| La Clinica Monument | |
|
2000 Sierra Road Concord CA 94518-2905 | |
| (925) 363-2000 | |
| (925) 356-2792 |
| Full Name | La Clinica Monument |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 Sierra Road, Concord, California |
| Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5105354000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Monument Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | La Clinica Monument 2000 Sierra Road Concord CA 94518-2905 Ph: (925) 363-2000 |
| NPI Number | 1538181482 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 01/28/2013 |
| Medicare PECOS PAC ID | 1557258282 |
|---|---|
| Medicare Enrollment ID | O20040227001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538181482 | NPI | - | NPPES |
| FHC71034F | Medicaid | CA | |
| HAP71034F | Other | CA | FPACT |
| Provider Name | Emily S Newhouse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558574772 PECOS PAC ID: 2466348800 Enrollment ID: I20040224000464 |
| Provider Name | Nathan Blau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508137555 PECOS PAC ID: 4880585470 Enrollment ID: I20040323001030 |
| Provider Name | Bradford Piatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376591685 PECOS PAC ID: 9638166994 Enrollment ID: I20040428000880 |
| Provider Name | Lisa a Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760427702 PECOS PAC ID: 1254312119 Enrollment ID: I20040526001084 |
| Provider Name | Luis Ayala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285730929 PECOS PAC ID: 9234113234 Enrollment ID: I20040616001321 |
| Provider Name | Paul J Bayard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922101237 PECOS PAC ID: 9931170891 Enrollment ID: I20040804000326 |
| Provider Name | Barbara Jill Benzwi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063512317 PECOS PAC ID: 7113998089 Enrollment ID: I20040804000399 |
| Provider Name | Margaret Grace Payne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346343464 PECOS PAC ID: 8123099843 Enrollment ID: I20040804001586 |
| Provider Name | Michele V Bunker-alberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295730935 PECOS PAC ID: 3173592375 Enrollment ID: I20040924000713 |
| Provider Name | Thuhong Thi Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881772796 PECOS PAC ID: 7012971922 Enrollment ID: I20041118001153 |
| Provider Name | Wasfa Jabeen Jahangiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215021175 PECOS PAC ID: 8729035951 Enrollment ID: I20050331000276 |
| Provider Name | Christopher Sohl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700964517 PECOS PAC ID: 4486694429 Enrollment ID: I20050509000902 |
| Provider Name | Vanessa a Litman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124100110 PECOS PAC ID: 3971522996 Enrollment ID: I20051117001072 |
| Provider Name | Jessica Jay Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316981921 PECOS PAC ID: 8224047220 Enrollment ID: I20060419000822 |
| Provider Name | Vanessa Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114960747 PECOS PAC ID: 9739188145 Enrollment ID: I20061213000169 |
| Provider Name | Ghazaleh Afshar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679774558 PECOS PAC ID: 9830286608 Enrollment ID: I20071026000394 |
| Provider Name | Juan E Vargas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083668032 PECOS PAC ID: 7517042104 Enrollment ID: I20080306000364 |
| Provider Name | Charles T Clemons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730239542 PECOS PAC ID: 9133032238 Enrollment ID: I20080401000885 |
| Provider Name | Rebecca Lyn Mcentee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528105707 PECOS PAC ID: 7113095209 Enrollment ID: I20081002000196 |
| Provider Name | Charles Som |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245381706 PECOS PAC ID: 9032278528 Enrollment ID: I20081113000162 |
| Provider Name | Ivan D Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669421202 PECOS PAC ID: 1052344934 Enrollment ID: I20081119000205 |
| Provider Name | Yue Feng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114902285 PECOS PAC ID: 4789643644 Enrollment ID: I20090210000802 |
| Provider Name | Maneesh G Singh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225220114 PECOS PAC ID: 9234278045 Enrollment ID: I20091207000600 |
| Provider Name | Monica Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720065949 PECOS PAC ID: 7214071190 Enrollment ID: I20100216000219 |
| Provider Name | Gustavo Curbelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629298153 PECOS PAC ID: 7517094550 Enrollment ID: I20100422000353 |
