| Minuteclinic Diagnostic Medical Group Of Orange County, Inc. | |
|
14330 Culver Dr Irvine CA 92604-0303 | |
| (866) 389-2727 | |
| (401) 406-3539 |
| Full Name | Minuteclinic Diagnostic Medical Group Of Orange County, Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14330 Culver Dr, Irvine, California |
| Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Medical Group Of Orange County, Inc. Po Box 772 Minuteclinic Credentialing Woonsocket RI 02895-0784 Ph: (866) 389-2727 | Minuteclinic Diagnostic Medical Group Of Orange County, Inc. 14330 Culver Dr Irvine CA 92604-0303 Ph: (866) 389-2727 |
| NPI Number | 1104013879 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 5991868929 |
|---|---|
| Medicare Enrollment ID | O20090116000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104013879 | NPI | - | NPPES |
| DO3833 | Other | CA | MEDICARE RAILROAD |
| DO3834 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Christian L Serdahl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740279710 PECOS PAC ID: 7113829763 Enrollment ID: I20040204001073 |
| Provider Name | Colleen M Loughran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912023177 PECOS PAC ID: 7911891775 Enrollment ID: I20040211001237 |
| Provider Name | Lynn Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164445532 PECOS PAC ID: 6103807318 Enrollment ID: I20040525000825 |
| Provider Name | Kathleen B Mahony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023124294 PECOS PAC ID: 6901848563 Enrollment ID: I20050524001430 |
| Provider Name | Loan Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053440065 PECOS PAC ID: 6002914553 Enrollment ID: I20070606000406 |
| Provider Name | Octavia Hyacinth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588842637 PECOS PAC ID: 1557424439 Enrollment ID: I20090121000073 |
| Provider Name | Elizabeth Ornelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124027040 PECOS PAC ID: 1153486303 Enrollment ID: I20090223000278 |
| Provider Name | Marlaine A Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316115314 PECOS PAC ID: 6305901554 Enrollment ID: I20090223000309 |
| Provider Name | Rachelle T Teh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720234271 PECOS PAC ID: 7113082231 Enrollment ID: I20090224000368 |
| Provider Name | Olivia A Yance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255587705 PECOS PAC ID: 4082779145 Enrollment ID: I20090224000659 |
| Provider Name | Rupinderjit K Jadav |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841304128 PECOS PAC ID: 9133285273 Enrollment ID: I20090225000662 |
| Provider Name | Jennifer C Santero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639258296 PECOS PAC ID: 3274699277 Enrollment ID: I20090226000452 |
| Provider Name | Laurence Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700050200 PECOS PAC ID: 5991861908 Enrollment ID: I20090226000555 |
| Provider Name | Mei-ling Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477581783 PECOS PAC ID: 6507861150 Enrollment ID: I20090227000426 |
| Provider Name | Salma Nawabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013197946 PECOS PAC ID: 8527125483 Enrollment ID: I20090319000368 |
| Provider Name | Gina M Marcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760662811 PECOS PAC ID: 1254488794 Enrollment ID: I20090420000564 |
| Provider Name | Brandi Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679753354 PECOS PAC ID: 9234287202 Enrollment ID: I20090430000302 |
| Provider Name | Theresa L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760631592 PECOS PAC ID: 2769534536 Enrollment ID: I20090709000400 |
| Provider Name | Randa L Schroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386978617 PECOS PAC ID: 6800937137 Enrollment ID: I20100108000878 |
| Provider Name | Terry G Raya Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083940522 PECOS PAC ID: 4486798030 Enrollment ID: I20100219000396 |
| Provider Name | Alexis F Rheinwald-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841527744 PECOS PAC ID: 2365586930 Enrollment ID: I20100219000567 |
| Provider Name | Myriam E Boutary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891022778 PECOS PAC ID: 7517092745 Enrollment ID: I20100312000905 |
| Provider Name | Remedios D Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558690396 PECOS PAC ID: 8628106895 Enrollment ID: I20100510000289 |
| Provider Name | Julie Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225286156 PECOS PAC ID: 3476745175 Enrollment ID: I20101013001007 |
| Provider Name | Maria Etchepare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457648446 PECOS PAC ID: 6709054356 Enrollment ID: I20110726000348 |
| Provider Name | Dariya Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972870095 PECOS PAC ID: 7618144114 Enrollment ID: I20120125000091 |
| Provider Name | Anthonia E Okeani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629229745 PECOS PAC ID: 4486806965 Enrollment ID: I20121207000319 |
| Provider Name | Gina Y Senf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316290166 PECOS PAC ID: 8123272564 Enrollment ID: I20130212000108 |
| Provider Name | Ami Narayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962774935 PECOS PAC ID: 6002051133 Enrollment ID: I20130320000665 |
| Provider Name | Dorothy E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396180519 PECOS PAC ID: 9234378472 Enrollment ID: I20130618000793 |
| Provider Name | Lynne A Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114228418 PECOS PAC ID: 4587890728 Enrollment ID: I20131119000211 |
| Provider Name | Kathryn M Pozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043649940 PECOS PAC ID: 5991933673 Enrollment ID: I20140103000446 |
