAC ID: 5092722900 Enrollment ID: I20060317000560 |
| Provider Name | Annette M Vollrath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992884415 PECOS PAC ID: 4789694472 Enrollment ID: I20060425000766 |
| Provider Name | Peter T Reissmann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407891641 PECOS PAC ID: 6800809328 Enrollment ID: I20060727000482 |
| Provider Name | Paulo Guillinta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881661536 PECOS PAC ID: 9739185323 Enrollment ID: I20061004000265 |
| Provider Name | Adam R Pacal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861432270 PECOS PAC ID: 7113923632 Enrollment ID: I20061005000566 |
| Provider Name | Brook D Beall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508803529 PECOS PAC ID: 3870554587 Enrollment ID: I20061101000566 |
| Provider Name | Joseph Sungwook Hong |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1912018219 PECOS PAC ID: 1254243314 Enrollment ID: I20061120000619 |
| Provider Name | Jack Hsiao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477633287 PECOS PAC ID: 8224036421 Enrollment ID: I20061122000505 |
| Provider Name | Khan G Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184625212 PECOS PAC ID: 5395744569 Enrollment ID: I20061215000557 |
| Provider Name | Gene Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316026461 PECOS PAC ID: 5092715672 Enrollment ID: I20070104000283 |
| Provider Name | Lynn P Steigerwald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841275922 PECOS PAC ID: 2567462807 Enrollment ID: I20070110000281 |
| Provider Name | Jessica Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831271725 PECOS PAC ID: 7719988799 Enrollment ID: I20070117000276 |
| Provider Name | Gregory M Alberton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457310179 PECOS PAC ID: 8921009853 Enrollment ID: I20070119000459 |
| Provider Name | Jane K Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497785810 PECOS PAC ID: 1658372875 Enrollment ID: I20070130000586 |
| Provider Name | John Pauls |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659337277 PECOS PAC ID: 0648373720 Enrollment ID: I20070309000286 |
| Provider Name | Victor L Woo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306810353 PECOS PAC ID: 6901909837 Enrollment ID: I20070314000554 |
| Provider Name | Katherine Margaret Richman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992898993 PECOS PAC ID: 1759485188 Enrollment ID: I20070324000066 |
| Provider Name | Arman Faravardeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467410019 PECOS PAC ID: 8325143928 Enrollment ID: I20070410000211 |
| Provider Name | Paula A Dozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295758118 PECOS PAC ID: 3870519473 Enrollment ID: I20070413000204 |
| Provider Name | David C Willms |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285626747 PECOS PAC ID: 3173595238 Enrollment ID: I20070416000553 |
| Provider Name | Samer Assaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871682179 PECOS PAC ID: 6901901024 Enrollment ID: I20070418000606 |
| Provider Name | Maria E Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932101763 PECOS PAC ID: 9739154501 Enrollment ID: I20070423000268 |
| Provider Name | Karen E Tipler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740391382 PECOS PAC ID: 2163528514 Enrollment ID: I20070502000210 |
| Provider Name | Kalpana Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467560920 PECOS PAC ID: 1557467727 Enrollment ID: I20070503000675 |
| Provider Name | Matilde Venero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295712586 PECOS PAC ID: 9436177987 Enrollment ID: I20070518000456 |
| Provider Name | Richard S Sacks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811034143 PECOS PAC ID: 5496854135 Enrollment ID: I20070621000311 |
| Provider Name | Tina Ziainia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447362496 PECOS PAC ID: 9335106921 Enrollment ID: I20070705000293 |
| Provider Name | Mark Grant Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336251446 PECOS PAC ID: 1850491168 Enrollment ID: I20070714000254 |
| Provider Name | Efren V Nierva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568435444 PECOS PAC ID: 0941300248 Enrollment ID: I20070716000719 |
| Provider Name | Raquel L Rissman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700998846 PECOS PAC ID: 0941301691 Enrollment ID: I20070724000782 |
| Provider Name | Michael R Sonbaty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063544773 PECOS PAC ID: 7416058938 Enrollment ID: I20070726000772 |
| Provider Name | Han Yuan Alice Chong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457454498 PECOS PAC ID: 8628160603 Enrollment ID: I20070822000790 |
| Provider Name | Joanna C Whiteley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023120060 PECOS PAC ID: 4587756465 Enrollment ID: I20070823000233 |
| Provider Name | Bijal V Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639266026 PECOS PAC ID: 5698868800 Enrollment ID: I20070904000726 |
| Provider Name | Azadeh Shirazi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821205626 PECOS PAC ID: 5395838353 Enrollment ID: I20070906000708 |
| Provider Name | David Harari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437218344 PECOS PAC ID: 6507959467 Enrollment ID: I20070907000784 |
| Provider Name | Peter Dietze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336259290 PECOS PAC ID: 5092809335 Enrollment ID: I20070918000488 |
| Provider Name | Rachel C Palma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447455241 PECOS PAC ID: 7416042999 Enrollment ID: I20070927001088 |
| Provider Name | Raheleh Esfandiari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235320185 PECOS PAC ID: 5597850842 Enrollment ID: I20071001000705 |
| Provider Name | Sanaz Missaghi Lajvardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477745818 PECOS PAC ID: 5193811974 Enrollment ID: I20071010000496 |
| Provider Name | Bryn H Salt |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467549345 PECOS PAC ID: 5193722643 Enrollment ID: I20071010000516 |
| Provider Name | Annie Tsuen Chin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124191556 PECOS PAC ID: 2466548938 Enrollment ID: I20071013000079 |
| Provider Name | Camille V Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699971184 PECOS PAC ID: 8820184328 Enrollment ID: I20071015000165 |
| Provider Name | Henrik Manassarians |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598798795 PECOS PAC ID: 4486658911 Enrollment ID: I20071016000161 |
| Provider Name | Tommy Y Yen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053421958 PECOS PAC ID: 0547357592 Enrollment ID: I20071107000593 |
| Provider Name | Amarpal S Arora |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851518401 PECOS PAC ID: 9133217763 Enrollment ID: I20071115000497 |
| Provider Name | Vivek C Nazareth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386610533 PECOS PAC ID: 5496843666 Enrollment ID: I20071121000580 |
| Provider Name | Douglas Middleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427138791 PECOS PAC ID: 3173411394 Enrollment ID: I20071203000532 |
| Provider Name | Patricia A Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699776963 PECOS PAC ID: 2860581246 Enrollment ID: I20071207000804 |
| Provider Name | Humberto Gallego |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811074404 PECOS PAC ID: 5496656860 Enrollment ID: I20071213000491 |
| Provider Name | Timothy P Holden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376552638 PECOS PAC ID: 2163491887 Enrollment ID: I20071213000846 |
| Provider Name | Amy V Chilingirian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477516706 PECOS PAC ID: 9830121466 Enrollment ID: I20071219000887 |
| Provider Name | Joel E Mata |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669509873 PECOS PAC ID: 4082794623 Enrollment ID: I20080108000634 |
| Provider Name | Shamini M Govender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962504423 PECOS PAC ID: 8820179609 Enrollment ID: I20080117000694 |
| Provider Name | Janna Belinda Osorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376624346 PECOS PAC ID: 2365523073 Enrollment ID: I20080121000070 |
| Provider Name | Jennifer N Tam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063570992 PECOS PAC ID: 7315029899 Enrollment ID: I20080123000807 |
| Provider Name | Michael S Ventura |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144207945 PECOS PAC ID: 5799867172 Enrollment ID: I20080123000859 |
| Provider Name | Curtis C Horton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184619892 PECOS PAC ID: 3870519093 Enrollment ID: I20080129000838 |
| Provider Name | Meenal Swami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538285754 PECOS PAC ID: 8820170764 Enrollment ID: I20080130000613 |
| Provider Name | Stanley M Besser |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1760490031 PECOS PAC ID: 6507949781 Enrollment ID: I20080211000789 |
| Provider Name | Deborah K Oh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346467800 PECOS PAC ID: 5496838336 Enrollment ID: I20080214000607 |
| Provider Name | Lily E Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962682179 PECOS PAC ID: 2567546641 Enrollment ID: I20080227000833 |
| Provider Name | Robert S Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487846853 PECOS PAC ID: 0840389078 Enrollment ID: I20080229000634 |
| Provider Name | Lydia M Torres |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144295171 PECOS PAC ID: 2567546492 Enrollment ID: I20080229000637 |
| Provider Name | David W Durkovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932179199 PECOS PAC ID: 1355426776 Enrollment ID: I20080310000610 |
| Provider Name | Louis D Orosz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194727024 PECOS PAC ID: 2860578598 Enrollment ID: I20080320000650 |
| Provider Name | James D Wolosin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265536601 PECOS PAC ID: 2961588009 Enrollment ID: I20080328000647 |
| Provider Name | Terry L Behrend |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790780484 PECOS PAC ID: 3274623087 Enrollment ID: I20080401000315 |
| Provider Name | Gregory P Imler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275543605 PECOS PAC ID: 9537246434 Enrollment ID: I20080402000530 |
| Provider Name | Marsha W Blount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710174693 PECOS PAC ID: 6103903901 Enrollment ID: I20080403000188 |
| Provider Name | Michael Doran Hughes |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1831109255 PECOS PAC ID: 2163509332 Enrollment ID: I20080411000600 |
| Provider Name | Rebecca R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245441880 PECOS PAC ID: 6305924374 Enrollment ID: I20080416000660 |
| Provider Name | David R Ostrander |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851303044 PECOS PAC ID: 4183700032 Enrollment ID: I20080423000639 |
| Provider Name | Donald Ray Sallee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841367448 PECOS PAC ID: 1850479254 Enrollment ID: I20080425000350 |
| Provider Name | Steven E Gardner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295731990 PECOS PAC ID: 3173692290 Enrollment ID: I20080515000389 |
| Provider Name | Charles B Tesar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497866016 PECOS PAC ID: 0446320394 Enrollment ID: I20080603000847 |
| Provider Name | Dhruvil Pradip Gandhi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083887277 PECOS PAC ID: 3870663420 Enrollment ID: I20080609000381 |
| Provider Name | Patrick Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891993705 PECOS PAC ID: 1759452931 Enrollment ID: I20080616000392 |
| Provider Name | Wayne S True |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144220997 PECOS PAC ID: 2769400365 Enrollment ID: I20080616000812 |
| Provider Name | Blaine A Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790758506 PECOS PAC ID: 5395763999 Enrollment ID: I20080616000815 |
| Provider Name | Julie Marmon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154538957 PECOS PAC ID: 7911078027 Enrollment ID: I20080617000784 |
| Provider Name | Michael R Holtel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073584397 PECOS PAC ID: 6305917188 Enrollment ID: I20080623000202 |
| Provider Name | Brian D Barmettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801822507 PECOS PAC ID: 6305918228 Enrollment ID: I20080709000234 |
| Provider Name | George Sakoulas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184647893 PECOS PAC ID: 5092747501 Enrollment ID: I20080723000312 |
| Provider Name | Carter E Wahl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467615070 PECOS PAC ID: 5294802377 Enrollment ID: I20080916000574 |
| Provider Name | Mihaela I Pop |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851561658 PECOS PAC ID: 2163590332 Enrollment ID: I20081001000778 |
| Provider Name | Lisa A Johnston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124097779 PECOS PAC ID: 6901703453 Enrollment ID: I20081014000080 |
| Provider Name | Rebecca Preziosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629253927 PECOS PAC ID: 4789752072 Enrollment ID: I20081014000651 |
| Provider Name | Kevin N Antonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770760951 PECOS PAC ID: 5991863219 Enrollment ID: I20081015000184 |
| Provider Name | Pany Tehrani Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730344235 PECOS PAC ID: 0143388363 Enrollment ID: I20081016000444 |
| Provider Name | Cherif E Girgis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023237260 PECOS PAC ID: 4183782204 Enrollment ID: I20081018000082 |
| Provider Name | Scott A Godfrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659464089 PECOS PAC ID: 9638237167 Enrollment ID: I20081027000788 |
| Provider Name | Sheri L Walter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750375234 PECOS PAC ID: 5991864100 Enrollment ID: I20081103000516 |
| Provider Name | Rachelle M Hippen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720288855 PECOS PAC ID: 9739247453 Enrollment ID: I20081105000012 |
| Provider Name | Richard G Mugol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619937661 PECOS PAC ID: 1557260148 Enrollment ID: I20081105000101 |
| Provider Name | Amir N Hajimirsadeghi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427232537 PECOS PAC ID: 4587723374 Enrollment ID: I20081107000686 |
| Provider Name | Michael C Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568661627 PECOS PAC ID: 1850450404 Enrollment ID: I20081111000634 |
| Provider Name | Timothy Strouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306032503 PECOS PAC ID: 3476612037 Enrollment ID: I20081111000659 |
| Provider Name | Duc Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669587341 PECOS PAC ID: 0840290664 Enrollment ID: I20081113000105 |
| Provider Name | Tova S Steinhauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023239118 PECOS PAC ID: 3678664216 Enrollment ID: I20081119000602 |
| Provider Name | Alshafie Mohamed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417136128 PECOS PAC ID: 0143380147 Enrollment ID: I20081120000693 |
| Provider Name | Christine Nordling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568435923 PECOS PAC ID: 6103986120 Enrollment ID: I20081120000817 |
| Provider Name | Madjid Keyvani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508965666 PECOS PAC ID: 7911967864 Enrollment ID: I20090120000341 |
| Provider Name | Victoria G Iyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871738864 PECOS PAC ID: 9739245820 Enrollment ID: I20090225000239 |
| Provider Name | Craig J Salt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215901962 PECOS PAC ID: 9537225602 Enrollment ID: I20090226000176 |
| Provider Name | Amy E Zanotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962620682 PECOS PAC ID: 8426114299 Enrollment ID: I20090303000121 |
| Provider Name | Gerard F Blake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962481929 PECOS PAC ID: 7911906201 Enrollment ID: I20090310000176 |
| Provider Name | Edward P Huynh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770501769 PECOS PAC ID: 0648295303 Enrollment ID: I20090311000702 |
| Provider Name | Daniel R Zanotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467651976 PECOS PAC ID: 6800953662 Enrollment ID: I20090323000034 |
| Provider Name | Kathlyn R Ignacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912917345 PECOS PAC ID: 5698832913 Enrollment ID: I20090331000397 |
| Provider Name | Thuy Anh T Le |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811163926 PECOS PAC ID: 4981751757 Enrollment ID: I20090414000120 |
| Provider Name | Vasiliki M Anvari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720015258 PECOS PAC ID: 7416913025 Enrollment ID: I20090421000230 |
| Provider Name | Shereen M Attisha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184791550 PECOS PAC ID: 9931141140 Enrollment ID: I20090504000111 |
| Provider Name | Jason T Davis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295911469 PECOS PAC ID: 4486703915 Enrollment ID: I20090512000571 |
| Provider Name | Henry K Poon |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1316985633 PECOS PAC ID: 7113084336 Enrollment ID: I20090514000008 |
| Provider Name | Kenneth J Villa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538270046 PECOS PAC ID: 9234288366 Enrollment ID: I20090520000553 |
| Provider Name | Dennis Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366410912 PECOS PAC ID: 4880744176 Enrollment ID: I20090608000463 |
| Provider Name | Cynthia Grauf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689808800 PECOS PAC ID: 1557412814 Enrollment ID: I20090625000661 |
| Provider Name | Mariela Macias |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629235072 PECOS PAC ID: 9234282153 Enrollment ID: I20090724000446 |
| Provider Name | Jimmy J Shih |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346450087 PECOS PAC ID: 3779636634 Enrollment ID: I20090725000043 |
| Provider Name | Robert D Power |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891708707 PECOS PAC ID: 5496808115 Enrollment ID: I20090728000761 |
| Provider Name | Amy M Zheng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669443511 PECOS PAC ID: 2264438654 Enrollment ID: I20090728000765 |
| Provider Name | Angelica Bayardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023157724 PECOS PAC ID: 9436203403 Enrollment ID: I20090811000461 |
| Provider Name | Haleh Ebrahimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144425166 PECOS PAC ID: 0345321238 Enrollment ID: I20090815000008 |
| Provider Name | Kenneth Alan Altschuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710955521 PECOS PAC ID: 2264587807 Enrollment ID: I20090902000450 |
