| Intermountain Healthcare | |
|
595 W Lake Mead Pkwy Henderson NV 89015-7015 | |
| (702) 566-5500 | |
| Not Available |
| Full Name | Intermountain Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 595 W Lake Mead Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Paul Krakovitz (NEVADA REGION PRESIDENT) |
| Authorized Official Contact | 7029328550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Healthcare 6355 S Buffalo Dr Las Vegas NV 89113-2133 Ph: (702) 580-1323 | Intermountain Healthcare 595 W Lake Mead Pkwy Henderson NV 89015-7015 Ph: (702) 566-5500 |
| NPI Number | 1245997279 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Medicare PECOS PAC ID | 7416054622 |
|---|---|
| Medicare Enrollment ID | O20220214001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245997279 | NPI | - | NPPES |
| Provider Name | Frederick L Tanenggee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245284959 PECOS PAC ID: 1557265527 Enrollment ID: I20031121000199 |
| Provider Name | Olayinka F Alonge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831110519 PECOS PAC ID: 4486556875 Enrollment ID: I20040211000548 |
| Provider Name | Ama B Brobbey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124086491 PECOS PAC ID: 1355235185 Enrollment ID: I20040211001050 |
| Provider Name | Lara C Wenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164529350 PECOS PAC ID: 9537059506 Enrollment ID: I20040317000194 |
| Provider Name | Steven Harter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285634659 PECOS PAC ID: 4981596350 Enrollment ID: I20040329001366 |
| Provider Name | George P Chambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508972431 PECOS PAC ID: 1153311949 Enrollment ID: I20040513001446 |
| Provider Name | Jeffrey Allen Wrightson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356300743 PECOS PAC ID: 2466442793 Enrollment ID: I20040517001366 |
| Provider Name | Kimball Y Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073502084 PECOS PAC ID: 5395736292 Enrollment ID: I20040519001637 |
| Provider Name | Reynaldo A Santos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043212558 PECOS PAC ID: 7517879562 Enrollment ID: I20040524001148 |
| Provider Name | Stephen J Portz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811933500 PECOS PAC ID: 9335120583 Enrollment ID: I20040525001189 |
| Provider Name | Robert Clinton Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437151917 PECOS PAC ID: 7113908526 Enrollment ID: I20040601000085 |
| Provider Name | Harold L Naiman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326040999 PECOS PAC ID: 6002889177 Enrollment ID: I20040817000520 |
| Provider Name | Eugene E Schnitzler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386646859 PECOS PAC ID: 4284607375 Enrollment ID: I20040817000650 |
| Provider Name | Arpine Tacvorian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598768509 PECOS PAC ID: 6608849799 Enrollment ID: I20040817000677 |
| Provider Name | John Shunyi Hou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700924297 PECOS PAC ID: 9638134794 Enrollment ID: I20041130000958 |
| Provider Name | Anjali A Rege |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881667202 PECOS PAC ID: 1254389265 Enrollment ID: I20050106000501 |
| Provider Name | Scott May K Olds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942288691 PECOS PAC ID: 4082662424 Enrollment ID: I20050112000247 |
| Provider Name | Hima B Illindala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083604102 PECOS PAC ID: 3476502279 Enrollment ID: I20050119000658 |
| Provider Name | Maria Carmencita C Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316918998 PECOS PAC ID: 7618929704 Enrollment ID: I20050217000088 |
| Provider Name | Kelly E Van Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306035571 PECOS PAC ID: 9537113543 Enrollment ID: I20050311000240 |
| Provider Name | Evangelia Papageorge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780657262 PECOS PAC ID: 8628982345 Enrollment ID: I20050401000179 |
| Provider Name | Edward F Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356318174 PECOS PAC ID: 5799683033 Enrollment ID: I20050401000217 |
| Provider Name | James L Flowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649310921 PECOS PAC ID: 0345289401 Enrollment ID: I20050427001357 |
| Provider Name | Nicholas G Calica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891797593 PECOS PAC ID: 1951342815 Enrollment ID: I20050520000460 |
| Provider Name | Thomas S Roben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841292315 PECOS PAC ID: 3577504455 Enrollment ID: I20050520000538 |
| Provider Name | Roy L Perlot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679575245 PECOS PAC ID: 8022045368 Enrollment ID: I20050719000688 |
| Provider Name | David A Pomerantz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427058916 PECOS PAC ID: 5092742882 Enrollment ID: I20050723000028 |
| Provider Name | Karen S Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205806429 PECOS PAC ID: 3173557030 Enrollment ID: I20050921000349 |
| Provider Name | Nancy T Lao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174596431 PECOS PAC ID: 2062446719 Enrollment ID: I20050921001080 |
| Provider Name | Robert Hang Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588659460 PECOS PAC ID: 2365489358 Enrollment ID: I20051004000122 |
| Provider Name | Roland L Sparling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528097292 PECOS PAC ID: 1153356621 Enrollment ID: I20051004000265 |
| Provider Name | Michael R Coy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669407144 PECOS PAC ID: 7618992934 Enrollment ID: I20051005001302 |
| Provider Name | Joel Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275525453 PECOS PAC ID: 8022033240 Enrollment ID: I20051006000882 |
| Provider Name | Ralph M Vennart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477555852 PECOS PAC ID: 9032134648 Enrollment ID: I20051012001233 |
| Provider Name | Girish H Daulat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235226770 PECOS PAC ID: 5890711071 Enrollment ID: I20051018000193 |
| Provider Name | Yvonne L Saunders-teigeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477534030 PECOS PAC ID: 4284651704 Enrollment ID: I20051025000679 |
| Provider Name | Sana Safaei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457347304 PECOS PAC ID: 0244257145 Enrollment ID: I20051031000371 |
| Provider Name | Prashant Shantilal Dani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649232786 PECOS PAC ID: 1153340633 Enrollment ID: I20051114000906 |
| Provider Name | Lindley G Avina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649360447 PECOS PAC ID: 5991725509 Enrollment ID: I20051128000819 |
| Provider Name | Jonathan C Reboton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780603308 PECOS PAC ID: 4183645583 Enrollment ID: I20051213000715 |
| Provider Name | John B Bedotto |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164468385 PECOS PAC ID: 9931121134 Enrollment ID: I20060103000315 |
| Provider Name | Stephen B Andracki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598708901 PECOS PAC ID: 4183648827 Enrollment ID: I20060120000152 |
| Provider Name | Tuan Anh Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982677258 PECOS PAC ID: 6709892201 Enrollment ID: I20060221000493 |
| Provider Name | Oscar A Batugal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790739159 PECOS PAC ID: 5193629277 Enrollment ID: I20060320000294 |
| Provider Name | Suresh K Tawney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235190281 PECOS PAC ID: 7810905494 Enrollment ID: I20060323000203 |
| Provider Name | Byron S Kilpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750383360 PECOS PAC ID: 7618988114 Enrollment ID: I20060517000064 |
| Provider Name | Afi Y Bruce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467410639 PECOS PAC ID: 9638172869 Enrollment ID: I20060808000598 |
| Provider Name | Karyn Harries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376571455 PECOS PAC ID: 0446143853 Enrollment ID: I20060811000154 |
| Provider Name | Nida E Bonuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760440200 PECOS PAC ID: 1456354455 Enrollment ID: I20060811000314 |