| Provider Name | Jan-erik Gustaveson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043597974 PECOS PAC ID: 4587887906 Enrollment ID: I20140603001080 |
| Provider Name | Genny Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790116804 PECOS PAC ID: 3779702337 Enrollment ID: I20140912000708 |
| Provider Name | Patricia E.c. Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477611549 PECOS PAC ID: 0840410288 Enrollment ID: I20141007000001 |
| Provider Name | Kaylinne A Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083029292 PECOS PAC ID: 9436370376 Enrollment ID: I20141018000242 |
| Provider Name | Michelle Laverne Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356747687 PECOS PAC ID: 5496078743 Enrollment ID: I20141218000346 |
| Provider Name | Padmaja Gadadoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952657702 PECOS PAC ID: 4284959891 Enrollment ID: I20150202000983 |
| Provider Name | Jocelyn Crisostomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952791576 PECOS PAC ID: 5294052445 Enrollment ID: I20150326001937 |
| Provider Name | Fatimah Zada Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053727982 PECOS PAC ID: 8729200522 Enrollment ID: I20150604002477 |
| Provider Name | Susan Fuerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518333251 PECOS PAC ID: 3072820133 Enrollment ID: I20150922002133 |
| Provider Name | Chaiti D Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922483668 PECOS PAC ID: 5799093548 Enrollment ID: I20150929001082 |
| Provider Name | Ni Hua Chou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366851339 PECOS PAC ID: 1658680673 Enrollment ID: I20151014000852 |
| Provider Name | Patience R Akhimien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346617594 PECOS PAC ID: 8729397773 Enrollment ID: I20151014002230 |
| Provider Name | Janet Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154710507 PECOS PAC ID: 5294044723 Enrollment ID: I20151022001883 |
| Provider Name | Martha Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538580311 PECOS PAC ID: 9032415773 Enrollment ID: I20160427001420 |
| Provider Name | Rachel Kogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326271883 PECOS PAC ID: 1557650256 Enrollment ID: I20160519001558 |
| Provider Name | Tsigereda Kassa Tesfaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386031086 PECOS PAC ID: 2365734308 Enrollment ID: I20160712000614 |
| Provider Name | Wen Cheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468204 PECOS PAC ID: 5890088918 Enrollment ID: I20160727001915 |
| Provider Name | Cynthia Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528416435 PECOS PAC ID: 2567759640 Enrollment ID: I20160919001139 |
| Provider Name | Dinara Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841618998 PECOS PAC ID: 5597981431 Enrollment ID: I20161102000967 |
| Provider Name | Wendy G Sabouri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841600509 PECOS PAC ID: 4880975978 Enrollment ID: I20170104000519 |
| Provider Name | Do-young Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225589864 PECOS PAC ID: 0941581904 Enrollment ID: I20170105001202 |
| Provider Name | Candace K Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841734043 PECOS PAC ID: 8921380635 Enrollment ID: I20170112002034 |
| Provider Name | Deeba F Kazempoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972055945 PECOS PAC ID: 0143502427 Enrollment ID: I20170120002373 |
| Provider Name | Phuong N Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174063366 PECOS PAC ID: 4082990957 Enrollment ID: I20170406002049 |
| Provider Name | Juanette G Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326572132 PECOS PAC ID: 2365710720 Enrollment ID: I20170608000914 |
| Provider Name | Justine N Auer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225566730 PECOS PAC ID: 3678842135 Enrollment ID: I20170627002113 |
| Provider Name | Caitlin B Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902188303 PECOS PAC ID: 4385816073 Enrollment ID: I20170712002168 |
| Provider Name | Suzanne Renee Kenedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578086559 PECOS PAC ID: 1456624113 Enrollment ID: I20170831003352 |
| Provider Name | Jaqueta A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952830168 PECOS PAC ID: 2668747742 Enrollment ID: I20170929002385 |
| Provider Name | Xavier Jeremiah Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780010595 PECOS PAC ID: 2961631239 Enrollment ID: I20171117003130 |
| Provider Name | Katarzyna A Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003347816 PECOS PAC ID: 2668739939 Enrollment ID: I20171122001727 |
| Provider Name | Sona Yesayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619489770 PECOS PAC ID: 7315205374 Enrollment ID: I20171220001614 |
| Provider Name | Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376060319 PECOS PAC ID: 0446518344 Enrollment ID: I20171226001308 |
| Provider Name | Priscilla Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942748330 PECOS PAC ID: 3072890896 Enrollment ID: I20171228000639 |
| Provider Name | Felicia Latonya Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769298 PECOS PAC ID: 0749548378 Enrollment ID: I20180103000313 |
| Provider Name | Lorraine Assumma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962769109 PECOS PAC ID: 9335408566 Enrollment ID: I20180116002897 |
| Provider Name | Rhona Mae S Sitjar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306353172 PECOS PAC ID: 8224391180 Enrollment ID: I20180406001542 |
| Provider Name | Denise C Pettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609326024 PECOS PAC ID: 6800159625 Enrollment ID: I20180409002466 |
| Provider Name | Victoria L Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083116586 PECOS PAC ID: 7618231788 Enrollment ID: I20180426001784 |