| Provider Name | David C Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467614800 PECOS PAC ID: 9638225824 Enrollment ID: I20090912000062 |
| Provider Name | Jasmine Y Ide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831377795 PECOS PAC ID: 9638225832 Enrollment ID: I20090912000076 |
| Provider Name | Douglas W Laity |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427207109 PECOS PAC ID: 6608922745 Enrollment ID: I20090915000562 |
| Provider Name | Patrick Huott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366452781 PECOS PAC ID: 2466508825 Enrollment ID: I20090926000019 |
| Provider Name | Isabelle Claire Chughtai-harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497995377 PECOS PAC ID: 5698811529 Enrollment ID: I20091007000463 |
| Provider Name | John A Davenport |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699987552 PECOS PAC ID: 5294755450 Enrollment ID: I20091012000384 |
| Provider Name | Steven J Lenthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750511770 PECOS PAC ID: 9436295003 Enrollment ID: I20091013000230 |
| Provider Name | Firas H Gorges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891998118 PECOS PAC ID: 8921144387 Enrollment ID: I20091015000345 |
| Provider Name | Uma Devaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316193600 PECOS PAC ID: 3476699851 Enrollment ID: I20091015000517 |
| Provider Name | Jason E Spring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114011459 PECOS PAC ID: 5991842023 Enrollment ID: I20091022000400 |
| Provider Name | Meera P Ravindranathan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215963848 PECOS PAC ID: 1759306996 Enrollment ID: I20091111000525 |
| Provider Name | Elizabeth A Tecca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558483826 PECOS PAC ID: 8224176821 Enrollment ID: I20091118000414 |
| Provider Name | Matthew P Vance |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336316652 PECOS PAC ID: 2365581808 Enrollment ID: I20091123000504 |
| Provider Name | Douglas F Brewster |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609848316 PECOS PAC ID: 2961541396 Enrollment ID: I20091125000086 |
| Provider Name | Bhuwan Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528096534 PECOS PAC ID: 3779636360 Enrollment ID: I20091211000503 |
| Provider Name | Corinne A Yarbrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013168483 PECOS PAC ID: 7315087475 Enrollment ID: I20091221000615 |
| Provider Name | Scott D Flinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184694598 PECOS PAC ID: 2860533866 Enrollment ID: I20100113000552 |
| Provider Name | Linda G Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528191095 PECOS PAC ID: 0143315754 Enrollment ID: I20100114000664 |
| Provider Name | Basil Abramowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104832047 PECOS PAC ID: 9234272170 Enrollment ID: I20100201000663 |
| Provider Name | Michael A Nace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912929936 PECOS PAC ID: 4981747797 Enrollment ID: I20100202000680 |
| Provider Name | Johnathan S Halperin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023028024 PECOS PAC ID: 4587707724 Enrollment ID: I20100210000219 |
| Provider Name | Melanie Basila Angeles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558499194 PECOS PAC ID: 1254474356 Enrollment ID: I20100211000037 |
| Provider Name | Candice A Claudio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295066959 PECOS PAC ID: 8325181423 Enrollment ID: I20100211000049 |
| Provider Name | Patricia A Cribbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427067784 PECOS PAC ID: 0345384954 Enrollment ID: I20100220000271 |
| Provider Name | Jershonda F Hartsfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467423749 PECOS PAC ID: 7719012590 Enrollment ID: I20100318000363 |
| Provider Name | Traci Janae Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790012532 PECOS PAC ID: 5597890194 Enrollment ID: I20100322000547 |
| Provider Name | Howard E Wynne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801808043 PECOS PAC ID: 5698803070 Enrollment ID: I20100505000438 |
| Provider Name | Jeffrey P Sugar |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1639280597 PECOS PAC ID: 0345379780 Enrollment ID: I20100524000895 |
| Provider Name | Estylan Dan Arellano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326247875 PECOS PAC ID: 8729117031 Enrollment ID: I20100525000854 |
| Provider Name | Michael J Rundell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275635831 PECOS PAC ID: 9032249750 Enrollment ID: I20100607000645 |
| Provider Name | Dana Gugino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558689968 PECOS PAC ID: 7113057449 Enrollment ID: I20100614000505 |
| Provider Name | Clay R Bowland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114936424 PECOS PAC ID: 8325179658 Enrollment ID: I20100629000965 |
| Provider Name | Doris A Trauner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124051420 PECOS PAC ID: 2163554023 Enrollment ID: I20100713000661 |
| Provider Name | Lester Montante Deguzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255345567 PECOS PAC ID: 3375567357 Enrollment ID: I20100726000334 |
| Provider Name | Christopher Lafferty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821008350 PECOS PAC ID: 3173656279 Enrollment ID: I20100726000699 |
| Provider Name | Mary Pikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548370596 PECOS PAC ID: 6901939016 Enrollment ID: I20100726000832 |
| Provider Name | Jennifer Leung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407866957 PECOS PAC ID: 2062545171 Enrollment ID: I20100726000858 |
| Provider Name | Julia A Caputo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063421386 PECOS PAC ID: 0042343154 Enrollment ID: I20100726000883 |
| Provider Name | Maria G Parente |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740293778 PECOS PAC ID: 5698808517 Enrollment ID: I20100729000355 |
| Provider Name | Jose A Pelayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376556357 PECOS PAC ID: 6709919657 Enrollment ID: I20100729000713 |
| Provider Name | Jorge Pelayo-garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790798791 PECOS PAC ID: 5496888257 Enrollment ID: I20100729000896 |
| Provider Name | Wayne Kurisu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881606309 PECOS PAC ID: 5092848861 Enrollment ID: I20100729000956 |
| Provider Name | Jennifer Trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922119577 PECOS PAC ID: 0446383210 Enrollment ID: I20100729000962 |
| Provider Name | James F. Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376553446 PECOS PAC ID: 3779487814 Enrollment ID: I20100729000973 |
| Provider Name | Doug T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730274614 PECOS PAC ID: 1254464027 Enrollment ID: I20100729000975 |
| Provider Name | Vinh D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013928811 PECOS PAC ID: 0143353920 Enrollment ID: I20100730000150 |
| Provider Name | Anthony Sacks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376556134 PECOS PAC ID: 1951205095 Enrollment ID: I20100730000251 |
| Provider Name | Nancy L Mattioli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457361867 PECOS PAC ID: 7315070133 Enrollment ID: I20100730000570 |
| Provider Name | Stanley W Perkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134132137 PECOS PAC ID: 1052444882 Enrollment ID: I20100730000694 |
| Provider Name | Mark Mcbride |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659381077 PECOS PAC ID: 6002971728 Enrollment ID: I20100730000743 |
| Provider Name | Laura A Hackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609886605 PECOS PAC ID: 3072646744 Enrollment ID: I20100802000314 |
| Provider Name | John A Kafka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770595456 PECOS PAC ID: 3274666979 Enrollment ID: I20100802000663 |
| Provider Name | Brent E Rathbun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720091697 PECOS PAC ID: 4082747787 Enrollment ID: I20100802000679 |
| Provider Name | Cyril Light |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326152968 PECOS PAC ID: 2163555871 Enrollment ID: I20100802000804 |
| Provider Name | Keith R Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699785857 PECOS PAC ID: 1153454657 Enrollment ID: I20100804000967 |
| Provider Name | Kristin Jill Hampshire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629088620 PECOS PAC ID: 5496888901 Enrollment ID: I20100804001000 |
| Provider Name | Julius S Conner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902919871 PECOS PAC ID: 9638202146 Enrollment ID: I20100804001040 |
| Provider Name | Daniel R Hoefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770593162 PECOS PAC ID: 2365575875 Enrollment ID: I20100804001043 |
| Provider Name | Jose Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922116482 PECOS PAC ID: 2062545585 Enrollment ID: I20100804001097 |
| Provider Name | Alan Keith Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154436533 PECOS PAC ID: 8224161740 Enrollment ID: I20100804001126 |
| Provider Name | Curt S Thomas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972614501 PECOS PAC ID: 6002949443 Enrollment ID: I20100805000118 |
| Provider Name | Cynthia S Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205846763 PECOS PAC ID: 7012040454 Enrollment ID: I20100805000184 |
| Provider Name | Aimee M Lopes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851409593 PECOS PAC ID: 3072646421 Enrollment ID: I20100805000248 |
| Provider Name | Mary E Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538177845 PECOS PAC ID: 9931232386 Enrollment ID: I20100805000301 |
| Provider Name | Kenneth E Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932119120 PECOS PAC ID: 2365575727 Enrollment ID: I20100805000356 |
| Provider Name | Robert L Gillespie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740290873 PECOS PAC ID: 1254464639 Enrollment ID: I20100805000594 |
| Provider Name | Eva Pei-srbich Leonard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386602746 PECOS PAC ID: 0547275539 Enrollment ID: I20100805000604 |
| Provider Name | Steven A Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225141393 PECOS PAC ID: 2466585864 Enrollment ID: I20100805000807 |
| Provider Name | Paula M Leibham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114944899 PECOS PAC ID: 9739212143 Enrollment ID: I20100805000930 |
| Provider Name | Grace Buenaventura |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225047541 PECOS PAC ID: 3678606803 Enrollment ID: I20100809000472 |
| Provider Name | Andrew Robbins |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326196304 PECOS PAC ID: 9537223748 Enrollment ID: I20100809001133 |
| Provider Name | Harvey C Kreitzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871505370 PECOS PAC ID: 4587798715 Enrollment ID: I20100810000710 |
| Provider Name | Ronald S Kwok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417062894 PECOS PAC ID: 1658405808 Enrollment ID: I20100810000870 |
| Provider Name | Cheng-i Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720098270 PECOS PAC ID: 3274667431 Enrollment ID: I20100810001029 |
| Provider Name | Mark N Jabro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326058330 PECOS PAC ID: 3173657335 Enrollment ID: I20100810001042 |
| Provider Name | Douglas I Levey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932210523 PECOS PAC ID: 7315071586 Enrollment ID: I20100810001090 |
| Provider Name | Curt Littler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629088109 PECOS PAC ID: 6305970575 Enrollment ID: I20100810001111 |
| Provider Name | Tiffany L Shay Alexander |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1346253903 PECOS PAC ID: 3476687641 Enrollment ID: I20100810001130 |
| Provider Name | Michael Nyberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700897410 PECOS PAC ID: 2264566439 Enrollment ID: I20100810001161 |
| Provider Name | Mary W Du Quette |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497765614 PECOS PAC ID: 9537293634 Enrollment ID: I20100811000423 |
| Provider Name | Joseph J Jankiewicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124030010 PECOS PAC ID: 0648335364 Enrollment ID: I20100811000491 |
| Provider Name | Scott E Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558374520 PECOS PAC ID: 8123152907 Enrollment ID: I20100816000542 |
| Provider Name | Alan Bier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518975705 PECOS PAC ID: 6406750546 Enrollment ID: I20100817000465 |
| Provider Name | Ronald Macintyre |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609886092 PECOS PAC ID: 9032243738 Enrollment ID: I20100817000905 |
| Provider Name | Gary O'hara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033121207 PECOS PAC ID: 2961536685 Enrollment ID: I20100817001151 |
| Provider Name | John Person |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285647297 PECOS PAC ID: 7618001348 Enrollment ID: I20100817001273 |
| Provider Name | Joseph F Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124086590 PECOS PAC ID: 0446265433 Enrollment ID: I20100819000056 |
| Provider Name | Arvin B Saluta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942213715 PECOS PAC ID: 3971637422 Enrollment ID: I20100819000074 |
| Provider Name | Daniel J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134137300 PECOS PAC ID: 0042344590 Enrollment ID: I20100819000096 |
| Provider Name | David A Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225046196 PECOS PAC ID: 9739213299 Enrollment ID: I20100819000180 |
| Provider Name | Daniel E Wendt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205947611 PECOS PAC ID: 1850425125 Enrollment ID: I20100823000616 |
| Provider Name | Cheryl D Wright |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790896140 PECOS PAC ID: 3870627151 Enrollment ID: I20100823000734 |
| Provider Name | Kathleen A Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831200278 PECOS PAC ID: 4486788767 Enrollment ID: I20100823000773 |
| Provider Name | Brent C Drouin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356351555 PECOS PAC ID: 3870617053 Enrollment ID: I20100824001102 |
| Provider Name | Richard Bryce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538178843 PECOS PAC ID: 2668596842 Enrollment ID: I20100824001144 |
| Provider Name | Paul M Matsumoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295745602 PECOS PAC ID: 3375667553 Enrollment ID: I20100824001172 |
| Provider Name | Perry Montoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003826256 PECOS PAC ID: 9638293897 Enrollment ID: I20100825000837 |
| Provider Name | Stacey L Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093725566 PECOS PAC ID: 2365566262 Enrollment ID: I20100830000566 |
| Provider Name | David A Reynaldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386657187 PECOS PAC ID: 6800910704 Enrollment ID: I20100830000585 |
| Provider Name | Robert A Sartor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770694754 PECOS PAC ID: 7517081417 Enrollment ID: I20100830000595 |
| Provider Name | Lisa C Corsentino-matsumoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255441606 PECOS PAC ID: 6204950116 Enrollment ID: I20100830000685 |
| Provider Name | David N Spees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588777668 PECOS PAC ID: 8729102637 Enrollment ID: I20100830000715 |
| Provider Name | Richard L Scott |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831102482 PECOS PAC ID: 2264556174 Enrollment ID: I20100830000734 |
| Provider Name | Ingrid H Scharpf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255344982 PECOS PAC ID: 3971627886 Enrollment ID: I20100830000760 |
| Provider Name | Eric A Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336250935 PECOS PAC ID: 4486778222 Enrollment ID: I20100831000082 |
| Provider Name | William Contreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780694273 PECOS PAC ID: 3274657820 Enrollment ID: I20100902000885 |
| Provider Name | Douglas Darlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851301287 PECOS PAC ID: 4486778842 Enrollment ID: I20100908000179 |
| Provider Name | Stephen Huang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689684003 PECOS PAC ID: 8224152699 Enrollment ID: I20100908000280 |
| Provider Name | Marco A Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174636229 PECOS PAC ID: 8426172800 Enrollment ID: I20100908000356 |
| Provider Name | Tammy S Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881607646 PECOS PAC ID: 9739204124 Enrollment ID: I20100908000687 |
| Provider Name | Steven D Kavy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285646802 PECOS PAC ID: 9133023278 Enrollment ID: I20100909000300 |
| Provider Name | Floyd Doughty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437150562 PECOS PAC ID: 9335264530 Enrollment ID: I20100910001031 |
| Provider Name | Dyson L Hamner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508979501 PECOS PAC ID: 9739244450 Enrollment ID: I20100910001062 |
| Provider Name | Steve N Rindsberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700899515 PECOS PAC ID: 7911022165 Enrollment ID: I20100913000358 |
| Provider Name | George S Scher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467465096 PECOS PAC ID: 2769507821 Enrollment ID: I20100913000579 |
| Provider Name | Barbara Y Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134234511 PECOS PAC ID: 5496870560 Enrollment ID: I20100913000717 |
| Provider Name | J Ben Heaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902816390 PECOS PAC ID: 6800911934 Enrollment ID: I20100914000224 |
| Provider Name | Kristen K Sanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710097720 PECOS PAC ID: 4789709825 Enrollment ID: I20100914000272 |
| Provider Name | Anita Huang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184734212 PECOS PAC ID: 2163547209 Enrollment ID: I20100914000357 |
| Provider Name | William D Christiansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831107952 PECOS PAC ID: 5991820854 Enrollment ID: I20100915000624 |
| Provider Name | Edward W Sanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972516763 PECOS PAC ID: 6800911785 Enrollment ID: I20100915000875 |
| Provider Name | Julie A Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720091572 PECOS PAC ID: 2860517752 Enrollment ID: I20100915001053 |
| Provider Name | Denis G Tarakjian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467563064 PECOS PAC ID: 0042335887 Enrollment ID: I20100916000432 |
| Provider Name | Shankar Sundaram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306959358 PECOS PAC ID: 8729103585 Enrollment ID: I20100916000652 |