| Provider Name | Peter N Politis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477586253 PECOS PAC ID: 6103835772 Enrollment ID: I20060822000435 |
| Provider Name | Marija Krstic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457385619 PECOS PAC ID: 7012909294 Enrollment ID: I20061120000019 |
| Provider Name | Edeson G Damasco Ty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497799258 PECOS PAC ID: 7719997535 Enrollment ID: I20061120000290 |
| Provider Name | Binh N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801998166 PECOS PAC ID: 4880693464 Enrollment ID: I20061208000113 |
| Provider Name | Kevin D Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912953597 PECOS PAC ID: 1456351527 Enrollment ID: I20070115000155 |
| Provider Name | Shaun D Yokoyama |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881747665 PECOS PAC ID: 4880796002 Enrollment ID: I20070219000489 |
| Provider Name | Javaid Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528031978 PECOS PAC ID: 7416058151 Enrollment ID: I20070724000693 |
| Provider Name | Lisa Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083682504 PECOS PAC ID: 9133220874 Enrollment ID: I20070724000702 |
| Provider Name | Xiantuo Wu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639397631 PECOS PAC ID: 5193826402 Enrollment ID: I20070730000831 |
| Provider Name | Caprice Marie Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528280666 PECOS PAC ID: 4981663895 Enrollment ID: I20070803000419 |
| Provider Name | Greg E Fihn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114013901 PECOS PAC ID: 5395837751 Enrollment ID: I20070816000140 |
| Provider Name | Daejoon Anh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033218839 PECOS PAC ID: 9537251624 Enrollment ID: I20070821000267 |
| Provider Name | Adam V Levy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942241534 PECOS PAC ID: 4981796026 Enrollment ID: I20070822000388 |
| Provider Name | Chard D Bubb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902097215 PECOS PAC ID: 1951494988 Enrollment ID: I20070907000393 |
| Provider Name | Orlando Ozir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790977437 PECOS PAC ID: 5395831234 Enrollment ID: I20071023000540 |
| Provider Name | Janmejay J Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215984158 PECOS PAC ID: 6507899572 Enrollment ID: I20071129000030 |
| Provider Name | Sachit P Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508064098 PECOS PAC ID: 4082709522 Enrollment ID: I20080130000025 |
| Provider Name | William W Chu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528018587 PECOS PAC ID: 0244295806 Enrollment ID: I20080422000850 |
| Provider Name | Sanford F White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326079724 PECOS PAC ID: 7911899182 Enrollment ID: I20080424000686 |
| Provider Name | Tuan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449500 PECOS PAC ID: 3072577196 Enrollment ID: I20080527000721 |
| Provider Name | Michael Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356342364 PECOS PAC ID: 8628137742 Enrollment ID: I20081104000762 |
| Provider Name | Anna Liza T Aguila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295912830 PECOS PAC ID: 7618037755 Enrollment ID: I20081119000859 |
| Provider Name | Frederick A Schaller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225086382 PECOS PAC ID: 4284797366 Enrollment ID: I20090115000533 |
| Provider Name | Randy R Calegari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336263953 PECOS PAC ID: 7315094968 Enrollment ID: I20090416000507 |
| Provider Name | Fredric A Siegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801048814 PECOS PAC ID: 0941350698 Enrollment ID: I20090618000191 |
| Provider Name | Stacey M Cadaval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518118850 PECOS PAC ID: 5193870525 Enrollment ID: I20090908000562 |
| Provider Name | Howard J Broder |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336361500 PECOS PAC ID: 0648316737 Enrollment ID: I20091002000293 |
| Provider Name | Deepa Mocherla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649394909 PECOS PAC ID: 9739225376 Enrollment ID: I20091012000437 |
| Provider Name | Lubna Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417033044 PECOS PAC ID: 4587663034 Enrollment ID: I20091028000381 |
| Provider Name | Tanya M Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295785038 PECOS PAC ID: 5395757330 Enrollment ID: I20100318000698 |
| Provider Name | Ansy P John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265660047 PECOS PAC ID: 6901933373 Enrollment ID: I20100416000707 |
| Provider Name | Terry J Mcanallen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871504969 PECOS PAC ID: 1759277643 Enrollment ID: I20100626000464 |
| Provider Name | Divina G Averilla-obena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467504175 PECOS PAC ID: 9436280930 Enrollment ID: I20100628000455 |
| Provider Name | Son Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205861820 PECOS PAC ID: 7214027473 Enrollment ID: I20100628000652 |
| Provider Name | Srinivasan Venkatesan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811187859 PECOS PAC ID: 5092849562 Enrollment ID: I20100819000308 |
| Provider Name | Warren J Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285659193 PECOS PAC ID: 6305936568 Enrollment ID: I20100824000369 |
| Provider Name | Dane E. Jefic |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164625638 PECOS PAC ID: 0840266763 Enrollment ID: I20100826000047 |
| Provider Name | Cuong T Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508813585 PECOS PAC ID: 7618058553 Enrollment ID: I20100920000023 |
| Provider Name | Pamela Alice Ivey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952339368 PECOS PAC ID: 1557442407 Enrollment ID: I20100921001001 |
| Provider Name | Rixin Zhou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962678136 PECOS PAC ID: 6406040757 Enrollment ID: I20101030000173 |
| Provider Name | Judy H Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710205257 PECOS PAC ID: 7214123355 Enrollment ID: I20101201000356 |
| Provider Name | Cheryl R Veniegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306039938 PECOS PAC ID: 6103012208 Enrollment ID: I20101201001010 |
| Provider Name | Ioana M Pahlevan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659341857 PECOS PAC ID: 1355520362 Enrollment ID: I20110124000431 |
| Provider Name | Prashant H Bharucha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720286958 PECOS PAC ID: 3274712658 Enrollment ID: I20110201000635 |
| Provider Name | Kira M Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942501580 PECOS PAC ID: 3870774144 Enrollment ID: I20110218000631 |
| Provider Name | Mahendra Paul Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063587855 PECOS PAC ID: 0042278327 Enrollment ID: I20110328000621 |
| Provider Name | Richard N King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518938059 PECOS PAC ID: 0042495418 Enrollment ID: I20110428000411 |
| Provider Name | Juanita C Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619932332 PECOS PAC ID: 5294752150 Enrollment ID: I20110430000023 |
| Provider Name | Dheeresh K Mamidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518161181 PECOS PAC ID: 4587841739 Enrollment ID: I20110615000651 |
| Provider Name | Brian V Earley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982850756 PECOS PAC ID: 8820268345 Enrollment ID: I20110818000835 |
| Provider Name | Todd Dukes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346496114 PECOS PAC ID: 1052581022 Enrollment ID: I20110830000536 |
| Provider Name | Syed Ta Zaidi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972503878 PECOS PAC ID: 6305896077 Enrollment ID: I20110906000042 |
| Provider Name | Othella A Jurani Suarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346299328 PECOS PAC ID: 4486677846 Enrollment ID: I20111020000191 |
| Provider Name | Stephanie M Melcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023399748 PECOS PAC ID: 8123291929 Enrollment ID: I20111021000463 |
| Provider Name | Joseph Dennis Shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144410127 PECOS PAC ID: 2668527946 Enrollment ID: I20111024000450 |