| Provider Name | Janice Lynn V Tamayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255845525 PECOS PAC ID: 5092079962 Enrollment ID: I20180430001779 |
| Provider Name | Nicole J Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043708456 PECOS PAC ID: 5092079285 Enrollment ID: I20180516002634 |
| Provider Name | Rose Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215253885 PECOS PAC ID: 1951687763 Enrollment ID: I20180611002630 |
| Provider Name | Lindsay A Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780005710 PECOS PAC ID: 1153552658 Enrollment ID: I20180612002242 |
| Provider Name | Young-sik Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063937902 PECOS PAC ID: 8921361502 Enrollment ID: I20180829002812 |
| Provider Name | Cecille Suzette Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750770947 PECOS PAC ID: 5395095921 Enrollment ID: I20180831002065 |
| Provider Name | Lamia Adelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932688074 PECOS PAC ID: 8527319151 Enrollment ID: I20180920003230 |
| Provider Name | Brittany N Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922581941 PECOS PAC ID: 9931443561 Enrollment ID: I20181207001092 |
| Provider Name | Dan Bi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386112597 PECOS PAC ID: 8527305150 Enrollment ID: I20190121001016 |
| Provider Name | Jeazale A Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881161388 PECOS PAC ID: 3072851773 Enrollment ID: I20190205000270 |
| Provider Name | Jessica Lynn Fiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487124236 PECOS PAC ID: 7315285897 Enrollment ID: I20190207001190 |
| Provider Name | Kendra L Latty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659763589 PECOS PAC ID: 4385964832 Enrollment ID: I20190307000676 |
| Provider Name | Rhoda Awino Ojwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104250521 PECOS PAC ID: 7012224090 Enrollment ID: I20190325002021 |
| Provider Name | Monte Carol Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366730855 PECOS PAC ID: 5193066769 Enrollment ID: I20190408002631 |
| Provider Name | Ariel M Wauchope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548726789 PECOS PAC ID: 9739420357 Enrollment ID: I20190409001837 |
| Provider Name | Madison A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178996 PECOS PAC ID: 3072846914 Enrollment ID: I20190610000808 |
| Provider Name | Virginia Denise Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992144489 PECOS PAC ID: 7517109903 Enrollment ID: I20190619000144 |
| Provider Name | Annie Tak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316404007 PECOS PAC ID: 3678807914 Enrollment ID: I20190620001574 |
| Provider Name | Elizabeth L Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548826340 PECOS PAC ID: 1355676123 Enrollment ID: I20190716002565 |
| Provider Name | Heesook Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679068845 PECOS PAC ID: 6204161961 Enrollment ID: I20190717002405 |
| Provider Name | Richiel Tolentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073076881 PECOS PAC ID: 7315272986 Enrollment ID: I20190718002147 |
| Provider Name | Shanika Israel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915993 PECOS PAC ID: 7911233945 Enrollment ID: I20190729001064 |
| Provider Name | Marenna R Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063078806 PECOS PAC ID: 7810223633 Enrollment ID: I20190731001272 |
| Provider Name | Sharon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073649 PECOS PAC ID: 4688903172 Enrollment ID: I20190909002732 |
| Provider Name | Claudine Uwimpaye Blaise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063995447 PECOS PAC ID: 7113266719 Enrollment ID: I20190920000822 |
| Provider Name | Alvin Keane P Alobba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700448768 PECOS PAC ID: 0840522850 Enrollment ID: I20191024000427 |
| Provider Name | Bethany Mistone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094936 PECOS PAC ID: 1658657317 Enrollment ID: I20191028001001 |
| Provider Name | Ozioma A Enworom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225685902 PECOS PAC ID: 6204268428 Enrollment ID: I20191108001816 |
| Provider Name | Diana J Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285284760 PECOS PAC ID: 7315370087 Enrollment ID: I20191211000501 |
| Provider Name | Nicolas Sengdara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386123511 PECOS PAC ID: 1456785203 Enrollment ID: I20200102001763 |
| Provider Name | Melinda Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326409806 PECOS PAC ID: 7113351974 Enrollment ID: I20200102002103 |
| Provider Name | Clare Lueras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531926 PECOS PAC ID: 8123044047 Enrollment ID: I20200103000808 |
| Provider Name | Jaspreet Kaur Chhina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679117238 PECOS PAC ID: 3678900495 Enrollment ID: I20200217002306 |
| Provider Name | Allison K Enomoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366080517 PECOS PAC ID: 2668808148 Enrollment ID: I20200218002701 |
| Provider Name | Victoria Ashley Vayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760988935 PECOS PAC ID: 2365879525 Enrollment ID: I20200227001820 |
| Provider Name | Dominique L Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124589163 PECOS PAC ID: 5890123186 Enrollment ID: I20200320000233 |
| Provider Name | Feng Xiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649800913 PECOS PAC ID: 7214366418 Enrollment ID: I20200409002679 |
| Provider Name | Harmeet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578049128 PECOS PAC ID: 6305276098 Enrollment ID: I20200421000802 |