| Provider Name | Susan Cole Sykes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326182957 PECOS PAC ID: 5799812533 Enrollment ID: I20100427000365 |
| Provider Name | Lisa Renee Montang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003916263 PECOS PAC ID: 8527140011 Enrollment ID: I20100427000421 |
| Provider Name | Catherine Anne Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376643528 PECOS PAC ID: 1254469497 Enrollment ID: I20100510000583 |
| Provider Name | Marianne Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780788315 PECOS PAC ID: 3971632183 Enrollment ID: I20100526001076 |
| Provider Name | Corinne Mcclaughry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124127964 PECOS PAC ID: 7113056284 Enrollment ID: I20100527000636 |
| Provider Name | Steve Schiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548363856 PECOS PAC ID: 9537298617 Enrollment ID: I20100527000807 |
| Provider Name | Esperanza Ospina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396968582 PECOS PAC ID: 8123157013 Enrollment ID: I20100602000941 |
| Provider Name | Chika Akera Dow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831319789 PECOS PAC ID: 0446389332 Enrollment ID: I20100602001013 |
| Provider Name | Eve F Yalom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417965385 PECOS PAC ID: 4284673534 Enrollment ID: I20100706000036 |
| Provider Name | Eileen Yoke Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306949623 PECOS PAC ID: 0143352872 Enrollment ID: I20100715000926 |
| Provider Name | John Justin Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437119591 PECOS PAC ID: 3476580374 Enrollment ID: I20100818000202 |
| Provider Name | Andres a Marin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083848014 PECOS PAC ID: 4981720992 Enrollment ID: I20100928000554 |
| Provider Name | Bonnie Merritt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528101219 PECOS PAC ID: 2365635810 Enrollment ID: I20101018000402 |
| Provider Name | Yukako Akera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972534907 PECOS PAC ID: 3476746306 Enrollment ID: I20101022001095 |
| Provider Name | Chien Tai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316013394 PECOS PAC ID: 1951594837 Enrollment ID: I20101023000214 |
| Provider Name | Bonnie Carol Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992883714 PECOS PAC ID: 8729274337 Enrollment ID: I20101122000910 |
| Provider Name | Kar H Own |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558449454 PECOS PAC ID: 4082800404 Enrollment ID: I20101124001067 |
| Provider Name | Kate Elliott Kasberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558498469 PECOS PAC ID: 6800083692 Enrollment ID: I20101206000768 |
| Provider Name | Mark F Robb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053499665 PECOS PAC ID: 3577751783 Enrollment ID: I20110103000368 |
| Provider Name | Myngoc T Nguyen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1194803965 PECOS PAC ID: 3678753084 Enrollment ID: I20110202000102 |
| Provider Name | Arthur E Lande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205914371 PECOS PAC ID: 5991987117 Enrollment ID: I20110309000859 |
| Provider Name | Nora V Garcia Zepeda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225116023 PECOS PAC ID: 9537341615 Enrollment ID: I20110310000528 |
| Provider Name | Karen J Kruger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477638138 PECOS PAC ID: 2769664846 Enrollment ID: I20110310000578 |
| Provider Name | Fuensanta Botello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043395718 PECOS PAC ID: 2668655671 Enrollment ID: I20110329000969 |
| Provider Name | Robert R Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881772952 PECOS PAC ID: 4082898200 Enrollment ID: I20110413000650 |
| Provider Name | Kate Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356427884 PECOS PAC ID: 8820130503 Enrollment ID: I20110413000756 |
| Provider Name | Sylvia M Delius |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033297817 PECOS PAC ID: 5991989097 Enrollment ID: I20110414000568 |
| Provider Name | Syed Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073692117 PECOS PAC ID: 2163331042 Enrollment ID: I20110420000698 |
| Provider Name | Malaika Stoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366616799 PECOS PAC ID: 9931261930 Enrollment ID: I20111007000057 |
| Provider Name | Mary R Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598918690 PECOS PAC ID: 5395907018 Enrollment ID: I20120425000557 |