| Provider Name | Rakesh Kalra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104086768 PECOS PAC ID: 6204950496 Enrollment ID: I20111116000769 |
| Provider Name | Badri Narayana Garlapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376799015 PECOS PAC ID: 1759555162 Enrollment ID: I20111122000058 |
| Provider Name | Laurel A Kleinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336428853 PECOS PAC ID: 3173797198 Enrollment ID: I20111130000725 |
| Provider Name | Troy Schumacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215193784 PECOS PAC ID: 2567621253 Enrollment ID: I20120315000879 |
| Provider Name | Saira Beg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275799819 PECOS PAC ID: 0143480566 Enrollment ID: I20120322000200 |
| Provider Name | David S Gothelf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023057296 PECOS PAC ID: 5890684203 Enrollment ID: I20120627000302 |
| Provider Name | Amber D Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386813046 PECOS PAC ID: 2466649744 Enrollment ID: I20120716000577 |
| Provider Name | Ivana P Fukumoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114234630 PECOS PAC ID: 8022264381 Enrollment ID: I20120802000290 |
| Provider Name | Zima Pakzad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669747564 PECOS PAC ID: 1052568748 Enrollment ID: I20120831000400 |
| Provider Name | Sonia Ceballos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932391067 PECOS PAC ID: 4688822083 Enrollment ID: I20120910000329 |
| Provider Name | Sheila Tack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114153525 PECOS PAC ID: 7416106075 Enrollment ID: I20120926000148 |
| Provider Name | Elron Mighty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912201104 PECOS PAC ID: 4880843366 Enrollment ID: I20120926000543 |
| Provider Name | Asbel T Caligagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447503644 PECOS PAC ID: 0840443735 Enrollment ID: I20121228000236 |
| Provider Name | Sunita B Kalra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457475410 PECOS PAC ID: 5799865341 Enrollment ID: I20130416000644 |
| Provider Name | Irene K Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861432718 PECOS PAC ID: 7012929409 Enrollment ID: I20130731000676 |
| Provider Name | Kimberly White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942497045 PECOS PAC ID: 5496890311 Enrollment ID: I20131101000174 |
| Provider Name | Ida Bernadette Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447523741 PECOS PAC ID: 6204075344 Enrollment ID: I20131121001638 |
| Provider Name | Sylvester Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255568929 PECOS PAC ID: 8820246275 Enrollment ID: I20140115000507 |
| Provider Name | Ma. Aleli De Guzman Malonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194146811 PECOS PAC ID: 3870716814 Enrollment ID: I20140521000306 |
| Provider Name | Chirisse Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881905909 PECOS PAC ID: 7517181951 Enrollment ID: I20140605000385 |
| Provider Name | Robert J Vadovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558555714 PECOS PAC ID: 0840364105 Enrollment ID: I20140806002650 |
| Provider Name | Fridolin T Sy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508041963 PECOS PAC ID: 1658426895 Enrollment ID: I20140826000998 |
| Provider Name | Jared D Fairbanks |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1922307974 PECOS PAC ID: 0547489361 Enrollment ID: I20140910002896 |
| Provider Name | Justin E Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386938777 PECOS PAC ID: 6608096383 Enrollment ID: I20140930002861 |
| Provider Name | Philippe Y Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417243684 PECOS PAC ID: 9537389184 Enrollment ID: I20141001002499 |
| Provider Name | Lana L Dawood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235445065 PECOS PAC ID: 1355579798 Enrollment ID: I20141007000679 |
| Provider Name | Sejal A Duggal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972814093 PECOS PAC ID: 7719151406 Enrollment ID: I20141009002254 |
| Provider Name | Amit Duggal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346543816 PECOS PAC ID: 6507014081 Enrollment ID: I20141009002308 |
| Provider Name | Margaret E Sweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518391077 PECOS PAC ID: 9638390982 Enrollment ID: I20141029002812 |
| Provider Name | Jennifer Quiamzon-adobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629488226 PECOS PAC ID: 9830311976 Enrollment ID: I20141105001633 |
| Provider Name | Mekdelawit Aschenaki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063679249 PECOS PAC ID: 6103942016 Enrollment ID: I20141105002616 |
| Provider Name | Marcie D Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841428026 PECOS PAC ID: 7911157540 Enrollment ID: I20141110000601 |
| Provider Name | Francine R Clegg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962891473 PECOS PAC ID: 3870811615 Enrollment ID: I20150408000266 |
| Provider Name | Bashar I Nakhleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457390262 PECOS PAC ID: 4688577471 Enrollment ID: I20150501000931 |
| Provider Name | Jyoti Desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194024687 PECOS PAC ID: 4688807332 Enrollment ID: I20150629002939 |
| Provider Name | Alvin Lourenz E Ucab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194133959 PECOS PAC ID: 4688988231 Enrollment ID: I20150727002916 |
| Provider Name | Christina Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629412002 PECOS PAC ID: 3173838323 Enrollment ID: I20150817001730 |
| Provider Name | Andrew A Gyang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396913398 PECOS PAC ID: 9739211020 Enrollment ID: I20150824000079 |
| Provider Name | Jay R Hsu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386703023 PECOS PAC ID: 7911089966 Enrollment ID: I20150908002816 |
| Provider Name | Karishma B Sehdev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760742134 PECOS PAC ID: 6305168642 Enrollment ID: I20150910001384 |
| Provider Name | Sherry A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154619781 PECOS PAC ID: 1355511841 Enrollment ID: I20150910002688 |
| Provider Name | Yarini Quezada |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083875652 PECOS PAC ID: 3779890330 Enrollment ID: I20150914002726 |
| Provider Name | Kwok L Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043508427 PECOS PAC ID: 0749597037 Enrollment ID: I20150918001594 |
| Provider Name | Jae Wook Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558624957 PECOS PAC ID: 3678899622 Enrollment ID: I20151123002690 |
| Provider Name | Ike M Ekekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699146464 PECOS PAC ID: 3274834775 Enrollment ID: I20151228001734 |
| Provider Name | Lamarr B Tyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063436988 PECOS PAC ID: 4587609763 Enrollment ID: I20160126000472 |
| Provider Name | Friday O Irorobeje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902217656 PECOS PAC ID: 2769786599 Enrollment ID: I20160215001717 |
| Provider Name | Donna M Hufana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700819406 PECOS PAC ID: 3971689936 Enrollment ID: I20160218000504 |
| Provider Name | Benjamin Q Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205920675 PECOS PAC ID: 2466462858 Enrollment ID: I20160308001224 |
| Provider Name | Manpreet Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801260534 PECOS PAC ID: 0446557748 Enrollment ID: I20160331002619 |
| Provider Name | Jennifer Lorene Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033579396 PECOS PAC ID: 5193023893 Enrollment ID: I20160414000498 |
| Provider Name | Benjamin Nepomuceno Cabasada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326405408 PECOS PAC ID: 4981903739 Enrollment ID: I20160428000798 |
| Provider Name | Kenneth Osita Edmunds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265466213 PECOS PAC ID: 9537357785 Enrollment ID: I20160428001373 |
| Provider Name | Tricia B Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215996764 PECOS PAC ID: 0547150492 Enrollment ID: I20160503000905 |