| Provider Name | Daniel M Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336152909 PECOS PAC ID: 7517082233 Enrollment ID: I20100917000146 |
| Provider Name | Dustin B Cladera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578719720 PECOS PAC ID: 7719002468 Enrollment ID: I20100917000556 |
| Provider Name | Emelya M Ahadian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477561777 PECOS PAC ID: 9133244825 Enrollment ID: I20100917001029 |
| Provider Name | Dana L Chortkoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891899068 PECOS PAC ID: 9638294325 Enrollment ID: I20100917001087 |
| Provider Name | Joyce W Chung |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477561504 PECOS PAC ID: 9537284229 Enrollment ID: I20100917001102 |
| Provider Name | Phillip J Diamond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427068865 PECOS PAC ID: 3072638766 Enrollment ID: I20100917001115 |
| Provider Name | Nhan Vinh Trang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508977158 PECOS PAC ID: 2567588684 Enrollment ID: I20100927000800 |
| Provider Name | Elan M Newman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821297649 PECOS PAC ID: 4981896842 Enrollment ID: I20101011000343 |
| Provider Name | John W Miles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518977727 PECOS PAC ID: 8820153547 Enrollment ID: I20101011000859 |
| Provider Name | Banita Banu Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942212527 PECOS PAC ID: 5193917003 Enrollment ID: I20101011000975 |
| Provider Name | Edward Cladera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588810329 PECOS PAC ID: 7810189636 Enrollment ID: I20101012000050 |
| Provider Name | Alon Garay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578676573 PECOS PAC ID: 3375608094 Enrollment ID: I20101014000187 |
| Provider Name | Charles W Tornatore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710098363 PECOS PAC ID: 2769674316 Enrollment ID: I20101014000384 |
| Provider Name | Douglas L Schulz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689687220 PECOS PAC ID: 1355533902 Enrollment ID: I20101014000446 |
| Provider Name | James Jenchie Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295847267 PECOS PAC ID: 2163454182 Enrollment ID: I20101018000817 |
| Provider Name | Gene G Heard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760595847 PECOS PAC ID: 1052504024 Enrollment ID: I20101022000268 |
| Provider Name | Andrew M Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558467787 PECOS PAC ID: 1456545839 Enrollment ID: I20101029000511 |
| Provider Name | Rosemary Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609023845 PECOS PAC ID: 7315131752 Enrollment ID: I20101029001251 |
| Provider Name | Jin Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639349111 PECOS PAC ID: 7214008382 Enrollment ID: I20101103000904 |
| Provider Name | Michael W Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376779306 PECOS PAC ID: 5799979795 Enrollment ID: I20101103001219 |
| Provider Name | Robert J Manly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033129424 PECOS PAC ID: 0143414953 Enrollment ID: I20101104001378 |
| Provider Name | Angelica R Neison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770787137 PECOS PAC ID: 3173718889 Enrollment ID: I20101108000935 |
| Provider Name | Brian M Curley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700081569 PECOS PAC ID: 7810182052 Enrollment ID: I20101112000582 |
| Provider Name | Noelle L Vejtasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497819452 PECOS PAC ID: 8820283989 Enrollment ID: I20101115000679 |
| Provider Name | Ernesto S Hernandez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609181437 PECOS PAC ID: 3577759497 Enrollment ID: I20101118000085 |
| Provider Name | Mohamed Abu-qaoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366635534 PECOS PAC ID: 0345436044 Enrollment ID: I20101119000975 |
| Provider Name | Todd Miodek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871814889 PECOS PAC ID: 3779770110 Enrollment ID: I20101210000126 |
| Provider Name | Kaveh Bahmanpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538368014 PECOS PAC ID: 3375731326 Enrollment ID: I20101217000568 |
| Provider Name | Payam Mehranpour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790897387 PECOS PAC ID: 6507875846 Enrollment ID: I20101228000043 |
| Provider Name | Gillian Yeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588690077 PECOS PAC ID: 5698873685 Enrollment ID: I20110104001051 |
| Provider Name | Tess Fabrick Klaristenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881878023 PECOS PAC ID: 5597944868 Enrollment ID: I20110119001066 |
| Provider Name | Amy S Abola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306854898 PECOS PAC ID: 9234318056 Enrollment ID: I20110126000491 |
| Provider Name | Kathryn N. Dorroh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295039709 PECOS PAC ID: 6305025743 Enrollment ID: I20110201000158 |
| Provider Name | Marie H Adamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518938950 PECOS PAC ID: 2961682125 Enrollment ID: I20110207000116 |
| Provider Name | Kathrin A Belanger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063735470 PECOS PAC ID: 1557543063 Enrollment ID: I20110304000210 |
| Provider Name | Emily Cole |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407800295 PECOS PAC ID: 6800874207 Enrollment ID: I20110305000050 |
| Provider Name | Sivaraman K Gounder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740436237 PECOS PAC ID: 8426196825 Enrollment ID: I20110322000719 |
| Provider Name | Farschad K Birdjandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205823929 PECOS PAC ID: 5395700918 Enrollment ID: I20110329000540 |
| Provider Name | Wilfredo R Abesamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754832 PECOS PAC ID: 3870686116 Enrollment ID: I20110407000130 |
| Provider Name | Brian R Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356674626 PECOS PAC ID: 1759566623 Enrollment ID: I20110420000145 |
| Provider Name | Farah Vonelle Chery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114183688 PECOS PAC ID: 3577749480 Enrollment ID: I20110510000756 |
| Provider Name | Nathan P Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932272630 PECOS PAC ID: 1052597507 Enrollment ID: I20110517000625 |
| Provider Name | Jade Q Deguzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801089065 PECOS PAC ID: 4284811241 Enrollment ID: I20110601000119 |
| Provider Name | Norihiro Yogo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346408523 PECOS PAC ID: 9133306764 Enrollment ID: I20110608000670 |
| Provider Name | Krista Braun-young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306913298 PECOS PAC ID: 3274710504 Enrollment ID: I20110614000029 |
| Provider Name | Bhakti D Tantod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427022094 PECOS PAC ID: 5294912523 Enrollment ID: I20110614000138 |
| Provider Name | Anjali S Parekh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053517789 PECOS PAC ID: 0941488837 Enrollment ID: I20110623000550 |
| Provider Name | Stephen Munday |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1700896842 PECOS PAC ID: 6800074550 Enrollment ID: I20110628000184 |
| Provider Name | John E Hortareas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376536193 PECOS PAC ID: 8729020953 Enrollment ID: I20110802000443 |
| Provider Name | Bethani A Bernaba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760628663 PECOS PAC ID: 1557530599 Enrollment ID: I20110809000686 |
| Provider Name | Bob N Bernaba |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053547075 PECOS PAC ID: 6608045547 Enrollment ID: I20110809000755 |
| Provider Name | Bryant Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902085426 PECOS PAC ID: 4789756545 Enrollment ID: I20110815000304 |
| Provider Name | Jieyu Lowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598932980 PECOS PAC ID: 2062691538 Enrollment ID: I20110829000227 |
| Provider Name | Kianoush Javaheri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720387558 PECOS PAC ID: 2668642695 Enrollment ID: I20110831000443 |
| Provider Name | Valeda K Limlahapan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124306931 PECOS PAC ID: 3779754312 Enrollment ID: I20110912000680 |
| Provider Name | Gerard Demers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487626032 PECOS PAC ID: 2668643016 Enrollment ID: I20110915000701 |
| Provider Name | Pamela C Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356665657 PECOS PAC ID: 1557532405 Enrollment ID: I20110926000292 |
| Provider Name | Stefanie A Flory |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275857039 PECOS PAC ID: 1052582897 Enrollment ID: I20110927000571 |
| Provider Name | Laura Greci Cooke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477560506 PECOS PAC ID: 3678523248 Enrollment ID: I20111003000496 |
| Provider Name | Curtis Duffield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063559805 PECOS PAC ID: 1850422965 Enrollment ID: I20111005000630 |
| Provider Name | Jeanie L Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871750323 PECOS PAC ID: 0143492496 Enrollment ID: I20111007000630 |
| Provider Name | Jennifer Barkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326238072 PECOS PAC ID: 4880866177 Enrollment ID: I20111010000502 |
| Provider Name | Cherie J Roussos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699800896 PECOS PAC ID: 5092988592 Enrollment ID: I20111028000096 |
| Provider Name | Allison D Pierce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417249111 PECOS PAC ID: 6103099619 Enrollment ID: I20111028000217 |
| Provider Name | Sally Ann Tripp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346432523 PECOS PAC ID: 5799958641 Enrollment ID: I20111109000573 |
| Provider Name | Ty W Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609151851 PECOS PAC ID: 0042484925 Enrollment ID: I20111111000396 |
| Provider Name | Kathy L Head |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1528171600 PECOS PAC ID: 1153595798 Enrollment ID: I20111117000279 |
| Provider Name | Patricia Horn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477686194 PECOS PAC ID: 7416122759 Enrollment ID: I20111214000746 |
| Provider Name | Sharon K Nelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699800540 PECOS PAC ID: 9032384383 Enrollment ID: I20111214000906 |
| Provider Name | Analilia Padilla Corona |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114048352 PECOS PAC ID: 7012182371 Enrollment ID: I20111214000943 |
| Provider Name | Maltin Repishti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048291 PECOS PAC ID: 3779637871 Enrollment ID: I20111227000775 |
| Provider Name | Courtney O Rourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730118886 PECOS PAC ID: 7618902941 Enrollment ID: I20111229000233 |
| Provider Name | Elion Brace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184890782 PECOS PAC ID: 1052457108 Enrollment ID: I20120106000651 |
| Provider Name | Sid S Korsand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588634513 PECOS PAC ID: 5799952354 Enrollment ID: I20120123000265 |
| Provider Name | Alyssa Diersing |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427350685 PECOS PAC ID: 3870760366 Enrollment ID: I20120124000866 |
| Provider Name | Christine E Jardel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831397496 PECOS PAC ID: 5395912893 Enrollment ID: I20120125000041 |
| Provider Name | Robert J Dusa |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982827010 PECOS PAC ID: 9234306747 Enrollment ID: I20120125000115 |
| Provider Name | Kristy L Baldwin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487814455 PECOS PAC ID: 0840467353 Enrollment ID: I20120125000133 |
| Provider Name | Lakshimi Prathipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245338490 PECOS PAC ID: 4183796287 Enrollment ID: I20120125000430 |
| Provider Name | Jennifer H Dolby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699780049 PECOS PAC ID: 1759548696 Enrollment ID: I20120206000361 |
| Provider Name | Albert L Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457322471 PECOS PAC ID: 5597923086 Enrollment ID: I20120301000447 |
| Provider Name | Marla L Huott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336426592 PECOS PAC ID: 9436319795 Enrollment ID: I20120322000617 |
| Provider Name | Alissa G Speziale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235118597 PECOS PAC ID: 4587824792 Enrollment ID: I20120326000751 |
| Provider Name | Dennis M Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902814080 PECOS PAC ID: 8224299771 Enrollment ID: I20120411000093 |
| Provider Name | Erica Pamela Chun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881672681 PECOS PAC ID: 3678542214 Enrollment ID: I20120418000395 |
| Provider Name | David Y Greenblatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912955576 PECOS PAC ID: 9739367848 Enrollment ID: I20120504000565 |
| Provider Name | Michelle G Arnold |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417921891 PECOS PAC ID: 2466615380 Enrollment ID: I20120511000408 |
| Provider Name | Heather C Onate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861590747 PECOS PAC ID: 7911160700 Enrollment ID: I20120514000733 |
| Provider Name | Uma Narayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386754208 PECOS PAC ID: 1153584586 Enrollment ID: I20120523000255 |
| Provider Name | Darren B Keller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013988922 PECOS PAC ID: 0840453841 Enrollment ID: I20120530000675 |
| Provider Name | Lesly Giselle Aguilar Tabora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467638601 PECOS PAC ID: 1759450984 Enrollment ID: I20120601000485 |
| Provider Name | Sara Lynn Gleiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194081976 PECOS PAC ID: 8729242409 Enrollment ID: I20120608000129 |
| Provider Name | Roshni E Lindsey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568787976 PECOS PAC ID: 8224292404 Enrollment ID: I20120620000154 |
| Provider Name | Eryn A Bannister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801124102 PECOS PAC ID: 0648435404 Enrollment ID: I20120628000178 |
| Provider Name | Bishoy O Said |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861649238 PECOS PAC ID: 1456516178 Enrollment ID: I20120703000250 |
| Provider Name | Gary S Gluck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184603110 PECOS PAC ID: 8628233236 Enrollment ID: I20120705000554 |
| Provider Name | Ellen C Pastrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598810475 PECOS PAC ID: 5597824680 Enrollment ID: I20120706000279 |
| Provider Name | Ryan M Limberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871752816 PECOS PAC ID: 1355506528 Enrollment ID: I20120713000463 |
| Provider Name | Ricardo A Indacochea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033375563 PECOS PAC ID: 4688820657 Enrollment ID: I20120807000290 |
| Provider Name | Arben Dashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790055705 PECOS PAC ID: 0547416315 Enrollment ID: I20120809000711 |
| Provider Name | Blair P Henderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528227998 PECOS PAC ID: 0143477794 Enrollment ID: I20120904000513 |
| Provider Name | Audra L Budde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407139272 PECOS PAC ID: 5597913269 Enrollment ID: I20120921000381 |
| Provider Name | Airisha P Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942444849 PECOS PAC ID: 6103074752 Enrollment ID: I20120924000619 |
| Provider Name | Michelle Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003129842 PECOS PAC ID: 9638328370 Enrollment ID: I20121012000428 |
| Provider Name | Miranda R Sonneborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821227729 PECOS PAC ID: 3274783816 Enrollment ID: I20121017000427 |
| Provider Name | Irina Silchuk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518210467 PECOS PAC ID: 7719139450 Enrollment ID: I20121204000336 |
| Provider Name | Brian J Lichtenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205142908 PECOS PAC ID: 9335391895 Enrollment ID: I20121207000012 |
| Provider Name | Mark D Wiederhold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598015745 PECOS PAC ID: 2466604806 Enrollment ID: I20121210000436 |
| Provider Name | Ana M Crissien-martinez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1548563224 PECOS PAC ID: 6002068491 Enrollment ID: I20121211000335 |
| Provider Name | Anthony Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306050406 PECOS PAC ID: 7618040684 Enrollment ID: I20121217000064 |
| Provider Name | Truc Ha Duong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174662191 PECOS PAC ID: 8224174289 Enrollment ID: I20121231000150 |
| Provider Name | Bennett R Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952496473 PECOS PAC ID: 8022072321 Enrollment ID: I20130104000109 |
| Provider Name | Charlton K Byun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225340961 PECOS PAC ID: 4082867528 Enrollment ID: I20130110000571 |
| Provider Name | Tina S-t Chen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073759627 PECOS PAC ID: 4284887738 Enrollment ID: I20130111000123 |
| Provider Name | Gary C Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518042274 PECOS PAC ID: 0840476461 Enrollment ID: I20130117000475 |
| Provider Name | Heidi A Pfaff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518248152 PECOS PAC ID: 1052565363 Enrollment ID: I20130213000270 |
| Provider Name | Teresa M O Dea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760450522 PECOS PAC ID: 7315192382 Enrollment ID: I20130222000198 |
| Provider Name | Kelly M Askim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689803223 PECOS PAC ID: 7911152384 Enrollment ID: I20130311000172 |
| Provider Name | Natasha S Shahravesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376889428 PECOS PAC ID: 3870748163 Enrollment ID: I20130313000387 |
| Provider Name | Paul Hodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396082483 PECOS PAC ID: 6305081522 Enrollment ID: I20130318000224 |
| Provider Name | David William Cline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922162015 PECOS PAC ID: 5698808889 Enrollment ID: I20130325000475 |
| Provider Name | Osvelia Gastelum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760734784 PECOS PAC ID: 9032361324 Enrollment ID: I20130419000194 |
| Provider Name | Amy M Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912261298 PECOS PAC ID: 3577709112 Enrollment ID: I20130426000219 |
| Provider Name | Vu D Phan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902023336 PECOS PAC ID: 4587762075 Enrollment ID: I20130430000253 |
