| Genesis Countywide Older Adult Program | |
|
510 S Vermont Ave 17th Floor Los Angeles CA 90020-1992 | |
| (213) 351-7284 | |
| (213) 947-4579 |
| Full Name | Genesis Countywide Older Adult Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Countywide Older Adult Program 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Genesis Countywide Older Adult Program 510 S Vermont Ave 17th Floor Los Angeles CA 90020-1992 Ph: (213) 351-7284 |
| NPI Number | 1083633929 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 7416869896 |
|---|---|
| Medicare Enrollment ID | O20031104000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083633929 | NPI | - | NPPES |
| 7241 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | John L Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427101187 PECOS PAC ID: 8729992797 Enrollment ID: I20031113000836 |
| Provider Name | Siqing Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942243910 PECOS PAC ID: 3678470986 Enrollment ID: I20031215000995 |
| Provider Name | William J Kaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457437840 PECOS PAC ID: 4587561634 Enrollment ID: I20031216000916 |
| Provider Name | Angel Cienfuegos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326123514 PECOS PAC ID: 4486551538 Enrollment ID: I20031216000920 |
| Provider Name | Konstantinos Tripodis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588698534 PECOS PAC ID: 1850299553 Enrollment ID: I20031219000292 |
| Provider Name | Karina Shulman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275631681 PECOS PAC ID: 6406754118 Enrollment ID: I20031219000360 |
| Provider Name | Javier R Quintana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720198666 PECOS PAC ID: 1456259183 Enrollment ID: I20031219000448 |
| Provider Name | George H Sabounjian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699882779 PECOS PAC ID: 3779481429 Enrollment ID: I20031219000519 |
| Provider Name | Lilit Yegiazaryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770668345 PECOS PAC ID: 3072413632 Enrollment ID: I20040109001109 |
| Provider Name | Larisa V Levin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538248315 PECOS PAC ID: 0749176378 Enrollment ID: I20040223000323 |
| Provider Name | Edward F Cavanagh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144380015 PECOS PAC ID: 0749176303 Enrollment ID: I20040223000527 |
| Provider Name | Eric D Auerbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629135520 PECOS PAC ID: 4981590742 Enrollment ID: I20040226001241 |
| Provider Name | Samson J Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659448645 PECOS PAC ID: 4789570540 Enrollment ID: I20040226001254 |
| Provider Name | John W Tsuang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114036050 PECOS PAC ID: 5092602219 Enrollment ID: I20040302001297 |
| Provider Name | Ida Z Lodriguito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891872073 PECOS PAC ID: 2365333929 Enrollment ID: I20040323000700 |
| Provider Name | Patrizia G Ferrara-guthrie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730252875 PECOS PAC ID: 0446233217 Enrollment ID: I20040611000609 |
| Provider Name | Raymond Yee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750462529 PECOS PAC ID: 5799760682 Enrollment ID: I20040623001286 |
| Provider Name | Rowin E Cantrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821042813 PECOS PAC ID: 0648241182 Enrollment ID: I20040805001304 |
| Provider Name | Melanie S Midget |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689747545 PECOS PAC ID: 0143297689 Enrollment ID: I20040914000436 |
| Provider Name | Tara J Zuker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679631972 PECOS PAC ID: 9436127636 Enrollment ID: I20040923001181 |
| Provider Name | Elena Gilman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558487561 PECOS PAC ID: 6507815438 Enrollment ID: I20050118001066 |
| Provider Name | Ryan C Horst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215005012 PECOS PAC ID: 3870545551 Enrollment ID: I20050210001021 |
| Provider Name | Christine S Rundall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104912880 PECOS PAC ID: 3072565969 Enrollment ID: I20050218000750 |
| Provider Name | Brian L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518042753 PECOS PAC ID: 4082666888 Enrollment ID: I20050218000823 |
| Provider Name | Timothy T Chiang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063583805 PECOS PAC ID: 1254383052 Enrollment ID: I20050218000835 |
| Provider Name | Anna Qin Xiao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962424861 PECOS PAC ID: 5496708638 Enrollment ID: I20050228000525 |
| Provider Name | Marina Dsouza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851464739 PECOS PAC ID: 8628021656 Enrollment ID: I20050301001021 |
| Provider Name | Lee M Gomberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487766622 PECOS PAC ID: 5193779098 Enrollment ID: I20050303000402 |
| Provider Name | Aleksey P Chetverukhin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407951825 PECOS PAC ID: 3274589031 Enrollment ID: I20050324000339 |
| Provider Name | Jennifer Cs Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881771558 PECOS PAC ID: 1456307909 Enrollment ID: I20050328000644 |
| Provider Name | Renee A Sabshin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245382001 PECOS PAC ID: 0143276691 Enrollment ID: I20050328000671 |
| Provider Name | Tsu Yen Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417017914 PECOS PAC ID: 3971559444 Enrollment ID: I20050328000844 |
| Provider Name | Olabisi G Chima |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578633897 PECOS PAC ID: 5698721173 Enrollment ID: I20050328000953 |
| Provider Name | Daniel B Stampler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962572107 PECOS PAC ID: 7012963242 Enrollment ID: I20050330000643 |
| Provider Name | Hanaa Fam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558311456 PECOS PAC ID: 3678520301 Enrollment ID: I20050405001035 |
| Provider Name | James H Jung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144394149 PECOS PAC ID: 2163415381 Enrollment ID: I20050406001231 |
| Provider Name | Paul A Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851476840 PECOS PAC ID: 7911947304 Enrollment ID: I20050504001220 |
| Provider Name | Michael T Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427134915 PECOS PAC ID: 1951341304 Enrollment ID: I20050505000421 |
| Provider Name | Deborah L Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306819586 PECOS PAC ID: 2062452923 Enrollment ID: I20050510000697 |
| Provider Name | Alvaro Campos Jr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073695649 PECOS PAC ID: 4385684000 Enrollment ID: I20050511000913 |
| Provider Name | Guochuan E Tsai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447207816 PECOS PAC ID: 8022059427 Enrollment ID: I20050516000911 |
| Provider Name | Sharon Y Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073600359 PECOS PAC ID: 5799726683 Enrollment ID: I20050520000591 |
| Provider Name | Esther L Chodakiewitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770798902 PECOS PAC ID: 5597700799 Enrollment ID: I20050627001454 |
| Provider Name | Seanne S Tyson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992964787 PECOS PAC ID: 4789620923 Enrollment ID: I20050628001258 |
| Provider Name | Shirin Sharifha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043397615 PECOS PAC ID: 8729016894 Enrollment ID: I20050729000751 |
| Provider Name | Robert J Dasher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427078682 PECOS PAC ID: 6608894084 Enrollment ID: I20051103000886 |
| Provider Name | Shribala Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003934423 PECOS PAC ID: 1254359581 Enrollment ID: I20051104000798 |
| Provider Name | Benjamin A Furst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033214010 PECOS PAC ID: 3678591617 Enrollment ID: I20051108000427 |
| Provider Name | Elena Ortiz Portillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629153465 PECOS PAC ID: 4880613140 Enrollment ID: I20051115001209 |
| Provider Name | Julie T Wu Hsieh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457434300 PECOS PAC ID: 8022031095 Enrollment ID: I20060105000640 |
| Provider Name | Jaafar C Zada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316099211 PECOS PAC ID: 5496761090 Enrollment ID: I20060306000293 |
| Provider Name | Letitia A Pinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861532301 PECOS PAC ID: 4486661881 Enrollment ID: I20060309000409 |
| Provider Name | Christopher P Camilleri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154419836 PECOS PAC ID: 4587672878 Enrollment ID: I20060328000714 |
| Provider Name | Anne Choe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205905817 PECOS PAC ID: 2567471840 Enrollment ID: I20060413000645 |
| Provider Name | Kuniko Miyagi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134283393 PECOS PAC ID: 8426067703 Enrollment ID: I20060413000690 |
| Provider Name | Lucille Ngo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972672376 PECOS PAC ID: 9436168432 Enrollment ID: I20060419000814 |
| Provider Name | Jeffrey A Lumaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083791255 PECOS PAC ID: 7810907045 Enrollment ID: I20060502000455 |
| Provider Name | Man Ching Cheung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265505259 PECOS PAC ID: 2062422298 Enrollment ID: I20060502000481 |
| Provider Name | Michael B Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417023912 PECOS PAC ID: 7618987850 Enrollment ID: I20060502000580 |
| Provider Name | Alisa A Sabshin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932120060 PECOS PAC ID: 7416952171 Enrollment ID: I20061002000462 |
| Provider Name | Izabella Gokhman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346288024 PECOS PAC ID: 6800894395 Enrollment ID: I20061116000350 |
| Provider Name | Veena M Vadmal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033148838 PECOS PAC ID: 8224027404 Enrollment ID: I20061220000268 |
| Provider Name | Nadia C Del Pan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265598080 PECOS PAC ID: 3678574928 Enrollment ID: I20070129000835 |
| Provider Name | Jennifer R Hersch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962557041 PECOS PAC ID: 0840394284 Enrollment ID: I20070324000163 |
| Provider Name | Maxine R Day |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255353702 PECOS PAC ID: 6103920541 Enrollment ID: I20070324000169 |
| Provider Name | Xin Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053458166 PECOS PAC ID: 6507961166 Enrollment ID: I20070410000677 |
| Provider Name | Randall H Titcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467473926 PECOS PAC ID: 0547365546 Enrollment ID: I20070504000180 |
| Provider Name | Carla F Mandili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265653836 PECOS PAC ID: 1355449455 Enrollment ID: I20070613000819 |
| Provider Name | Mehera C Halliwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366579138 PECOS PAC ID: 3072601491 Enrollment ID: I20071119000616 |
| Provider Name | Veronica I Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023193570 PECOS PAC ID: 6204925951 Enrollment ID: I20071203000372 |
| Provider Name | Kelli Blanchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992874341 PECOS PAC ID: 7315037330 Enrollment ID: I20071214000173 |
| Provider Name | Elidia Olmos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861689325 PECOS PAC ID: 4587744370 Enrollment ID: I20080107000300 |
| Provider Name | Christopher J Schwarz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821189523 PECOS PAC ID: 5193806586 Enrollment ID: I20080110000718 |
| Provider Name | Khatera Ghazanfar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760679484 PECOS PAC ID: 0840371019 Enrollment ID: I20080114000333 |
| Provider Name | Sandra J Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356538037 PECOS PAC ID: 7810078599 Enrollment ID: I20080118000687 |