| Provider Name | Carla E Torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457309726 PECOS PAC ID: 0446497234 Enrollment ID: I20160526002191 |
| Provider Name | Emily D Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336486182 PECOS PAC ID: 1052566411 Enrollment ID: I20160823002175 |
| Provider Name | Rashin Gholamrezaee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952794000 PECOS PAC ID: 6800181090 Enrollment ID: I20160826002047 |
| Provider Name | Ricky M Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295289528 PECOS PAC ID: 7113213380 Enrollment ID: I20160914001997 |
| Provider Name | Kavita Pabby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336301449 PECOS PAC ID: 4486960937 Enrollment ID: I20160928002298 |
| Provider Name | Robert Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498684 PECOS PAC ID: 1254619208 Enrollment ID: I20161026002696 |
| Provider Name | Johnathan R Taitano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184062309 PECOS PAC ID: 0042539579 Enrollment ID: I20161206002291 |
| Provider Name | Reydel B Alvarez-epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467996876 PECOS PAC ID: 9335421841 Enrollment ID: I20170118001036 |
| Provider Name | Katherine Hinton Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114475357 PECOS PAC ID: 0941583538 Enrollment ID: I20170206000675 |
| Provider Name | Christina Clignett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194821744 PECOS PAC ID: 2860629615 Enrollment ID: I20170228000533 |
| Provider Name | Lateisha N Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649566589 PECOS PAC ID: 9032486030 Enrollment ID: I20170523001383 |
| Provider Name | Aysa M Chavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679013718 PECOS PAC ID: 8628346079 Enrollment ID: I20170608000449 |
| Provider Name | Nathania L Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790188555 PECOS PAC ID: 6709181100 Enrollment ID: I20170627002289 |
| Provider Name | Karunakar Nandalur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811967391 PECOS PAC ID: 6002715646 Enrollment ID: I20170708000234 |
| Provider Name | Claudine Bae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437687837 PECOS PAC ID: 3971875642 Enrollment ID: I20170816001593 |
| Provider Name | Pongchanok Pakdeesupapol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679992325 PECOS PAC ID: 4688947005 Enrollment ID: I20170907000736 |
| Provider Name | Charlene Ann Adrian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276165 PECOS PAC ID: 2668745654 Enrollment ID: I20170913004048 |
| Provider Name | Jennifer Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528501012 PECOS PAC ID: 7911271374 Enrollment ID: I20170922002598 |
| Provider Name | Veronica N James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245768019 PECOS PAC ID: 1456625680 Enrollment ID: I20170926003557 |
| Provider Name | Arlene C. Rillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508276254 PECOS PAC ID: 5092011544 Enrollment ID: I20170926004312 |
| Provider Name | Weldon Gaston James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053499970 PECOS PAC ID: 7911959788 Enrollment ID: I20170929000624 |
| Provider Name | Ashley Juste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063959229 PECOS PAC ID: 8022383033 Enrollment ID: I20171002000673 |
| Provider Name | Sue Ann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154862613 PECOS PAC ID: 0840565883 Enrollment ID: I20171002001686 |
| Provider Name | Marianne Hazelitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558655027 PECOS PAC ID: 7517184401 Enrollment ID: I20171003006243 |
| Provider Name | Christopher Andrew Leslie Downes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881822328 PECOS PAC ID: 5698925691 Enrollment ID: I20171009003428 |
| Provider Name | Karanvir Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912313263 PECOS PAC ID: 3072739861 Enrollment ID: I20171016003093 |
| Provider Name | Charynne A Quinesares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710404793 PECOS PAC ID: 1658647573 Enrollment ID: I20171020001779 |
| Provider Name | Olivia Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912423682 PECOS PAC ID: 6901162619 Enrollment ID: I20171114001283 |
| Provider Name | Nicole L Timms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386168037 PECOS PAC ID: 3476810615 Enrollment ID: I20171127001699 |
| Provider Name | Dan R Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538110457 PECOS PAC ID: 7012184856 Enrollment ID: I20171222001035 |
| Provider Name | Ahoora Payam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154583938 PECOS PAC ID: 7012180755 Enrollment ID: I20171229001785 |
| Provider Name | Promise Ojukwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790087732 PECOS PAC ID: 0547586968 Enrollment ID: I20180108002848 |
| Provider Name | Doyle Wade Huey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649364530 PECOS PAC ID: 4284655259 Enrollment ID: I20180129002018 |
| Provider Name | Jennifer Saquing Gopeng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184867806 PECOS PAC ID: 1052508793 Enrollment ID: I20180219000664 |
| Provider Name | Jason S Hume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912413956 PECOS PAC ID: 7012278237 Enrollment ID: I20180305002118 |
| Provider Name | Sholom D Nadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194238808 PECOS PAC ID: 2567723646 Enrollment ID: I20180306002432 |
| Provider Name | Shelby Schiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326566969 PECOS PAC ID: 3779845128 Enrollment ID: I20180322001350 |
| Provider Name | Julia Vivien Navalta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017400 PECOS PAC ID: 7416210018 Enrollment ID: I20180412002359 |
| Provider Name | Dawn Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871080267 PECOS PAC ID: 5698039048 Enrollment ID: I20180510001917 |
| Provider Name | Andrea Moses |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730165630 PECOS PAC ID: 3274556584 Enrollment ID: I20180514001709 |
| Provider Name | Deborah Anne Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881718450 PECOS PAC ID: 9931263886 Enrollment ID: I20180515002473 |
| Provider Name | Leila R. Olivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619049426 PECOS PAC ID: 6204996747 Enrollment ID: I20180522001681 |
| Provider Name | Johanna Coloyan Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942659602 PECOS PAC ID: 5698030005 Enrollment ID: I20180605001501 |
| Provider Name | Andrei Androssov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063610061 PECOS PAC ID: 5991992620 Enrollment ID: I20180622002550 |
| Provider Name | Leslie E Keck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174729800 PECOS PAC ID: 1254511819 Enrollment ID: I20180704000079 |
| Provider Name | Benjamin Casillas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578739835 PECOS PAC ID: 1153492970 Enrollment ID: I20180718004214 |
| Provider Name | Jennifer Romo Santistevan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922494764 PECOS PAC ID: 0143578211 Enrollment ID: I20180806002458 |
| Provider Name | Shamail Butt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043531981 PECOS PAC ID: 5496871907 Enrollment ID: I20180816003338 |
| Provider Name | Allison Fain Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144579806 PECOS PAC ID: 0345499372 Enrollment ID: I20180820001149 |
| Provider Name | John Barend William Hulshoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841480928 PECOS PAC ID: 6901977743 Enrollment ID: I20180829002841 |
| Provider Name | Steven W Yates |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609814417 PECOS PAC ID: 5890890404 Enrollment ID: I20180910000384 |
| Provider Name | Thomas R Serbousek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992770432 PECOS PAC ID: 5294833802 Enrollment ID: I20180913003075 |
| Provider Name | Gurinderpal Singh Khaira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547828 PECOS PAC ID: 5698911469 Enrollment ID: I20180913003185 |
| Provider Name | Thomas T Wiggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356413405 PECOS PAC ID: 9133177348 Enrollment ID: I20180920000855 |
| Provider Name | Steven Tsang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992112775 PECOS PAC ID: 6305197815 Enrollment ID: I20180921003117 |
