| On Call Specialists Medical Group Of San Diego, Inc. | |
|
4077 Fifth Ave San Diego CA 92103-2105 | |
| (619) 294-8111 | |
| Not Available |
| Full Name | On Call Specialists Medical Group Of San Diego, Inc. |
|---|---|
| Speciality | Specialist |
| Location | 4077 Fifth Ave, San Diego, California |
| Authorized Official Name and Position | Michael Couris (PRESIDENT) |
| Authorized Official Contact | 6193596600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Call Specialists Medical Group Of San Diego, Inc. 550 Washington St Ste 841 San Diego CA 92103-2232 Ph: (619) 359-6600 | On Call Specialists Medical Group Of San Diego, Inc. 4077 Fifth Ave San Diego CA 92103-2105 Ph: (619) 294-8111 |
| NPI Number | 1962175836 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Medicare PECOS PAC ID | 7911395231 |
|---|---|
| Medicare Enrollment ID | O20211019001466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962175836 | NPI | - | NPPES |
| Provider Name | Stephen T Summers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174502223 PECOS PAC ID: 4880589472 Enrollment ID: I20040220001183 |
| Provider Name | Kimberly P Cockerham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366493629 PECOS PAC ID: 3678460300 Enrollment ID: I20040227001051 |
| Provider Name | Mohammad H Islami Manuchehry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841362241 PECOS PAC ID: 8921997875 Enrollment ID: I20040310001599 |
| Provider Name | Emad G Tadros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487696878 PECOS PAC ID: 2567352750 Enrollment ID: I20040319000702 |
| Provider Name | Dan I Giurgiu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992769194 PECOS PAC ID: 2961494208 Enrollment ID: I20040330000837 |
| Provider Name | Jeffry A Mullvain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467557454 PECOS PAC ID: 9436144748 Enrollment ID: I20040416000787 |
| Provider Name | Mark Wei Huang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730185760 PECOS PAC ID: 1557350253 Enrollment ID: I20040507001344 |
| Provider Name | Brett J Berman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457446684 PECOS PAC ID: 8628069226 Enrollment ID: I20040521000837 |
| Provider Name | Thomas C Lian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770594616 PECOS PAC ID: 1951382472 Enrollment ID: I20040601001326 |
| Provider Name | Alborz Hassankhani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013022615 PECOS PAC ID: 8123001633 Enrollment ID: I20040607001597 |
| Provider Name | Yashwant S Chaudhri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043258429 PECOS PAC ID: 0042295685 Enrollment ID: I20040622001347 |
| Provider Name | Kelli Christine Karches |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891997631 PECOS PAC ID: 0648255463 Enrollment ID: I20040623001579 |
| Provider Name | Venustiano J Guerra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902904998 PECOS PAC ID: 3971589631 Enrollment ID: I20040624001696 |
| Provider Name | James J Chao |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093740789 PECOS PAC ID: 3678550928 Enrollment ID: I20040702001276 |
| Provider Name | Joseph Baran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609895192 PECOS PAC ID: 5092794388 Enrollment ID: I20040719001627 |
| Provider Name | David J Najafi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396715991 PECOS PAC ID: 4284606823 Enrollment ID: I20040812000725 |
| Provider Name | Iman I Mikhail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538132881 PECOS PAC ID: 3577537224 Enrollment ID: I20040819001403 |
| Provider Name | Afshin Bahador |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316963713 PECOS PAC ID: 3577538610 Enrollment ID: I20040831001574 |
| Provider Name | Ara S Klijian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831134162 PECOS PAC ID: 9638145394 Enrollment ID: I20040903000937 |
| Provider Name | Suja D Dubois |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013976612 PECOS PAC ID: 9436125010 Enrollment ID: I20040903001129 |
| Provider Name | James L Roberts |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508972191 PECOS PAC ID: 1254300817 Enrollment ID: I20040929001297 |
| Provider Name | Perry T Mansfield |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265463194 PECOS PAC ID: 4981663259 Enrollment ID: I20041004000875 |
| Provider Name | Mohammed Al-jasim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760479786 PECOS PAC ID: 1355300849 Enrollment ID: I20041008001302 |