| Provider Name | Eve S Nadel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942368709 PECOS PAC ID: 3779666391 Enrollment ID: I20080205000696 |
| Provider Name | Bichloan T Le |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184783441 PECOS PAC ID: 9436234481 Enrollment ID: I20080314000293 |
| Provider Name | George P Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891862827 PECOS PAC ID: 6507941556 Enrollment ID: I20080314000313 |
| Provider Name | Shahin Khashayar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689720575 PECOS PAC ID: 8022194844 Enrollment ID: I20080319000400 |
| Provider Name | Paul B Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841473949 PECOS PAC ID: 4688752488 Enrollment ID: I20080418000533 |
| Provider Name | Brent A Hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588752638 PECOS PAC ID: 9234217811 Enrollment ID: I20080422000947 |
| Provider Name | Elizabeth Grigor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255428785 PECOS PAC ID: 3072554047 Enrollment ID: I20080423000750 |
| Provider Name | Janis D Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245307768 PECOS PAC ID: 5991883340 Enrollment ID: I20080424000732 |
| Provider Name | Karin L Bonwitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639257827 PECOS PAC ID: 6406934728 Enrollment ID: I20080425000609 |
| Provider Name | Marian I Lambros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619020971 PECOS PAC ID: 1759460553 Enrollment ID: I20080505000865 |
| Provider Name | Jeffrey A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184741688 PECOS PAC ID: 5496834855 Enrollment ID: I20080509000410 |
| Provider Name | Wagih A Elsewafy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679604235 PECOS PAC ID: 8224107594 Enrollment ID: I20080513000644 |
| Provider Name | Chris A Counts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851446264 PECOS PAC ID: 9133298110 Enrollment ID: I20080516000181 |
| Provider Name | Kathryn L Crain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740369461 PECOS PAC ID: 3375613771 Enrollment ID: I20080528000161 |
| Provider Name | Susan Crimin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194814707 PECOS PAC ID: 4082786116 Enrollment ID: I20080708000113 |
| Provider Name | Tamara Aloyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437205853 PECOS PAC ID: 3678645637 Enrollment ID: I20080708000426 |
| Provider Name | Janine Roach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972644227 PECOS PAC ID: 5890868392 Enrollment ID: I20080716000591 |
| Provider Name | Curley Bonds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073546404 PECOS PAC ID: 9830146786 Enrollment ID: I20080721000177 |
| Provider Name | Tatyana Kharit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730221730 PECOS PAC ID: 0840359022 Enrollment ID: I20081103000275 |
| Provider Name | Satoko O Luce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861550816 PECOS PAC ID: 7719046705 Enrollment ID: I20081105000624 |
| Provider Name | Gopal K Gabbur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841492915 PECOS PAC ID: 6305905142 Enrollment ID: I20081107000338 |
| Provider Name | George I Akpenyi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649345067 PECOS PAC ID: 5991865206 Enrollment ID: I20081117000469 |
| Provider Name | Daniel L Dickerson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336349091 PECOS PAC ID: 6608897681 Enrollment ID: I20081120000370 |
| Provider Name | Jana S Gottfried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689786998 PECOS PAC ID: 8921169087 Enrollment ID: I20081208000309 |
| Provider Name | Sandra A Mcclelland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649399908 PECOS PAC ID: 1759443328 Enrollment ID: I20081217000058 |
| Provider Name | Michael R Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326106022 PECOS PAC ID: 3375589641 Enrollment ID: I20090107000333 |
| Provider Name | Roxanne F Szeftel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639153570 PECOS PAC ID: 4688738305 Enrollment ID: I20090126000127 |
| Provider Name | Elsa C Cabrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467596411 PECOS PAC ID: 2062576606 Enrollment ID: I20090127000462 |
| Provider Name | Lilian Badovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598959363 PECOS PAC ID: 8527122282 Enrollment ID: I20090213000052 |
| Provider Name | Donna M Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447337894 PECOS PAC ID: 3678620812 Enrollment ID: I20090406000140 |
| Provider Name | Anh V Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851466908 PECOS PAC ID: 5193872349 Enrollment ID: I20090406000290 |
| Provider Name | Tehmina Usmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164597563 PECOS PAC ID: 9436207578 Enrollment ID: I20090430000045 |
| Provider Name | Erika D Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184750804 PECOS PAC ID: 6204984115 Enrollment ID: I20090504000292 |
| Provider Name | La Tina M Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144395658 PECOS PAC ID: 0941358865 Enrollment ID: I20090504000381 |
| Provider Name | Lynne Marie Burroughs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043395049 PECOS PAC ID: 2769530583 Enrollment ID: I20090506000053 |
| Provider Name | Sandhya Panguluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962599522 PECOS PAC ID: 8729137443 Enrollment ID: I20090528000337 |
| Provider Name | Inna Barg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447335377 PECOS PAC ID: 5698828911 Enrollment ID: I20090804000831 |
| Provider Name | Yim-kwan C Tarng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205917580 PECOS PAC ID: 6305990516 Enrollment ID: I20090821000180 |
| Provider Name | Helen Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255400842 PECOS PAC ID: 6204980451 Enrollment ID: I20090821000492 |
| Provider Name | Stephen J Volk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598810913 PECOS PAC ID: 2567516719 Enrollment ID: I20090821000504 |
| Provider Name | Jakub Juros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104950807 PECOS PAC ID: 2466508270 Enrollment ID: I20090921000269 |
| Provider Name | Barbara K Yau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700951084 PECOS PAC ID: 2264578897 Enrollment ID: I20091012000359 |
| Provider Name | Rita C Silva-leu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073715637 PECOS PAC ID: 0042357360 Enrollment ID: I20091019000675 |
| Provider Name | Alfred M Fogarty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386746113 PECOS PAC ID: 0547227415 Enrollment ID: I20100113000732 |
| Provider Name | Margaret A Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982829842 PECOS PAC ID: 8022150408 Enrollment ID: I20100122000580 |
| Provider Name | Kira A Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760565147 PECOS PAC ID: 7315081197 Enrollment ID: I20100217000271 |
| Provider Name | Jay I Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053440552 PECOS PAC ID: 1052455847 Enrollment ID: I20100217000380 |
| Provider Name | Yoshado K Lang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073694394 PECOS PAC ID: 7113052804 Enrollment ID: I20100319000533 |
| Provider Name | Marcia W Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942376470 PECOS PAC ID: 0143358648 Enrollment ID: I20100504000283 |
| Provider Name | Linda L Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083899504 PECOS PAC ID: 9931237658 Enrollment ID: I20100517000435 |
| Provider Name | Barbara L Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366519928 PECOS PAC ID: 6800925652 Enrollment ID: I20100603000719 |
| Provider Name | Clifton H Chinfoo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154407898 PECOS PAC ID: 5395875660 Enrollment ID: I20100612000093 |
| Provider Name | Adelene R James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699846642 PECOS PAC ID: 0446380463 Enrollment ID: I20100617000170 |
| Provider Name | Lian P Chien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124105721 PECOS PAC ID: 4587794540 Enrollment ID: I20100617000633 |
| Provider Name | Melanie J Cain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578757621 PECOS PAC ID: 4981736170 Enrollment ID: I20100723000630 |
| Provider Name | Makan Emadi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396828455 PECOS PAC ID: 6709919129 Enrollment ID: I20100804001224 |
| Provider Name | Jun Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043440084 PECOS PAC ID: 0244354728 Enrollment ID: I20100907000311 |
| Provider Name | Maryam Hashemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013175033 PECOS PAC ID: 4183816218 Enrollment ID: I20101007001251 |
| Provider Name | Kathryn R Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871742395 PECOS PAC ID: 8729272083 Enrollment ID: I20101030000230 |
| Provider Name | Dorit Saberi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205986452 PECOS PAC ID: 8527257435 Enrollment ID: I20110107000525 |
| Provider Name | Robert N Berthold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114003787 PECOS PAC ID: 7719166214 Enrollment ID: I20110131000572 |
| Provider Name | Madeleine M Valencerina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437284809 PECOS PAC ID: 9436330735 Enrollment ID: I20110218000960 |
| Provider Name | Regina A Hearn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447337589 PECOS PAC ID: 7416130455 Enrollment ID: I20110329000163 |
| Provider Name | Maria P Aguilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508955824 PECOS PAC ID: 8224212279 Enrollment ID: I20110415000283 |
| Provider Name | Bessy M Martirosyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790849883 PECOS PAC ID: 2668657735 Enrollment ID: I20110505000210 |
| Provider Name | Kenneth S Chuang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053487553 PECOS PAC ID: 5193902294 Enrollment ID: I20110526000482 |
| Provider Name | Nancy L Nowlin Finch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285713503 PECOS PAC ID: 2163609207 Enrollment ID: I20110527000065 |
| Provider Name | Milagros F Demandante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134342041 PECOS PAC ID: 2466639141 Enrollment ID: I20110606000566 |
| Provider Name | Melanie Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790993004 PECOS PAC ID: 4981881463 Enrollment ID: I20110609000535 |
| Provider Name | Farhad K Yaghoubi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376619221 PECOS PAC ID: 1052599917 Enrollment ID: I20110623000114 |
| Provider Name | Marcy W Epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326371105 PECOS PAC ID: 2769650969 Enrollment ID: I20110713000781 |
| Provider Name | Katherine D Smith-white |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972725257 PECOS PAC ID: 4688844574 Enrollment ID: I20110901000347 |
| Provider Name | Liam Zaidel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730476763 PECOS PAC ID: 2961674247 Enrollment ID: I20111010000369 |
| Provider Name | Belinda Hara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508080250 PECOS PAC ID: 6507925278 Enrollment ID: I20111018000108 |
| Provider Name | Karen A Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487733945 PECOS PAC ID: 3476725383 Enrollment ID: I20111018000477 |
| Provider Name | Sandra C Aquino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477625713 PECOS PAC ID: 9335312438 Enrollment ID: I20111107000260 |
| Provider Name | William R Power |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497908628 PECOS PAC ID: 4789585282 Enrollment ID: I20111212000574 |
| Provider Name | Rhoda A Bernardez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144309790 PECOS PAC ID: 6709051121 Enrollment ID: I20111214000376 |
| Provider Name | Jeong Min Rhee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366630832 PECOS PAC ID: 5799950820 Enrollment ID: I20111219000444 |