| Provider Name | Christina R Chavez-johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568763233 PECOS PAC ID: 4880856145 Enrollment ID: I20120502000414 |
| Provider Name | Danielle L Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770711459 PECOS PAC ID: 0345394334 Enrollment ID: I20120504000159 |
| Provider Name | Richard J Kochenburger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790869196 PECOS PAC ID: 8426204801 Enrollment ID: I20120820000316 |
| Provider Name | Aide Irene Paredes-salceda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538241401 PECOS PAC ID: 1355580945 Enrollment ID: I20130611000450 |
| Provider Name | Katherine Fanny D'harlingue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063711257 PECOS PAC ID: 8224277819 Enrollment ID: I20130611000492 |
| Provider Name | Robin Wempe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750568721 PECOS PAC ID: 9032359922 Enrollment ID: I20130718000028 |
| Provider Name | Melissa E Chalot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912209560 PECOS PAC ID: 8426287152 Enrollment ID: I20140129001205 |
| Provider Name | Daniel Matthew Fentress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649583071 PECOS PAC ID: 5294950218 Enrollment ID: I20140708001415 |
| Provider Name | Marit Sonstelie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427294941 PECOS PAC ID: 2668697491 Enrollment ID: I20140805002030 |
| Provider Name | Kris Yogam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265528053 PECOS PAC ID: 4082936752 Enrollment ID: I20141208001649 |
| Provider Name | Stacy J Zambrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992094171 PECOS PAC ID: 8426374976 Enrollment ID: I20150227002053 |
| Provider Name | Benjamin S Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760744874 PECOS PAC ID: 5799906871 Enrollment ID: I20150518000475 |
| Provider Name | Arin Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841452935 PECOS PAC ID: 6305998584 Enrollment ID: I20160211001162 |
| Provider Name | Khushdeep K Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740509710 PECOS PAC ID: 9133363435 Enrollment ID: I20160225002263 |
| Provider Name | Efrain Michel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508190539 PECOS PAC ID: 4486936242 Enrollment ID: I20170131001976 |
| Provider Name | Lisa Maria Rodelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922376037 PECOS PAC ID: 9032347208 Enrollment ID: I20170614001621 |
| Provider Name | Carrie R Schiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922483254 PECOS PAC ID: 6406121631 Enrollment ID: I20171013001409 |
| Provider Name | Ioana-cristina Svec |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689990129 PECOS PAC ID: 1759647001 Enrollment ID: I20171102001683 |
| Provider Name | Tomas Antonio Magana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952325292 PECOS PAC ID: 0840420790 Enrollment ID: I20180601001482 |
| Provider Name | Anabel Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477729259 PECOS PAC ID: 6901047398 Enrollment ID: I20180601001798 |
| Provider Name | Margaret Renik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477896686 PECOS PAC ID: 9739409426 Enrollment ID: I20180604001432 |
| Provider Name | Sara Livingston Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811125016 PECOS PAC ID: 1355583436 Enrollment ID: I20180604002698 |
| Provider Name | Benjamin Durant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336554930 PECOS PAC ID: 6406124577 Enrollment ID: I20180604002985 |
| Provider Name | Rachel Kreps Falk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154586675 PECOS PAC ID: 5496972333 Enrollment ID: I20180605001354 |
| Provider Name | Sarah Postma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841597143 PECOS PAC ID: 5496069882 Enrollment ID: I20180605003275 |
| Provider Name | Ken Marriner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013264126 PECOS PAC ID: 0042510026 Enrollment ID: I20180803001510 |
| Provider Name | Barbara Botelho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104925841 PECOS PAC ID: 1658677141 Enrollment ID: I20180815000475 |
| Provider Name | Edward H Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124342977 PECOS PAC ID: 4486872983 Enrollment ID: I20181008003288 |
| Provider Name | Karen L Gersten-rothenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144378902 PECOS PAC ID: 6800792516 Enrollment ID: I20181012002482 |
| Provider Name | Karen Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003023946 PECOS PAC ID: 5496980286 Enrollment ID: I20181012002641 |