| Provider Name | Bradford T Hsu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912968389 PECOS PAC ID: 9537120233 Enrollment ID: I20041026000440 |
| Provider Name | Jack C Yang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952365025 PECOS PAC ID: 6103895198 Enrollment ID: I20041108000588 |
| Provider Name | Carlton W Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205881398 PECOS PAC ID: 5092779371 Enrollment ID: I20041116000941 |
| Provider Name | Anthony G Sanzone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992747059 PECOS PAC ID: 7719941889 Enrollment ID: I20041118001281 |
| Provider Name | Franz J Kopp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407817430 PECOS PAC ID: 8820046642 Enrollment ID: I20050108000203 |
| Provider Name | Rodolfo Arcovedo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225018880 PECOS PAC ID: 4688624141 Enrollment ID: I20050124000419 |
| Provider Name | Asa D Morton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780669283 PECOS PAC ID: 6204873235 Enrollment ID: I20050412000522 |
| Provider Name | Jigar D Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225000532 PECOS PAC ID: 2860305091 Enrollment ID: I20050418001294 |
| Provider Name | Evan M Vapnek |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811003411 PECOS PAC ID: 0143298968 Enrollment ID: I20050503000246 |
| Provider Name | Emily D Scott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003910456 PECOS PAC ID: 8527008218 Enrollment ID: I20050513000495 |
| Provider Name | Bobak Salami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891700340 PECOS PAC ID: 6709829369 Enrollment ID: I20050603001016 |
| Provider Name | Jerrold Glassman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245326883 PECOS PAC ID: 1658315106 Enrollment ID: I20050615000389 |
| Provider Name | Richard G Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881789196 PECOS PAC ID: 6608810163 Enrollment ID: I20050615000420 |
| Provider Name | Dimitri A Sherev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154323996 PECOS PAC ID: 9335175991 Enrollment ID: I20050714000619 |
| Provider Name | Thomas E Diggs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962418889 PECOS PAC ID: 7012948250 Enrollment ID: I20050826000565 |
| Provider Name | Shahin Keramati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568479392 PECOS PAC ID: 4587695770 Enrollment ID: I20050826000919 |
| Provider Name | Bruce J Kimura |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093809790 PECOS PAC ID: 7911938105 Enrollment ID: I20050826000938 |
| Provider Name | Ali Salami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366459190 PECOS PAC ID: 5092746966 Enrollment ID: I20050830000999 |
| Provider Name | Manish K Wadhwa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679589329 PECOS PAC ID: 5597796474 Enrollment ID: I20050830001069 |
| Provider Name | Cynthia L Schaeffer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740352293 PECOS PAC ID: 1951333905 Enrollment ID: I20050909000970 |
| Provider Name | Michael J Sise |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487617627 PECOS PAC ID: 8325017312 Enrollment ID: I20051109000574 |
| Provider Name | Vijayalak S Pratha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992892707 PECOS PAC ID: 6103846365 Enrollment ID: I20051201001052 |
| Provider Name | James J Longobardi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780664250 PECOS PAC ID: 8820019656 Enrollment ID: I20051208000485 |
| Provider Name | Ignacio Iturbe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972513695 PECOS PAC ID: 4385665306 Enrollment ID: I20051216000802 |
| Provider Name | Hai Shao |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598841033 PECOS PAC ID: 8123042504 Enrollment ID: I20060124001015 |
| Provider Name | William Collin Eves |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588664049 PECOS PAC ID: 2567478449 Enrollment ID: I20060301000725 |
| Provider Name | Michael P Koumjian |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366403321 PECOS PAC ID: 1153337035 Enrollment ID: I20060301000763 |
| Provider Name | Vitali Aizin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366545733 PECOS PAC ID: 7416965959 Enrollment ID: I20060324000637 |
| Provider Name | Michael T Couris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063638682 PECOS PAC ID: 2466421441 Enrollment ID: I20060329000316 |
| Provider Name | Mathew S Isho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841235645 PECOS PAC ID: 3476522459 Enrollment ID: I20060710000279 |
| Provider Name | Christopher T Behr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295797793 PECOS PAC ID: 9830147651 Enrollment ID: I20060901000357 |