| Provider Name | Astha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427684166 PECOS PAC ID: 9830529023 Enrollment ID: I20200501001348 |
| Provider Name | Judith Foyabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952764680 PECOS PAC ID: 9133411135 Enrollment ID: I20200506003237 |
| Provider Name | Abha Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649834607 PECOS PAC ID: 2062833619 Enrollment ID: I20200605002436 |
| Provider Name | Shana Marie Tyler-henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669012571 PECOS PAC ID: 7113340118 Enrollment ID: I20200709001587 |
| Provider Name | Keena Lucretia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780136820 PECOS PAC ID: 1052734803 Enrollment ID: I20200713000710 |
| Provider Name | Dawn E Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134747595 PECOS PAC ID: 5092139287 Enrollment ID: I20200721002543 |
| Provider Name | Teri Yun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407473648 PECOS PAC ID: 9436575461 Enrollment ID: I20200820001656 |
| Provider Name | Shannon L Liauw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082095 PECOS PAC ID: 1254750334 Enrollment ID: I20200916002637 |
| Provider Name | Karoljohn S Delara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306478896 PECOS PAC ID: 5890114789 Enrollment ID: I20200925001444 |
| Provider Name | Sheena Ching-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104358381 PECOS PAC ID: 1759668247 Enrollment ID: I20201009001217 |
| Provider Name | Janeane Horan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225680846 PECOS PAC ID: 5092135855 Enrollment ID: I20201015002190 |
| Provider Name | Andrew Shiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659835940 PECOS PAC ID: 5698195238 Enrollment ID: I20201020001254 |
| Provider Name | Inna V. Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568024339 PECOS PAC ID: 7911327556 Enrollment ID: I20201020001460 |
| Provider Name | Freddy Y Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417569906 PECOS PAC ID: 3375953441 Enrollment ID: I20201030000358 |
| Provider Name | Tamara Renae Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144847328 PECOS PAC ID: 7113337940 Enrollment ID: I20201106001757 |
| Provider Name | Maame Osei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467920934 PECOS PAC ID: 5294145827 Enrollment ID: I20201110000878 |
| Provider Name | Agnes Sara Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851853964 PECOS PAC ID: 6800206467 Enrollment ID: I20201110002144 |
| Provider Name | Melynda Rae Myers-mallory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679898704 PECOS PAC ID: 8224449566 Enrollment ID: I20201118000366 |
| Provider Name | Binwant Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932729902 PECOS PAC ID: 5597177386 Enrollment ID: I20201221000678 |
| Provider Name | Neelam K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619593365 PECOS PAC ID: 2668885237 Enrollment ID: I20201229001623 |
| Provider Name | Saret Azizians |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356876833 PECOS PAC ID: 7012321128 Enrollment ID: I20210202000604 |
| Provider Name | Samantha M Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629680087 PECOS PAC ID: 5496169468 Enrollment ID: I20210202003335 |
| Provider Name | Jacqueline Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534542 PECOS PAC ID: 0648685818 Enrollment ID: I20210222000115 |
| Provider Name | Angela C Hoefke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063012060 PECOS PAC ID: 0042626624 Enrollment ID: I20210305000420 |
| Provider Name | Virginia Vicky Inthavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932741139 PECOS PAC ID: 8820320872 Enrollment ID: I20210309002875 |
| Provider Name | Erika D Larracas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528699147 PECOS PAC ID: 1951717248 Enrollment ID: I20210311000831 |
| Provider Name | Bri'andra I Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204533 PECOS PAC ID: 1951717149 Enrollment ID: I20210312002313 |
| Provider Name | Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619457991 PECOS PAC ID: 0547676553 Enrollment ID: I20210316002255 |
| Provider Name | Tricia Rose Fontanilla Alegado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336619451 PECOS PAC ID: 3375883150 Enrollment ID: I20210318001808 |
| Provider Name | Stacy Antone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114517919 PECOS PAC ID: 5890102834 Enrollment ID: I20210318001849 |
| Provider Name | Kourtney Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053936948 PECOS PAC ID: 2860802501 Enrollment ID: I20210318002096 |
| Provider Name | Megan Hoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207351 PECOS PAC ID: 7214344274 Enrollment ID: I20210318002619 |
| Provider Name | Lisa G Mciver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871079590 PECOS PAC ID: 0648692764 Enrollment ID: I20210318002982 |
| Provider Name | Emily Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083247308 PECOS PAC ID: 7315354222 Enrollment ID: I20210319002224 |
| Provider Name | Diana Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609427 PECOS PAC ID: 6103251277 Enrollment ID: I20210319002239 |
| Provider Name | Shaylyn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467058362 PECOS PAC ID: 7810304755 Enrollment ID: I20210322000923 |
| Provider Name | Meghan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144839531 PECOS PAC ID: 2860809712 Enrollment ID: I20210322001182 |
| Provider Name | Cynthia Neal Sepulveda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649819368 PECOS PAC ID: 6901214972 Enrollment ID: I20210413001782 |