| Provider Name | Arielle Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962880 PECOS PAC ID: 5991073074 Enrollment ID: I20181019001523 |
| Provider Name | Pascale Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437597309 PECOS PAC ID: 2769617000 Enrollment ID: I20181019001819 |
| Provider Name | Michelle Federwisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427417237 PECOS PAC ID: 1850698713 Enrollment ID: I20181020000828 |
| Provider Name | Sue S Jacobs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295724458 PECOS PAC ID: 2264748128 Enrollment ID: I20181022003199 |
| Provider Name | Sheila Dominic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497204515 PECOS PAC ID: 3173891538 Enrollment ID: I20181025002295 |
| Provider Name | Anastasia Coutinho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639564560 PECOS PAC ID: 1759634199 Enrollment ID: I20181031003152 |
| Provider Name | Maria Eugenia Massella Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962917377 PECOS PAC ID: 2769742519 Enrollment ID: I20181101000873 |
| Provider Name | Katherine Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700986056 PECOS PAC ID: 9032343777 Enrollment ID: I20181109002717 |
| Provider Name | Tanya Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376857581 PECOS PAC ID: 3375782816 Enrollment ID: I20181110000096 |
| Provider Name | Jennifer Huggans-zapeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629466479 PECOS PAC ID: 5496072597 Enrollment ID: I20181112001843 |
| Provider Name | Natalia Solano-rojas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417439498 PECOS PAC ID: 0446594139 Enrollment ID: I20181206002611 |
| Provider Name | Victoria Elizabeth Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548784374 PECOS PAC ID: 7810231354 Enrollment ID: I20181210002783 |
| Provider Name | Joseph Edward Perales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861687345 PECOS PAC ID: 5890030167 Enrollment ID: I20181214002748 |
| Provider Name | Lynne Novick Rosen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366760175 PECOS PAC ID: 1254574007 Enrollment ID: I20190124002726 |
| Provider Name | Rocio F Neale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972072122 PECOS PAC ID: 8527306877 Enrollment ID: I20190211003030 |
| Provider Name | Jennifer Stanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912216763 PECOS PAC ID: 8527298066 Enrollment ID: I20190213001032 |
| Provider Name | Amy Halio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780699538 PECOS PAC ID: 0446486187 Enrollment ID: I20190215002116 |
| Provider Name | Scott Loeliger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205926367 PECOS PAC ID: 0840476214 Enrollment ID: I20190227000236 |
| Provider Name | Catherine Heckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013157353 PECOS PAC ID: 1557587458 Enrollment ID: I20190306003204 |
| Provider Name | Norma Ruiz Iniguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316405574 PECOS PAC ID: 9931441011 Enrollment ID: I20190422002355 |
| Provider Name | Christian Eloy Martinez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740764901 PECOS PAC ID: 3971845819 Enrollment ID: I20190425001414 |
| Provider Name | Luz Maria Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407890320 PECOS PAC ID: 3779826722 Enrollment ID: I20190515001933 |
| Provider Name | Savannah G Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467911685 PECOS PAC ID: 9638412182 Enrollment ID: I20190523002633 |
| Provider Name | Victoria Aldaz-perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306132386 PECOS PAC ID: 1951530104 Enrollment ID: I20190523002684 |
| Provider Name | Shanti Leon Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386033090 PECOS PAC ID: 1557695145 Enrollment ID: I20190702001741 |
| Provider Name | Nicole Laura Suleiman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740616713 PECOS PAC ID: 2365778453 Enrollment ID: I20190726002222 |
| Provider Name | Shatha Hajja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407301690 PECOS PAC ID: 2163758988 Enrollment ID: I20190731001404 |
| Provider Name | Aimee Leigh Rowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255769857 PECOS PAC ID: 6002196086 Enrollment ID: I20190821003916 |
| Provider Name | Christine Michelle Huffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063756997 PECOS PAC ID: 6305176579 Enrollment ID: I20191001002962 |
| Provider Name | Megan Elizabeth Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770993925 PECOS PAC ID: 2163753914 Enrollment ID: I20191009002992 |