| Provider Name | Bret J Langenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720014038 PECOS PAC ID: 7416951082 Enrollment ID: I20060913000312 |
| Provider Name | Shaila Serpas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124039136 PECOS PAC ID: 6709885205 Enrollment ID: I20061211000509 |
| Provider Name | Moneer M Jaibaji |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366471096 PECOS PAC ID: 7911956487 Enrollment ID: I20061220000468 |
| Provider Name | Raghava R Gollapudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467429191 PECOS PAC ID: 1951303569 Enrollment ID: I20070212000284 |
| Provider Name | Vishal Bansal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194889410 PECOS PAC ID: 1355242058 Enrollment ID: I20070627000392 |
| Provider Name | Carol E Salem |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336152982 PECOS PAC ID: 5294820379 Enrollment ID: I20071004000235 |
| Provider Name | Hassan Kafri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730258401 PECOS PAC ID: 0648368258 Enrollment ID: I20071115000338 |
| Provider Name | Alois Zauner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922023720 PECOS PAC ID: 6507845039 Enrollment ID: I20080205000667 |
| Provider Name | Jeffrey K Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528164753 PECOS PAC ID: 0749367035 Enrollment ID: I20080410000754 |
| Provider Name | Robert M Barone |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1528083573 PECOS PAC ID: 8527146570 Enrollment ID: I20080416000555 |
| Provider Name | Noreen M Newmark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023064102 PECOS PAC ID: 2466521620 Enrollment ID: I20080514000754 |
| Provider Name | Charles A Athill |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174504252 PECOS PAC ID: 2062519036 Enrollment ID: I20080602000771 |
| Provider Name | William M Burrows |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639199292 PECOS PAC ID: 8325111933 Enrollment ID: I20080715000664 |
| Provider Name | Yanira M Olaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174679047 PECOS PAC ID: 1355414830 Enrollment ID: I20080716000393 |
| Provider Name | Ryan Y Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437348919 PECOS PAC ID: 4688742034 Enrollment ID: I20081013000111 |
| Provider Name | Roderick A Comunale |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568462109 PECOS PAC ID: 0547328510 Enrollment ID: I20081020000301 |
| Provider Name | Sally Stipho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467642215 PECOS PAC ID: 7810056090 Enrollment ID: I20081103000200 |
| Provider Name | Jason Hess |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396786406 PECOS PAC ID: 1355309055 Enrollment ID: I20081120000591 |
| Provider Name | Kimberly A Peck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215018403 PECOS PAC ID: 5597795005 Enrollment ID: I20081211000160 |
| Provider Name | Michael S Bongiovanni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992772784 PECOS PAC ID: 6608845680 Enrollment ID: I20090107000574 |
| Provider Name | Seth Michael Krosner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700848397 PECOS PAC ID: 2365506532 Enrollment ID: I20090203000298 |
| Provider Name | Cyrus Torchinsky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790828754 PECOS PAC ID: 3375608540 Enrollment ID: I20090223000427 |
| Provider Name | Derya J Coskun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326061318 PECOS PAC ID: 8022174440 Enrollment ID: I20090309000627 |
| Provider Name | Frederic Rene Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265582605 PECOS PAC ID: 7911064795 Enrollment ID: I20090323000225 |
| Provider Name | Alan L Rosenfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588648968 PECOS PAC ID: 8224027990 Enrollment ID: I20090427000619 |
| Provider Name | Hugo H Barrera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043299100 PECOS PAC ID: 5698725141 Enrollment ID: I20090430000075 |
| Provider Name | Brian D Modena |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235379207 PECOS PAC ID: 0042369555 Enrollment ID: I20090512000482 |
| Provider Name | Jason T Davis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295911469 PECOS PAC ID: 4486703915 Enrollment ID: I20090512000571 |
| Provider Name | Andrew B Cummins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699917096 PECOS PAC ID: 1557416278 Enrollment ID: I20090902000228 |