| Provider Name | Carlos Jimenez Grillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144267188 PECOS PAC ID: 8729983739 Enrollment ID: I20130508000108 |
| Provider Name | Seema V Sundaram |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639341399 PECOS PAC ID: 0143394791 Enrollment ID: I20130515000588 |
| Provider Name | Nicole Lynn Norenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770920282 PECOS PAC ID: 9537300389 Enrollment ID: I20130722000185 |
| Provider Name | Audrey S Wang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669609681 PECOS PAC ID: 7618118043 Enrollment ID: I20130729000300 |
| Provider Name | Teddy Yap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699938779 PECOS PAC ID: 4587799424 Enrollment ID: I20130729000428 |
| Provider Name | Ketan Bakriwala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528355872 PECOS PAC ID: 3072754068 Enrollment ID: I20130802000722 |
| Provider Name | Michael G Santomauro |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073675591 PECOS PAC ID: 5193967164 Enrollment ID: I20130805000583 |
| Provider Name | Marnie J Kremer Prill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366694606 PECOS PAC ID: 8022250828 Enrollment ID: I20130807000459 |
| Provider Name | James E Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568434546 PECOS PAC ID: 1254348519 Enrollment ID: I20130815000104 |
| Provider Name | Melaku T Birhanie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134411879 PECOS PAC ID: 4981846243 Enrollment ID: I20130815000667 |
| Provider Name | Eric John Meyer Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134416282 PECOS PAC ID: 9739321803 Enrollment ID: I20130820000712 |
| Provider Name | Carter J Maurer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629042031 PECOS PAC ID: 3476733122 Enrollment ID: I20130823001165 |
| Provider Name | Jeffrey M Melancon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508007568 PECOS PAC ID: 4082857685 Enrollment ID: I20130829000740 |
| Provider Name | Anna L Techentin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316097751 PECOS PAC ID: 6305992108 Enrollment ID: I20130830000046 |
| Provider Name | Jamie D Lavender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811255276 PECOS PAC ID: 2264675735 Enrollment ID: I20130830000776 |
| Provider Name | Jane L Conlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376553024 PECOS PAC ID: 4981600236 Enrollment ID: I20130910000730 |
| Provider Name | Thynn Thynn Wai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700940186 PECOS PAC ID: 3375649353 Enrollment ID: I20131018001039 |
| Provider Name | Natalie J Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649590464 PECOS PAC ID: 9133354079 Enrollment ID: I20131030000544 |
| Provider Name | Kelli Shannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922156397 PECOS PAC ID: 3375770928 Enrollment ID: I20131205001873 |
| Provider Name | Lisa K Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881945012 PECOS PAC ID: 6103053186 Enrollment ID: I20131219000271 |
| Provider Name | Galina Y Stetsenko |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881777316 PECOS PAC ID: 9436386208 Enrollment ID: I20131226001670 |
| Provider Name | Hashim N Deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194041319 PECOS PAC ID: 6204063084 Enrollment ID: I20131227000194 |
| Provider Name | Michelle E Miles-kessel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265756019 PECOS PAC ID: 9436386232 Enrollment ID: I20131227000794 |
| Provider Name | Rakhi Khatri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538100391 PECOS PAC ID: 2365444148 Enrollment ID: I20131230000310 |
| Provider Name | Lorraine M Gyor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295803963 PECOS PAC ID: 1658509344 Enrollment ID: I20131231000937 |
| Provider Name | Juliana K Liang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811144637 PECOS PAC ID: 4082891924 Enrollment ID: I20140121000521 |
| Provider Name | Martin F Bituin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215365465 PECOS PAC ID: 6800025545 Enrollment ID: I20140129001501 |
| Provider Name | Dawn Renae Engelkemier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306049499 PECOS PAC ID: 1658500111 Enrollment ID: I20140203000104 |
| Provider Name | Yogita Md Lakhera |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083972483 PECOS PAC ID: 6002046844 Enrollment ID: I20140224000677 |
| Provider Name | Debra D Vonpohle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821429705 PECOS PAC ID: 4486884186 Enrollment ID: I20140225001180 |
| Provider Name | Carmen Valeria Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730343344 PECOS PAC ID: 6305096033 Enrollment ID: I20140305000515 |
| Provider Name | Dawn M Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861429813 PECOS PAC ID: 8820228166 Enrollment ID: I20140305001866 |
| Provider Name | Matthew Francis Messoline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326162579 PECOS PAC ID: 5193962892 Enrollment ID: I20140312000495 |
| Provider Name | Gayatri Ravindra Chhatre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972739746 PECOS PAC ID: 1951531920 Enrollment ID: I20140313001372 |
| Provider Name | Teresa Gieszl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740613819 PECOS PAC ID: 1153552526 Enrollment ID: I20140327001898 |
| Provider Name | Yan Wang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699752444 PECOS PAC ID: 1254367030 Enrollment ID: I20140421000951 |
| Provider Name | Victoria Rose Irovando |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134457526 PECOS PAC ID: 6406079334 Enrollment ID: I20140522001012 |
| Provider Name | Bianca Tribuzio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982832945 PECOS PAC ID: 3274756051 Enrollment ID: I20140523000634 |
| Provider Name | Anas Kayal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851376917 PECOS PAC ID: 4688600695 Enrollment ID: I20140630000863 |
| Provider Name | Devon M Mcgee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801183256 PECOS PAC ID: 1759506652 Enrollment ID: I20140709001925 |
| Provider Name | Sheila M Krishna |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689817983 PECOS PAC ID: 4284874934 Enrollment ID: I20140711000817 |
| Provider Name | Daniel B Hawley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841260353 PECOS PAC ID: 9335365915 Enrollment ID: I20140717001837 |
| Provider Name | Ricardo Librado Olivo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154647014 PECOS PAC ID: 0648496224 Enrollment ID: I20140717002025 |
| Provider Name | Eric A Luedke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609074822 PECOS PAC ID: 2163663865 Enrollment ID: I20140725000748 |
| Provider Name | Kerri Nicole Kill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689098568 PECOS PAC ID: 8426275132 Enrollment ID: I20140804000927 |
| Provider Name | Javan Jonathon Nation |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043478902 PECOS PAC ID: 9638396872 Enrollment ID: I20140811002771 |
| Provider Name | Anna R Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386943850 PECOS PAC ID: 2769607829 Enrollment ID: I20140826001802 |
| Provider Name | Archana Laxmisan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689841686 PECOS PAC ID: 3072686807 Enrollment ID: I20140827002941 |
| Provider Name | David M Shaw |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205829728 PECOS PAC ID: 0244202935 Enrollment ID: I20140829001300 |
| Provider Name | Diane M Scott |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992786347 PECOS PAC ID: 6507045457 Enrollment ID: I20140903000109 |
| Provider Name | Yousuke T Horikawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760777528 PECOS PAC ID: 6507084571 Enrollment ID: I20140904002015 |
| Provider Name | Gabriel P Murillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336569276 PECOS PAC ID: 1557580255 Enrollment ID: I20140911000423 |
| Provider Name | Dena Lynn Engel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679620462 PECOS PAC ID: 4981879095 Enrollment ID: I20140915002070 |
| Provider Name | Natasha Fischang-do |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477855989 PECOS PAC ID: 6608095849 Enrollment ID: I20140919001460 |
| Provider Name | Viacheslav Pecherskiy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1467723098 PECOS PAC ID: 4082833249 Enrollment ID: I20140919002170 |
| Provider Name | Frank F Tsai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043530777 PECOS PAC ID: 0941429104 Enrollment ID: I20140919002381 |
| Provider Name | Fatemeh B Esfahani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902197569 PECOS PAC ID: 1759501661 Enrollment ID: I20140926002337 |
| Provider Name | Maedi Melinda Bartolacci |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659628741 PECOS PAC ID: 7315196953 Enrollment ID: I20140930003033 |
| Provider Name | Roland El Ghazal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649465469 PECOS PAC ID: 8325117930 Enrollment ID: I20141002000046 |
| Provider Name | Doreen Ismail Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043458086 PECOS PAC ID: 5294901146 Enrollment ID: I20141006000398 |
| Provider Name | James Yc Tang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508151127 PECOS PAC ID: 8022238468 Enrollment ID: I20141006002522 |
| Provider Name | Kendall Noel Ederer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073915542 PECOS PAC ID: 5991925018 Enrollment ID: I20141013000336 |
| Provider Name | Brenda L Figueroa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134205214 PECOS PAC ID: 5890836159 Enrollment ID: I20141103002600 |
| Provider Name | Resham Batra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265401327 PECOS PAC ID: 6709801459 Enrollment ID: I20141108000196 |
| Provider Name | Eamon Boyce O'reilly |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326097932 PECOS PAC ID: 5496977167 Enrollment ID: I20141113000113 |
| Provider Name | Anna M Julien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972828416 PECOS PAC ID: 6507016946 Enrollment ID: I20141113000243 |
| Provider Name | Erin M King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659652675 PECOS PAC ID: 9931321478 Enrollment ID: I20141117001511 |
| Provider Name | Jessica R Adeleke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306145743 PECOS PAC ID: 7719209667 Enrollment ID: I20141203000804 |
| Provider Name | Denia E Pondexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114236064 PECOS PAC ID: 9032304993 Enrollment ID: I20141209001185 |
| Provider Name | Janelle Pegg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144413998 PECOS PAC ID: 2769534882 Enrollment ID: I20141215000077 |
| Provider Name | Marie Patrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871855080 PECOS PAC ID: 6002031853 Enrollment ID: I20150105000492 |
| Provider Name | Phoebe N'gonga Chitila James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346640588 PECOS PAC ID: 4880917434 Enrollment ID: I20150106002236 |
| Provider Name | Dana Delellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093006595 PECOS PAC ID: 5890017073 Enrollment ID: I20150114001715 |
| Provider Name | Kathy Khaing |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912219155 PECOS PAC ID: 5799000253 Enrollment ID: I20150204002546 |
| Provider Name | Joan Helen Mccaulie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467718007 PECOS PAC ID: 3971828112 Enrollment ID: I20150211001135 |
| Provider Name | Dawn Marie K De Castro-marceau |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629275912 PECOS PAC ID: 6002086857 Enrollment ID: I20150226001380 |
| Provider Name | Maila Marinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487093126 PECOS PAC ID: 3072753318 Enrollment ID: I20150307000212 |
| Provider Name | Jaclyn Alane Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265401988 PECOS PAC ID: 6002053485 Enrollment ID: I20150319002161 |
| Provider Name | Michelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023509 PECOS PAC ID: 1658698808 Enrollment ID: I20150326001932 |
| Provider Name | Raymond W Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205913969 PECOS PAC ID: 4587853999 Enrollment ID: I20150327000154 |
| Provider Name | Meegan Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720316458 PECOS PAC ID: 5597891127 Enrollment ID: I20150527002222 |
| Provider Name | Viki Leefers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891904892 PECOS PAC ID: 3678700960 Enrollment ID: I20150611003311 |
| Provider Name | Jan R Penvose Yi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932203478 PECOS PAC ID: 0446352777 Enrollment ID: I20150623001405 |
| Provider Name | Allison Norah Mccoy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699971697 PECOS PAC ID: 6204083454 Enrollment ID: I20150710000459 |
| Provider Name | Anuja Vyas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316171283 PECOS PAC ID: 3870713332 Enrollment ID: I20150711000189 |
| Provider Name | Colleen Moore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427458884 PECOS PAC ID: 3375856115 Enrollment ID: I20150722004423 |
| Provider Name | Ruhong Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063679587 PECOS PAC ID: 9638317928 Enrollment ID: I20150722006273 |
| Provider Name | Young Ha Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881984391 PECOS PAC ID: 2769796374 Enrollment ID: I20150727001726 |
| Provider Name | Catherine L Sundsmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861747545 PECOS PAC ID: 6305080730 Enrollment ID: I20150727001841 |
| Provider Name | Monica C Castagnetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922154624 PECOS PAC ID: 4880742196 Enrollment ID: I20150728004813 |
| Provider Name | Alison D Zachry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922402858 PECOS PAC ID: 9234443631 Enrollment ID: I20150729008903 |
| Provider Name | Namrata Kapoor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710140876 PECOS PAC ID: 5890862346 Enrollment ID: I20150730014105 |
| Provider Name | Humaira Jami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336403195 PECOS PAC ID: 1850605957 Enrollment ID: I20150803002356 |
| Provider Name | Lisa Anne Gleason |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700865045 PECOS PAC ID: 3779758289 Enrollment ID: I20150803002778 |
| Provider Name | Mimi E Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568758928 PECOS PAC ID: 4183938921 Enrollment ID: I20150806011378 |
| Provider Name | Cynthia Baffi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417264227 PECOS PAC ID: 4284878174 Enrollment ID: I20150807015391 |
| Provider Name | Joshua C Steichen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659503688 PECOS PAC ID: 5092029736 Enrollment ID: I20150807015464 |
| Provider Name | Valentin A Lance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720303191 PECOS PAC ID: 0840421103 Enrollment ID: I20150812007943 |
| Provider Name | Timothy Stuart Hinman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003896945 PECOS PAC ID: 7618282807 Enrollment ID: I20150818003243 |
| Provider Name | Alexander G Kassar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588008767 PECOS PAC ID: 8426364191 Enrollment ID: I20150826002373 |
| Provider Name | Jessica Kim So |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174813356 PECOS PAC ID: 9133435787 Enrollment ID: I20150827002803 |
| Provider Name | Jordan Weber |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962886135 PECOS PAC ID: 6204142623 Enrollment ID: I20150831002951 |
| Provider Name | Joseph Ho |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962766451 PECOS PAC ID: 3173839230 Enrollment ID: I20150903001748 |
| Provider Name | Sara S Rourke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063702694 PECOS PAC ID: 9133374952 Enrollment ID: I20150908001016 |
| Provider Name | Dara Michelle West |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679884472 PECOS PAC ID: 7012132228 Enrollment ID: I20150909003184 |
| Provider Name | Raed Fathi Manasrah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063739134 PECOS PAC ID: 7517274384 Enrollment ID: I20150911001324 |
| Provider Name | Mara Allison Wendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073917464 PECOS PAC ID: 6103134093 Enrollment ID: I20150925001215 |
| Provider Name | James W Ochi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417953456 PECOS PAC ID: 0648596056 Enrollment ID: I20150929002228 |
| Provider Name | Eric Reid Einstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154683787 PECOS PAC ID: 4183856925 Enrollment ID: I20150929002638 |
| Provider Name | Sonal Khattri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013997303 PECOS PAC ID: 7517902612 Enrollment ID: I20151001003250 |
| Provider Name | Ahmet Onur Turek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922154921 PECOS PAC ID: 4880790518 Enrollment ID: I20151028002089 |
| Provider Name | Jeanette M Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558302604 PECOS PAC ID: 4486849981 Enrollment ID: I20151203000085 |
| Provider Name | Pushan Chowdhury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013999218 PECOS PAC ID: 8921052796 Enrollment ID: I20151222001185 |
| Provider Name | Kristen Ryan Larrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720451644 PECOS PAC ID: 2668774738 Enrollment ID: I20160106001256 |
| Provider Name | Azzah Arikat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184971640 PECOS PAC ID: 4082917570 Enrollment ID: I20160115000949 |
| Provider Name | Thanhtruc Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578928321 PECOS PAC ID: 7618270380 Enrollment ID: I20160129002023 |
| Provider Name | Donovan R Curtis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669847679 PECOS PAC ID: 1759685969 Enrollment ID: I20160209001744 |
| Provider Name | Adam C Deising |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235285222 PECOS PAC ID: 5496051294 Enrollment ID: I20160303002216 |
| Provider Name | Kelly Robyn Hildebrand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801068713 PECOS PAC ID: 7911178710 Enrollment ID: I20160304001511 |
| Provider Name | Andrea Monique Journagin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457528879 PECOS PAC ID: 7012063977 Enrollment ID: I20160315002808 |
| Provider Name | George Hulley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730479866 PECOS PAC ID: 2668696279 Enrollment ID: I20160316000225 |
| Provider Name | Lina Amini |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063625374 PECOS PAC ID: 6002903218 Enrollment ID: I20160412002279 |
| Provider Name | Brenda Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508125410 PECOS PAC ID: 5991004178 Enrollment ID: I20160422001767 |
| Provider Name | Darrin Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604721 PECOS PAC ID: 0840599262 Enrollment ID: I20160505001561 |