| Provider Name | Evelyn Duenas Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356690259 PECOS PAC ID: 4880925361 Enrollment ID: I20191015000797 |
| Provider Name | Ariel Ann Franks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891140497 PECOS PAC ID: 4385976612 Enrollment ID: I20191105002915 |
| Provider Name | Catherine Pearson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750791364 PECOS PAC ID: 1850661612 Enrollment ID: I20200207000515 |
| Provider Name | Samantha E Varner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982059077 PECOS PAC ID: 1557626918 Enrollment ID: I20200714003307 |
| Provider Name | Thuy Le |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831551910 PECOS PAC ID: 5496017501 Enrollment ID: I20200721001644 |
| Provider Name | Jessie Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053841387 PECOS PAC ID: 1254755911 Enrollment ID: I20200728001968 |
| Provider Name | Lily Emiko Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255794442 PECOS PAC ID: 9436576121 Enrollment ID: I20200826001457 |
| Provider Name | Alyson J Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699209767 PECOS PAC ID: 1951649565 Enrollment ID: I20200831001978 |
| Provider Name | Caitlin Hanavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366005068 PECOS PAC ID: 7214268358 Enrollment ID: I20201029001067 |
| Provider Name | Margaret a Cobbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366577553 PECOS PAC ID: 7719397231 Enrollment ID: I20201111001773 |
| Provider Name | Tara Apriletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295349595 PECOS PAC ID: 7214340074 Enrollment ID: I20210115001294 |
| Provider Name | Alicia Rozario |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447650718 PECOS PAC ID: 9032523097 Enrollment ID: I20210202003263 |
| Provider Name | Gloria Stefanie Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437562238 PECOS PAC ID: 4082022017 Enrollment ID: I20210412002761 |
| Provider Name | Bailey Bangerter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336618040 PECOS PAC ID: 2466792403 Enrollment ID: I20210621000429 |
| Provider Name | Ricardo Lozano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457892663 PECOS PAC ID: 0446652515 Enrollment ID: I20210712003250 |
| Provider Name | Britney Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174127054 PECOS PAC ID: 5395148019 Enrollment ID: I20210719002736 |
| Provider Name | Paul Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225473226 PECOS PAC ID: 7719119429 Enrollment ID: I20210907001136 |
| Provider Name | Elena Romana Siani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598299299 PECOS PAC ID: 4688070253 Enrollment ID: I20210907002059 |
| Provider Name | Zoe Cappe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326421108 PECOS PAC ID: 3577856079 Enrollment ID: I20210928000671 |
| Provider Name | Sivan Sadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053080309 PECOS PAC ID: 8325445612 Enrollment ID: I20210929002497 |
| Provider Name | Sogole Tabatabaiepur |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407490469 PECOS PAC ID: 6406252584 Enrollment ID: I20211006002681 |
| Provider Name | Mauricio Lask Knizek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558501973 PECOS PAC ID: 2062703754 Enrollment ID: I20211111000726 |
| Provider Name | Raquel Delfina Delfina Salvador Rojas |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861816365 PECOS PAC ID: 3779863717 Enrollment ID: I20211115002713 |
| Provider Name | Berenise Gomez Vargas Gomez Vargas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376200311 PECOS PAC ID: 1951791813 Enrollment ID: I20211208001136 |
| Provider Name | Nimeka Nitrice Dupree Phillip |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114388014 PECOS PAC ID: 6204168040 Enrollment ID: I20220104000916 |
| Provider Name | Doris Rosellini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730193012 PECOS PAC ID: 5698861300 Enrollment ID: I20220317001595 |
| Provider Name | Adin Vaewsorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932719192 PECOS PAC ID: 9234517657 Enrollment ID: I20220525002404 |
| Provider Name | Anna Tellefsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982342770 PECOS PAC ID: 8628459120 Enrollment ID: I20220714002721 |
| Provider Name | Amanda T Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972062727 PECOS PAC ID: 2264841394 Enrollment ID: I20220906002783 |
| Provider Name | Nicole Betenia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316309511 PECOS PAC ID: 4587952361 Enrollment ID: I20220906003126 |