| Provider Name | Robert Michael Russ |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225008501 PECOS PAC ID: 0042344004 Enrollment ID: I20181009003029 |
| Provider Name | Tracy L Coe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225045529 PECOS PAC ID: 0941286280 Enrollment ID: I20181121002492 |
| Provider Name | Veronica Pricillia Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114241130 PECOS PAC ID: 7719123348 Enrollment ID: I20181126001596 |
| Provider Name | Glendell S De Guzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174819064 PECOS PAC ID: 4486803343 Enrollment ID: I20181218001478 |
| Provider Name | Sammy Castro Delizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508364969 PECOS PAC ID: 7012253354 Enrollment ID: I20190108002200 |
| Provider Name | Kim Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073005419 PECOS PAC ID: 4284972480 Enrollment ID: I20190213002956 |
| Provider Name | Maria C Perez-montes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083687628 PECOS PAC ID: 6002099504 Enrollment ID: I20190226000239 |
| Provider Name | Mary Elizabeth Wardle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235624388 PECOS PAC ID: 5193064707 Enrollment ID: I20190226001994 |
| Provider Name | Paigeone Noe Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831636935 PECOS PAC ID: 7618217431 Enrollment ID: I20190314000248 |
| Provider Name | Michelle Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972082956 PECOS PAC ID: 2163762741 Enrollment ID: I20190318001801 |
| Provider Name | Pradipta Chaudhuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457447849 PECOS PAC ID: 5395653000 Enrollment ID: I20190318002263 |
| Provider Name | Nana Esi Nkuma Kittah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922231745 PECOS PAC ID: 2466601786 Enrollment ID: I20190322002045 |
| Provider Name | Lindiane Shultis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093284218 PECOS PAC ID: 5294075370 Enrollment ID: I20190328000121 |
| Provider Name | Aura Cynthia Truelove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013470962 PECOS PAC ID: 1850625856 Enrollment ID: I20190625002756 |
| Provider Name | Jeffrey A Demoss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568487841 PECOS PAC ID: 5294860771 Enrollment ID: I20190628000545 |
| Provider Name | Gary A Palmer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568513059 PECOS PAC ID: 9436455326 Enrollment ID: I20190708001669 |
| Provider Name | Neville F Mistry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881803187 PECOS PAC ID: 5395890966 Enrollment ID: I20190712000434 |
| Provider Name | Heather Ballantyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619532876 PECOS PAC ID: 5799012480 Enrollment ID: I20190802001119 |
| Provider Name | David Rafferty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326400912 PECOS PAC ID: 7214220243 Enrollment ID: I20190806003928 |
| Provider Name | Sandy Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811450950 PECOS PAC ID: 0143557173 Enrollment ID: I20190813002681 |
| Provider Name | Vance Marshal Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811376908 PECOS PAC ID: 4183931017 Enrollment ID: I20190826002140 |
| Provider Name | Stephanie N Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326562968 PECOS PAC ID: 0840556908 Enrollment ID: I20190918001669 |
| Provider Name | Colleen Bruhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477005304 PECOS PAC ID: 3870872666 Enrollment ID: I20191008001720 |
| Provider Name | Laurie Rae Friedland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396306486 PECOS PAC ID: 4082946082 Enrollment ID: I20191024000178 |
| Provider Name | Jordan I Carley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215363213 PECOS PAC ID: 0244562247 Enrollment ID: I20191024000236 |
| Provider Name | Genadi Maltinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710966288 PECOS PAC ID: 6608859517 Enrollment ID: I20191106001282 |
| Provider Name | Michael H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063810935 PECOS PAC ID: 4183900061 Enrollment ID: I20191107000061 |
| Provider Name | Clarice Truc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831551944 PECOS PAC ID: 1557654696 Enrollment ID: I20191107000977 |
| Provider Name | Michael S Hager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387652 PECOS PAC ID: 1153753397 Enrollment ID: I20191108002888 |
| Provider Name | Teddy Toan Truc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821452525 PECOS PAC ID: 3072807585 Enrollment ID: I20191110000027 |
| Provider Name | Khanh Bao Pham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689606931 PECOS PAC ID: 1951698588 Enrollment ID: I20191125002434 |
| Provider Name | Daryl Jane Pablo Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457904807 PECOS PAC ID: 4385077999 Enrollment ID: I20191211002459 |
| Provider Name | Samantha Palomer Balsomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366085698 PECOS PAC ID: 1153754676 Enrollment ID: I20191213000767 |
| Provider Name | Maria Agnes Austria Sado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104339225 PECOS PAC ID: 9032471347 Enrollment ID: I20191218001792 |
| Provider Name | Emmy L Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841845278 PECOS PAC ID: 8921432220 Enrollment ID: I20191219000655 |
| Provider Name | Laura Angela Saberola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761186 PECOS PAC ID: 3678909348 Enrollment ID: I20200129001324 |
| Provider Name | William M Wakefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629017165 PECOS PAC ID: 6406875731 Enrollment ID: I20200203000009 |
| Provider Name | Maile Naomi Akiko Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552517 PECOS PAC ID: 2567409709 Enrollment ID: I20200206001758 |
| Provider Name | Marylou V Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548800360 PECOS PAC ID: 9032545181 Enrollment ID: I20200207001978 |
| Provider Name | Rebekah Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124327382 PECOS PAC ID: 8123296712 Enrollment ID: I20200212002299 |
| Provider Name | Barbara E Wotherspoon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619919198 PECOS PAC ID: 9436135951 Enrollment ID: I20200219001498 |
| Provider Name | Racheal Lynn Whitaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316960529 PECOS PAC ID: 4385649839 Enrollment ID: I20200226000279 |
| Provider Name | Patricia Eileen Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700930013 PECOS PAC ID: 9133224454 Enrollment ID: I20200226001362 |
| Provider Name | Gabriel J Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821635798 PECOS PAC ID: 8325476112 Enrollment ID: I20200309002233 |
| Provider Name | George Scleparis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902876105 PECOS PAC ID: 1557333754 Enrollment ID: I20200311002674 |
| Provider Name | Mehdi Shamloo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356638811 PECOS PAC ID: 5991934564 Enrollment ID: I20200311002773 |
| Provider Name | Jeffery Ray Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376956789 PECOS PAC ID: 4688990435 Enrollment ID: I20200314000260 |
| Provider Name | Frank J Seck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790777811 PECOS PAC ID: 3678654860 Enrollment ID: I20200325000944 |
| Provider Name | Kendra R Mahoney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265828776 PECOS PAC ID: 4284943598 Enrollment ID: I20200330002332 |
| Provider Name | Art Roo La Sage Saberola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659903193 PECOS PAC ID: 5496185563 Enrollment ID: I20200414002067 |
| Provider Name | Alice Velasquez-leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027450 PECOS PAC ID: 7113357005 Enrollment ID: I20200416001603 |
| Provider Name | Carrie A Lofton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740560614 PECOS PAC ID: 6204060262 Enrollment ID: I20200423000673 |
| Provider Name | Angel Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073978839 PECOS PAC ID: 8921438029 Enrollment ID: I20200509000000 |
| Provider Name | Karyn L Ofa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295891687 PECOS PAC ID: 0143300210 Enrollment ID: I20200522002286 |