| Provider Name | David Michael Hatcher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417256488 PECOS PAC ID: 2860794641 Enrollment ID: I20160614000859 |
| Provider Name | Dhwanil V Vyas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295043388 PECOS PAC ID: 8022300490 Enrollment ID: I20160705000884 |
| Provider Name | Ashraf Omar Rashid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558435396 PECOS PAC ID: 0345344719 Enrollment ID: I20160722000815 |
| Provider Name | Nicholas Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932546173 PECOS PAC ID: 9335432145 Enrollment ID: I20160801000518 |
| Provider Name | Peter J Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831296185 PECOS PAC ID: 9638393911 Enrollment ID: I20160816002735 |
| Provider Name | Mary Z Bechis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740500115 PECOS PAC ID: 9436310885 Enrollment ID: I20160818002374 |
| Provider Name | Steven M Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801230297 PECOS PAC ID: 3375839889 Enrollment ID: I20160909001169 |
| Provider Name | Jaclin M Labarbera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487811162 PECOS PAC ID: 8224286240 Enrollment ID: I20160913002427 |
| Provider Name | Mark Zyman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285989350 PECOS PAC ID: 5597052662 Enrollment ID: I20160919000711 |
| Provider Name | Tracy Patricia Marien |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902033517 PECOS PAC ID: 2466670815 Enrollment ID: I20160924000465 |
| Provider Name | Daniel Y Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619265675 PECOS PAC ID: 2668769183 Enrollment ID: I20160928000325 |
| Provider Name | Juan Sebastian Calderon Molina |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366626467 PECOS PAC ID: 8527119874 Enrollment ID: I20161007001040 |
| Provider Name | Min Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164846234 PECOS PAC ID: 7911295878 Enrollment ID: I20161007001334 |
| Provider Name | Andrew Alan Rusnak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710967401 PECOS PAC ID: 6608164413 Enrollment ID: I20161011002510 |
| Provider Name | Krishna Ravi Cidambi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275836959 PECOS PAC ID: 4587942834 Enrollment ID: I20161020002352 |
| Provider Name | Benjamin Saltman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568585891 PECOS PAC ID: 4385797893 Enrollment ID: I20161021000134 |
| Provider Name | Anna Hackenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144666165 PECOS PAC ID: 3274758289 Enrollment ID: I20161025000835 |
| Provider Name | Nicholas Dembitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205199924 PECOS PAC ID: 6305148784 Enrollment ID: I20161201001113 |
| Provider Name | Krystal Vanichsarn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962886283 PECOS PAC ID: 5496035735 Enrollment ID: I20161202002024 |
| Provider Name | Kristin A Keefe |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841258209 PECOS PAC ID: 6800883737 Enrollment ID: I20161215001929 |
| Provider Name | Camela A Mcgrath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306897897 PECOS PAC ID: 8123105426 Enrollment ID: I20161223000465 |
| Provider Name | Jameson Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659669901 PECOS PAC ID: 8325279508 Enrollment ID: I20161227001108 |
| Provider Name | Alana Dembitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023458460 PECOS PAC ID: 9436430881 Enrollment ID: I20161227001399 |
| Provider Name | Jaime J Barea |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1437471810 PECOS PAC ID: 1153603436 Enrollment ID: I20170120002330 |
| Provider Name | Kushal Karnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609194125 PECOS PAC ID: 0749419364 Enrollment ID: I20170124000770 |
| Provider Name | Lisa Kelty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649210808 PECOS PAC ID: 7113207804 Enrollment ID: I20170124002794 |
| Provider Name | Amber N Dechambeau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710180575 PECOS PAC ID: 8820371628 Enrollment ID: I20170201001272 |
| Provider Name | Ali A Fadhil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407110109 PECOS PAC ID: 5193954329 Enrollment ID: I20170203001833 |
| Provider Name | Elaine R Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306847686 PECOS PAC ID: 6305866930 Enrollment ID: I20170406001910 |
| Provider Name | Jyotu P Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922444652 PECOS PAC ID: 8729300470 Enrollment ID: I20170421001907 |
| Provider Name | Cheryl Armstrong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366723900 PECOS PAC ID: 9436436680 Enrollment ID: I20170426001090 |
| Provider Name | Nicholas Pham Huynh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427322197 PECOS PAC ID: 7810274933 Enrollment ID: I20170427001108 |
| Provider Name | Thu Kim Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457634404 PECOS PAC ID: 0547538613 Enrollment ID: I20170613002125 |
| Provider Name | Julie Collins Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720489503 PECOS PAC ID: 0446528442 Enrollment ID: I20170615001913 |
| Provider Name | Caroline M Dustin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154681153 PECOS PAC ID: 6709108871 Enrollment ID: I20170619001595 |
| Provider Name | Angeline Mae Jocson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225371081 PECOS PAC ID: 9133406655 Enrollment ID: I20170629002169 |
| Provider Name | Wiggin Wu Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811239064 PECOS PAC ID: 1850683970 Enrollment ID: I20170718002904 |
| Provider Name | Yong Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013025915 PECOS PAC ID: 1951671809 Enrollment ID: I20170725003875 |
| Provider Name | Uziel Sauceda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164837191 PECOS PAC ID: 3870873532 Enrollment ID: I20170726003564 |
| Provider Name | Hassan Ameer Hassan Alsabbak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851705396 PECOS PAC ID: 5698046308 Enrollment ID: I20170728002707 |
| Provider Name | Jose De La Mota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255572194 PECOS PAC ID: 9537355532 Enrollment ID: I20170728002965 |
| Provider Name | Jorge Mota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770998981 PECOS PAC ID: 4385915974 Enrollment ID: I20170731003009 |
| Provider Name | Walter Jing Yu Chou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477824498 PECOS PAC ID: 5799056180 Enrollment ID: I20170803000641 |
| Provider Name | Oday Saeed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639432164 PECOS PAC ID: 5193023638 Enrollment ID: I20170809004098 |
| Provider Name | Daniel Cardenal Castro |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619310075 PECOS PAC ID: 2961774765 Enrollment ID: I20170814001994 |
| Provider Name | Sue Chuting Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730522152 PECOS PAC ID: 6305118803 Enrollment ID: I20170817003648 |
| Provider Name | William Michael Collins |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417361973 PECOS PAC ID: 6406175918 Enrollment ID: I20170818001344 |
| Provider Name | Theresa Lynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609134345 PECOS PAC ID: 6800027103 Enrollment ID: I20170822003279 |
| Provider Name | Alex Peter Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952714891 PECOS PAC ID: 8628394269 Enrollment ID: I20170828003965 |
| Provider Name | Gregory J Hammett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508266727 PECOS PAC ID: 3072886944 Enrollment ID: I20170829003143 |
| Provider Name | Maia Micaela Uli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104264795 PECOS PAC ID: 8325330897 Enrollment ID: I20170830001350 |
| Provider Name | Danny Younes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467893222 PECOS PAC ID: 1557634318 Enrollment ID: I20170830002663 |
| Provider Name | Laura Delcore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790128759 PECOS PAC ID: 3274806351 Enrollment ID: I20170912002391 |
| Provider Name | Bashar Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164835898 PECOS PAC ID: 8921371022 Enrollment ID: I20170912003255 |
| Provider Name | Olga D. Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740560044 PECOS PAC ID: 3678731148 Enrollment ID: I20170914002153 |
| Provider Name | Cara M Nutt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396269031 PECOS PAC ID: 6709150543 Enrollment ID: I20170918003577 |
| Provider Name | Nancy Cheng |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073874178 PECOS PAC ID: 7719293034 Enrollment ID: I20170922000440 |
| Provider Name | Alexandra Haynes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265958946 PECOS PAC ID: 5193099224 Enrollment ID: I20170927003836 |
| Provider Name | Shahed Samadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306132477 PECOS PAC ID: 1557595675 Enrollment ID: I20171005003088 |
| Provider Name | Adam Berk Sacks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356757603 PECOS PAC ID: 4981979606 Enrollment ID: I20171005003430 |
| Provider Name | Sarah A Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245645076 PECOS PAC ID: 8426323072 Enrollment ID: I20171006001202 |
| Provider Name | Alicia Maria Kodsi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932514353 PECOS PAC ID: 7214202712 Enrollment ID: I20171010001222 |
| Provider Name | Emily Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481266 PECOS PAC ID: 1254606510 Enrollment ID: I20171012001470 |
| Provider Name | Jeremy K Kuniyoshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124212667 PECOS PAC ID: 1658460274 Enrollment ID: I20171013002930 |
| Provider Name | Eric Alan Mair |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487604005 PECOS PAC ID: 8325044555 Enrollment ID: I20171017002030 |
| Provider Name | Susette Var |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593559 PECOS PAC ID: 9537464920 Enrollment ID: I20171017002967 |
| Provider Name | Rachel M Post |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851739478 PECOS PAC ID: 6800180928 Enrollment ID: I20171025003268 |
| Provider Name | David A Antoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043573785 PECOS PAC ID: 9335405968 Enrollment ID: I20171114002221 |
| Provider Name | Aaron Granville Pannier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053632950 PECOS PAC ID: 2062778418 Enrollment ID: I20171117001613 |
| Provider Name | Amber Jo Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174905855 PECOS PAC ID: 4880951490 Enrollment ID: I20171206000741 |
| Provider Name | Kaitlin Haight |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992210090 PECOS PAC ID: 2567720519 Enrollment ID: I20171220001249 |
| Provider Name | Kristen Erika Van Aken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992189294 PECOS PAC ID: 0345509535 Enrollment ID: I20180116001035 |
| Provider Name | Heston A Schuetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518200427 PECOS PAC ID: 4789819335 Enrollment ID: I20180124002580 |
| Provider Name | Karolina Crawford |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518485267 PECOS PAC ID: 6507126638 Enrollment ID: I20180208002791 |
| Provider Name | Aichel Nateras |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093197543 PECOS PAC ID: 4789944786 Enrollment ID: I20180213001539 |
| Provider Name | William M Fisher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245674001 PECOS PAC ID: 7214231133 Enrollment ID: I20180221002780 |
| Provider Name | Brendan J Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982959144 PECOS PAC ID: 1850611898 Enrollment ID: I20180221002789 |
| Provider Name | Mara Devin Killen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518277714 PECOS PAC ID: 0547414211 Enrollment ID: I20180227001824 |
| Provider Name | Amanda Marie Whalen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164936142 PECOS PAC ID: 9234491390 Enrollment ID: I20180329002076 |
| Provider Name | Andrew J. Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225101256 PECOS PAC ID: 6204198278 Enrollment ID: I20180403001250 |
| Provider Name | Amit Misra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750675807 PECOS PAC ID: 0244597029 Enrollment ID: I20180413002012 |
| Provider Name | Kanka Karmakar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972536654 PECOS PAC ID: 3274541511 Enrollment ID: I20180416002648 |
| Provider Name | Julio C Fuentes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710244090 PECOS PAC ID: 3173886439 Enrollment ID: I20180419000527 |
| Provider Name | Gretchen Christine Gainor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174504757 PECOS PAC ID: 1153684287 Enrollment ID: I20180424000938 |
| Provider Name | Robert Ryan Holmes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962493841 PECOS PAC ID: 6709821127 Enrollment ID: I20180425002395 |
| Provider Name | Narat John Eungdamrong |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245548700 PECOS PAC ID: 6800118738 Enrollment ID: I20180502002723 |
| Provider Name | Michael S Radi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861989790 PECOS PAC ID: 8325393440 Enrollment ID: I20180613002723 |
| Provider Name | Daniel C. Yu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316321680 PECOS PAC ID: 0840545505 Enrollment ID: I20180620002396 |
| Provider Name | Taylor Martin Deal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386962132 PECOS PAC ID: 6901042654 Enrollment ID: I20180621002597 |
| Provider Name | Nelly N Salem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366698284 PECOS PAC ID: 5395985709 Enrollment ID: I20180626002303 |
| Provider Name | Rebecca Ann Dillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891290383 PECOS PAC ID: 1951657964 Enrollment ID: I20180705001774 |
| Provider Name | Jay Gerzmehle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043354038 PECOS PAC ID: 6507113180 Enrollment ID: I20180727002667 |
| Provider Name | Abisola Adebola Olulade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891929469 PECOS PAC ID: 2668629973 Enrollment ID: I20180814003931 |
| Provider Name | Brian Steiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917282 PECOS PAC ID: 7719119676 Enrollment ID: I20180820001984 |
| Provider Name | Alice Lee-moroney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316262512 PECOS PAC ID: 1456601236 Enrollment ID: I20180829003165 |
| Provider Name | Samuel Morgan Hammer-nahman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962897017 PECOS PAC ID: 2466702188 Enrollment ID: I20180830000505 |
| Provider Name | Brian Andrew O'neal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639159494 PECOS PAC ID: 5890045413 Enrollment ID: I20180831001722 |
| Provider Name | Omar Salamanca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083000947 PECOS PAC ID: 2769757939 Enrollment ID: I20180904000886 |
| Provider Name | Kathryn Devera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093223018 PECOS PAC ID: 6901156256 Enrollment ID: I20180906001969 |
| Provider Name | Erin Dwyer Cormier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730404104 PECOS PAC ID: 9830449917 Enrollment ID: I20180911002737 |
| Provider Name | Ashika Odhav |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1427390855 PECOS PAC ID: 6608178934 Enrollment ID: I20180914001074 |
| Provider Name | Neema Shakibai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588612774 PECOS PAC ID: 7416146915 Enrollment ID: I20180915000074 |
| Provider Name | Paul F Ware |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366760464 PECOS PAC ID: 1355692799 Enrollment ID: I20180924001318 |
| Provider Name | Michelle Monique Loria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740773522 PECOS PAC ID: 0941551048 Enrollment ID: I20181001000409 |
| Provider Name | Kathy T Sausser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376867812 PECOS PAC ID: 1759632722 Enrollment ID: I20181002000422 |
| Provider Name | Luz Adriana Yee Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316325020 PECOS PAC ID: 2860744372 Enrollment ID: I20181011000870 |
| Provider Name | Brenda Bernardo Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407168669 PECOS PAC ID: 8527385400 Enrollment ID: I20181019001590 |
| Provider Name | Cristina Coronado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629463302 PECOS PAC ID: 3870847528 Enrollment ID: I20181115000293 |
| Provider Name | Edgar Q Nobleza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366923823 PECOS PAC ID: 9234483801 Enrollment ID: I20181117000025 |
| Provider Name | Sheri Ann Borbon Cameron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568859411 PECOS PAC ID: 9537403811 Enrollment ID: I20181128001752 |
| Provider Name | Samantha S Bamber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639340417 PECOS PAC ID: 5092869214 Enrollment ID: I20181204001549 |
| Provider Name | Alemnesh Mesfin Tekle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245387752 PECOS PAC ID: 3072669332 Enrollment ID: I20181205003537 |
| Provider Name | Marin Dimmette-schweigert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245710458 PECOS PAC ID: 2668716143 Enrollment ID: I20181211000850 |
| Provider Name | Amity Bebe Clow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164805354 PECOS PAC ID: 4183910045 Enrollment ID: I20190123003344 |
| Provider Name | Ernest S Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124414925 PECOS PAC ID: 9739481094 Enrollment ID: I20190131002130 |
| Provider Name | Katherine Elizabeth Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083064935 PECOS PAC ID: 4486991270 Enrollment ID: I20190201001185 |
| Provider Name | Noe Damien Nava |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477693976 PECOS PAC ID: 8921346206 Enrollment ID: I20190212000982 |
| Provider Name | Zunera Tahir |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316289648 PECOS PAC ID: 8325386352 Enrollment ID: I20190215002263 |
| Provider Name | Olga Valeryevna Slusher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316301047 PECOS PAC ID: 6709124795 Enrollment ID: I20190218001618 |
| Provider Name | Victor Larios |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669952883 PECOS PAC ID: 5698014926 Enrollment ID: I20190305001284 |
| Provider Name | Sally A Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467866459 PECOS PAC ID: 5092007989 Enrollment ID: I20190308000553 |
| Provider Name | Nanae Takatori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508123217 PECOS PAC ID: 5193064095 Enrollment ID: I20190311001082 |
| Provider Name | Alexander D. Shaft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063876688 PECOS PAC ID: 0941540660 Enrollment ID: I20190315001853 |