| Provider Name | Samia F Michaiel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619054905 PECOS PAC ID: 8820265374 Enrollment ID: I20120124000444 |
| Provider Name | Robert S Dobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841359130 PECOS PAC ID: 8628235447 Enrollment ID: I20120207000427 |
| Provider Name | Steve M Tarver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124197736 PECOS PAC ID: 9436317773 Enrollment ID: I20120216000277 |
| Provider Name | Eram Baig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649352121 PECOS PAC ID: 9931368297 Enrollment ID: I20120307000104 |
| Provider Name | Catherine E Stepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619165529 PECOS PAC ID: 1456510510 Enrollment ID: I20120308000363 |
| Provider Name | Ju Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700064821 PECOS PAC ID: 9638330087 Enrollment ID: I20120412000299 |
| Provider Name | Sunita R Garg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972756062 PECOS PAC ID: 9537321351 Enrollment ID: I20120424000246 |
| Provider Name | Kwang S Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942385471 PECOS PAC ID: 5991968844 Enrollment ID: I20120514000179 |
| Provider Name | Jeremy B Winn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871772186 PECOS PAC ID: 2567625114 Enrollment ID: I20120518000466 |
| Provider Name | Gabriela Zuniga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073691028 PECOS PAC ID: 5395908859 Enrollment ID: I20120519000096 |
| Provider Name | Agueda Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093900086 PECOS PAC ID: 1658535612 Enrollment ID: I20120604000497 |
| Provider Name | Aelred Boyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417086489 PECOS PAC ID: 2062318389 Enrollment ID: I20120612000363 |
| Provider Name | Elizabeth V Gil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053480400 PECOS PAC ID: 5799940698 Enrollment ID: I20120627000180 |
| Provider Name | Annie Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396869038 PECOS PAC ID: 5294990834 Enrollment ID: I20120703000576 |
| Provider Name | Tae Soon Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447498472 PECOS PAC ID: 6103075189 Enrollment ID: I20121008000238 |
| Provider Name | Jamie E Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760638712 PECOS PAC ID: 3870742612 Enrollment ID: I20121011000165 |
| Provider Name | Ramona A Casupang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619262888 PECOS PAC ID: 6507016391 Enrollment ID: I20121102000104 |
| Provider Name | Lynn C Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063507713 PECOS PAC ID: 2567613813 Enrollment ID: I20121113000772 |
| Provider Name | Rhodora P Tolentino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033318191 PECOS PAC ID: 3173776127 Enrollment ID: I20121227000144 |
| Provider Name | Emad H Daniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205034287 PECOS PAC ID: 7618120668 Enrollment ID: I20121227000153 |
| Provider Name | Dennis R Coffee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700987021 PECOS PAC ID: 0042463002 Enrollment ID: I20121227000194 |
| Provider Name | Luz D Pelayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912084799 PECOS PAC ID: 7113171216 Enrollment ID: I20130124000467 |
| Provider Name | Stephanie L Platt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811079569 PECOS PAC ID: 1557515665 Enrollment ID: I20130124000484 |
| Provider Name | Yuchai Tse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992874093 PECOS PAC ID: 0941454847 Enrollment ID: I20130130000321 |
| Provider Name | Lonna A Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912068735 PECOS PAC ID: 5294970448 Enrollment ID: I20130318000470 |
| Provider Name | Alison L Benden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659444529 PECOS PAC ID: 8123263118 Enrollment ID: I20130321000648 |
| Provider Name | Brian M Dow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285827642 PECOS PAC ID: 2264677020 Enrollment ID: I20130326000608 |
| Provider Name | Marlon Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174897714 PECOS PAC ID: 8426293283 Enrollment ID: I20130326000623 |
| Provider Name | Thomas E Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871757922 PECOS PAC ID: 8820233521 Enrollment ID: I20130401000075 |
| Provider Name | Vianney Vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639253594 PECOS PAC ID: 9638314156 Enrollment ID: I20130403000322 |
| Provider Name | Belen Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275695645 PECOS PAC ID: 8628214798 Enrollment ID: I20130415000461 |
| Provider Name | Benjamin Z Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063585198 PECOS PAC ID: 2668618695 Enrollment ID: I20130418000226 |
| Provider Name | Sonia E Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497844914 PECOS PAC ID: 0244477586 Enrollment ID: I20130506000387 |
| Provider Name | Latrina S Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568716116 PECOS PAC ID: 7214174333 Enrollment ID: I20130509000388 |
| Provider Name | Douglas M Greenblatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033369517 PECOS PAC ID: 8820235898 Enrollment ID: I20130510000266 |
| Provider Name | Omar Anthony V Eslao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518112606 PECOS PAC ID: 7214082106 Enrollment ID: I20130514000389 |
| Provider Name | Renee De Vicq |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639369275 PECOS PAC ID: 6608013362 Enrollment ID: I20130516000581 |
| Provider Name | Viveca Hazboun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336330273 PECOS PAC ID: 3971741661 Enrollment ID: I20130608000201 |
| Provider Name | Kathrine H Lundy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972778587 PECOS PAC ID: 6002055357 Enrollment ID: I20130617000461 |
| Provider Name | Chung Eun E Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801084363 PECOS PAC ID: 4486893500 Enrollment ID: I20130621000504 |
| Provider Name | Craig W Astrachan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548345184 PECOS PAC ID: 8123268646 Enrollment ID: I20130705000308 |
| Provider Name | Christina A Forzani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902939630 PECOS PAC ID: 3173764016 Enrollment ID: I20130718000738 |
| Provider Name | Alondra J James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891034450 PECOS PAC ID: 1850532714 Enrollment ID: I20130719000122 |
| Provider Name | Hee Seung Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114001831 PECOS PAC ID: 5395987374 Enrollment ID: I20130805000708 |
| Provider Name | Richard Cabada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154655298 PECOS PAC ID: 3971745662 Enrollment ID: I20130808000565 |
| Provider Name | Marlene E Bran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083800460 PECOS PAC ID: 3274775929 Enrollment ID: I20130809000357 |
| Provider Name | Amber M Kondor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225200710 PECOS PAC ID: 2466695994 Enrollment ID: I20130830000338 |
| Provider Name | Michele L Webber-klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770660953 PECOS PAC ID: 8123288263 Enrollment ID: I20130906000676 |
| Provider Name | Karina Mares-alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497953129 PECOS PAC ID: 7315181492 Enrollment ID: I20130910001005 |
| Provider Name | Dyan G Kolb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235352683 PECOS PAC ID: 9931334950 Enrollment ID: I20131029001629 |
| Provider Name | Donald J Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629278304 PECOS PAC ID: 7618102328 Enrollment ID: I20131106000298 |
| Provider Name | Sarjak S Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437484904 PECOS PAC ID: 3173709169 Enrollment ID: I20131106000497 |
| Provider Name | Lucia C Cota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518041300 PECOS PAC ID: 1951537422 Enrollment ID: I20131112001164 |
| Provider Name | John S Hollenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083799225 PECOS PAC ID: 7911133483 Enrollment ID: I20131112001303 |
| Provider Name | Janet Carrasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639253909 PECOS PAC ID: 4880820364 Enrollment ID: I20131112001534 |
| Provider Name | Vincent D Brock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629152376 PECOS PAC ID: 8426284803 Enrollment ID: I20131112001929 |
| Provider Name | Carlos Jordan-manzano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922203157 PECOS PAC ID: 3870729254 Enrollment ID: I20131112001980 |
| Provider Name | Suzanne D Brinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831216639 PECOS PAC ID: 7911133350 Enrollment ID: I20131113001640 |
| Provider Name | Melvin M Sigman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922186394 PECOS PAC ID: 3375779747 Enrollment ID: I20131114000385 |
| Provider Name | Narin P Antoniades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871759191 PECOS PAC ID: 6800022005 Enrollment ID: I20131118001005 |
| Provider Name | Dorene K Donayre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497803894 PECOS PAC ID: 6608002530 Enrollment ID: I20131122000901 |
| Provider Name | Janet S Cazares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003065756 PECOS PAC ID: 6507093218 Enrollment ID: I20131227001658 |
| Provider Name | Fabian E Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467586693 PECOS PAC ID: 4385810548 Enrollment ID: I20140109000554 |
| Provider Name | Sharon A Baye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508051269 PECOS PAC ID: 9032347315 Enrollment ID: I20140113000955 |
| Provider Name | Bowen Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770614299 PECOS PAC ID: 8123256427 Enrollment ID: I20140113001254 |
| Provider Name | Sean Martin Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578640751 PECOS PAC ID: 4486882800 Enrollment ID: I20140115001734 |
| Provider Name | Martin Ayala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881811420 PECOS PAC ID: 2567690308 Enrollment ID: I20140124000500 |
| Provider Name | Juliana Gomez-makhinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063859486 PECOS PAC ID: 9739318312 Enrollment ID: I20140130000917 |
| Provider Name | Hye Kyung C Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275772188 PECOS PAC ID: 2567519846 Enrollment ID: I20140205000819 |
| Provider Name | Angel N Rendon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346328721 PECOS PAC ID: 3971733858 Enrollment ID: I20140221000543 |
| Provider Name | Carolina M Covarrubias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124260914 PECOS PAC ID: 9739319054 Enrollment ID: I20140307000172 |
| Provider Name | Jennifer Duh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194809426 PECOS PAC ID: 4789814799 Enrollment ID: I20140312001589 |
| Provider Name | Mildred M Shrubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922317544 PECOS PAC ID: 1658502042 Enrollment ID: I20140328000097 |
| Provider Name | Raquel C Pazmino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073711198 PECOS PAC ID: 6608007877 Enrollment ID: I20140401001946 |
| Provider Name | Alex J Kopelowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033291950 PECOS PAC ID: 4385558642 Enrollment ID: I20140422002064 |
| Provider Name | Benjamin G Griggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245258219 PECOS PAC ID: 9234290107 Enrollment ID: I20140428001960 |
| Provider Name | Christina M Auer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376765099 PECOS PAC ID: 3375776008 Enrollment ID: I20140505001893 |
| Provider Name | Frances A Ohaeri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679761092 PECOS PAC ID: 4183857816 Enrollment ID: I20140505001920 |
| Provider Name | Abby J Chappell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336273101 PECOS PAC ID: 9133352453 Enrollment ID: I20140512000817 |
| Provider Name | Felista A Anugom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891070686 PECOS PAC ID: 5991928285 Enrollment ID: I20140513001246 |