| Provider Name | Desiree Carmen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528521465 PECOS PAC ID: 4880078062 Enrollment ID: I20220907003316 |
| Provider Name | Gabrielle Leah Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700345808 PECOS PAC ID: 2264816453 Enrollment ID: I20220907003696 |
| Provider Name | Maria Lucia Perez Agudelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124587225 PECOS PAC ID: 3375928898 Enrollment ID: I20220920002969 |
| Provider Name | Ryann Milne-price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689164691 PECOS PAC ID: 2961750427 Enrollment ID: I20220928001116 |
| Provider Name | Luciana Noemi Cisneros |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669195293 PECOS PAC ID: 0244606762 Enrollment ID: I20221024002583 |
| Provider Name | Grace Gai Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932829587 PECOS PAC ID: 8729455548 Enrollment ID: I20221108003329 |
| Provider Name | Samuel Ricardo Saenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841794278 PECOS PAC ID: 4486023744 Enrollment ID: I20221207003079 |
| Provider Name | Sara Ellen Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457846263 PECOS PAC ID: 5890033500 Enrollment ID: I20230310000078 |
| Provider Name | Catalina Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538393566 PECOS PAC ID: 8123456506 Enrollment ID: I20230330000836 |
| Provider Name | Rebecca Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306521406 PECOS PAC ID: 5092174821 Enrollment ID: I20230711002294 |
| Provider Name | Lizbeth Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235917899 PECOS PAC ID: 6800240334 Enrollment ID: I20231002002084 |
| Provider Name | Joel Munoz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952032971 PECOS PAC ID: 1951771849 Enrollment ID: I20231012002011 |
| Provider Name | Kyra E Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154948925 PECOS PAC ID: 6901200666 Enrollment ID: I20231026003404 |
| Provider Name | Yasmin Crespo-mejias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073085601 PECOS PAC ID: 6103272869 Enrollment ID: I20231101000731 |
| Provider Name | Chris B. Rickrode |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407982192 PECOS PAC ID: 9133579170 Enrollment ID: I20240103001324 |
| Provider Name | Claudia Marisol Rosales |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407009517 PECOS PAC ID: 0941651657 Enrollment ID: I20240108000164 |
| Provider Name | Michelle Maddex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952823551 PECOS PAC ID: 6103253810 Enrollment ID: I20240119002513 |
| Provider Name | Deirdre Ann Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770191538 PECOS PAC ID: 1759753817 Enrollment ID: I20240124003235 |
| Provider Name | Jazmin Rodriguez-jordan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689283939 PECOS PAC ID: 3274970280 Enrollment ID: I20240326004335 |
| Provider Name | Elizabeth Anne Meiselman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265049340 PECOS PAC ID: 4880035997 Enrollment ID: I20240507002522 |
| Provider Name | Cecilia Villalobos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508413972 PECOS PAC ID: 8325580525 Enrollment ID: I20240603003733 |
| Provider Name | Evelyn Carson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386222156 PECOS PAC ID: 4486198215 Enrollment ID: I20240703000961 |
| Provider Name | Sally Grace Ulmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083287569 PECOS PAC ID: 4284179649 Enrollment ID: I20240710003733 |
| Provider Name | Gideon Henry Lebowitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295474799 PECOS PAC ID: 2567900285 Enrollment ID: I20240813002428 |
| Provider Name | Hilary Eggers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770089591 PECOS PAC ID: 2062894074 Enrollment ID: I20240817000416 |
| Provider Name | Michelle Orabueze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851963433 PECOS PAC ID: 2567901002 Enrollment ID: I20240828001133 |
| Provider Name | Miriam Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538990858 PECOS PAC ID: 9234670308 Enrollment ID: I20240917003796 |
| Provider Name | Stacy Marie Paar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871086017 PECOS PAC ID: 9638426463 Enrollment ID: I20240917003929 |
| Provider Name | Cariann Lynn Perumal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225687213 PECOS PAC ID: 7517408404 Enrollment ID: I20240918004331 |
| Provider Name | Robin Maiquel Villatoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316773708 PECOS PAC ID: 2769913029 Enrollment ID: I20240927001465 |