| Provider Name | Jason Jesus Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295145951 PECOS PAC ID: 7416298344 Enrollment ID: I20190403000270 |
| Provider Name | Rhad Armstrong Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043419583 PECOS PAC ID: 6103167655 Enrollment ID: I20190410000214 |
| Provider Name | Ashley Allison Elgas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699077917 PECOS PAC ID: 3476894940 Enrollment ID: I20190410000686 |
| Provider Name | Teresa Ann Burdick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114137171 PECOS PAC ID: 9638410129 Enrollment ID: I20190410001612 |
| Provider Name | Michelle Lee Doyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821219668 PECOS PAC ID: 5092056440 Enrollment ID: I20190411001345 |
| Provider Name | Lynn Elizabeth Komar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023202603 PECOS PAC ID: 2567703804 Enrollment ID: I20190415000410 |
| Provider Name | David Leon Chenoweth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508064189 PECOS PAC ID: 5294076543 Enrollment ID: I20190415000449 |
| Provider Name | Matthew Pedrotti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588918031 PECOS PAC ID: 8729230248 Enrollment ID: I20190415002887 |
| Provider Name | Nancy Biggart Howe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417065640 PECOS PAC ID: 7416928130 Enrollment ID: I20190416002267 |
| Provider Name | Natsurang Chongkrairatanakul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992996375 PECOS PAC ID: 8426299009 Enrollment ID: I20190416002762 |
| Provider Name | Vanessa D Hunter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811300940 PECOS PAC ID: 3971729468 Enrollment ID: I20190417000963 |
| Provider Name | Amber Alkema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497264519 PECOS PAC ID: 9133460231 Enrollment ID: I20190417001459 |
| Provider Name | Jennifer Landini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578046678 PECOS PAC ID: 4981945045 Enrollment ID: I20190418000953 |
| Provider Name | Ylan Ton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689169062 PECOS PAC ID: 9537400619 Enrollment ID: I20190418001803 |
| Provider Name | Cathleen Margaret Uzunoglu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619318193 PECOS PAC ID: 1759622848 Enrollment ID: I20190418002048 |
| Provider Name | Ladocia Rose Schuetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275946915 PECOS PAC ID: 9537401641 Enrollment ID: I20190419000385 |
| Provider Name | Michael Thomas Ryder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750420949 PECOS PAC ID: 4688916711 Enrollment ID: I20190422000547 |
| Provider Name | Daniel Scott Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023332525 PECOS PAC ID: 7012259013 Enrollment ID: I20190423001127 |
| Provider Name | Megan La Greca Meduna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134443757 PECOS PAC ID: 0244572279 Enrollment ID: I20190423002358 |
| Provider Name | Stephanie Marie Hebbel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083804934 PECOS PAC ID: 9931441797 Enrollment ID: I20190425002703 |
| Provider Name | Tabita A Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447461272 PECOS PAC ID: 0042396715 Enrollment ID: I20190429000800 |
| Provider Name | Kristine Marie Georgie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720286222 PECOS PAC ID: 3678815362 Enrollment ID: I20190429002761 |
| Provider Name | Erin Jean Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295974673 PECOS PAC ID: 6204178833 Enrollment ID: I20190501002818 |
| Provider Name | Keri Ann Von Kalinowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053629584 PECOS PAC ID: 9638411267 Enrollment ID: I20190501002905 |
| Provider Name | Maria K Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265637706 PECOS PAC ID: 8527300086 Enrollment ID: I20190502000876 |
| Provider Name | Fadi Elia Georges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447637145 PECOS PAC ID: 0648574145 Enrollment ID: I20190502000969 |
| Provider Name | Grant Carl Sinnock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245430776 PECOS PAC ID: 7719229210 Enrollment ID: I20190502002697 |
| Provider Name | Talia Marie Wulkowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275857815 PECOS PAC ID: 0244572741 Enrollment ID: I20190502002832 |
| Provider Name | Sheri Suzanne Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093914491 PECOS PAC ID: 1153663661 Enrollment ID: I20190502002884 |
| Provider Name | Debra Ann Thirion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518185586 PECOS PAC ID: 5698017101 Enrollment ID: I20190502002961 |
| Provider Name | Tiffany Nicole Walton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548245426 PECOS PAC ID: 9032451547 Enrollment ID: I20190502002990 |
| Provider Name | Brandon Keola Kusakabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326478314 PECOS PAC ID: 6608118054 Enrollment ID: I20190503002083 |
| Provider Name | Michael Dennis Hadley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922539865 PECOS PAC ID: 7911249321 Enrollment ID: I20190506001851 |
| Provider Name | Ricardo J Quintero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073511432 PECOS PAC ID: 2668437609 Enrollment ID: I20190508000209 |
| Provider Name | Nenad Milanovic |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518353994 PECOS PAC ID: 9830431097 Enrollment ID: I20190508002771 |
| Provider Name | Janet Froggatt Troche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871786095 PECOS PAC ID: 7012250244 Enrollment ID: I20190509002753 |
| Provider Name | Ruth Davida Steinhauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396069852 PECOS PAC ID: 6406199496 Enrollment ID: I20190514002673 |
| Provider Name | Kimberly Setzler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164614236 PECOS PAC ID: 2769725704 Enrollment ID: I20190515001477 |
| Provider Name | Natalie Pung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679055586 PECOS PAC ID: 5890038608 Enrollment ID: I20190520000483 |
| Provider Name | Ajay Yadlapati |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467689869 PECOS PAC ID: 9931403938 Enrollment ID: I20190521000735 |
| Provider Name | Phaysane Oudom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265658405 PECOS PAC ID: 6901149681 Enrollment ID: I20190521001059 |
| Provider Name | James David Rose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497953251 PECOS PAC ID: 7012250608 Enrollment ID: I20190522003018 |
| Provider Name | Judith Ann Verbanets |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730305970 PECOS PAC ID: 8123361748 Enrollment ID: I20190523000899 |
| Provider Name | Yan Ortiz-pomales |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346448537 PECOS PAC ID: 6002110988 Enrollment ID: I20190523002760 |
| Provider Name | Ashley Shi Min See |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487170494 PECOS PAC ID: 7214270628 Enrollment ID: I20190528000270 |
| Provider Name | Stewart E Sanders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154645695 PECOS PAC ID: 1557604907 Enrollment ID: I20190528001852 |
| Provider Name | Alex Sabo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760875645 PECOS PAC ID: 0244506947 Enrollment ID: I20190605003333 |
| Provider Name | Amy Marie Whistler Driebe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730507567 PECOS PAC ID: 5799018362 Enrollment ID: I20190613001497 |
| Provider Name | Erin Michelle Whitaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306036728 PECOS PAC ID: 5092049478 Enrollment ID: I20190619002553 |
| Provider Name | Charles Brian Van Meter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285852145 PECOS PAC ID: 4486988763 Enrollment ID: I20190619002914 |
| Provider Name | David Chung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932662707 PECOS PAC ID: 8820322712 Enrollment ID: I20190626002929 |
| Provider Name | Nancy B Jungling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083830616 PECOS PAC ID: 5597654749 Enrollment ID: I20190702001366 |
| Provider Name | Dina Victoria Chalom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861716482 PECOS PAC ID: 6305171810 Enrollment ID: I20190703002907 |
| Provider Name | John L Temple |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144607094 PECOS PAC ID: 8123353679 Enrollment ID: I20190705000897 |
| Provider Name | Gregory M Francisco |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447222831 PECOS PAC ID: 4880850833 Enrollment ID: I20190709001374 |
| Provider Name | Amit Kumar Pandey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891142956 PECOS PAC ID: 9537495791 Enrollment ID: I20190725000745 |
| Provider Name | Amy Elizabeth Fong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114102209 PECOS PAC ID: 0648506840 Enrollment ID: I20190725002318 |
| Provider Name | Ingrid Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134515562 PECOS PAC ID: 4486946472 Enrollment ID: I20190729000818 |
| Provider Name | Sabrina I Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942599196 PECOS PAC ID: 1456687342 Enrollment ID: I20190730004634 |
| Provider Name | Andrew Jm Heisel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720436447 PECOS PAC ID: 2264769959 Enrollment ID: I20190802001032 |
| Provider Name | Quinn Katherine Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528516846 PECOS PAC ID: 6608103312 Enrollment ID: I20190802002093 |
| Provider Name | Timothy Michael Lawler |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1053552455 PECOS PAC ID: 8123305216 Enrollment ID: I20190806001304 |
| Provider Name | Solomon Greenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376930321 PECOS PAC ID: 9638406911 Enrollment ID: I20190808002945 |
| Provider Name | Jason Louis Roby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295981512 PECOS PAC ID: 2163735291 Enrollment ID: I20190814001783 |
| Provider Name | Randall L Baldassarre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568889921 PECOS PAC ID: 6901173699 Enrollment ID: I20190815001089 |
| Provider Name | Sheila Dyane Ferris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639377641 PECOS PAC ID: 8628305513 Enrollment ID: I20190815001642 |
| Provider Name | Mustafa A Alwash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679936439 PECOS PAC ID: 8921346966 Enrollment ID: I20190815001683 |
| Provider Name | Stephen Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922203496 PECOS PAC ID: 5193899516 Enrollment ID: I20190816001555 |
| Provider Name | Torrin W Velazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811967656 PECOS PAC ID: 9739417130 Enrollment ID: I20190822003679 |
| Provider Name | Andrew Ming-wei Su |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962745406 PECOS PAC ID: 1456689645 Enrollment ID: I20190826004025 |
| Provider Name | Angela Rueychi Sung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265859524 PECOS PAC ID: 2668701178 Enrollment ID: I20190909003411 |
| Provider Name | Ethel L Longmire Oneal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205807351 PECOS PAC ID: 5092043257 Enrollment ID: I20190911002879 |
| Provider Name | Jennifer Min |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144766841 PECOS PAC ID: 9931438249 Enrollment ID: I20190912000376 |
| Provider Name | Mark Juhl |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912391897 PECOS PAC ID: 5890097182 Enrollment ID: I20190913000792 |
| Provider Name | Andrea Lee Seid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699162669 PECOS PAC ID: 1456680479 Enrollment ID: I20190916003550 |
| Provider Name | Julia Grace Heyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700301967 PECOS PAC ID: 6800127978 Enrollment ID: I20191004000892 |
| Provider Name | Raelynn Marie S. Kincaid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841842366 PECOS PAC ID: 0143551184 Enrollment ID: I20191007000884 |
| Provider Name | Nathan Locke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295154854 PECOS PAC ID: 8729384375 Enrollment ID: I20191008002009 |
| Provider Name | Asha E Jamzadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346668696 PECOS PAC ID: 1850516733 Enrollment ID: I20191009000542 |
| Provider Name | Vincent Y Ma |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770993529 PECOS PAC ID: 8921353152 Enrollment ID: I20191009003177 |
| Provider Name | Jill M Lundstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770946543 PECOS PAC ID: 0749572048 Enrollment ID: I20191009003391 |
| Provider Name | Michael Anthony Cruz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265851133 PECOS PAC ID: 4183988538 Enrollment ID: I20191010000870 |
| Provider Name | Albert Paul Richter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306951850 PECOS PAC ID: 8921199092 Enrollment ID: I20191015002798 |
| Provider Name | Dong Kyoo R Kang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124073309 PECOS PAC ID: 5991774747 Enrollment ID: I20191015003741 |
| Provider Name | Bao V Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417301128 PECOS PAC ID: 6305177627 Enrollment ID: I20191016003843 |
| Provider Name | Gabriel Zimmerer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881683506 PECOS PAC ID: 2062743321 Enrollment ID: I20191017001523 |
| Provider Name | Janet E Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154775385 PECOS PAC ID: 5092008284 Enrollment ID: I20191018000012 |
| Provider Name | Philip D Littlefield |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780884999 PECOS PAC ID: 2466759600 Enrollment ID: I20191031000958 |
| Provider Name | Susy Grajeda Tsuruta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154708378 PECOS PAC ID: 7719219153 Enrollment ID: I20191104002542 |
| Provider Name | Kelly Ann Young |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013394865 PECOS PAC ID: 0749512036 Enrollment ID: I20191106002380 |
| Provider Name | Sneha R Chintamaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710341474 PECOS PAC ID: 2567894868 Enrollment ID: I20191106003345 |
| Provider Name | Brianna Harris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558701144 PECOS PAC ID: 6709141575 Enrollment ID: I20191107002076 |
| Provider Name | Melody Besharati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023403185 PECOS PAC ID: 1557793403 Enrollment ID: I20191114000216 |
| Provider Name | Geraldine Ingram |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922516988 PECOS PAC ID: 9436582749 Enrollment ID: I20191127000366 |
| Provider Name | Lisa Marie Schnurr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255792438 PECOS PAC ID: 2567895493 Enrollment ID: I20191209000405 |
| Provider Name | Vera Lyubasyuk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932553377 PECOS PAC ID: 5092148700 Enrollment ID: I20191211002068 |
| Provider Name | Simona E Bianconi |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1235459140 PECOS PAC ID: 3375977416 Enrollment ID: I20191226002140 |
| Provider Name | William Bianchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598156689 PECOS PAC ID: 1456377803 Enrollment ID: I20200107001833 |
| Provider Name | Lauren Doris Crane |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912496050 PECOS PAC ID: 7517392970 Enrollment ID: I20200114001061 |
| Provider Name | Wendy Chiu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548667751 PECOS PAC ID: 8325473689 Enrollment ID: I20200114001669 |
| Provider Name | Haran Sivakumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982109740 PECOS PAC ID: 8123453347 Enrollment ID: I20200116001651 |
| Provider Name | James J Yousif |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962780841 PECOS PAC ID: 5991976813 Enrollment ID: I20200128001144 |
| Provider Name | Sarah Elizabeth Holgren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801246962 PECOS PAC ID: 1254624984 Enrollment ID: I20200131001768 |
| Provider Name | Brian Howard West |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306130380 PECOS PAC ID: 1153632245 Enrollment ID: I20200210001446 |
| Provider Name | Sung Wook Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629052170 PECOS PAC ID: 3375783186 Enrollment ID: I20200213002791 |
| Provider Name | Kendra Anne Nicole Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235789660 PECOS PAC ID: 8426485087 Enrollment ID: I20200221000328 |
| Provider Name | Iris Claire Ha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801244512 PECOS PAC ID: 4183957772 Enrollment ID: I20200221002608 |
| Provider Name | Scott Nelson Sheppard |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124551692 PECOS PAC ID: 8123456498 Enrollment ID: I20200319002545 |
| Provider Name | Albert Cabeje Quiba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912256819 PECOS PAC ID: 6901056340 Enrollment ID: I20200324003207 |
| Provider Name | Joseph Gin Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396980181 PECOS PAC ID: 1850440942 Enrollment ID: I20200324003600 |
| Provider Name | Joel Thomas Mcfarland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003889932 PECOS PAC ID: 8123395480 Enrollment ID: I20200401001573 |
| Provider Name | Sara T Junya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508131756 PECOS PAC ID: 9335446145 Enrollment ID: I20200407002921 |
| Provider Name | David Carmelo De Leon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013575984 PECOS PAC ID: 1557699782 Enrollment ID: I20200413001623 |
| Provider Name | Ann Marie Moeller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679935639 PECOS PAC ID: 1355771171 Enrollment ID: I20200420000567 |
| Provider Name | Christine E Ghatan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447591854 PECOS PAC ID: 8921316761 Enrollment ID: I20200512003562 |
| Provider Name | Natalia Luisa Zeitounian |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326571431 PECOS PAC ID: 3375974959 Enrollment ID: I20200514002373 |
| Provider Name | Noor Al-asady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871832253 PECOS PAC ID: 8325269194 Enrollment ID: I20200520001955 |
| Provider Name | Nicole Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831759315 PECOS PAC ID: 7719308568 Enrollment ID: I20200602002500 |
| Provider Name | Eileen Shi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598206724 PECOS PAC ID: 6608297304 Enrollment ID: I20200604003188 |
| Provider Name | William Wright Andrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457856916 PECOS PAC ID: 9335561422 Enrollment ID: I20200618000720 |
| Provider Name | Pooja A Topp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598183121 PECOS PAC ID: 5698049880 Enrollment ID: I20200618002264 |
| Provider Name | Jennifer Jaymie Chronis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598297954 PECOS PAC ID: 1759704810 Enrollment ID: I20200708000347 |