| Provider Name | Gayane A Begoyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427210954 PECOS PAC ID: 7214150200 Enrollment ID: I20140520001428 |
| Provider Name | Beatriz A Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366640419 PECOS PAC ID: 4880817279 Enrollment ID: I20140604000690 |
| Provider Name | Jason Gillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306927926 PECOS PAC ID: 5597989855 Enrollment ID: I20140607000202 |
| Provider Name | Sandra I Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043441744 PECOS PAC ID: 8426272071 Enrollment ID: I20140621000051 |
| Provider Name | Lucian H Song |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598951584 PECOS PAC ID: 5395960686 Enrollment ID: I20140630000648 |
| Provider Name | Tabitha R Benoy Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972682896 PECOS PAC ID: 4789809609 Enrollment ID: I20140709003043 |
| Provider Name | Anshu Agarwal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578715181 PECOS PAC ID: 7214153246 Enrollment ID: I20140728000689 |
| Provider Name | Tiffany Granja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093898694 PECOS PAC ID: 5890912471 Enrollment ID: I20140805000989 |
| Provider Name | Jessica D Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497888622 PECOS PAC ID: 6709004518 Enrollment ID: I20140820000198 |
| Provider Name | Evelyn Saravia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093834376 PECOS PAC ID: 2264650944 Enrollment ID: I20140820002890 |
| Provider Name | Lisa G Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447339940 PECOS PAC ID: 0345468005 Enrollment ID: I20140822000396 |
| Provider Name | Jolene K Sawyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154628949 PECOS PAC ID: 1850519422 Enrollment ID: I20140822000966 |
| Provider Name | Silvia Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811064793 PECOS PAC ID: 3274752118 Enrollment ID: I20140908002710 |
| Provider Name | Lisa Bolden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104991025 PECOS PAC ID: 8123247814 Enrollment ID: I20140911000303 |
| Provider Name | Elisha D Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487721817 PECOS PAC ID: 1759500374 Enrollment ID: I20140915000388 |
| Provider Name | Edward T Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841374147 PECOS PAC ID: 8527141555 Enrollment ID: I20140919000005 |
| Provider Name | Shayan Rab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356609119 PECOS PAC ID: 7618197336 Enrollment ID: I20141001001192 |
| Provider Name | Cynthia J Folsome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760417307 PECOS PAC ID: 0840280970 Enrollment ID: I20141022001570 |
| Provider Name | Eric Marlis Noble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942566765 PECOS PAC ID: 7416179049 Enrollment ID: I20141113002122 |
| Provider Name | Steven A Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700144557 PECOS PAC ID: 5991027724 Enrollment ID: I20141208000079 |
| Provider Name | Marissa L Andres-kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376779744 PECOS PAC ID: 6002139458 Enrollment ID: I20141216001935 |
| Provider Name | Sonia I Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609188150 PECOS PAC ID: 9032432927 Enrollment ID: I20141229002223 |
| Provider Name | Rana Zahiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124314596 PECOS PAC ID: 3577887975 Enrollment ID: I20150113000600 |
| Provider Name | Manzer Ghaznavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184983827 PECOS PAC ID: 7113241878 Enrollment ID: I20150128002192 |
| Provider Name | Evelyn C Magcalas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295878882 PECOS PAC ID: 3072838648 Enrollment ID: I20150203001375 |
| Provider Name | Tanya Vivas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962529024 PECOS PAC ID: 0244555829 Enrollment ID: I20150203001452 |
| Provider Name | Taya C Varteresian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831359413 PECOS PAC ID: 0143547935 Enrollment ID: I20150316000009 |
| Provider Name | Karen W Freed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619004371 PECOS PAC ID: 7113244419 Enrollment ID: I20150325002523 |
| Provider Name | Carla M Avalos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437485646 PECOS PAC ID: 2062739006 Enrollment ID: I20150331002255 |
| Provider Name | Takako Ball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659441046 PECOS PAC ID: 2668799602 Enrollment ID: I20150331002395 |
| Provider Name | Olena T Gorsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558595421 PECOS PAC ID: 6709106503 Enrollment ID: I20150519001152 |
| Provider Name | Juan Mayorga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386809770 PECOS PAC ID: 4981924354 Enrollment ID: I20150527000103 |
| Provider Name | Antoinette M Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841335890 PECOS PAC ID: 4082935895 Enrollment ID: I20150605000097 |
| Provider Name | Ashley O Coats |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154649895 PECOS PAC ID: 0143541425 Enrollment ID: I20150611002769 |
| Provider Name | Tara N Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104979202 PECOS PAC ID: 9830400084 Enrollment ID: I20150615002614 |
| Provider Name | Talene Keshishian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760897201 PECOS PAC ID: 2466767397 Enrollment ID: I20150820011196 |
| Provider Name | Patricia Salaets |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104120161 PECOS PAC ID: 1254649056 Enrollment ID: I20150928002405 |
| Provider Name | Viet T Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346582335 PECOS PAC ID: 0840508099 Enrollment ID: I20151007002665 |
| Provider Name | Chris E Bridges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093956658 PECOS PAC ID: 9830407980 Enrollment ID: I20151009000370 |
| Provider Name | Michelle D Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326351321 PECOS PAC ID: 9638488604 Enrollment ID: I20151014003159 |
| Provider Name | Marcellina Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346544830 PECOS PAC ID: 9931337391 Enrollment ID: I20151022001884 |
| Provider Name | Tiffany M Diament |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487997128 PECOS PAC ID: 8224348057 Enrollment ID: I20151106002296 |
| Provider Name | Ewa Mickiewicz-marcinkowska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235393448 PECOS PAC ID: 6608922299 Enrollment ID: I20151120000134 |
| Provider Name | Cynthia R Hurtado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902070154 PECOS PAC ID: 6406159565 Enrollment ID: I20160122001635 |
| Provider Name | Luis A Pereira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881063683 PECOS PAC ID: 2163726498 Enrollment ID: I20160208001286 |
| Provider Name | John M Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346550985 PECOS PAC ID: 0547564882 Enrollment ID: I20160208001530 |
| Provider Name | Maria G Ramos Lester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073830436 PECOS PAC ID: 0749584936 Enrollment ID: I20160209000971 |
| Provider Name | Andrew T Do |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518209683 PECOS PAC ID: 8325342520 Enrollment ID: I20160209001596 |
| Provider Name | George Liou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235256777 PECOS PAC ID: 0648575027 Enrollment ID: I20160223000929 |
| Provider Name | Daniel E Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679882856 PECOS PAC ID: 3870899750 Enrollment ID: I20160303001015 |
| Provider Name | Nicholas V Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437464419 PECOS PAC ID: 2264738830 Enrollment ID: I20160308000592 |
| Provider Name | Lynn Yen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528295821 PECOS PAC ID: 6103122791 Enrollment ID: I20160308001251 |
| Provider Name | Tracy G Contreras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912215138 PECOS PAC ID: 5597062406 Enrollment ID: I20160321001032 |
| Provider Name | Thandiwe D Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952444655 PECOS PAC ID: 2668779497 Enrollment ID: I20160322002570 |
| Provider Name | Gayane Aghakhanyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063793255 PECOS PAC ID: 8820901481 Enrollment ID: I20160323001770 |
| Provider Name | Amy M Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346430949 PECOS PAC ID: 1759680960 Enrollment ID: I20160421002420 |
| Provider Name | Michael T Montecillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174779425 PECOS PAC ID: 7012206600 Enrollment ID: I20160520001879 |
| Provider Name | Melissa A Patti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528348372 PECOS PAC ID: 6002106408 Enrollment ID: I20160525003286 |
| Provider Name | Yelena Koldobskaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972845451 PECOS PAC ID: 6901109842 Enrollment ID: I20160614001993 |
| Provider Name | Adam S Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003282385 PECOS PAC ID: 6507157468 Enrollment ID: I20160623001181 |
| Provider Name | James K Quines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083025084 PECOS PAC ID: 3274825997 Enrollment ID: I20160715001256 |
| Provider Name | Carol A Giannini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841337698 PECOS PAC ID: 0749575769 Enrollment ID: I20160829003378 |
| Provider Name | Emily Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982852109 PECOS PAC ID: 5597051714 Enrollment ID: I20160914000366 |
| Provider Name | Shawn H Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316147754 PECOS PAC ID: 1951699859 Enrollment ID: I20161010000614 |
| Provider Name | Stella Cai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215294772 PECOS PAC ID: 5193005478 Enrollment ID: I20161201002425 |
| Provider Name | Efrain C. Zepeda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053621763 PECOS PAC ID: 2264713486 Enrollment ID: I20161230001658 |
| Provider Name | Braulio Villarreal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316244197 PECOS PAC ID: 8123309051 Enrollment ID: I20170106001656 |
| Provider Name | Torey D Troggio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336534106 PECOS PAC ID: 6204118672 Enrollment ID: I20170119000809 |
| Provider Name | Igor Guryev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972998193 PECOS PAC ID: 3678855053 Enrollment ID: I20170119001190 |
| Provider Name | Charles C Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306852561 PECOS PAC ID: 1850456039 Enrollment ID: I20170127000857 |
| Provider Name | Thomas M Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710236336 PECOS PAC ID: 6305129875 Enrollment ID: I20170207001358 |
| Provider Name | Fernando A Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942559679 PECOS PAC ID: 0840574430 Enrollment ID: I20170227001707 |
| Provider Name | Michael P Hannant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053560060 PECOS PAC ID: 1052697182 Enrollment ID: I20170404001604 |
| Provider Name | Samuel A Hitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104213958 PECOS PAC ID: 4880971084 Enrollment ID: I20170425002026 |
| Provider Name | Gabriela Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326315623 PECOS PAC ID: 8820375793 Enrollment ID: I20170502000513 |
| Provider Name | Rashea L Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184972499 PECOS PAC ID: 5597042341 Enrollment ID: I20170503001171 |
| Provider Name | Justin C Sok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437226081 PECOS PAC ID: 1052688751 Enrollment ID: I20170531001655 |
| Provider Name | Enrico G Castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710204029 PECOS PAC ID: 7719254176 Enrollment ID: I20170606002786 |
| Provider Name | Cecilia A Spero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538493556 PECOS PAC ID: 5890063226 Enrollment ID: I20170607002989 |
| Provider Name | Tiffany Lcsw Cheuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346665676 PECOS PAC ID: 6406125624 Enrollment ID: I20170703000656 |