| Provider Name | Vikas Lahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316292360 PECOS PAC ID: 7719278845 Enrollment ID: I20200523000132 |
| Provider Name | Seyed Abbas Mirabbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427449297 PECOS PAC ID: 5395046155 Enrollment ID: I20200611000430 |
| Provider Name | Arsine Abramyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598394520 PECOS PAC ID: 5496177859 Enrollment ID: I20200612001591 |
| Provider Name | Adriana Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407313935 PECOS PAC ID: 4486081858 Enrollment ID: I20200623000570 |
| Provider Name | Mojisola Balogun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144567264 PECOS PAC ID: 7012255904 Enrollment ID: I20200623000740 |
| Provider Name | Saira Mir Asadullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841207693 PECOS PAC ID: 2264458496 Enrollment ID: I20200623001483 |
| Provider Name | Amber Leshay Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023635968 PECOS PAC ID: 2163845538 Enrollment ID: I20200702001243 |
| Provider Name | Teinesha M Irvey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912361791 PECOS PAC ID: 9931532553 Enrollment ID: I20200721002630 |
| Provider Name | Amorsolo Jr Suguitan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740711241 PECOS PAC ID: 5193001139 Enrollment ID: I20200811001423 |
| Provider Name | Shellie Aparicio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306471677 PECOS PAC ID: 7618393224 Enrollment ID: I20200813001149 |
| Provider Name | Joshua Leichman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205864865 PECOS PAC ID: 5294859989 Enrollment ID: I20200818002386 |
| Provider Name | Chad Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013186964 PECOS PAC ID: 2365575941 Enrollment ID: I20200828001829 |
| Provider Name | James Tsung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508395823 PECOS PAC ID: 8921425950 Enrollment ID: I20200904000281 |
| Provider Name | Rony-nichole Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447778378 PECOS PAC ID: 8820358435 Enrollment ID: I20200908000478 |
| Provider Name | Farzad Alikozai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508247446 PECOS PAC ID: 4981951555 Enrollment ID: I20200909000820 |
| Provider Name | Shirley Raveendran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245523349 PECOS PAC ID: 8628384872 Enrollment ID: I20200909002595 |
| Provider Name | Luis Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689216434 PECOS PAC ID: 7719305531 Enrollment ID: I20200910002607 |
| Provider Name | Alexander Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972986404 PECOS PAC ID: 9234400722 Enrollment ID: I20200911001414 |
| Provider Name | Tiffany Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962935288 PECOS PAC ID: 8426318684 Enrollment ID: I20200914000977 |
| Provider Name | Wen Yuan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275074627 PECOS PAC ID: 6204199490 Enrollment ID: I20200918002151 |
| Provider Name | Ana Maria Velasco De Oca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492162 PECOS PAC ID: 8426476664 Enrollment ID: I20200921000274 |
| Provider Name | Audrey Jean Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073953238 PECOS PAC ID: 5395036313 Enrollment ID: I20200922000677 |
| Provider Name | Renee Del Carmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396279428 PECOS PAC ID: 2163790460 Enrollment ID: I20200929003568 |
| Provider Name | Sundeep K Dabra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659570992 PECOS PAC ID: 4183869985 Enrollment ID: I20200930001735 |
| Provider Name | Charles W Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306805064 PECOS PAC ID: 8527089879 Enrollment ID: I20201002000221 |
| Provider Name | Erin L Miyashiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760977029 PECOS PAC ID: 6901154905 Enrollment ID: I20201006002442 |
| Provider Name | Trenton Evan Knewtson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982693503 PECOS PAC ID: 6507825387 Enrollment ID: I20201023002035 |
| Provider Name | Jenny S Gagliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093321713 PECOS PAC ID: 2769892934 Enrollment ID: I20201029002918 |
| Provider Name | Christo Alexandrov Hadjiev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225028731 PECOS PAC ID: 4880786912 Enrollment ID: I20201030002044 |
| Provider Name | Jason E Lao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437682333 PECOS PAC ID: 0749551679 Enrollment ID: I20201112003232 |
| Provider Name | Emily C Culbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528181625 PECOS PAC ID: 5294916193 Enrollment ID: I20201118002570 |
| Provider Name | Samet Albayrak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801174651 PECOS PAC ID: 1658661855 Enrollment ID: I20201118002961 |
| Provider Name | Ali B Shehata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205997665 PECOS PAC ID: 6002890647 Enrollment ID: I20201120000906 |
| Provider Name | Jill Elizabeth Ziolkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124217963 PECOS PAC ID: 2365511706 Enrollment ID: I20201217001993 |
| Provider Name | Sheila Margaret Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093875106 PECOS PAC ID: 1254429020 Enrollment ID: I20201228001207 |
| Provider Name | Anne Marie Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184223562 PECOS PAC ID: 1759794373 Enrollment ID: I20201228002202 |
| Provider Name | Rosio Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093303356 PECOS PAC ID: 9234436429 Enrollment ID: I20210111000688 |
| Provider Name | Marie Loren Chiong Palisoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679175616 PECOS PAC ID: 1759794522 Enrollment ID: I20210115001724 |
| Provider Name | Mark Thiele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467593715 PECOS PAC ID: 6800938358 Enrollment ID: I20210115001976 |
| Provider Name | Bernadette Marlene Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689280489 PECOS PAC ID: 9739592528 Enrollment ID: I20210118000063 |
| Provider Name | Thomas M Bergren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770094153 PECOS PAC ID: 9830504414 Enrollment ID: I20210211002263 |
| Provider Name | Brian Adam Davis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760463830 PECOS PAC ID: 2567536642 Enrollment ID: I20210216002253 |
| Provider Name | Janica C Trice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184239659 PECOS PAC ID: 8325453780 Enrollment ID: I20210216003021 |
| Provider Name | Glenn Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487695466 PECOS PAC ID: 8820123094 Enrollment ID: I20210222000605 |
| Provider Name | Heisy B Asusta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992166706 PECOS PAC ID: 4880009877 Enrollment ID: I20210225001657 |
| Provider Name | Audrey Sue Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427435015 PECOS PAC ID: 2769738533 Enrollment ID: I20210407000744 |
| Provider Name | Sarah Kay Roney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689251654 PECOS PAC ID: 3870900913 Enrollment ID: I20210407002383 |
| Provider Name | Susan Maria Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922147230 PECOS PAC ID: 1759690530 Enrollment ID: I20210429001688 |
| Provider Name | Carol Hungerford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134578222 PECOS PAC ID: 0648564054 Enrollment ID: I20210608001510 |
| Provider Name | Jaclyn N Ryave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518462746 PECOS PAC ID: 4284983727 Enrollment ID: I20210610000772 |
| Provider Name | Nittu K Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003347295 PECOS PAC ID: 8820362494 Enrollment ID: I20210621001793 |
| Provider Name | Michael K Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447832688 PECOS PAC ID: 5890197503 Enrollment ID: I20210716001041 |
| Provider Name | Todd A Stearns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477807691 PECOS PAC ID: 4082916226 Enrollment ID: I20210720000699 |
| Provider Name | Christopher Francis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740771252 PECOS PAC ID: 8820425689 Enrollment ID: I20210721003143 |
