| Mr Michael D Conrad, NP | |
|
14150 Culver Dr Ste 100, Irvine, CA 92604-0322 | |
| (949) 552-4584 | |
| (949) 551-5612 |
| Full Name | Mr Michael D Conrad |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 14150 Culver Dr Ste 100, Irvine, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144335704 | NPI | - | NPPES |
| NP 15571 | Other | CA | NP LICENSE |
| EFF: 6/11/12-RIALTO | Medicaid | CA | |
| EFF:6/11/12 ADELANTO | Medicaid | CA | |
| EFF: 6/11/12-S BERN | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP 15571 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorialcare Medical Foundation | 8729277314 | 450 |
| Entity Name | Pinnacle Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Entity Name | Dalia Dawoud Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437867900 PECOS PAC ID: 7012370265 Enrollment ID: O20230906000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael D Conrad, NP 14150 Culver Dr Ste 100, Irvine, CA 92604-0322 Ph: (949) 552-4584 | Mr Michael D Conrad, NP 14150 Culver Dr Ste 100, Irvine, CA 92604-0322 Ph: (949) 552-4584 |
Katherine Lin Matsumoto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 E Yale Loop Ste 204, Irvine, CA 92604 Phone: 949-732-3530 Fax: 949-732-3533 | |
Salma Essau Nawabi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14330 Culver Dr, Irvine, CA 92604 Phone: 949-559-8129 | |
Mrs. Amber Hardy Rickner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Tina Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 101, Irvine, CA 92612 Phone: 949-955-0202 Fax: 949-955-0203 | |
Kelly Eguchi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118 | |
Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870 | |
Mrs. Medjinn Thomas, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Kelvin Ave Unit 381, Irvine, CA 92614 Phone: 610-568-0201 |