| Provider Name | Yaehee Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043666795 PECOS PAC ID: 3577972389 Enrollment ID: I20210507000665 |
| Provider Name | Jamie Kate M Adoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015941 PECOS PAC ID: 6800205451 Enrollment ID: I20210511001876 |
| Provider Name | Hilda Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467044214 PECOS PAC ID: 0345659751 Enrollment ID: I20210513002704 |
| Provider Name | Jessica G Layug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366026841 PECOS PAC ID: 5294134474 Enrollment ID: I20210519002665 |
| Provider Name | Amie Conley-abston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579644 PECOS PAC ID: 1456750678 Enrollment ID: I20210520000994 |
| Provider Name | Jacqueline Ovsepyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639782501 PECOS PAC ID: 4385043371 Enrollment ID: I20210524002796 |
| Provider Name | Vernica Foots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184250144 PECOS PAC ID: 9537577937 Enrollment ID: I20210525000191 |
| Provider Name | Fiji Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124659685 PECOS PAC ID: 6608275631 Enrollment ID: I20210525001766 |
| Provider Name | Sobia Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437747409 PECOS PAC ID: 4486053220 Enrollment ID: I20210526003434 |
| Provider Name | Mary Joyce Viray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144802976 PECOS PAC ID: 7810396660 Enrollment ID: I20210527000054 |
| Provider Name | Noel Mislang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386234326 PECOS PAC ID: 3072912575 Enrollment ID: I20210603002396 |
| Provider Name | Mignonne D'cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700489648 PECOS PAC ID: 8022418052 Enrollment ID: I20210614001872 |
| Provider Name | Margaret A Amoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164057022 PECOS PAC ID: 8426459272 Enrollment ID: I20210630001931 |
| Provider Name | Erin E Puryear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609450758 PECOS PAC ID: 0345641015 Enrollment ID: I20210701002256 |
| Provider Name | Desiree Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539321 PECOS PAC ID: 3072915420 Enrollment ID: I20210708001253 |
| Provider Name | Ji Yeong Gendron Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033788898 PECOS PAC ID: 5890197511 Enrollment ID: I20210716001481 |
| Provider Name | Maria Carla C Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043895956 PECOS PAC ID: 1254735715 Enrollment ID: I20210804003854 |
| Provider Name | Kimberly Noche Abido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881214237 PECOS PAC ID: 6608271721 Enrollment ID: I20210826002719 |
| Provider Name | Allison J Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548691686 PECOS PAC ID: 6608007448 Enrollment ID: I20210831001531 |
| Provider Name | Dennel R Wildey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043800899 PECOS PAC ID: 1153727268 Enrollment ID: I20210914003087 |
| Provider Name | Brandi L Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578939013 PECOS PAC ID: 6204234446 Enrollment ID: I20211001002019 |
| Provider Name | Rita Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306282322 PECOS PAC ID: 6406087501 Enrollment ID: I20211001002563 |
| Provider Name | Krisinda J Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914941 PECOS PAC ID: 2668748542 Enrollment ID: I20211006000764 |
| Provider Name | Alice Lee A Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922614411 PECOS PAC ID: 4981002664 Enrollment ID: I20211011001431 |
| Provider Name | Sherilyn Marie M Chua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164003109 PECOS PAC ID: 4082012604 Enrollment ID: I20211013000929 |
| Provider Name | Andrea C Lam Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992147425 PECOS PAC ID: 6305079070 Enrollment ID: I20211013001346 |
| Provider Name | Stephanie M Strozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558994384 PECOS PAC ID: 2961890629 Enrollment ID: I20211028002907 |
| Provider Name | Erica L Villaluz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551231 PECOS PAC ID: 8123416831 Enrollment ID: I20211029001774 |
| Provider Name | Marga C Dizon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185124 PECOS PAC ID: 0547658254 Enrollment ID: I20211029001987 |
| Provider Name | Andrea Denise James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669945705 PECOS PAC ID: 3375932726 Enrollment ID: I20211105001316 |
| Provider Name | Tiese L Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740954536 PECOS PAC ID: 1759770118 Enrollment ID: I20211105001694 |
| Provider Name | Terry G Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517711 PECOS PAC ID: 9436176484 Enrollment ID: I20211108001152 |
| Provider Name | Ellie Mehrdel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679141477 PECOS PAC ID: 2264821305 Enrollment ID: I20211111001856 |
| Provider Name | Jessica Medestomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205341526 PECOS PAC ID: 7618309196 Enrollment ID: I20211221002441 |
| Provider Name | Diana Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841966777 PECOS PAC ID: 7416348743 Enrollment ID: I20211221002793 |
| Provider Name | Dorothy Taula-filemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417581349 PECOS PAC ID: 3375934524 Enrollment ID: I20211222001382 |
| Provider Name | Karen Ogboro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946385 PECOS PAC ID: 5092106237 Enrollment ID: I20211227000692 |
| Provider Name | Nosayaba Osazuwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932771391 PECOS PAC ID: 2769873819 Enrollment ID: I20211227001399 |