| Provider Name | Sassan Alavi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023170131 PECOS PAC ID: 7810043916 Enrollment ID: I20090915000140 |
| Provider Name | Hirsch S Mehta |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407099799 PECOS PAC ID: 7315084936 Enrollment ID: I20091029000644 |
| Provider Name | Lan Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184785016 PECOS PAC ID: 0547308413 Enrollment ID: I20091113000113 |
| Provider Name | Alexander J Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942242961 PECOS PAC ID: 6901946680 Enrollment ID: I20091211000208 |
| Provider Name | David Riker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164405528 PECOS PAC ID: 5294763223 Enrollment ID: I20100127000529 |
| Provider Name | Jorge A Zapatel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215081328 PECOS PAC ID: 8224163258 Enrollment ID: I20100316000900 |
| Provider Name | Jeffrey Robert Toman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134112626 PECOS PAC ID: 2163490574 Enrollment ID: I20100626000452 |
| Provider Name | Gary Y Miya |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841219482 PECOS PAC ID: 8921131459 Enrollment ID: I20100804000083 |
| Provider Name | David W Fabi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326240805 PECOS PAC ID: 7719030477 Enrollment ID: I20101011001067 |
| Provider Name | James S Grisolia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336102359 PECOS PAC ID: 4688867781 Enrollment ID: I20101021000638 |
| Provider Name | Maneesh Bawa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952363038 PECOS PAC ID: 0648282293 Enrollment ID: I20101027001315 |
| Provider Name | Anoop Karippot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609979871 PECOS PAC ID: 4587764303 Enrollment ID: I20101201001197 |
| Provider Name | Mark R Pe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801003694 PECOS PAC ID: 8820286248 Enrollment ID: I20110118000047 |
| Provider Name | Gonzalo Ballon Landa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326266081 PECOS PAC ID: 2264325885 Enrollment ID: I20110309000678 |
| Provider Name | Nadeen Hosein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912051715 PECOS PAC ID: 0143406298 Enrollment ID: I20110525000584 |
| Provider Name | Kiyon Chung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972517910 PECOS PAC ID: 6204875792 Enrollment ID: I20110610000297 |
| Provider Name | Brian M Dicks |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144425687 PECOS PAC ID: 3072783034 Enrollment ID: I20110830000398 |
| Provider Name | Brendan James Kidder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275793929 PECOS PAC ID: 1052582418 Enrollment ID: I20110915000789 |
| Provider Name | Anisa M Yalom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164679908 PECOS PAC ID: 5799956405 Enrollment ID: I20110928000620 |
| Provider Name | Hashim Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154504900 PECOS PAC ID: 7214087956 Enrollment ID: I20111101000068 |
| Provider Name | Sarjan H Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316199326 PECOS PAC ID: 4981861028 Enrollment ID: I20120201000768 |
| Provider Name | Yan Zhong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467683540 PECOS PAC ID: 9931355013 Enrollment ID: I20120809000790 |
| Provider Name | John S Hammes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891766994 PECOS PAC ID: 7012166432 Enrollment ID: I20120928000492 |
| Provider Name | Jesse J Naghi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386896736 PECOS PAC ID: 9032361704 Enrollment ID: I20121203000196 |
| Provider Name | Benjamin Dennis Cullen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851652309 PECOS PAC ID: 7113163155 Enrollment ID: I20130418000315 |
| Provider Name | Smit S Chauhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700083391 PECOS PAC ID: 4587804380 Enrollment ID: I20130627000667 |
| Provider Name | Matthew Pugh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306077870 PECOS PAC ID: 0941443733 Enrollment ID: I20130827000062 |
| Provider Name | Jennifer M Rullan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447484811 PECOS PAC ID: 1153557954 Enrollment ID: I20131127000922 |
| Provider Name | Sudhir Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801884523 PECOS PAC ID: 2466407655 Enrollment ID: I20140612001246 |
| Provider Name | Scott K Tanaka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881843050 PECOS PAC ID: 8527200773 Enrollment ID: I20140707001447 |
| Provider Name | Arvin P S Narula |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144535709 PECOS PAC ID: 1658590674 Enrollment ID: I20140923002713 |
