| Karma Doctors & Associates, P.c. | |
|
17853 Santiago Blvd Ste 107 Villa Park CA 92861-4199 | |
| (951) 529-5518 | |
| Not Available |
| Full Name | Karma Doctors & Associates, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17853 Santiago Blvd Ste 107, Villa Park, California |
| Authorized Official Name and Position | Rajagopal Keerthy Sunder (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9515295518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karma Doctors & Associates, P.c. 17853 Santiago Blvd Ste 107 Villa Park CA 92861-4199 Ph: (951) 529-5518 | Karma Doctors & Associates, P.c. 17853 Santiago Blvd Ste 107 Villa Park CA 92861-4199 Ph: (951) 529-5518 |
| NPI Number | 1205450418 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Medicare PECOS PAC ID | 0143640292 |
|---|---|
| Medicare Enrollment ID | O20201012001888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205450418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rajagopal K Sunder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972572824 PECOS PAC ID: 0941228605 Enrollment ID: I20120427000128 |
| Provider Name | Yucui Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699036582 PECOS PAC ID: 6002133493 Enrollment ID: I20150324000633 |
| Provider Name | Yong Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871032235 PECOS PAC ID: 8729481783 Enrollment ID: I20210728001774 |
| Provider Name | Waseem Khader |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1124476270 PECOS PAC ID: 6002230760 Enrollment ID: I20210818001833 |
| Provider Name | Benjo Ysmael Cacdac Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841966249 PECOS PAC ID: 2769874890 Enrollment ID: I20220121000573 |
| Provider Name | Seamus Lucien Connolly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932648599 PECOS PAC ID: 9739575481 Enrollment ID: I20220405001684 |
| Provider Name | Regina Bacani Dizon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609538040 PECOS PAC ID: 5193112183 Enrollment ID: I20220421000332 |
| Provider Name | Tracy Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467032946 PECOS PAC ID: 8820435373 Enrollment ID: I20240320002254 |
| Provider Name | Bethany Minick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114525995 PECOS PAC ID: 9436690864 Enrollment ID: I20240925001015 |
| Provider Name | Giovanni Birrueta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629813944 PECOS PAC ID: 7416478417 Enrollment ID: I20250306002322 |
| Provider Name | Raymond Dougwon Chung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407342439 PECOS PAC ID: 3072035310 Enrollment ID: I20250317002156 |
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