| Provider Name | Maye Therese Camu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851967939 PECOS PAC ID: 5890187181 Enrollment ID: I20220118002519 |
| Provider Name | Cicily R Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518573161 PECOS PAC ID: 3274946553 Enrollment ID: I20220207001289 |
| Provider Name | Armine Balumyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417625484 PECOS PAC ID: 4688067903 Enrollment ID: I20220209002507 |
| Provider Name | Krystle J Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366107039 PECOS PAC ID: 9436542768 Enrollment ID: I20220209002807 |
| Provider Name | Shaghayegh Oveis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154089555 PECOS PAC ID: 4183018948 Enrollment ID: I20220222001336 |
| Provider Name | Ashley N Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538828355 PECOS PAC ID: 1850785346 Enrollment ID: I20220226000311 |
| Provider Name | Aashika Dhungel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790457349 PECOS PAC ID: 8921492448 Enrollment ID: I20220228000780 |
| Provider Name | Jacquelyn R Smith-douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598336828 PECOS PAC ID: 2466846811 Enrollment ID: I20220228002673 |
| Provider Name | Katherine Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568128569 PECOS PAC ID: 8921492166 Enrollment ID: I20220303001744 |
| Provider Name | Suzanne A Bejec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164190088 PECOS PAC ID: 2264826411 Enrollment ID: I20220303001837 |
| Provider Name | Holly A Gloudemans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144804550 PECOS PAC ID: 4789078973 Enrollment ID: I20220304000520 |
| Provider Name | Njideka L Akubuilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871172445 PECOS PAC ID: 1355735424 Enrollment ID: I20220307001478 |
| Provider Name | Jaqueline Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376295527 PECOS PAC ID: 1759776701 Enrollment ID: I20220310000182 |
| Provider Name | Natalie Movsessian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255898417 PECOS PAC ID: 2163758673 Enrollment ID: I20220311000519 |
| Provider Name | Nwamaka Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013598911 PECOS PAC ID: 2668867474 Enrollment ID: I20220314001744 |
| Provider Name | Nathalie Anyakpor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699319103 PECOS PAC ID: 6305231069 Enrollment ID: I20220315002060 |
| Provider Name | Karren L Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578226064 PECOS PAC ID: 9436545597 Enrollment ID: I20220330000881 |
| Provider Name | Barbara Mae Madriaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912659442 PECOS PAC ID: 3779970710 Enrollment ID: I20220421002405 |
| Provider Name | Marilyn J Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366641821 PECOS PAC ID: 2668787094 Enrollment ID: I20220427001072 |
| Provider Name | Anne M Kahana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467028373 PECOS PAC ID: 3779962212 Enrollment ID: I20220614001266 |
| Provider Name | Alexa Schaeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356000855 PECOS PAC ID: 2163801622 Enrollment ID: I20220614002053 |
| Provider Name | Anna M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700536430 PECOS PAC ID: 7911386180 Enrollment ID: I20220617001156 |
| Provider Name | Amelia Margaret Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395113 PECOS PAC ID: 7618384009 Enrollment ID: I20220617001413 |
| Provider Name | Rachael Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740936111 PECOS PAC ID: 0042699290 Enrollment ID: I20220620000684 |
| Provider Name | Amreen Guru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982344651 PECOS PAC ID: 7517346653 Enrollment ID: I20220621002494 |
| Provider Name | Airene Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245972835 PECOS PAC ID: 8628458668 Enrollment ID: I20220707002582 |
| Provider Name | Nancy Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326514084 PECOS PAC ID: 3779964200 Enrollment ID: I20220714003963 |
| Provider Name | Christina T Bakhsheshian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316431216 PECOS PAC ID: 5496008914 Enrollment ID: I20220720000282 |
| Provider Name | Helen Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386255248 PECOS PAC ID: 2365824059 Enrollment ID: I20220727002256 |
| Provider Name | Chartavia Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306599428 PECOS PAC ID: 7416339718 Enrollment ID: I20220803002054 |
| Provider Name | Wendy Crage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225617053 PECOS PAC ID: 6103200027 Enrollment ID: I20220826000374 |
| Provider Name | Erin Elizabeth Hermes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194451864 PECOS PAC ID: 9032594031 Enrollment ID: I20220912001854 |
| Provider Name | Marybeth Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619100161 PECOS PAC ID: 9830238989 Enrollment ID: I20220914003645 |
| Provider Name | Amy Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184117525 PECOS PAC ID: 1557797792 Enrollment ID: I20220926001574 |
| Provider Name | Tracey Iyamu-sanusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093087595 PECOS PAC ID: 5193101376 Enrollment ID: I20220927000638 |
| Provider Name | Katherine Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861013344 PECOS PAC ID: 7012383300 Enrollment ID: I20221011001604 |
| Provider Name | Mary Ann Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881366367 PECOS PAC ID: 2860868171 Enrollment ID: I20221011002397 |
| Provider Name | April Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760051205 PECOS PAC ID: 5890191951 Enrollment ID: I20221021000440 |
| Provider Name | Crystal Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891365722 PECOS PAC ID: 7012315641 Enrollment ID: I20221101001403 |