| Provider Name | Charles Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720425416 PECOS PAC ID: 0042434110 Enrollment ID: I20200721000560 |
| Provider Name | Alexander Peyton Rieser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295142529 PECOS PAC ID: 6507280666 Enrollment ID: I20200722000720 |
| Provider Name | Ashley Jennifer Ennedy |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1861908386 PECOS PAC ID: 9638594757 Enrollment ID: I20200806002978 |
| Provider Name | Gloria Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720433907 PECOS PAC ID: 8325339401 Enrollment ID: I20200806003523 |
| Provider Name | David Malinak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124550868 PECOS PAC ID: 0840615803 Enrollment ID: I20200807000847 |
| Provider Name | Arthur D Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023639176 PECOS PAC ID: 8022433028 Enrollment ID: I20200807002331 |
| Provider Name | Brittany Lynn Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679084321 PECOS PAC ID: 0143581678 Enrollment ID: I20200807002607 |
| Provider Name | Kathleen Rachelle Outcalt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477089175 PECOS PAC ID: 1951727569 Enrollment ID: I20200813001257 |
| Provider Name | Haleyur Parameshan Arun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992769558 PECOS PAC ID: 3072415405 Enrollment ID: I20200820002999 |
| Provider Name | Amro Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114433687 PECOS PAC ID: 2466792361 Enrollment ID: I20200827000930 |
| Provider Name | Tyler David Brobst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598290645 PECOS PAC ID: 9739506205 Enrollment ID: I20200828000923 |
| Provider Name | Jarrod David Matthei |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1053738948 PECOS PAC ID: 8820415987 Enrollment ID: I20200903001465 |
| Provider Name | Geoffrey Krampitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003040353 PECOS PAC ID: 5991068215 Enrollment ID: I20200903002030 |
| Provider Name | Marina V Levin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023209798 PECOS PAC ID: 6305938150 Enrollment ID: I20200909002442 |
| Provider Name | Dallas Michael Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275053357 PECOS PAC ID: 4981960382 Enrollment ID: I20200914000164 |
| Provider Name | Taylor Humecky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639784580 PECOS PAC ID: 2961820410 Enrollment ID: I20200915001854 |
| Provider Name | Jessica L Momberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386046266 PECOS PAC ID: 8527356500 Enrollment ID: I20200915003142 |
| Provider Name | Noran Barry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467763300 PECOS PAC ID: 3678851326 Enrollment ID: I20200916002880 |
| Provider Name | Ashley Megan Chiarappa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760983092 PECOS PAC ID: 5890047807 Enrollment ID: I20200921000866 |
| Provider Name | Lindsay Jarvis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174137954 PECOS PAC ID: 5496174443 Enrollment ID: I20200924002999 |
| Provider Name | Amanda Rose Ji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750745493 PECOS PAC ID: 4880013754 Enrollment ID: I20200925000572 |
| Provider Name | Angel Lanique Hightower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790348019 PECOS PAC ID: 2668891342 Enrollment ID: I20200929003611 |
| Provider Name | Sandy Rose Truong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750745329 PECOS PAC ID: 7315232139 Enrollment ID: I20201007002358 |
| Provider Name | Hongfei Fang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740669282 PECOS PAC ID: 2365763612 Enrollment ID: I20201007002775 |
| Provider Name | Juan Acatl Topiltzin Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184148850 PECOS PAC ID: 0345660577 Enrollment ID: I20201008003403 |
| Provider Name | Mark William Bowers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316353949 PECOS PAC ID: 0749406643 Enrollment ID: I20201009000620 |
| Provider Name | Tina Thaomy Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750989885 PECOS PAC ID: 0547680365 Enrollment ID: I20201016001731 |
| Provider Name | Lily Thuy Tien Ho-le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922531177 PECOS PAC ID: 0143640805 Enrollment ID: I20201019001018 |
| Provider Name | Emily Ann Fireman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861923724 PECOS PAC ID: 2264864024 Enrollment ID: I20201022003597 |
| Provider Name | Nikita Gore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265965107 PECOS PAC ID: 4183034143 Enrollment ID: I20201102002100 |
| Provider Name | Jason Patrick Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962430017 PECOS PAC ID: 1153563838 Enrollment ID: I20201119000849 |
| Provider Name | Mengying Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235664301 PECOS PAC ID: 0749691897 Enrollment ID: I20201123000976 |
| Provider Name | Sarah E Ledbetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508285990 PECOS PAC ID: 3173742772 Enrollment ID: I20201204002030 |
| Provider Name | Arneh Babakhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548509631 PECOS PAC ID: 6709147267 Enrollment ID: I20201210003025 |
| Provider Name | Alexandra Kathleen Armstrong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437605730 PECOS PAC ID: 1355773367 Enrollment ID: I20201211000894 |
| Provider Name | Mahalet C Jiregna |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154762011 PECOS PAC ID: 9830403096 Enrollment ID: I20201214002561 |
| Provider Name | Andrea G Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685795 PECOS PAC ID: 7719399773 Enrollment ID: I20201215003021 |
| Provider Name | Ammar Charestan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295181543 PECOS PAC ID: 3779874110 Enrollment ID: I20201229002769 |
| Provider Name | Alexandra Jane Jubran |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1851824692 PECOS PAC ID: 7416360722 Enrollment ID: I20210106000255 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053708305 PECOS PAC ID: 7416290796 Enrollment ID: I20210112002733 |
| Provider Name | Melissa Grace Skovorodko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932705076 PECOS PAC ID: 8921411778 Enrollment ID: I20210115000932 |
| Provider Name | Abigail Oveis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043733074 PECOS PAC ID: 7719250810 Enrollment ID: I20210118000612 |
| Provider Name | Brittnee Ra'shawn Booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346639614 PECOS PAC ID: 1951716158 Enrollment ID: I20210222001366 |
| Provider Name | Niamh Marie Murphy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861969420 PECOS PAC ID: 0345656849 Enrollment ID: I20210308002830 |
| Provider Name | Nadia Ahmad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023460284 PECOS PAC ID: 8325327596 Enrollment ID: I20210322002419 |
| Provider Name | Maria Hitraya-low |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801323142 PECOS PAC ID: 3577970078 Enrollment ID: I20210330000903 |
| Provider Name | Ewa Kopec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477746873 PECOS PAC ID: 4082708201 Enrollment ID: I20210413000489 |
| Provider Name | Joshua D Penfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356508402 PECOS PAC ID: 9133266471 Enrollment ID: I20210430001727 |
| Provider Name | Allison M Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083226245 PECOS PAC ID: 8224447917 Enrollment ID: I20210510002337 |
| Provider Name | Ujjala Moolani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528221421 PECOS PAC ID: 2163609900 Enrollment ID: I20210511002851 |
| Provider Name | Lilia Peress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275945446 PECOS PAC ID: 0648605030 Enrollment ID: I20210514001959 |
| Provider Name | Sina Rahimi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770056772 PECOS PAC ID: 7416356639 Enrollment ID: I20210520001139 |
| Provider Name | Samuel Cauble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578157228 PECOS PAC ID: 2668871716 Enrollment ID: I20210524000692 |
| Provider Name | Gaurav Khanna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235319500 PECOS PAC ID: 5890862544 Enrollment ID: I20210525001520 |
| Provider Name | Casey Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740763911 PECOS PAC ID: 1355695198 Enrollment ID: I20210607002492 |
| Provider Name | Karins Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720671704 PECOS PAC ID: 7810397049 Enrollment ID: I20210609003638 |
| Provider Name | Anthony Michael Proia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376049411 PECOS PAC ID: 1456751569 Enrollment ID: I20210610003360 |
| Provider Name | Mahkam Tavallaee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891150397 PECOS PAC ID: 3577963511 Enrollment ID: I20210614002310 |
| Provider Name | Sarah Marie Giguere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649657487 PECOS PAC ID: 4082014659 Enrollment ID: I20210618000981 |
| Provider Name | Jessica Tamara Bala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154995967 PECOS PAC ID: 8527469808 Enrollment ID: I20210623003683 |
| Provider Name | Sonha Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275066870 PECOS PAC ID: 7911309836 Enrollment ID: I20210714001520 |
| Provider Name | Rauf Muhammed Sadiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235624248 PECOS PAC ID: 9537579735 Enrollment ID: I20210716001178 |
| Provider Name | Emily Sbiroli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144751199 PECOS PAC ID: 5698178317 Enrollment ID: I20210719002613 |
| Provider Name | Hoang Vu Le |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174192694 PECOS PAC ID: 1052714623 Enrollment ID: I20210721000390 |
| Provider Name | Berenice Samantha Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043707631 PECOS PAC ID: 6406259993 Enrollment ID: I20210721001791 |
| Provider Name | Veena Vishwanath Arun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093871246 PECOS PAC ID: 6406927094 Enrollment ID: I20210730001455 |
| Provider Name | Yuhang Sun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033568696 PECOS PAC ID: 5991098477 Enrollment ID: I20210810003058 |
| Provider Name | Maureen L Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861749442 PECOS PAC ID: 8729228911 Enrollment ID: I20210811002679 |
| Provider Name | Caitlin J. Bradshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720508476 PECOS PAC ID: 6800213794 Enrollment ID: I20210812002396 |
| Provider Name | Kruti S Shah |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356014849 PECOS PAC ID: 6608271481 Enrollment ID: I20210817000902 |
| Provider Name | Kristin Nicole Manson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053603753 PECOS PAC ID: 3375948177 Enrollment ID: I20210817001688 |
| Provider Name | Kaitlin Maureen Phelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164195053 PECOS PAC ID: 1850796491 Enrollment ID: I20210820000375 |
| Provider Name | Michelle Elizabeth Doscas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306343421 PECOS PAC ID: 5991100448 Enrollment ID: I20210820001096 |
| Provider Name | Eunice Oh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831758010 PECOS PAC ID: 1951707975 Enrollment ID: I20210831000580 |
| Provider Name | Adenike Awolola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263733 PECOS PAC ID: 7315343050 Enrollment ID: I20210907000205 |
| Provider Name | Renee Francine Delasalas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043558679 PECOS PAC ID: 1850534793 Enrollment ID: I20210907000860 |
| Provider Name | Elizabeth Edmonston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932873429 PECOS PAC ID: 3173929700 Enrollment ID: I20210908001117 |
| Provider Name | Armen Malkhasian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992293211 PECOS PAC ID: 3870845886 Enrollment ID: I20210913001887 |
| Provider Name | Amy Buu Thao Ho |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437764818 PECOS PAC ID: 9638575780 Enrollment ID: I20210915000877 |
| Provider Name | Jennifer Mh Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003304031 PECOS PAC ID: 4082010152 Enrollment ID: I20210915001957 |
| Provider Name | Ann S Macquarrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134625460 PECOS PAC ID: 8426455080 Enrollment ID: I20210923002651 |
| Provider Name | Udesh B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740775550 PECOS PAC ID: 5092112599 Enrollment ID: I20210927001629 |
| Provider Name | Matthew Vaia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972734143 PECOS PAC ID: 2860533932 Enrollment ID: I20210928003718 |
| Provider Name | Jaden Yoo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467066654 PECOS PAC ID: 7012314263 Enrollment ID: I20210930001557 |
| Provider Name | Ronaldo C Mamaril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013301266 PECOS PAC ID: 7012315211 Enrollment ID: I20211001000842 |
| Provider Name | Zena Tamar White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467816819 PECOS PAC ID: 2567882863 Enrollment ID: I20211001002721 |
| Provider Name | Tina Lu Chu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386030831 PECOS PAC ID: 7113294802 Enrollment ID: I20211005003023 |
| Provider Name | Eliana L Kozin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609021849 PECOS PAC ID: 6204960495 Enrollment ID: I20211013001743 |
| Provider Name | Michelle A Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043802465 PECOS PAC ID: 5193123602 Enrollment ID: I20211014001267 |
| Provider Name | Chari Diana Stump |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265968788 PECOS PAC ID: 6507136462 Enrollment ID: I20211018002169 |
| Provider Name | Caitlin Lauren Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285304311 PECOS PAC ID: 5092103713 Enrollment ID: I20211030000007 |
| Provider Name | Rebeca Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104313220 PECOS PAC ID: 9234528605 Enrollment ID: I20211105002532 |
| Provider Name | Laura Ann Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316556418 PECOS PAC ID: 6406266923 Enrollment ID: I20211110001899 |
| Provider Name | Esther Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144714619 PECOS PAC ID: 2860735701 Enrollment ID: I20211110002767 |
| Provider Name | Uyen Trinh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447754908 PECOS PAC ID: 4284039835 Enrollment ID: I20211203002631 |
| Provider Name | Nicholus Warstadt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831696194 PECOS PAC ID: 1658618616 Enrollment ID: I20211222001769 |
| Provider Name | Daniela Kite |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154091122 PECOS PAC ID: 6901297829 Enrollment ID: I20220103000285 |
| Provider Name | Mariusz Niedzwiecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083281679 PECOS PAC ID: 7719378504 Enrollment ID: I20220105002600 |
| Provider Name | Abraham Noorbakhsh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568826345 PECOS PAC ID: 4385937234 Enrollment ID: I20220107000588 |
| Provider Name | Chelsea Marie Stapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982367611 PECOS PAC ID: 0547653362 Enrollment ID: I20220131000803 |
| Provider Name | Cindy Ocran |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356878862 PECOS PAC ID: 1951794676 Enrollment ID: I20220201002776 |
| Provider Name | Clint Nhan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447903604 PECOS PAC ID: 8325432743 Enrollment ID: I20220301002133 |
| Provider Name | Richelle Ann T Cook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497410625 PECOS PAC ID: 4183018351 Enrollment ID: I20220303002835 |
| Provider Name | Sama Carley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487018263 PECOS PAC ID: 9335415538 Enrollment ID: I20220314001588 |
| Provider Name | Eric Mlodzinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477083541 PECOS PAC ID: 8527330521 Enrollment ID: I20220314001990 |
| Provider Name | Tiffany Chung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972183820 PECOS PAC ID: 7416342159 Enrollment ID: I20220316002733 |
| Provider Name | Brittany Everroad |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265926497 PECOS PAC ID: 8628463924 Enrollment ID: I20220324000268 |
| Provider Name | Jessica Cruz Whitley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841653094 PECOS PAC ID: 5193086320 Enrollment ID: I20220418000488 |
| Provider Name | Daniel Thomas Leininger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164956264 PECOS PAC ID: 6305233529 Enrollment ID: I20220418001937 |
| Provider Name | Siri Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427475649 PECOS PAC ID: 5395011548 Enrollment ID: I20220423000085 |
| Provider Name | Madison Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952065005 PECOS PAC ID: 9931596871 Enrollment ID: I20220425001219 |
| Provider Name | Jake Del Rosso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225597271 PECOS PAC ID: 6507243789 Enrollment ID: I20220509000957 |
| Provider Name | Nayna Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457680076 PECOS PAC ID: 1355592106 Enrollment ID: I20220509001160 |
| Provider Name | Joseph Fernicola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518535897 PECOS PAC ID: 9830577006 Enrollment ID: I20220531000451 |
| Provider Name | Michelle Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972986651 PECOS PAC ID: 3072829662 Enrollment ID: I20220531001677 |
| Provider Name | Megan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811492242 PECOS PAC ID: 8325391972 Enrollment ID: I20220624001585 |
| Provider Name | Heli Mayur Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235620543 PECOS PAC ID: 0648650218 Enrollment ID: I20220629002750 |
| Provider Name | Gabriella Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255866216 PECOS PAC ID: 6901286020 Enrollment ID: I20220707001859 |
| Provider Name | Brandon Chad Holbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538695697 PECOS PAC ID: 5496136749 Enrollment ID: I20220718001442 |
| Provider Name | Sandra Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568688125 PECOS PAC ID: 4183005200 Enrollment ID: I20220721000947 |
| Provider Name | Shawnna Marie Cannaday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316225857 PECOS PAC ID: 1052585098 Enrollment ID: I20220722000412 |
| Provider Name | Joel Brandon Dager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982725222 PECOS PAC ID: 5193106011 Enrollment ID: I20220722001726 |
| Provider Name | Paul Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275095523 PECOS PAC ID: 0042692634 Enrollment ID: I20220728002667 |
| Provider Name | Kayla Maria Conover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881120178 PECOS PAC ID: 5496140154 Enrollment ID: I20220802000699 |