| Provider Name | David S Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760765952 PECOS PAC ID: 4688943632 Enrollment ID: I20170706001808 |
| Provider Name | Ijeoma C Madu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912265422 PECOS PAC ID: 5890001051 Enrollment ID: I20170707001908 |
| Provider Name | Courtney J Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740586072 PECOS PAC ID: 2567732076 Enrollment ID: I20170717000930 |
| Provider Name | Thuy T Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336220151 PECOS PAC ID: 7012287063 Enrollment ID: I20170724003202 |
| Provider Name | Gemila E Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114209582 PECOS PAC ID: 9830469808 Enrollment ID: I20170724003750 |
| Provider Name | Brenda Z Tapia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457532426 PECOS PAC ID: 7911279369 Enrollment ID: I20170818001827 |
| Provider Name | Nelly M Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376877118 PECOS PAC ID: 2668744053 Enrollment ID: I20170818003047 |
| Provider Name | Aileen M Malig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891967162 PECOS PAC ID: 6305119199 Enrollment ID: I20170830000030 |
| Provider Name | Erika M Colindres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770754038 PECOS PAC ID: 2668745258 Enrollment ID: I20170901001502 |
| Provider Name | Danitza A Cardenas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255873782 PECOS PAC ID: 2062785660 Enrollment ID: I20170901001723 |
| Provider Name | Ester Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376727362 PECOS PAC ID: 9739452129 Enrollment ID: I20170906003842 |
| Provider Name | Patrick V Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972824019 PECOS PAC ID: 3577836642 Enrollment ID: I20170912001753 |
| Provider Name | Trinh Thi T Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912214891 PECOS PAC ID: 4284908138 Enrollment ID: I20170915003275 |
| Provider Name | Danielle Y Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801283437 PECOS PAC ID: 8224303870 Enrollment ID: I20171006001178 |
| Provider Name | Franklin E Bolanos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215219712 PECOS PAC ID: 8426324161 Enrollment ID: I20171024001722 |
| Provider Name | Ani Harutyunyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750716114 PECOS PAC ID: 5991071342 Enrollment ID: I20171030002621 |
| Provider Name | Bryan E King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053677161 PECOS PAC ID: 9739455114 Enrollment ID: I20171031000449 |
| Provider Name | Shushanik Gaboian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730515131 PECOS PAC ID: 2365718665 Enrollment ID: I20171031002065 |
| Provider Name | Azad Galustian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437315637 PECOS PAC ID: 1456627710 Enrollment ID: I20171101001070 |
| Provider Name | Alicia R Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538417175 PECOS PAC ID: 4486920766 Enrollment ID: I20171101001875 |
| Provider Name | Thienhuong H Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497903181 PECOS PAC ID: 0749547859 Enrollment ID: I20171128001712 |
| Provider Name | Lisa M Nauta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295010569 PECOS PAC ID: 9133486764 Enrollment ID: I20171206001832 |
| Provider Name | Amy M Graber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801297460 PECOS PAC ID: 9335407873 Enrollment ID: I20171211001994 |
| Provider Name | Nakisa Choupani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619301603 PECOS PAC ID: 9133488745 Enrollment ID: I20180104001685 |
| Provider Name | Tina L Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356735575 PECOS PAC ID: 3971862517 Enrollment ID: I20180105000871 |
| Provider Name | Yusuke Ninomiya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306149018 PECOS PAC ID: 9638438674 Enrollment ID: I20180118002754 |
| Provider Name | Javier R Rodriguez-winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619338936 PECOS PAC ID: 1254690225 Enrollment ID: I20180119001235 |
| Provider Name | Kuan-yi Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083954994 PECOS PAC ID: 3173882834 Enrollment ID: I20180125002851 |
| Provider Name | Jose J Legaspi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740311703 PECOS PAC ID: 8527328079 Enrollment ID: I20180201002480 |
| Provider Name | Diana Mirzoyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841339009 PECOS PAC ID: 8729348974 Enrollment ID: I20180207001741 |
| Provider Name | Shawn Tirachai Sumonsavadit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720413503 PECOS PAC ID: 8224398342 Enrollment ID: I20180212000773 |
| Provider Name | Myan M Le |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023241957 PECOS PAC ID: 3375803372 Enrollment ID: I20180213001789 |
| Provider Name | Veronica E Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073812426 PECOS PAC ID: 2567723729 Enrollment ID: I20180302001763 |
| Provider Name | Rikki S Pashen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760852321 PECOS PAC ID: 6305149469 Enrollment ID: I20180321001933 |
| Provider Name | Alma G Campos-garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023293511 PECOS PAC ID: 0648533539 Enrollment ID: I20180405001756 |
| Provider Name | Eulogio L Eclarinal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609210186 PECOS PAC ID: 3779846670 Enrollment ID: I20180405002062 |
| Provider Name | Ellis Vernon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700275625 PECOS PAC ID: 5193070456 Enrollment ID: I20180611001150 |
| Provider Name | Rose Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215253885 PECOS PAC ID: 1951687763 Enrollment ID: I20180611002630 |
| Provider Name | Lourdes Ortega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083962096 PECOS PAC ID: 2567717689 Enrollment ID: I20180613002484 |
| Provider Name | Jose L Burgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982938189 PECOS PAC ID: 5799031738 Enrollment ID: I20180706000078 |
| Provider Name | Nancy C Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376821124 PECOS PAC ID: 3072860345 Enrollment ID: I20180717003761 |
| Provider Name | Nune N Gevoglanian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659604155 PECOS PAC ID: 5294084232 Enrollment ID: I20180823002737 |
| Provider Name | Sung E Shim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851798029 PECOS PAC ID: 1052679511 Enrollment ID: I20180919001305 |
| Provider Name | Javier G Nevarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447432703 PECOS PAC ID: 5698026888 Enrollment ID: I20180927001209 |
| Provider Name | Robert C Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669865424 PECOS PAC ID: 1557612553 Enrollment ID: I20181001001034 |
| Provider Name | Saphay Nan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558410068 PECOS PAC ID: 7618229329 Enrollment ID: I20181008002929 |
| Provider Name | Sandy Alcantar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891027314 PECOS PAC ID: 5092068809 Enrollment ID: I20181024002776 |
| Provider Name | Pamela Perry-hunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891914222 PECOS PAC ID: 7113271388 Enrollment ID: I20181107001937 |
| Provider Name | Tristin W Engels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427313204 PECOS PAC ID: 4587918578 Enrollment ID: I20181109001339 |
| Provider Name | Timothy M Tawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407114697 PECOS PAC ID: 6103133913 Enrollment ID: I20181128000061 |
| Provider Name | Seon Brian Kum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003127275 PECOS PAC ID: 1850681420 Enrollment ID: I20181128000284 |
| Provider Name | Sarah Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811326077 PECOS PAC ID: 3779828116 Enrollment ID: I20181213000766 |
| Provider Name | Luiza Arzumanian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336558485 PECOS PAC ID: 5092050393 Enrollment ID: I20181213003353 |
| Provider Name | Samantha M Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912255720 PECOS PAC ID: 7416292503 Enrollment ID: I20181218001764 |
| Provider Name | Kalisha Beard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700212016 PECOS PAC ID: 1850636994 Enrollment ID: I20181218003694 |
| Provider Name | Jaimie S Chou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477612646 PECOS PAC ID: 7810067493 Enrollment ID: I20181219002197 |
| Provider Name | Thomas H Pyo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134654007 PECOS PAC ID: 7810232824 Enrollment ID: I20181219003173 |
| Provider Name | David Gudino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104179217 PECOS PAC ID: 0042556375 Enrollment ID: I20190108001709 |
| Provider Name | Hector A Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639428352 PECOS PAC ID: 1355687286 Enrollment ID: I20190114000854 |
| Provider Name | Michelle K Tawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124263108 PECOS PAC ID: 6800132499 Enrollment ID: I20190118002258 |
| Provider Name | Angel J Aguilera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063806743 PECOS PAC ID: 7911244538 Enrollment ID: I20190121000490 |
| Provider Name | Giovanny A Funes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689001810 PECOS PAC ID: 9436496619 Enrollment ID: I20190125001165 |
| Provider Name | Sung Hea Hwang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104134188 PECOS PAC ID: 0143567883 Enrollment ID: I20190204000573 |
| Provider Name | Taiye Owareye Osawe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396116703 PECOS PAC ID: 1254679921 Enrollment ID: I20190205003531 |
| Provider Name | Gail M Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902379993 PECOS PAC ID: 2961740097 Enrollment ID: I20190214001096 |
| Provider Name | Heather S Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477593721 PECOS PAC ID: 2466513205 Enrollment ID: I20190220002886 |
| Provider Name | Lourdes M Ixcamey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528192572 PECOS PAC ID: 9436498250 Enrollment ID: I20190221003039 |
| Provider Name | Kim A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396139143 PECOS PAC ID: 8224377098 Enrollment ID: I20190222001866 |
| Provider Name | Ezequiel M Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619401312 PECOS PAC ID: 9739428665 Enrollment ID: I20190311002014 |
| Provider Name | Ana T Mejia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134520307 PECOS PAC ID: 2062751993 Enrollment ID: I20190311002203 |
| Provider Name | Arman Sirounian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659560431 PECOS PAC ID: 6608116876 Enrollment ID: I20190326001260 |
| Provider Name | Rebecca A Schnee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972882702 PECOS PAC ID: 1355681354 Enrollment ID: I20190328000820 |
| Provider Name | Jae H Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487073607 PECOS PAC ID: 4789924796 Enrollment ID: I20190328001433 |
| Provider Name | Iman Parhami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134482367 PECOS PAC ID: 6901110964 Enrollment ID: I20190328002338 |
| Provider Name | Ana G Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528342953 PECOS PAC ID: 4385986264 Enrollment ID: I20190424001769 |
| Provider Name | Husna Najand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568990463 PECOS PAC ID: 6305188160 Enrollment ID: I20190425002692 |
| Provider Name | Blessing E Umugbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441449 PECOS PAC ID: 4284976044 Enrollment ID: I20190425002795 |
| Provider Name | Josephine E Aideloje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790272243 PECOS PAC ID: 7113269986 Enrollment ID: I20190425003122 |
| Provider Name | Eric J Gorinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922392828 PECOS PAC ID: 0547551533 Enrollment ID: I20190501000391 |
| Provider Name | Michael B Marcus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316380306 PECOS PAC ID: 3971819145 Enrollment ID: I20190501001808 |