| Provider Name | Lorna Lynn Medcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023602687 PECOS PAC ID: 9335542687 Enrollment ID: I20210723000590 |
| Provider Name | Danilo Miguel Prollamante Aurelio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700310810 PECOS PAC ID: 1759784051 Enrollment ID: I20210723002466 |
| Provider Name | Brandon Stilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508201880 PECOS PAC ID: 0345530648 Enrollment ID: I20210726002651 |
| Provider Name | Amanda-grace Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790385136 PECOS PAC ID: 1658775168 Enrollment ID: I20210805001705 |
| Provider Name | Yingbo Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508369380 PECOS PAC ID: 3678822012 Enrollment ID: I20210811003340 |
| Provider Name | Kristian Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457844292 PECOS PAC ID: 1658620646 Enrollment ID: I20210812000006 |
| Provider Name | Cassandra Kiersch Bohnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386076982 PECOS PAC ID: 0749685634 Enrollment ID: I20210816001165 |
| Provider Name | Ma Celestina L Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013596220 PECOS PAC ID: 3870998610 Enrollment ID: I20210817003924 |
| Provider Name | Leticia Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841582095 PECOS PAC ID: 7416262787 Enrollment ID: I20210818003803 |
| Provider Name | Jasmine Elyse Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467945584 PECOS PAC ID: 1850796459 Enrollment ID: I20210819002823 |
| Provider Name | Diane Mak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053632844 PECOS PAC ID: 6901031624 Enrollment ID: I20210824001954 |
| Provider Name | Pooja Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821581935 PECOS PAC ID: 9032467634 Enrollment ID: I20210901000978 |
| Provider Name | Cheryl Anne Shipske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912460361 PECOS PAC ID: 8729484423 Enrollment ID: I20210903001520 |
| Provider Name | Nathaina Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710411400 PECOS PAC ID: 5799028536 Enrollment ID: I20210903002378 |
| Provider Name | Gabrielle Grundy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790911238 PECOS PAC ID: 9638312036 Enrollment ID: I20210907002123 |
| Provider Name | Nika Vizcarra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609317882 PECOS PAC ID: 5193095909 Enrollment ID: I20210913000662 |
| Provider Name | Gina Yakia Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679062186 PECOS PAC ID: 1456768563 Enrollment ID: I20210913001925 |
| Provider Name | Nicole Aragon Calica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316437957 PECOS PAC ID: 5395141600 Enrollment ID: I20210913002068 |
| Provider Name | Jazzmine Rose Baluyot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972092997 PECOS PAC ID: 5890041040 Enrollment ID: I20210917002567 |
| Provider Name | Janina Lupoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861920175 PECOS PAC ID: 0547667172 Enrollment ID: I20210924001961 |
| Provider Name | Mark Vellek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063409688 PECOS PAC ID: 9335166776 Enrollment ID: I20210928001077 |
| Provider Name | Corhinne Menos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588339220 PECOS PAC ID: 3476951583 Enrollment ID: I20211004002233 |
| Provider Name | Randy James Ip |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023496957 PECOS PAC ID: 8628371515 Enrollment ID: I20211011001584 |
| Provider Name | Cameron Miles Johnstone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962909697 PECOS PAC ID: 5496005381 Enrollment ID: I20211020000632 |
| Provider Name | Amanda Lianne El-sawaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922699370 PECOS PAC ID: 6406245869 Enrollment ID: I20211105001635 |
| Provider Name | Matthew R Martini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760154264 PECOS PAC ID: 6406245315 Enrollment ID: I20211116000171 |
| Provider Name | Shanae Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447742788 PECOS PAC ID: 1355698085 Enrollment ID: I20211116001339 |
| Provider Name | Megan Vitellaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760085070 PECOS PAC ID: 8426448986 Enrollment ID: I20211124001666 |
| Provider Name | Edwin Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538181821 PECOS PAC ID: 0446447627 Enrollment ID: I20211203000802 |
| Provider Name | Juan Borja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134359854 PECOS PAC ID: 3476694498 Enrollment ID: I20211228002163 |
| Provider Name | Armine Zakharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821275439 PECOS PAC ID: 0143372086 Enrollment ID: I20220321001496 |
| Provider Name | Komal Dhanoa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013369123 PECOS PAC ID: 7012201841 Enrollment ID: I20220323001145 |
| Provider Name | Karen Zakharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942575725 PECOS PAC ID: 2860632940 Enrollment ID: I20220328002345 |
| Provider Name | Juliana Adjovu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619496684 PECOS PAC ID: 5799047163 Enrollment ID: I20220413000002 |
| Provider Name | Vesna Radivojevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922594332 PECOS PAC ID: 0648524181 Enrollment ID: I20220503000753 |
| Provider Name | Falin Joanne Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548883101 PECOS PAC ID: 4284056326 Enrollment ID: I20220504000374 |
| Provider Name | Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386026466 PECOS PAC ID: 7012295199 Enrollment ID: I20220524001739 |
| Provider Name | Rachel Michelle Pink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942940275 PECOS PAC ID: 9830577253 Enrollment ID: I20220525002116 |
| Provider Name | Corey Lum |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1952668220 PECOS PAC ID: 2769744283 Enrollment ID: I20220525002866 |
| Provider Name | James Jabile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841234366 PECOS PAC ID: 7911961834 Enrollment ID: I20220526000652 |
| Provider Name | Osman Bai Bai Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619104957 PECOS PAC ID: 0446638563 Enrollment ID: I20220602000241 |
| Provider Name | Sion Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871013631 PECOS PAC ID: 3678849981 Enrollment ID: I20220624001340 |
| Provider Name | Claire Hiles |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447544473 PECOS PAC ID: 5092954354 Enrollment ID: I20220629001944 |
| Provider Name | Susan Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790428712 PECOS PAC ID: 3274913587 Enrollment ID: I20220705001227 |
| Provider Name | Hui Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407343155 PECOS PAC ID: 9133478340 Enrollment ID: I20220713001469 |
| Provider Name | Joseph H Tanbakuchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588152805 PECOS PAC ID: 5991059255 Enrollment ID: I20220713003978 |
| Provider Name | Jaimee Imperial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679032585 PECOS PAC ID: 4183951445 Enrollment ID: I20220722001456 |
| Provider Name | Abraham Baidoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942868799 PECOS PAC ID: 9335521921 Enrollment ID: I20220728002566 |
| Provider Name | Gilda Djabarzade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255890646 PECOS PAC ID: 1658753058 Enrollment ID: I20220802001105 |
| Provider Name | Brandon Christopher Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013654599 PECOS PAC ID: 5698158210 Enrollment ID: I20220815003117 |
| Provider Name | Patrick Keefe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124519970 PECOS PAC ID: 1951784248 Enrollment ID: I20220818003795 |
| Provider Name | Jarom Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871054536 PECOS PAC ID: 7416282181 Enrollment ID: I20220819002396 |
| Provider Name | Kelsea Farrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588016828 PECOS PAC ID: 4385993237 Enrollment ID: I20220822002695 |
| Provider Name | Taechin Yu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104865294 PECOS PAC ID: 6305731605 Enrollment ID: I20220822002853 |
| Provider Name | Melanie Jean Spotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083383111 PECOS PAC ID: 8224412978 Enrollment ID: I20220830003618 |