| Provider Name | Erin M Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811054604 PECOS PAC ID: 6305869520 Enrollment ID: I20141013001551 |
| Provider Name | Yifan Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114188539 PECOS PAC ID: 3870714769 Enrollment ID: I20141017000713 |
| Provider Name | Jeremy B Mccandless |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700074127 PECOS PAC ID: 4688710064 Enrollment ID: I20141023001447 |
| Provider Name | Ivan Cubas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447464912 PECOS PAC ID: 6507917176 Enrollment ID: I20141110002603 |
| Provider Name | Kathy Khaing |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912219155 PECOS PAC ID: 5799000253 Enrollment ID: I20150204002546 |
| Provider Name | Seemal Mumtaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528264660 PECOS PAC ID: 9537302591 Enrollment ID: I20150206000209 |
| Provider Name | Gavin N Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609033182 PECOS PAC ID: 1850533779 Enrollment ID: I20150303002438 |
| Provider Name | Jay Pandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407997406 PECOS PAC ID: 2769536242 Enrollment ID: I20150325000564 |
| Provider Name | Heidrun Elisabeth Gollogly |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477879823 PECOS PAC ID: 0648449157 Enrollment ID: I20150508000732 |
| Provider Name | Cristina Deis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639478811 PECOS PAC ID: 0840415451 Enrollment ID: I20150521001286 |
| Provider Name | Vartan N Garibyan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790084143 PECOS PAC ID: 5395069520 Enrollment ID: I20150721003336 |
| Provider Name | Adam Horeish |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760461206 PECOS PAC ID: 2668454018 Enrollment ID: I20150722006164 |
| Provider Name | Hala Z Kazanchi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1316244841 PECOS PAC ID: 5890942288 Enrollment ID: I20150805008719 |
| Provider Name | Matthew D Tadlock |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881666956 PECOS PAC ID: 8729210026 Enrollment ID: I20150821013331 |
| Provider Name | Justin M Cox |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821144718 PECOS PAC ID: 7012225683 Enrollment ID: I20150930002962 |
| Provider Name | Craig R Morgan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770804171 PECOS PAC ID: 0749424075 Enrollment ID: I20160301000771 |
| Provider Name | Patrick H Sweet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457407702 PECOS PAC ID: 6901103829 Enrollment ID: I20160321001230 |
| Provider Name | Erin Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003260894 PECOS PAC ID: 0941509798 Enrollment ID: I20160428000912 |
| Provider Name | Marsha Sonia Kadze Reuther |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972752202 PECOS PAC ID: 9739490277 Enrollment ID: I20160513001666 |
| Provider Name | Nora Khatib |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538487756 PECOS PAC ID: 3971813429 Enrollment ID: I20160602001354 |
| Provider Name | Jessica S Maslin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154684553 PECOS PAC ID: 8820318066 Enrollment ID: I20160606001063 |
| Provider Name | Amelia J Simpson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538484084 PECOS PAC ID: 8325330871 Enrollment ID: I20160701001672 |
| Provider Name | Shawn S Koura |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407173149 PECOS PAC ID: 8921390006 Enrollment ID: I20160711001034 |
| Provider Name | Amanda Lynn Jainchill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720426901 PECOS PAC ID: 2264755255 Enrollment ID: I20160929000717 |
| Provider Name | Julia Souvorova |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114361029 PECOS PAC ID: 4486942000 Enrollment ID: I20161014001400 |
| Provider Name | Sajiv Chandradas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720350465 PECOS PAC ID: 8325328131 Enrollment ID: I20161214000948 |
| Provider Name | Marc Dentico-olin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629205174 PECOS PAC ID: 9739462995 Enrollment ID: I20170213002658 |
| Provider Name | Linda N Woo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467720656 PECOS PAC ID: 2961789482 Enrollment ID: I20170509003007 |
| Provider Name | Melissa Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427475318 PECOS PAC ID: 3577857267 Enrollment ID: I20170712003414 |
| Provider Name | Brittany Michelle Rice |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871912808 PECOS PAC ID: 7416227962 Enrollment ID: I20170717002300 |