| Provider Name | Hee Y Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275265696 PECOS PAC ID: 2769859990 Enrollment ID: I20221101001727 |
| Provider Name | Johnny Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205578622 PECOS PAC ID: 9234506486 Enrollment ID: I20221101002582 |
| Provider Name | Manuel Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174259592 PECOS PAC ID: 8820465990 Enrollment ID: I20221102000757 |
| Provider Name | Diana Fruzza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780331439 PECOS PAC ID: 6305213414 Enrollment ID: I20221102002073 |
| Provider Name | Rhonalee Uy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164153003 PECOS PAC ID: 9830566959 Enrollment ID: I20221102002661 |
| Provider Name | Hongmei Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134637861 PECOS PAC ID: 0345617254 Enrollment ID: I20221107001657 |
| Provider Name | Selene Chagoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013647973 PECOS PAC ID: 5597132381 Enrollment ID: I20221108001722 |
| Provider Name | Melissa A Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255054490 PECOS PAC ID: 2961870050 Enrollment ID: I20221121002805 |
| Provider Name | Ana Fraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528661436 PECOS PAC ID: 4183093065 Enrollment ID: I20221215002540 |
| Provider Name | Joana Marie Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935231 PECOS PAC ID: 8921478165 Enrollment ID: I20230103002932 |
| Provider Name | Rachel Ballantyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427765627 PECOS PAC ID: 8325418130 Enrollment ID: I20230111002246 |
| Provider Name | Jesse Tung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114634185 PECOS PAC ID: 4587035233 Enrollment ID: I20230117002741 |
| Provider Name | Vanessa Yvonne A Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063147452 PECOS PAC ID: 9739550344 Enrollment ID: I20230118002055 |
| Provider Name | Laura Bretado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215675178 PECOS PAC ID: 5092186635 Enrollment ID: I20230119000443 |
| Provider Name | Leonardo Mariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241622 PECOS PAC ID: 3779954243 Enrollment ID: I20230119001885 |
| Provider Name | Solande Louis Xvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376284646 PECOS PAC ID: 4486025988 Enrollment ID: I20230119003117 |
| Provider Name | Da Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558087684 PECOS PAC ID: 4082085584 Enrollment ID: I20230119003320 |
| Provider Name | Rosalie Usher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417666967 PECOS PAC ID: 2961873310 Enrollment ID: I20230120002489 |
| Provider Name | Samina Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336858026 PECOS PAC ID: 7911378260 Enrollment ID: I20230124001401 |
| Provider Name | Candice M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740619063 PECOS PAC ID: 9931512753 Enrollment ID: I20230124001487 |
| Provider Name | Veronica R Dionisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164092862 PECOS PAC ID: 6204207368 Enrollment ID: I20230127001010 |
| Provider Name | Krista Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376080390 PECOS PAC ID: 8527343540 Enrollment ID: I20230127002293 |
| Provider Name | Karen Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20230206000331 |
| Provider Name | Tonya Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093431751 PECOS PAC ID: 6800268525 Enrollment ID: I20230207000297 |
| Provider Name | Latoya Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083324248 PECOS PAC ID: 8426420175 Enrollment ID: I20230207001600 |
| Provider Name | Gabriela Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073222576 PECOS PAC ID: 6002288354 Enrollment ID: I20230214001803 |
| Provider Name | Bing Rounsavall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083221840 PECOS PAC ID: 5193197457 Enrollment ID: I20230214002374 |
| Provider Name | Sharon Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942526736 PECOS PAC ID: 9638202377 Enrollment ID: I20230216001570 |
| Provider Name | Kristin Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184331928 PECOS PAC ID: 5799158614 Enrollment ID: I20230223002308 |
| Provider Name | Francis Bayona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245968676 PECOS PAC ID: 4688047285 Enrollment ID: I20230301002866 |
| Provider Name | Moh Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669185492 PECOS PAC ID: 4082087481 Enrollment ID: I20230306002624 |
| Provider Name | Samantha Vivian Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752050 PECOS PAC ID: 8426421579 Enrollment ID: I20230310001288 |
| Provider Name | Jevangeline Co-vivo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134827868 PECOS PAC ID: 8426423070 Enrollment ID: I20230414001760 |
| Provider Name | Jennifer Noyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205547239 PECOS PAC ID: 3072988435 Enrollment ID: I20230417002533 |
| Provider Name | Nikhita S Walji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487352233 PECOS PAC ID: 2264807551 Enrollment ID: I20230419002292 |
| Provider Name | Arti Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427407105 PECOS PAC ID: 5890087100 Enrollment ID: I20230420000989 |
| Provider Name | Khine Hlaing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942913561 PECOS PAC ID: 6406211804 Enrollment ID: I20230508000142 |
| Provider Name | Brianna K Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497454102 PECOS PAC ID: 6103281563 Enrollment ID: I20230508002614 |
| Provider Name | Brittani Carpinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881394823 PECOS PAC ID: 2860858933 Enrollment ID: I20230515003159 |