| Provider Name | Mohammad Atif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801457882 PECOS PAC ID: 3072946292 Enrollment ID: I20220901002476 |
| Provider Name | Amber A Quave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992265359 PECOS PAC ID: 9638406051 Enrollment ID: I20220912003392 |
| Provider Name | Katrina Lorrayne Rathjen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316434293 PECOS PAC ID: 0345625265 Enrollment ID: I20220913003539 |
| Provider Name | Rahul Devroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003479940 PECOS PAC ID: 5597092841 Enrollment ID: I20220919002143 |
| Provider Name | Vikaram Gondara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649829169 PECOS PAC ID: 5698102374 Enrollment ID: I20220921001720 |
| Provider Name | Elbert Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740749563 PECOS PAC ID: 2668708447 Enrollment ID: I20220924000188 |
| Provider Name | Khawaja H Baig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346206778 PECOS PAC ID: 8325056336 Enrollment ID: I20220930002461 |
| Provider Name | John J Costa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043219041 PECOS PAC ID: 1254328347 Enrollment ID: I20220930003046 |
| Provider Name | Kevin Urmaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447612361 PECOS PAC ID: 6204121049 Enrollment ID: I20221010001074 |
| Provider Name | Kevin Machino |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245761899 PECOS PAC ID: 7517367345 Enrollment ID: I20221014002606 |
| Provider Name | Rebekah M Ambuehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760749048 PECOS PAC ID: 8022484062 Enrollment ID: I20221017002600 |
| Provider Name | Sinachi Anamdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336797414 PECOS PAC ID: 4981074796 Enrollment ID: I20230111002198 |
| Provider Name | Blessing Jerome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235791377 PECOS PAC ID: 2769853845 Enrollment ID: I20230127001984 |
| Provider Name | Amy L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083322267 PECOS PAC ID: 0749652493 Enrollment ID: I20230207001908 |
| Provider Name | Lourdes Ada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114957032 PECOS PAC ID: 8820089212 Enrollment ID: I20230213001604 |
| Provider Name | Natalie Fenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497461859 PECOS PAC ID: 4082086103 Enrollment ID: I20230217000772 |
| Provider Name | Suneetha Chinta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720038185 PECOS PAC ID: 4587036504 Enrollment ID: I20230220002417 |
| Provider Name | Elona Halili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831690825 PECOS PAC ID: 9133592264 Enrollment ID: I20230310000479 |
| Provider Name | Diana Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215649405 PECOS PAC ID: 8628442639 Enrollment ID: I20230314002303 |
| Provider Name | Nam Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407163066 PECOS PAC ID: 9133345572 Enrollment ID: I20230317001484 |
| Provider Name | Annette Gudino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407561418 PECOS PAC ID: 7618341132 Enrollment ID: I20230324000928 |
| Provider Name | Maria Jacquilyn Salvador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366113656 PECOS PAC ID: 1759756885 Enrollment ID: I20230403002543 |
| Provider Name | John Yun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861756009 PECOS PAC ID: 9234476219 Enrollment ID: I20230505002014 |
| Provider Name | Kim M Thongdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659621001 PECOS PAC ID: 7214393958 Enrollment ID: I20230522003318 |
| Provider Name | Victoria Balledos Teano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689360729 PECOS PAC ID: 9638536030 Enrollment ID: I20230530002401 |
| Provider Name | Jolene R Montano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356396287 PECOS PAC ID: 7012012859 Enrollment ID: I20230608000452 |
| Provider Name | Loretta Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760178149 PECOS PAC ID: 5294193827 Enrollment ID: I20230614001071 |
| Provider Name | Johana Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174219778 PECOS PAC ID: 1557729928 Enrollment ID: I20230615003516 |
| Provider Name | Justin Hao Goh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124554506 PECOS PAC ID: 7416315403 Enrollment ID: I20230623000924 |
| Provider Name | Ekkawit Chanchorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841565611 PECOS PAC ID: 1052622594 Enrollment ID: I20230712001007 |
| Provider Name | Tyler Witzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972908150 PECOS PAC ID: 9830508100 Enrollment ID: I20230721002343 |
| Provider Name | Javier Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417310780 PECOS PAC ID: 5890088223 Enrollment ID: I20230726003978 |
| Provider Name | Peter Aziz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649629015 PECOS PAC ID: 8224459151 Enrollment ID: I20230727000659 |
| Provider Name | Kayla Christine Rowles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053871590 PECOS PAC ID: 2062747629 Enrollment ID: I20230802004141 |
| Provider Name | Ross Allen Aalgaard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275866253 PECOS PAC ID: 3375904568 Enrollment ID: I20230803004205 |
| Provider Name | Jeremiah Nelson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063494524 PECOS PAC ID: 4486673548 Enrollment ID: I20230809001224 |
| Provider Name | Christopher Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134681778 PECOS PAC ID: 6709113137 Enrollment ID: I20230908001010 |
| Provider Name | Catherine Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427685965 PECOS PAC ID: 4981020153 Enrollment ID: I20230919002473 |
| Provider Name | Dayna L Gerring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184010936 PECOS PAC ID: 6305130121 Enrollment ID: I20230919003362 |
| Provider Name | Shereen Khalid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902478597 PECOS PAC ID: 0244633352 Enrollment ID: I20230929002588 |
| Provider Name | Katrina K Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275161986 PECOS PAC ID: 5193149904 Enrollment ID: I20231002003123 |
| Provider Name | Joan Joyce Balingit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063195675 PECOS PAC ID: 4385099787 Enrollment ID: I20231004002458 |
| Provider Name | Agatha Matsos Formoso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124657036 PECOS PAC ID: 5395199137 Enrollment ID: I20231027000473 |
| Provider Name | Sonya Mehta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861873564 PECOS PAC ID: 7012337561 Enrollment ID: I20231101001966 |
| Provider Name | Helen Anaedo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164717021 PECOS PAC ID: 2365738358 Enrollment ID: I20231117002321 |
| Provider Name | Virginia Robine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144254582 PECOS PAC ID: 5698713006 Enrollment ID: I20231122000647 |
| Provider Name | Kabir Vohra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487275087 PECOS PAC ID: 7618325762 Enrollment ID: I20231129002993 |
| Provider Name | Sarah Jin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700293107 PECOS PAC ID: 0840642088 Enrollment ID: I20240123003740 |
| Provider Name | Aline Bakr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326734096 PECOS PAC ID: 3577916584 Enrollment ID: I20240125003905 |
| Provider Name | Brenda Jayne Swaim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255862785 PECOS PAC ID: 8921451956 Enrollment ID: I20240125004769 |
| Provider Name | Emma Montanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164414298 PECOS PAC ID: 5799697215 Enrollment ID: I20240131003517 |
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Changing Minds Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 W Horizon Ridge Pkwy, Henderson, NV 89052 Phone: 702-405-8088 | |
Child Neurology Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2821 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-920-0290 Fax: 702-789-1050 | |
Ipsum Monitoring Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2831 Saint Rose Pkwy, Suite 200, Henderson, NV 89052 Phone: 801-717-8487 Fax: 303-922-4640 | |
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