| Provider Name | Alayna Puccinelli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487072278 PECOS PAC ID: 0749550887 Enrollment ID: I20170721001095 |
| Provider Name | Keshav R Nayak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043246531 PECOS PAC ID: 6800199407 Enrollment ID: I20170927001019 |
| Provider Name | Michael J Krzyzaniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164626594 PECOS PAC ID: 0244544419 Enrollment ID: I20171102001985 |
| Provider Name | Chadwick James Donaldson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891743910 PECOS PAC ID: 2466450465 Enrollment ID: I20171117002532 |
| Provider Name | Sonia Gabriela Ponce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164659033 PECOS PAC ID: 0244462992 Enrollment ID: I20171120000382 |
| Provider Name | Kevin M Kuhn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881642098 PECOS PAC ID: 7012041767 Enrollment ID: I20180119002087 |
| Provider Name | Tuan Van Mai |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326280231 PECOS PAC ID: 6901061399 Enrollment ID: I20180529002584 |
| Provider Name | Farah Zuhair Dawood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922263466 PECOS PAC ID: 4587838883 Enrollment ID: I20180605000494 |
| Provider Name | Genaro Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073768891 PECOS PAC ID: 5799979928 Enrollment ID: I20180606002859 |
| Provider Name | John A Davidson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689069874 PECOS PAC ID: 4284981424 Enrollment ID: I20180719001907 |
| Provider Name | Samantha Jill Hauff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225395734 PECOS PAC ID: 3779844220 Enrollment ID: I20181011000631 |
| Provider Name | Nadia A Mohamedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477947364 PECOS PAC ID: 3678817434 Enrollment ID: I20181205000565 |
| Provider Name | Blake Francis Spitzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316350085 PECOS PAC ID: 6002033743 Enrollment ID: I20190226003437 |
| Provider Name | Teah O Caine Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972966679 PECOS PAC ID: 4183950967 Enrollment ID: I20190731004079 |
| Provider Name | Amar V Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821359605 PECOS PAC ID: 9436424520 Enrollment ID: I20190813003834 |
| Provider Name | Anthony Joon Choi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255591020 PECOS PAC ID: 4284881749 Enrollment ID: I20190823001834 |
| Provider Name | Marc Mccaslin Holden |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861747396 PECOS PAC ID: 6305174202 Enrollment ID: I20190829002119 |
| Provider Name | Michael A Quacinella |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962815100 PECOS PAC ID: 6901138882 Enrollment ID: I20191025000647 |
| Provider Name | Mihir Barvalia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568723922 PECOS PAC ID: 2668784547 Enrollment ID: I20200122002920 |
| Provider Name | Jonathan Unkart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255686648 PECOS PAC ID: 6709171580 Enrollment ID: I20200314000140 |
| Provider Name | Viet Duy Nguyen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184019051 PECOS PAC ID: 8022449180 Enrollment ID: I20200506000743 |
| Provider Name | Jiken Mukesh Bhatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972921088 PECOS PAC ID: 1951722529 Enrollment ID: I20200608000804 |
| Provider Name | Miguel Alvarez-estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197826 PECOS PAC ID: 5799108247 Enrollment ID: I20200701000629 |
| Provider Name | Howie Wu Que |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477934909 PECOS PAC ID: 4385067586 Enrollment ID: I20200707000941 |
| Provider Name | Stephen Harold Unterberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215374210 PECOS PAC ID: 0244657815 Enrollment ID: I20200827000846 |
| Provider Name | Hassan J Azimi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932547536 PECOS PAC ID: 1456684489 Enrollment ID: I20200924000525 |
| Provider Name | Laya M Reddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861928921 PECOS PAC ID: 3870912421 Enrollment ID: I20200930002634 |
| Provider Name | Erik Olson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174844815 PECOS PAC ID: 2961771274 Enrollment ID: I20201229001947 |
| Provider Name | Krystal A Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922531250 PECOS PAC ID: 2365855418 Enrollment ID: I20210108001052 |
| Provider Name | Fahad Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548605843 PECOS PAC ID: 2769783679 Enrollment ID: I20210225001795 |