| Provider Name | Wendy Dang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235388489 PECOS PAC ID: 9739422213 Enrollment ID: I20190524001318 |
| Provider Name | Thu Y Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508935974 PECOS PAC ID: 1254664113 Enrollment ID: I20190607000373 |
| Provider Name | Harry Um |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740615178 PECOS PAC ID: 1850624719 Enrollment ID: I20190607000540 |
| Provider Name | Johnny Morataya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063753176 PECOS PAC ID: 5395078257 Enrollment ID: I20190607000599 |
| Provider Name | Sara M Rabinovitch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326304304 PECOS PAC ID: 6103159983 Enrollment ID: I20190610003006 |
| Provider Name | Alisandra R Vasquez-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912242702 PECOS PAC ID: 8921332438 Enrollment ID: I20190702002750 |
| Provider Name | Blanca E Amaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518121060 PECOS PAC ID: 2567797145 Enrollment ID: I20190718002730 |
| Provider Name | Lilian C Cativo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356434518 PECOS PAC ID: 3072849900 Enrollment ID: I20190730001701 |
| Provider Name | Nancy Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548662414 PECOS PAC ID: 2769719913 Enrollment ID: I20190809001868 |
| Provider Name | Leslie M Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003285107 PECOS PAC ID: 3971830134 Enrollment ID: I20190809002127 |
| Provider Name | Lucy S Oh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336505924 PECOS PAC ID: 4183952880 Enrollment ID: I20190819003679 |
| Provider Name | Marisol Solano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487107496 PECOS PAC ID: 9739419946 Enrollment ID: I20191001000674 |
| Provider Name | Maritza Brijil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356714109 PECOS PAC ID: 8729318936 Enrollment ID: I20191001000701 |
| Provider Name | Tasia R Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164773404 PECOS PAC ID: 7012248644 Enrollment ID: I20191014001774 |
| Provider Name | Diana S Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952476913 PECOS PAC ID: 4688905946 Enrollment ID: I20191017001597 |
| Provider Name | Nora K Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245607043 PECOS PAC ID: 1951633510 Enrollment ID: I20191031000503 |
| Provider Name | Kee Jung Eom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578019980 PECOS PAC ID: 8224360813 Enrollment ID: I20191031001374 |
| Provider Name | Sarah C Soncrant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770066607 PECOS PAC ID: 8527490614 Enrollment ID: I20191111002036 |
| Provider Name | Sophia A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659740603 PECOS PAC ID: 7517399603 Enrollment ID: I20191111002078 |
| Provider Name | Corey P Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295952307 PECOS PAC ID: 9931295888 Enrollment ID: I20191118001364 |
| Provider Name | Carla M Francisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609282623 PECOS PAC ID: 7012340425 Enrollment ID: I20191125002370 |
| Provider Name | Michelle S Rhyu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366992901 PECOS PAC ID: 7810320231 Enrollment ID: I20191125002512 |
| Provider Name | Erika Solis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538428180 PECOS PAC ID: 9032542485 Enrollment ID: I20191126000519 |
| Provider Name | Kathy Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124495072 PECOS PAC ID: 1254764509 Enrollment ID: I20191127002169 |
| Provider Name | Arturo C Escamilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902933518 PECOS PAC ID: 3779917554 Enrollment ID: I20200103000088 |
| Provider Name | Luz A Cuevas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285904177 PECOS PAC ID: 2264866953 Enrollment ID: I20200106002660 |
| Provider Name | Ramona M Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962639278 PECOS PAC ID: 6800220591 Enrollment ID: I20200106002679 |
| Provider Name | Elise M Yoshida |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669955027 PECOS PAC ID: 9436583135 Enrollment ID: I20200106002712 |
| Provider Name | Esdras N Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487089801 PECOS PAC ID: 0042644742 Enrollment ID: I20200106002818 |
| Provider Name | Rafael E Tapias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518387414 PECOS PAC ID: 8123311040 Enrollment ID: I20200108001554 |
| Provider Name | Isabel C Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336595503 PECOS PAC ID: 7416383898 Enrollment ID: I20200203001536 |
| Provider Name | Guiouzel Nabieva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952438053 PECOS PAC ID: 1658707443 Enrollment ID: I20200215000231 |
| Provider Name | Ngozi Anyanacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760989834 PECOS PAC ID: 5395172100 Enrollment ID: I20200217001151 |
| Provider Name | Halina V Maruha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679822472 PECOS PAC ID: 5799112298 Enrollment ID: I20200221002760 |
| Provider Name | Andy C Ying |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104372697 PECOS PAC ID: 3678900057 Enrollment ID: I20200225001219 |
| Provider Name | Noemi J Urgiles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770658932 PECOS PAC ID: 2264860519 Enrollment ID: I20200319001415 |
| Provider Name | Mark Wesley B Co |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477929461 PECOS PAC ID: 6305274572 Enrollment ID: I20200323000052 |
| Provider Name | Emily L Ottiniano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710374954 PECOS PAC ID: 5193153047 Enrollment ID: I20200325003703 |
| Provider Name | Jordan Alexander David |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336534833 PECOS PAC ID: 4385073394 Enrollment ID: I20200326001331 |
| Provider Name | Stella Nazarpoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770148058 PECOS PAC ID: 7911336813 Enrollment ID: I20200327001584 |
| Provider Name | Angelica I Sanchez Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275884207 PECOS PAC ID: 3072941293 Enrollment ID: I20200406000761 |
| Provider Name | Karla J Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790165322 PECOS PAC ID: 3779912068 Enrollment ID: I20200408001037 |
| Provider Name | Jaziel Rodriguez-lara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962989533 PECOS PAC ID: 2163851353 Enrollment ID: I20200409002521 |
| Provider Name | Crystal M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386010353 PECOS PAC ID: 8628407723 Enrollment ID: I20200409002966 |
| Provider Name | Esther P Currie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588078828 PECOS PAC ID: 4587085568 Enrollment ID: I20200529000409 |
| Provider Name | Herminio Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790187151 PECOS PAC ID: 0547681306 Enrollment ID: I20200602002991 |
| Provider Name | Rehan A Aghvinian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326462748 PECOS PAC ID: 9032530464 Enrollment ID: I20200610002351 |
| Provider Name | Louis J Murillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881076792 PECOS PAC ID: 4688095029 Enrollment ID: I20200610002787 |
| Provider Name | Gregory E Haymon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699155622 PECOS PAC ID: 3072935253 Enrollment ID: I20200616002009 |
| Provider Name | Han Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326386830 PECOS PAC ID: 4789006800 Enrollment ID: I20200618002329 |
| Provider Name | Linda F Contreras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184179640 PECOS PAC ID: 2365864410 Enrollment ID: I20200619000389 |
| Provider Name | Michelle Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447707542 PECOS PAC ID: 2163844069 Enrollment ID: I20200623001743 |
| Provider Name | Salisu A Aikoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497173694 PECOS PAC ID: 2163744699 Enrollment ID: I20200623003097 |
| Provider Name | Virginia Orantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518206598 PECOS PAC ID: 8628491115 Enrollment ID: I20200630001815 |
| Provider Name | Mary-jo Foresta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184836298 PECOS PAC ID: 0143644310 Enrollment ID: I20200721001943 |
| Provider Name | Neo A Atienza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558995084 PECOS PAC ID: 7113341900 Enrollment ID: I20200727002609 |
| Provider Name | Natsuko M Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801205349 PECOS PAC ID: 1557786498 Enrollment ID: I20200804001941 |
| Provider Name | Sarai Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316495799 PECOS PAC ID: 6204251184 Enrollment ID: I20200804002155 |
| Provider Name | Mark A Izquierdo-gallegos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659740520 PECOS PAC ID: 0244655181 Enrollment ID: I20200810000658 |
| Provider Name | Vivian K Tang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013275148 PECOS PAC ID: 1759707102 Enrollment ID: I20200811003363 |
| Provider Name | Martina R Gunaratnam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992918312 PECOS PAC ID: 2466614839 Enrollment ID: I20200812001792 |
| Provider Name | Liz M Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881977544 PECOS PAC ID: 6901222470 Enrollment ID: I20200813003201 |
| Provider Name | Laura Mejia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982951257 PECOS PAC ID: 0840617379 Enrollment ID: I20200831003375 |
| Provider Name | Keyondria D Bunch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275659294 PECOS PAC ID: 9537586839 Enrollment ID: I20200901002902 |
| Provider Name | Kimberly I Moser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528436482 PECOS PAC ID: 1456779347 Enrollment ID: I20200909000943 |
| Provider Name | Cristina Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457729980 PECOS PAC ID: 8628497120 Enrollment ID: I20201002000765 |
| Provider Name | Brittaney S Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225319791 PECOS PAC ID: 0941620124 Enrollment ID: I20201009001868 |
| Provider Name | Emily C Dossett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053562439 PECOS PAC ID: 9032539002 Enrollment ID: I20201013000491 |
| Provider Name | Natalie C Ragus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225553498 PECOS PAC ID: 6709206675 Enrollment ID: I20201014001509 |
| Provider Name | Marlene J Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720248727 PECOS PAC ID: 1153741723 Enrollment ID: I20201020002643 |
| Provider Name | Rachel M Miriani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922419068 PECOS PAC ID: 2264658772 Enrollment ID: I20201028001029 |
| Provider Name | Collin J Lueck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255852141 PECOS PAC ID: 3072923200 Enrollment ID: I20201029001307 |
| Provider Name | Samuel D Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558725143 PECOS PAC ID: 8224448477 Enrollment ID: I20201029001922 |
| Provider Name | Emmanuel Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306181789 PECOS PAC ID: 5991116881 Enrollment ID: I20201125001068 |
| Provider Name | Sofia Santa Cruz-polak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407213952 PECOS PAC ID: 5991116741 Enrollment ID: I20201130000957 |
| Provider Name | Harry T Do |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134513609 PECOS PAC ID: 5991011157 Enrollment ID: I20210104000785 |
| Provider Name | Clarissa J Delgado Salas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730636721 PECOS PAC ID: 1254744592 Enrollment ID: I20210106001731 |
| Provider Name | Maia A Boudzinskaia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407210248 PECOS PAC ID: 2769895010 Enrollment ID: I20210106001936 |
| Provider Name | Mari I Loera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891196754 PECOS PAC ID: 0749693091 Enrollment ID: I20210106002086 |