| Provider Name | Michelle Chu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427379080 PECOS PAC ID: 5991925307 Enrollment ID: I20220805002059 |
| Provider Name | Eduardo Cordero Castro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386198646 PECOS PAC ID: 2567739907 Enrollment ID: I20220809002547 |
| Provider Name | Aleksandr Lyubasyuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538723606 PECOS PAC ID: 5496138315 Enrollment ID: I20220810001279 |
| Provider Name | Elizabeth Keiser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942696711 PECOS PAC ID: 0749603702 Enrollment ID: I20220810002884 |
| Provider Name | Alexander Anshus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255891735 PECOS PAC ID: 0648653519 Enrollment ID: I20220810003259 |
| Provider Name | Justin Michael Nowell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629504147 PECOS PAC ID: 6608146048 Enrollment ID: I20220812002108 |
| Provider Name | Joanne Gomez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558741363 PECOS PAC ID: 4082904032 Enrollment ID: I20220825003795 |
| Provider Name | Rebecca Lauren Lach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679137780 PECOS PAC ID: 2466836119 Enrollment ID: I20220830003786 |
| Provider Name | Ashley Semble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902292691 PECOS PAC ID: 0547570152 Enrollment ID: I20220831004014 |
| Provider Name | Sandy Jane Tejada Bras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225791312 PECOS PAC ID: 8224412663 Enrollment ID: I20220901003527 |
| Provider Name | Ariella Goldblatt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922461557 PECOS PAC ID: 0749694172 Enrollment ID: I20220902000728 |
| Provider Name | Yaron Fireizen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699123927 PECOS PAC ID: 4789068040 Enrollment ID: I20220906001087 |
| Provider Name | Donia Ahadian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689238560 PECOS PAC ID: 0446634745 Enrollment ID: I20220906002819 |
| Provider Name | Sheila Kalathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700273323 PECOS PAC ID: 0749530590 Enrollment ID: I20220907003875 |
| Provider Name | Griffin Michael Elbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124682745 PECOS PAC ID: 8921493065 Enrollment ID: I20220908000780 |
| Provider Name | Anissa Nisha Govind |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689308900 PECOS PAC ID: 6103201058 Enrollment ID: I20220914000738 |
| Provider Name | Bryan Andrew Mitton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063674620 PECOS PAC ID: 4981821758 Enrollment ID: I20220914001989 |
| Provider Name | Eva Mariana Perez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376277525 PECOS PAC ID: 4284019936 Enrollment ID: I20220915002074 |
| Provider Name | Danielle Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881213296 PECOS PAC ID: 7618352246 Enrollment ID: I20220919002035 |
| Provider Name | Priya Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265502876 PECOS PAC ID: 0345345393 Enrollment ID: I20220920001989 |
| Provider Name | Cynthia S Sikorski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366422313 PECOS PAC ID: 0345135380 Enrollment ID: I20220923000260 |
| Provider Name | Mahshid Chehrehrazi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073231510 PECOS PAC ID: 7214312404 Enrollment ID: I20220926000099 |
| Provider Name | Jessica Jiaxi Yuan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568969913 PECOS PAC ID: 3476939620 Enrollment ID: I20220926002910 |
| Provider Name | Merissa Ferraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003248576 PECOS PAC ID: 2163722018 Enrollment ID: I20220930001788 |
| Provider Name | Charles Anthony Solorio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083830228 PECOS PAC ID: 0244616837 Enrollment ID: I20221005002067 |
| Provider Name | Mehrafarid Tiraie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437611456 PECOS PAC ID: 1557747060 Enrollment ID: I20221007000490 |
| Provider Name | Mark Alan Hacholski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568995694 PECOS PAC ID: 4981029899 Enrollment ID: I20221012002666 |
| Provider Name | Daniela Borecky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427511773 PECOS PAC ID: 8729460928 Enrollment ID: I20221014001851 |
| Provider Name | Justin D'avanzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699301630 PECOS PAC ID: 1759776461 Enrollment ID: I20221018002916 |
| Provider Name | Amrit Singh Ahluwalia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235515586 PECOS PAC ID: 8527434174 Enrollment ID: I20221021002295 |
| Provider Name | Heidi Olinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710197215 PECOS PAC ID: 1951777531 Enrollment ID: I20221024000282 |
| Provider Name | Karen Kay Lalangan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477273084 PECOS PAC ID: 3870969355 Enrollment ID: I20221025002010 |
| Provider Name | Eli Besser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659843738 PECOS PAC ID: 5092182378 Enrollment ID: I20221028001531 |
| Provider Name | Nadine Darlene Henley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407097942 PECOS PAC ID: 4385011337 Enrollment ID: I20221103000861 |
| Provider Name | John Curtis Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013120039 PECOS PAC ID: 1850768516 Enrollment ID: I20221109001656 |
| Provider Name | Robert Stoffey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033153812 PECOS PAC ID: 7416851480 Enrollment ID: I20221118001331 |
| Provider Name | Morgan Katherine Kurtz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346994365 PECOS PAC ID: 3072981208 Enrollment ID: I20221121000164 |
| Provider Name | Marcus Rex Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417367475 PECOS PAC ID: 1658749668 Enrollment ID: I20221123000965 |
| Provider Name | Kristin Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497065080 PECOS PAC ID: 8224200647 Enrollment ID: I20221130001314 |
| Provider Name | Narasa R Madam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891109690 PECOS PAC ID: 8426322983 Enrollment ID: I20221209000404 |
| Provider Name | Jonathan Melton Lish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811459456 PECOS PAC ID: 7911376991 Enrollment ID: I20221214000705 |
| Provider Name | Jennifer Buszka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487912812 PECOS PAC ID: 8527204692 Enrollment ID: I20221219000413 |
| Provider Name | Kyle R Grant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548721558 PECOS PAC ID: 6002141652 Enrollment ID: I20221220001950 |
| Provider Name | Brennan James Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316667389 PECOS PAC ID: 0840660528 Enrollment ID: I20221222000520 |
| Provider Name | Katherine Wikholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316509433 PECOS PAC ID: 7416282405 Enrollment ID: I20230117002703 |
| Provider Name | Joseph Aleshaki |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548766264 PECOS PAC ID: 9335498799 Enrollment ID: I20230118001338 |
| Provider Name | Michal Goldberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962497271 PECOS PAC ID: 3678568110 Enrollment ID: I20230127001722 |
| Provider Name | Cassie M Lee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932463627 PECOS PAC ID: 4981075090 Enrollment ID: I20230128000275 |
| Provider Name | Ann Elizabeth Page |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245961754 PECOS PAC ID: 0345611307 Enrollment ID: I20230130002409 |
| Provider Name | Jade Grimm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245764893 PECOS PAC ID: 5799057055 Enrollment ID: I20230131003518 |
| Provider Name | Scott G Story |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487929873 PECOS PAC ID: 0547639361 Enrollment ID: I20230214002548 |
| Provider Name | Karen Betco Swafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245909696 PECOS PAC ID: 3779955836 Enrollment ID: I20230218000315 |
| Provider Name | Nicole Santana |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285395921 PECOS PAC ID: 9133591159 Enrollment ID: I20230220002335 |
| Provider Name | Lindsay Nina Yau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730487604 PECOS PAC ID: 2365816386 Enrollment ID: I20230314002679 |
| Provider Name | Anthony Castillo Biascan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1023093556 PECOS PAC ID: 3173997079 Enrollment ID: I20230315003004 |
| Provider Name | Andrea Mary Adriany |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437375169 PECOS PAC ID: 0143694661 Enrollment ID: I20230324001062 |
| Provider Name | Brian Krause |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487858270 PECOS PAC ID: 5799156998 Enrollment ID: I20230413000644 |
| Provider Name | Qasim Masud Choudry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770513061 PECOS PAC ID: 5294745766 Enrollment ID: I20230419002321 |
| Provider Name | Helen Azarmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295211431 PECOS PAC ID: 7719236132 Enrollment ID: I20230420000870 |
| Provider Name | Trisha L Almeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801127493 PECOS PAC ID: 7810353927 Enrollment ID: I20230516001438 |
| Provider Name | Joseph Geilfuss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477038370 PECOS PAC ID: 6800253600 Enrollment ID: I20230609002585 |
| Provider Name | Sidavann Monica Kem |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912403825 PECOS PAC ID: 9931567195 Enrollment ID: I20230620002291 |
| Provider Name | Miriam E Cruz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699090779 PECOS PAC ID: 0446610604 Enrollment ID: I20230719002185 |
| Provider Name | Jessica C Erlich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679192793 PECOS PAC ID: 5698136406 Enrollment ID: I20230726002293 |
| Provider Name | Jennifer Pham |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235629932 PECOS PAC ID: 2264782143 Enrollment ID: I20230728002033 |
| Provider Name | Travis Eurick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649856469 PECOS PAC ID: 9931598760 Enrollment ID: I20230731002668 |
| Provider Name | Samuel P Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215564265 PECOS PAC ID: 4688035967 Enrollment ID: I20230802004049 |
| Provider Name | Vi Tuong Nguyen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124656061 PECOS PAC ID: 9234590373 Enrollment ID: I20230804002132 |
| Provider Name | Jenny Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306473806 PECOS PAC ID: 0446612352 Enrollment ID: I20230809002025 |
| Provider Name | Rima Dilbarova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922635457 PECOS PAC ID: 7315309655 Enrollment ID: I20230817002496 |
| Provider Name | Randall Blankers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801423728 PECOS PAC ID: 9739541954 Enrollment ID: I20230818002348 |
| Provider Name | Devon Boydstun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356703953 PECOS PAC ID: 2365785631 Enrollment ID: I20230824002327 |
| Provider Name | Nigell Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609421460 PECOS PAC ID: 6305279431 Enrollment ID: I20230824002772 |
| Provider Name | Aelius Ali Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194352799 PECOS PAC ID: 6800296161 Enrollment ID: I20230824004098 |
| Provider Name | Ludane Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114367364 PECOS PAC ID: 8921335142 Enrollment ID: I20230824004296 |
| Provider Name | Natasha Victoria Boydstun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902268469 PECOS PAC ID: 4587930003 Enrollment ID: I20230825001345 |
| Provider Name | Andrea Brady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215614722 PECOS PAC ID: 7214390079 Enrollment ID: I20230825002129 |
| Provider Name | Hafid Mantilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629370861 PECOS PAC ID: 3375816887 Enrollment ID: I20230829002397 |
| Provider Name | Elika Shahkamrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205465838 PECOS PAC ID: 8325401888 Enrollment ID: I20230830003949 |
| Provider Name | Michael Gabriel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053871533 PECOS PAC ID: 9638532070 Enrollment ID: I20230831003410 |
| Provider Name | Juliana Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649893108 PECOS PAC ID: 0446616395 Enrollment ID: I20230901001823 |
| Provider Name | Lisa Ann Eichberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477181303 PECOS PAC ID: 8820452931 Enrollment ID: I20230907003092 |
| Provider Name | Barbara Lee Lacuesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023649498 PECOS PAC ID: 7911361944 Enrollment ID: I20230911000170 |
| Provider Name | Sylvie Pham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376030817 PECOS PAC ID: 5395109862 Enrollment ID: I20230917000043 |
| Provider Name | Abigail Corong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740935717 PECOS PAC ID: 1052765385 Enrollment ID: I20230920003212 |
| Provider Name | Billy Hsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114589280 PECOS PAC ID: 7911236765 Enrollment ID: I20230925003556 |
| Provider Name | Ashkan Abedini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013546373 PECOS PAC ID: 3375966799 Enrollment ID: I20230927002054 |
| Provider Name | Chantal Berger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457134173 PECOS PAC ID: 1052765823 Enrollment ID: I20230927002661 |
| Provider Name | Caroline Theresa Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790461952 PECOS PAC ID: 5597119321 Enrollment ID: I20230928000751 |
| Provider Name | David M. Huber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306460019 PECOS PAC ID: 7416378054 Enrollment ID: I20231006001255 |
| Provider Name | Maggie Zhang |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760164610 PECOS PAC ID: 9638524804 Enrollment ID: I20231006003252 |
| Provider Name | Serafin Raya |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033891973 PECOS PAC ID: 9335594522 Enrollment ID: I20231007000685 |
| Provider Name | Sydney Berg Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003591108 PECOS PAC ID: 6709231954 Enrollment ID: I20231009002655 |
| Provider Name | Chia-lei Vivian Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326308503 PECOS PAC ID: 9830544824 Enrollment ID: I20231011001666 |
| Provider Name | Meghan Mulder Cervantes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659053569 PECOS PAC ID: 4486009487 Enrollment ID: I20231011002094 |
| Provider Name | Mariam Gheissari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265052633 PECOS PAC ID: 6002202314 Enrollment ID: I20231011003463 |
| Provider Name | Caroline Ferrer Dale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134741994 PECOS PAC ID: 8921453812 Enrollment ID: I20231012002136 |
| Provider Name | Kiri Kajari Rao |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386326239 PECOS PAC ID: 7810342706 Enrollment ID: I20231012002208 |
| Provider Name | Amelinda Martha Zavaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932737186 PECOS PAC ID: 8729433628 Enrollment ID: I20231012002742 |
| Provider Name | Nicholas Edward Arlas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609403526 PECOS PAC ID: 0345669578 Enrollment ID: I20231020000945 |
| Provider Name | Nikita Anna Mathew |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1902434525 PECOS PAC ID: 7214351097 Enrollment ID: I20231030000875 |
| Provider Name | Alexandra Abbott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760018675 PECOS PAC ID: 7315300241 Enrollment ID: I20231030003431 |
| Provider Name | Sable Paige Shew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043630916 PECOS PAC ID: 8325344872 Enrollment ID: I20231102003595 |
| Provider Name | Makayla Brianna Corpus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114605060 PECOS PAC ID: 1759738289 Enrollment ID: I20231106001400 |
| Provider Name | Patricia E Andric |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578208534 PECOS PAC ID: 2466809769 Enrollment ID: I20231108000908 |
| Provider Name | Timothy Hoon Moon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346654290 PECOS PAC ID: 1153608393 Enrollment ID: I20231114001942 |
| Provider Name | Arnav Ashish Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801423470 PECOS PAC ID: 6002264579 Enrollment ID: I20231121002967 |
| Provider Name | Shilpa Devanagondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609497221 PECOS PAC ID: 8426406687 Enrollment ID: I20231128003005 |
| Provider Name | Daniel Minh Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205456092 PECOS PAC ID: 0042606881 Enrollment ID: I20231214003492 |
| Provider Name | Laurie Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754333 PECOS PAC ID: 7214233709 Enrollment ID: I20231215000894 |
| Provider Name | Bruce Devon Ball |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073141974 PECOS PAC ID: 4789034125 Enrollment ID: I20231227000714 |
| Provider Name | Alexis Kate Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285261586 PECOS PAC ID: 9032560537 Enrollment ID: I20240109003418 |
| Provider Name | Jovana Paulino Meno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790413458 PECOS PAC ID: 0446603666 Enrollment ID: I20240124001735 |
| Provider Name | Emiliza Cornejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387691 PECOS PAC ID: 5193095420 Enrollment ID: I20240124002961 |
| Provider Name | Ankhita Ramdas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013545953 PECOS PAC ID: 2365895034 Enrollment ID: I20240129004455 |
| Provider Name | Amber Brewster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821653262 PECOS PAC ID: 8325495088 Enrollment ID: I20240130002500 |
| Provider Name | Erin P Famulare |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609216654 PECOS PAC ID: 6002043189 Enrollment ID: I20240201003349 |
| Provider Name | Jamie Degagne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023880663 PECOS PAC ID: 0143663914 Enrollment ID: I20240208002026 |
| Provider Name | Lauren Dewolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467225391 PECOS PAC ID: 4880037688 Enrollment ID: I20240208002861 |
| Provider Name | Holly Christina Moyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023798311 PECOS PAC ID: 0941643647 Enrollment ID: I20240209001709 |
| Provider Name | Derek Chandler Corpus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376049973 PECOS PAC ID: 9032553938 Enrollment ID: I20240220000061 |
| Provider Name | Veronica Anika Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730455478 PECOS PAC ID: 3870809312 Enrollment ID: I20240220002039 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharp Rees-stealy Medical Group, Inc 5651 Copley Dr Ste A, San Diego, CA 92111-7903 Ph: (858) 262-6666 | Sharp Rees-stealy Medical Group, Inc 5651 Copley Dr Ste A, San Diego, CA 92111-7903 Ph: (858) 262-6666 |