| Provider Name | Joshua Ocegueda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336643345 PECOS PAC ID: 4789074964 Enrollment ID: I20211201002964 |
| Provider Name | Daryl Fick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649324625 PECOS PAC ID: 3779801931 Enrollment ID: I20220110001141 |
| Provider Name | Surabhi A Khanna |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124220157 PECOS PAC ID: 6709916745 Enrollment ID: I20220204002210 |
| Provider Name | Trent Rockne Brookshier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295296150 PECOS PAC ID: 8426443995 Enrollment ID: I20220318002043 |
| Provider Name | Kimberly Ann Thompson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225320237 PECOS PAC ID: 6103243696 Enrollment ID: I20220422002426 |
| Provider Name | Clifton Roy Ewbank |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043369416 PECOS PAC ID: 6103174669 Enrollment ID: I20220526002479 |
| Provider Name | Rafid Kasir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306367354 PECOS PAC ID: 6507136827 Enrollment ID: I20220725001409 |
| Provider Name | Ana Karen Ortiz Ilizaliturri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316407026 PECOS PAC ID: 6901281831 Enrollment ID: I20220913004136 |
| Provider Name | John Alec G Moral |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720426190 PECOS PAC ID: 8527444652 Enrollment ID: I20220927003230 |
| Provider Name | Nathanial Fernandez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538212196 PECOS PAC ID: 8820233968 Enrollment ID: I20230228002791 |
| Provider Name | Antonio Duran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588027700 PECOS PAC ID: 3678802881 Enrollment ID: I20230706000786 |
| Provider Name | Faizi M. Hai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639523228 PECOS PAC ID: 6406269489 Enrollment ID: I20230711003130 |
| Provider Name | Omid Moshtaghi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730675927 PECOS PAC ID: 7719347962 Enrollment ID: I20230719001677 |
| Provider Name | Anna K Bareiss |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508398629 PECOS PAC ID: 0042577124 Enrollment ID: I20230725001710 |
| Provider Name | Jennifer Pham |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235629932 PECOS PAC ID: 2264782143 Enrollment ID: I20230728002033 |
| Provider Name | Calvin M. Kagan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437543733 PECOS PAC ID: 5698094035 Enrollment ID: I20230818000890 |
| Provider Name | Jose D Rodriguez |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013361179 PECOS PAC ID: 5698060945 Enrollment ID: I20230908000863 |
| Provider Name | Jonathan Liebig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760687925 PECOS PAC ID: 7911323605 Enrollment ID: I20230912001715 |
| Provider Name | Bryan Dieffenbach |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326466137 PECOS PAC ID: 2961866272 Enrollment ID: I20230919002984 |
| Provider Name | Laila Rasul |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881190767 PECOS PAC ID: 6305290461 Enrollment ID: I20230925000811 |
| Provider Name | Nery Magdalena Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346866589 PECOS PAC ID: 3971956251 Enrollment ID: I20240202001527 |
| Provider Name | Mena Said |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053859678 PECOS PAC ID: 9133569635 Enrollment ID: I20240501001768 |
| Provider Name | Luis Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295224905 PECOS PAC ID: 9537534235 Enrollment ID: I20240515000036 |
| Provider Name | David M Dromsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174553697 PECOS PAC ID: 7810298213 Enrollment ID: I20240712004022 |
| Provider Name | Anna Alma Artymowicz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427615426 PECOS PAC ID: 9638616097 Enrollment ID: I20240802000553 |
| Provider Name | Rozanna Yah-ping Fang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912403239 PECOS PAC ID: 4587998174 Enrollment ID: I20240926001353 |
| Provider Name | Ki-yoon Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558715110 PECOS PAC ID: 9234516626 Enrollment ID: I20241115000391 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
Upac Trc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Vista Hill Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 | |
Mcalister Institute For Treatment & Education, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1685 Hollister St, San Diego, CA 92154 Phone: 619-691-1045 Fax: 619-662-1153 |