| Provider Name | Debbie Pangilinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497453856 PECOS PAC ID: 4880050772 Enrollment ID: I20230518003132 |
| Provider Name | Stephan Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942902986 PECOS PAC ID: 9234595976 Enrollment ID: I20230522003235 |
| Provider Name | Kelli Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508348590 PECOS PAC ID: 4082966395 Enrollment ID: I20230523000971 |
| Provider Name | Nicole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730889270 PECOS PAC ID: 5294191771 Enrollment ID: I20230525003135 |
| Provider Name | Cherisha Np Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457093791 PECOS PAC ID: 9537526942 Enrollment ID: I20230530002898 |
| Provider Name | Artashes Vasilyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649993932 PECOS PAC ID: 1254798697 Enrollment ID: I20230531000886 |
| Provider Name | Keona Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033647144 PECOS PAC ID: 8527326982 Enrollment ID: I20230608003246 |
| Provider Name | Joshua Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548959042 PECOS PAC ID: 5991163404 Enrollment ID: I20230615000583 |
| Provider Name | Mikayla Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437852985 PECOS PAC ID: 5890153290 Enrollment ID: I20230616000602 |
| Provider Name | Meron Desta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598454563 PECOS PAC ID: 7315305489 Enrollment ID: I20230621003376 |
| Provider Name | Hannah Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275223943 PECOS PAC ID: 4385002401 Enrollment ID: I20230622001421 |
| Provider Name | Rodelle Ann De Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164112041 PECOS PAC ID: 6800254764 Enrollment ID: I20230626000117 |
| Provider Name | Kywaita E Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588369086 PECOS PAC ID: 8921468398 Enrollment ID: I20230717002501 |
| Provider Name | Tam Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073218186 PECOS PAC ID: 0840650909 Enrollment ID: I20230720002320 |
| Provider Name | Maria Petiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306530886 PECOS PAC ID: 0941661532 Enrollment ID: I20230728002874 |
| Provider Name | Kirstyn Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982358057 PECOS PAC ID: 6709271406 Enrollment ID: I20230817000243 |
| Provider Name | Navjot Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033885371 PECOS PAC ID: 7517336050 Enrollment ID: I20230818000476 |
| Provider Name | Alexandra Ciszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578220612 PECOS PAC ID: 4587057229 Enrollment ID: I20230922002928 |
| Provider Name | Katherine R. Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073106225 PECOS PAC ID: 5890185490 Enrollment ID: I20231010003262 |
| Provider Name | Jessica Bessette-castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083177372 PECOS PAC ID: 1557771482 Enrollment ID: I20231108003558 |
| Provider Name | Jenna L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669259875 PECOS PAC ID: 4183071285 Enrollment ID: I20231110002642 |
| Provider Name | Terri L Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720777469 PECOS PAC ID: 5991154510 Enrollment ID: I20231207003860 |
| Provider Name | Sara Pourmand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811779689 PECOS PAC ID: 1850740333 Enrollment ID: I20231208002226 |
| Provider Name | Andrea Polo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093393951 PECOS PAC ID: 1557762978 Enrollment ID: I20231208002769 |
| Provider Name | Elicia Y Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043998305 PECOS PAC ID: 2062861354 Enrollment ID: I20231212002658 |
| Provider Name | Chaehyeon L Damko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215717343 PECOS PAC ID: 0345699658 Enrollment ID: I20231212003348 |
| Provider Name | Mey Saephanh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154101749 PECOS PAC ID: 3678922903 Enrollment ID: I20231212003985 |
| Provider Name | Crystaloren M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184406522 PECOS PAC ID: 9436509155 Enrollment ID: I20231221000915 |
| Provider Name | Monica Rivera-gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033990874 PECOS PAC ID: 2668824400 Enrollment ID: I20240117003986 |
| Provider Name | Adrianne Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306529284 PECOS PAC ID: 9537512322 Enrollment ID: I20240129001221 |
| Provider Name | Charles Hinga |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922562446 PECOS PAC ID: 9830532555 Enrollment ID: I20240209002496 |
| Provider Name | Jessica Fox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487922704 PECOS PAC ID: 2668818154 Enrollment ID: I20240306003533 |
Regents Of University Of California Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19262 Jamboree Rd, Irvine, CA 92612 Phone: 949-824-2343 Fax: 949-824-8737 | |
Nargess Fassih Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9070 Irvine Center Dr Ste 250, Irvine, CA 92618 Phone: 714-698-9443 | |
Emerald Shores Psychological Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Waterworks Way Ste 100, Irvine, CA 92618 Phone: 949-436-9418 Fax: 760-859-3877 | |
Grounded Connections Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 949-381-1707 | |
Connected Life Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Technology Dr Ste 118, Irvine, CA 92618 Phone: 949-922-4564 | |
Healing To You Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17352 Daimler St, Irvine, CA 92614 Phone: 818-275-2227 Fax: 562-684-0785 | |
Biopsychosocial Medical Office, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Discovery, Irvine, CA 92618 Phone: 949-451-1789 Fax: 949-451-1431 |