| Provider Name | Valerie Pintado Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851765192 PECOS PAC ID: 9638582885 Enrollment ID: I20210106002732 |
| Provider Name | Neil S Abidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760869937 PECOS PAC ID: 3072927458 Enrollment ID: I20210126001457 |
| Provider Name | Katrin E Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801277116 PECOS PAC ID: 1658786488 Enrollment ID: I20210209000611 |
| Provider Name | Veronica Lazar Beglarian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245551852 PECOS PAC ID: 0042625725 Enrollment ID: I20210210000259 |
| Provider Name | Naaz Mirreghabie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962958868 PECOS PAC ID: 5597170282 Enrollment ID: I20210210000763 |
| Provider Name | Gabriella A Goodfriend |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316357221 PECOS PAC ID: 5193130821 Enrollment ID: I20210210002419 |
| Provider Name | Starly Alvarado-cardona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003444597 PECOS PAC ID: 5496160533 Enrollment ID: I20210223000919 |
| Provider Name | Sahili Arreola Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689920001 PECOS PAC ID: 5395151880 Enrollment ID: I20210308002238 |
| Provider Name | Lauren A Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982010906 PECOS PAC ID: 3476969692 Enrollment ID: I20210311002836 |
| Provider Name | Oralia Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174079222 PECOS PAC ID: 5597172429 Enrollment ID: I20210322000710 |
| Provider Name | Ewa Chrostek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679914774 PECOS PAC ID: 7113334723 Enrollment ID: I20210326001945 |
| Provider Name | Maria L Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952859399 PECOS PAC ID: 0547677155 Enrollment ID: I20210326002116 |
| Provider Name | Laura J Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932577848 PECOS PAC ID: 1254748361 Enrollment ID: I20210407000896 |
| Provider Name | Cindy Villaverde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720487234 PECOS PAC ID: 9335556448 Enrollment ID: I20210407000946 |
| Provider Name | Maria Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154466936 PECOS PAC ID: 4688081706 Enrollment ID: I20210407001521 |
| Provider Name | Elidia E De Los Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811392087 PECOS PAC ID: 8628485703 Enrollment ID: I20210408000964 |
| Provider Name | Dulce M Santoyo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316026859 PECOS PAC ID: 4880002773 Enrollment ID: I20210413002873 |
| Provider Name | Carina Toro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235203472 PECOS PAC ID: 2264840842 Enrollment ID: I20210420001930 |
| Provider Name | Kyong H Jo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043334709 PECOS PAC ID: 3971912064 Enrollment ID: I20210430000958 |
| Provider Name | Xiaohong Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295949550 PECOS PAC ID: 5698949212 Enrollment ID: I20210513002727 |
| Provider Name | Nicole F Valencia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225442726 PECOS PAC ID: 3678972734 Enrollment ID: I20210524001096 |
| Provider Name | Carly D Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538643366 PECOS PAC ID: 6709286818 Enrollment ID: I20210610003463 |
| Provider Name | Fabiola Bataz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295282242 PECOS PAC ID: 3173923158 Enrollment ID: I20210614000115 |
| Provider Name | Ramiro A Trujillo Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306159686 PECOS PAC ID: 9133529076 Enrollment ID: I20210614002644 |
| Provider Name | Celia S Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093068355 PECOS PAC ID: 4486054947 Enrollment ID: I20210621002297 |
| Provider Name | Paola N Sandoval Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518390277 PECOS PAC ID: 5890197198 Enrollment ID: I20210708003265 |
| Provider Name | Noriela Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760930721 PECOS PAC ID: 7618370909 Enrollment ID: I20210723002260 |
| Provider Name | Erika I Garibay Malanowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558710632 PECOS PAC ID: 2466856760 Enrollment ID: I20210809003190 |
| Provider Name | Celeste C Meza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326353293 PECOS PAC ID: 0345646279 Enrollment ID: I20210901001431 |
| Provider Name | Juan Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861718579 PECOS PAC ID: 3375949910 Enrollment ID: I20210908001461 |
| Provider Name | Debora A Legarreta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689943516 PECOS PAC ID: 7810393352 Enrollment ID: I20210908001907 |
| Provider Name | Evelyn L Aguirre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952941437 PECOS PAC ID: 3375949837 Enrollment ID: I20210908002433 |
| Provider Name | William R Geckeler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376610428 PECOS PAC ID: 4981610052 Enrollment ID: I20210910002117 |
| Provider Name | Charles T Spahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962659169 PECOS PAC ID: 3375940281 Enrollment ID: I20210920002732 |
| Provider Name | Carmen D Mcclain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053772897 PECOS PAC ID: 3678970258 Enrollment ID: I20210923003678 |
| Provider Name | Amparo Pacheco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720538705 PECOS PAC ID: 8123417854 Enrollment ID: I20211117002847 |
| Provider Name | Victor Valle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770083305 PECOS PAC ID: 9638560931 Enrollment ID: I20211221001548 |
| Provider Name | Mohena P Moreno-walter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407225501 PECOS PAC ID: 0345631651 Enrollment ID: I20211221002118 |
| Provider Name | Jasmine L Hendrix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417590886 PECOS PAC ID: 5395136618 Enrollment ID: I20211221002380 |
| Provider Name | Dario A Ortega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164744793 PECOS PAC ID: 5597156463 Enrollment ID: I20220104000495 |
| Provider Name | Laura Ocampo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093200040 PECOS PAC ID: 4981096633 Enrollment ID: I20220110001544 |
| Provider Name | Takira K Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497257927 PECOS PAC ID: 2365834942 Enrollment ID: I20220111000640 |
| Provider Name | Nhut G Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942696810 PECOS PAC ID: 1153668256 Enrollment ID: I20220125001212 |
| Provider Name | Shivalee M Dadhania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215525480 PECOS PAC ID: 5294128971 Enrollment ID: I20220201001059 |
| Provider Name | Erika Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700303799 PECOS PAC ID: 0840684593 Enrollment ID: I20220223002370 |
| Provider Name | Hilario E Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154701373 PECOS PAC ID: 0749674141 Enrollment ID: I20220301001499 |
| Provider Name | Thomas J Dunleavy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689198764 PECOS PAC ID: 0446644488 Enrollment ID: I20220308001590 |
| Provider Name | Laura Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285820522 PECOS PAC ID: 8325433915 Enrollment ID: I20220317001397 |
| Provider Name | Gloria S Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104374925 PECOS PAC ID: 9234524786 Enrollment ID: I20220318001191 |
| Provider Name | Kristeen H Candelaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902389240 PECOS PAC ID: 2961898028 Enrollment ID: I20220330000575 |
| Provider Name | Amanda R Suzuki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922428028 PECOS PAC ID: 5193015550 Enrollment ID: I20220331001909 |
| Provider Name | Chancelor B Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407341860 PECOS PAC ID: 8426445529 Enrollment ID: I20220419002850 |
| Provider Name | Yvonne Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467750182 PECOS PAC ID: 5890182836 Enrollment ID: I20220421002725 |
| Provider Name | Emmanuel A Reyna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902171242 PECOS PAC ID: 6608263579 Enrollment ID: I20220422001264 |
| Provider Name | Daniela Y Alvarado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912442724 PECOS PAC ID: 4789071663 Enrollment ID: I20220422001696 |
| Provider Name | Adam Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396377495 PECOS PAC ID: 1850788373 Enrollment ID: I20220429001872 |
| Provider Name | Stephanie J Morabe-bui |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275651390 PECOS PAC ID: 6507253093 Enrollment ID: I20220502001930 |
| Provider Name | Krystal M Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609258516 PECOS PAC ID: 7911394341 Enrollment ID: I20220503001356 |
| Provider Name | Alejandro Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083125199 PECOS PAC ID: 6608254107 Enrollment ID: I20220610001592 |
| Provider Name | Alvin Jang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184170490 PECOS PAC ID: 5092193508 Enrollment ID: I20220610001877 |
| Provider Name | Michelle A Meneses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427566421 PECOS PAC ID: 3577942564 Enrollment ID: I20220622001161 |
| Provider Name | Lusine Azatian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376185090 PECOS PAC ID: 7416337191 Enrollment ID: I20220712002418 |
| Provider Name | Belinda N Najera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992153050 PECOS PAC ID: 5799166096 Enrollment ID: I20220718003354 |
| Provider Name | Violeta Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912339631 PECOS PAC ID: 3476934498 Enrollment ID: I20220721001363 |
| Provider Name | Deborah Villanueva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053701839 PECOS PAC ID: 0648651620 Enrollment ID: I20220721003586 |
| Provider Name | Elizabeth C Tien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851554364 PECOS PAC ID: 6406012376 Enrollment ID: I20220823002369 |
| Provider Name | Gilma B Palma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104201318 PECOS PAC ID: 4688058274 Enrollment ID: I20220831001285 |
| Provider Name | Silvia Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699789628 PECOS PAC ID: 7517341837 Enrollment ID: I20220903000450 |
| Provider Name | Jean M Lundquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467993261 PECOS PAC ID: 0446635247 Enrollment ID: I20220914003518 |
| Provider Name | Christina K Lay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952856932 PECOS PAC ID: 8123403896 Enrollment ID: I20220915002968 |
| Provider Name | Alexandra Adame |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093112658 PECOS PAC ID: 5991180358 Enrollment ID: I20220921001165 |
| Provider Name | Kwang H Ha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891059796 PECOS PAC ID: 3779968169 Enrollment ID: I20220921002432 |
| Provider Name | Stephanie A Mushrush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942582283 PECOS PAC ID: 7618353137 Enrollment ID: I20221005003441 |
| Provider Name | Sara M Rodas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417181025 PECOS PAC ID: 4385020668 Enrollment ID: I20221011000878 |
| Provider Name | Sabrina Hsu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194271643 PECOS PAC ID: 1052797347 Enrollment ID: I20221011001087 |
| Provider Name | Mani Maleky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659862225 PECOS PAC ID: 9638545981 Enrollment ID: I20221012001089 |
| Provider Name | Ron J Ewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356709539 PECOS PAC ID: 0941676126 Enrollment ID: I20221012002732 |
| Provider Name | Christina M Gracia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598939258 PECOS PAC ID: 7416323522 Enrollment ID: I20221014000703 |
| Provider Name | Rosa N Elizarraraz Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508348582 PECOS PAC ID: 9931575982 Enrollment ID: I20221017003296 |
| Provider Name | Nkechi O Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134617939 PECOS PAC ID: 7416323308 Enrollment ID: I20221018001407 |