| Provider Name | Melissa Belec |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1205326436 PECOS PAC ID: 4486905056 Enrollment ID: I20241001003981 |
| Provider Name | Genevive Damasco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215756820 PECOS PAC ID: 0345773644 Enrollment ID: I20241024003684 |
| Provider Name | Cynthia Lara Malasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316699036 PECOS PAC ID: 5294268538 Enrollment ID: I20241025000569 |
| Provider Name | Yolanda Rodriguez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548530363 PECOS PAC ID: 4880997493 Enrollment ID: I20241104003766 |
| Provider Name | Sandra Marey Marcelo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386406866 PECOS PAC ID: 0244766418 Enrollment ID: I20241211001806 |
| Provider Name | Jessie Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982283933 PECOS PAC ID: 5698176865 Enrollment ID: I20250311002302 |
| Provider Name | Kristen Michelle Mueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780250928 PECOS PAC ID: 9830614817 Enrollment ID: I20250423000063 |
| Provider Name | Connor James Labella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033995774 PECOS PAC ID: 1557718889 Enrollment ID: I20250521002695 |
| Provider Name | Yameci Gutierrez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497957567 PECOS PAC ID: 7416191135 Enrollment ID: I20250523000753 |
| Provider Name | Yesenia Palacios |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285428383 PECOS PAC ID: 2961917240 Enrollment ID: I20250715003854 |
| Provider Name | Crystal Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629781703 PECOS PAC ID: 5799283917 Enrollment ID: I20250807002809 |
| Provider Name | Katrina E Co |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942049614 PECOS PAC ID: 1759889744 Enrollment ID: I20250808003118 |
| Provider Name | Mayra Alejandra Orozco-llamas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245970888 PECOS PAC ID: 6709374689 Enrollment ID: I20251022003653 |
| Provider Name | Loren Yglecias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619849759 PECOS PAC ID: 0143718890 Enrollment ID: I20251023003130 |
| Provider Name | Leila Sykes Rad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194603506 PECOS PAC ID: 7719478700 Enrollment ID: I20251118001925 |
| Provider Name | Fernanda Lucia Urbina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407626708 PECOS PAC ID: 5799277349 Enrollment ID: I20251121002384 |
| Provider Name | Marvin De Jesus Urroz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821630070 PECOS PAC ID: 5991297319 Enrollment ID: I20251124001579 |
| Provider Name | Amyra Katrina Soriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518731272 PECOS PAC ID: 0648763318 Enrollment ID: I20251202000889 |
| Provider Name | Dorian Marie Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902555360 PECOS PAC ID: 8628590536 Enrollment ID: I20251202002858 |
| Provider Name | Moneesha Rani Mukherjee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386374700 PECOS PAC ID: 5890208003 Enrollment ID: I20260219004070 |
| Provider Name | Anna Gabriela Ycaza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053284000 PECOS PAC ID: 6406330224 Enrollment ID: I20260319002897 |
| Provider Name | Kathryn Marie Rea |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851199343 PECOS PAC ID: 4789169111 Enrollment ID: I20260402001986 |
| Provider Name | Elizabeth Mercedes Hinojosa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427335520 PECOS PAC ID: 3476028952 Enrollment ID: I20260413001323 |
| Provider Name | Marion Elise Hilsinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265104053 PECOS PAC ID: 7012483324 Enrollment ID: I20260415001017 |
| Provider Name | Pablo Andres Baeza Breinbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811553274 PECOS PAC ID: 3870069180 Enrollment ID: I20260415001217 |
| Provider Name | Lizeth Rodriguez Villasenor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679264840 PECOS PAC ID: 4082180765 Enrollment ID: I20260420002428 |
| Provider Name | Alexander Villarraga Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336936319 PECOS PAC ID: 5799204749 Enrollment ID: I20260509000459 |
| Provider Name | Noelle Karina Emanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225975964 PECOS PAC ID: 0244702801 Enrollment ID: I20260615001866 |
| Provider Name | Melissa Janet Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215787585 PECOS PAC ID: 9739652124 Enrollment ID: I20260626001883 |
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