| Provider Name | Rochelle B Jackson Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629706155 PECOS PAC ID: 1759758147 Enrollment ID: I20221027000765 |
| Provider Name | Christopher L Schamber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679096846 PECOS PAC ID: 4284002502 Enrollment ID: I20221117001782 |
| Provider Name | Yuk Mei Lam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609957828 PECOS PAC ID: 7810366341 Enrollment ID: I20221206000516 |
| Provider Name | Teresa B Novales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932559853 PECOS PAC ID: 4981074036 Enrollment ID: I20230105001951 |
| Provider Name | Lashandra K Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063757433 PECOS PAC ID: 9638549603 Enrollment ID: I20230109001178 |
| Provider Name | Don R Robeniol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083095111 PECOS PAC ID: 3577933365 Enrollment ID: I20230112002464 |
| Provider Name | Jose-santos X Orozco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497172241 PECOS PAC ID: 9436520012 Enrollment ID: I20230118000753 |
| Provider Name | Joshua F Cenido |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366937153 PECOS PAC ID: 7517339369 Enrollment ID: I20230206000272 |
| Provider Name | Julian A Aguilar-hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336472216 PECOS PAC ID: 9436521804 Enrollment ID: I20230213000159 |
| Provider Name | C Edward V Castelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497280978 PECOS PAC ID: 0749606242 Enrollment ID: I20230213000544 |
| Provider Name | Janette Garfias Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669812350 PECOS PAC ID: 1658743067 Enrollment ID: I20230213001876 |
| Provider Name | Yessenia Rocha-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033431168 PECOS PAC ID: 5496127813 Enrollment ID: I20230214000137 |
| Provider Name | Lizbeth P Mollinedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447780077 PECOS PAC ID: 5698147791 Enrollment ID: I20230220001115 |
| Provider Name | Troy J Stettler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649599572 PECOS PAC ID: 5991177958 Enrollment ID: I20230221001592 |
| Provider Name | Jose Israel Menendez Interiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588176317 PECOS PAC ID: 3577935550 Enrollment ID: I20230221002415 |
| Provider Name | Kedron E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346425592 PECOS PAC ID: 0648643106 Enrollment ID: I20230302002292 |
| Provider Name | Luis A Robles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073633582 PECOS PAC ID: 7810360252 Enrollment ID: I20230306000189 |
| Provider Name | Emily G Aguirre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952007080 PECOS PAC ID: 0042683294 Enrollment ID: I20230308003230 |
| Provider Name | Maria Y Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912214354 PECOS PAC ID: 2466719091 Enrollment ID: I20230314001832 |
| Provider Name | Veronica M Gannaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437412228 PECOS PAC ID: 4789059692 Enrollment ID: I20230406002032 |
| Provider Name | Johanna Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831646884 PECOS PAC ID: 6305211228 Enrollment ID: I20230406002143 |
| Provider Name | Roberto R Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902136211 PECOS PAC ID: 9537534474 Enrollment ID: I20230407000508 |
| Provider Name | Kevin M Velis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891457271 PECOS PAC ID: 1557726874 Enrollment ID: I20230420000688 |
| Provider Name | Theola R Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376844183 PECOS PAC ID: 4880059104 Enrollment ID: I20230420000906 |
| Provider Name | Wen Er Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649558966 PECOS PAC ID: 4587029582 Enrollment ID: I20230426002247 |
| Provider Name | Dorothy C Worden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336575943 PECOS PAC ID: 8325403348 Enrollment ID: I20230426003213 |
| Provider Name | Sophie Ly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417207366 PECOS PAC ID: 9931564705 Enrollment ID: I20230501000498 |
| Provider Name | Andrea D Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679093272 PECOS PAC ID: 0345605812 Enrollment ID: I20230505001469 |
| Provider Name | Yvonne Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225564859 PECOS PAC ID: 5092171595 Enrollment ID: I20230524003820 |
| Provider Name | Irene Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275809824 PECOS PAC ID: 1759748197 Enrollment ID: I20230531000655 |
| Provider Name | Irene Obanor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598020299 PECOS PAC ID: 0244697316 Enrollment ID: I20230605002153 |
| Provider Name | Hannah J Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821291733 PECOS PAC ID: 5890152888 Enrollment ID: I20230607000316 |
| Provider Name | Martin Rodarte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780813717 PECOS PAC ID: 9436496684 Enrollment ID: I20230614003395 |
| Provider Name | Daisy Obetsanov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982789947 PECOS PAC ID: 9032577515 Enrollment ID: I20230614003721 |
| Provider Name | Scarlett Adewale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316299910 PECOS PAC ID: 5193183911 Enrollment ID: I20230626002792 |
| Provider Name | Jordan A Stamps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861984650 PECOS PAC ID: 4486015658 Enrollment ID: I20230803003172 |
| Provider Name | Sheryl A. Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962825083 PECOS PAC ID: 3274995881 Enrollment ID: I20230815000145 |
| Provider Name | Angelica Rangel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457676710 PECOS PAC ID: 6800258989 Enrollment ID: I20230822002088 |
| Provider Name | Jacinta R Aernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730351610 PECOS PAC ID: 0143683250 Enrollment ID: I20230822003679 |
| Provider Name | Denisha Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265896377 PECOS PAC ID: 3577926153 Enrollment ID: I20230830000309 |
| Provider Name | Casandra U C Oyeka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588207849 PECOS PAC ID: 0446613020 Enrollment ID: I20230830000468 |
| Provider Name | Kevin W Ryu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881146264 PECOS PAC ID: 3476916784 Enrollment ID: I20230901002333 |
| Provider Name | Andrea M Birnbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790263101 PECOS PAC ID: 2961881545 Enrollment ID: I20230912003374 |
| Provider Name | Natalie Betlachin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245354448 PECOS PAC ID: 1557725041 Enrollment ID: I20230918000841 |
| Provider Name | Ana L Estrada-wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437535457 PECOS PAC ID: 8426412917 Enrollment ID: I20230918001064 |
| Provider Name | Alice H Ngo-tieng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467080887 PECOS PAC ID: 2769846054 Enrollment ID: I20230920000857 |
| Provider Name | Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568507440 PECOS PAC ID: 8224482443 Enrollment ID: I20230921003011 |
| Provider Name | Bernadeth C Osuji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508102476 PECOS PAC ID: 0345694584 Enrollment ID: I20230921003826 |
| Provider Name | Joshua B Finley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306584 PECOS PAC ID: 9537546403 Enrollment ID: I20231026001648 |
| Provider Name | Maria E Aceves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578878872 PECOS PAC ID: 1951758150 Enrollment ID: I20231109001922 |
| Provider Name | Gloria S Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457834756 PECOS PAC ID: 8527416346 Enrollment ID: I20231204002811 |
| Provider Name | Jocelyn R Morris-bryant |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518032796 PECOS PAC ID: 8729437058 Enrollment ID: I20231212004138 |
| Provider Name | Anum I Baig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346803046 PECOS PAC ID: 1254780471 Enrollment ID: I20231213003473 |
| Provider Name | Gregg A Ratinoff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164612545 PECOS PAC ID: 4385094895 Enrollment ID: I20231226001139 |
| Provider Name | Abby B Gil |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063530616 PECOS PAC ID: 3274983788 Enrollment ID: I20231226001174 |
| Provider Name | Christine L Teramoto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487883393 PECOS PAC ID: 4082064597 Enrollment ID: I20231226001221 |
| Provider Name | Michelle S Bilotta-smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386778504 PECOS PAC ID: 5496905200 Enrollment ID: I20231227002431 |
| Provider Name | Marvin A Sanderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962695627 PECOS PAC ID: 9638529027 Enrollment ID: I20231227002583 |
| Provider Name | Erica Estrada Marroquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295149359 PECOS PAC ID: 6204286610 Enrollment ID: I20231227003276 |
| Provider Name | Victor S Aguilar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639554421 PECOS PAC ID: 5698157444 Enrollment ID: I20240102003582 |
| Provider Name | Zonia K Mijangos Alonso |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770614752 PECOS PAC ID: 2961853437 Enrollment ID: I20240109002538 |
| Provider Name | Jacqui C Cheng |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093902918 PECOS PAC ID: 1052762531 Enrollment ID: I20240109002890 |
| Provider Name | Berenise N Whiteleather |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356700587 PECOS PAC ID: 8325499825 Enrollment ID: I20240109003723 |
| Provider Name | Susan E Kudlick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528255874 PECOS PAC ID: 8820440951 Enrollment ID: I20240114000164 |
| Provider Name | Tabara S Etiaka |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912025297 PECOS PAC ID: 1456703222 Enrollment ID: I20240117001596 |
| Provider Name | Eliette Del Carmen Montiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679738041 PECOS PAC ID: 2860845906 Enrollment ID: I20240125001112 |
| Provider Name | Oscar A Rivas Guatemala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558625053 PECOS PAC ID: 4385097054 Enrollment ID: I20240129004407 |
| Provider Name | Heliud S Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366816092 PECOS PAC ID: 2365885837 Enrollment ID: I20240212003304 |
| Provider Name | Connie G Iglesias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073947966 PECOS PAC ID: 8325481807 Enrollment ID: I20240212003452 |
| Provider Name | Joseph F Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548985914 PECOS PAC ID: 4486097961 Enrollment ID: I20240212003627 |
| Provider Name | James A Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093285280 PECOS PAC ID: 0648614438 Enrollment ID: I20240220003761 |
| Provider Name | Ashley A Orozco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982010831 PECOS PAC ID: 2264877315 Enrollment ID: I20240228001457 |
| Provider Name | Gohar Karen Amirkhanyan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932451234 PECOS PAC ID: 6204272867 Enrollment ID: I20240306002039 |
| Provider Name | Teresa A Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831484674 PECOS PAC ID: 9335585850 Enrollment ID: I20240306004470 |
| Provider Name | Angela Y Lu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093852832 PECOS PAC ID: 2668818766 Enrollment ID: I20240312001244 |
| Provider Name | Sokunnary Ung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518083641 PECOS PAC ID: 1153767264 Enrollment ID: I20240312001903 |
| Provider Name | Brandi T Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144882226 PECOS PAC ID: 9335585462 Enrollment ID: I20240312002383 |
| Provider Name | Victor A Galdamez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134759327 PECOS PAC ID: 5991141822 Enrollment ID: I20240313002554 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Pch Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |