| Community Foundation Medical Group | |
|
7370 N Palm Ave Ste 101, Fresno, CA 93711-5782 | |
| (559) 228-5400 | |
| Not Available |
| Full Name | Community Foundation Medical Group |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 7370 N Palm Ave Ste 101, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811258510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (California) | Secondary |
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Chen Hua L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164465746 PECOS PAC ID: 2961304639 Enrollment ID: I20040122001177 |
| Provider Name | Nancy F Stoeckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730160623 PECOS PAC ID: 3274429568 Enrollment ID: I20040224000809 |
| Provider Name | Richard C Holden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952309437 PECOS PAC ID: 0648166504 Enrollment ID: I20040226000516 |
| Provider Name | Elaine W Thweatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689659203 PECOS PAC ID: 5193613578 Enrollment ID: I20040308000695 |
| Provider Name | Julie A Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598706228 PECOS PAC ID: 1355334574 Enrollment ID: I20040405001085 |
| Provider Name | Muhammad Y Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538194048 PECOS PAC ID: 9032106281 Enrollment ID: I20040428001583 |
| Provider Name | Mark J Hunter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487606125 PECOS PAC ID: 7214914795 Enrollment ID: I20040701001582 |
| Provider Name | John C Monteleone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982712535 PECOS PAC ID: 9133108145 Enrollment ID: I20040714001065 |
| Provider Name | Thomas P Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992736409 PECOS PAC ID: 3870571086 Enrollment ID: I20040714001579 |
| Provider Name | Chao Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578568069 PECOS PAC ID: 1759351315 Enrollment ID: I20040729001376 |
| Provider Name | Ana Carolina Coll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518939263 PECOS PAC ID: 0244200681 Enrollment ID: I20040730001153 |
| Provider Name | Shamsuddin Khwaja |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679570527 PECOS PAC ID: 6901877653 Enrollment ID: I20040804001768 |
| Provider Name | Reuben Valles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700999638 PECOS PAC ID: 4183696248 Enrollment ID: I20040809001390 |
| Provider Name | Alan B Reyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417949629 PECOS PAC ID: 6901871201 Enrollment ID: I20040831000376 |
| Provider Name | Hongshik Han |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366529349 PECOS PAC ID: 7618943374 Enrollment ID: I20040907001159 |
| Provider Name | Dalpinder Sandhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780671131 PECOS PAC ID: 4082682687 Enrollment ID: I20040921001307 |
| Provider Name | John G Telles |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891782256 PECOS PAC ID: 9234107830 Enrollment ID: I20040921001342 |
| Provider Name | Michael L Krueger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396714937 PECOS PAC ID: 7911976949 Enrollment ID: I20040927001221 |
| Provider Name | Joann Siagan Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265415046 PECOS PAC ID: 7810957693 Enrollment ID: I20041015000456 |
| Provider Name | Ernest K Yamamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396730529 PECOS PAC ID: 8224098736 Enrollment ID: I20041018001165 |
| Provider Name | Lance G Larsen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821013962 PECOS PAC ID: 7517929466 Enrollment ID: I20041110000786 |
| Provider Name | Maurice D Cyrus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942227624 PECOS PAC ID: 4082678735 Enrollment ID: I20041112001072 |
| Provider Name | Pamela Ann Ready |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699708651 PECOS PAC ID: 4183681489 Enrollment ID: I20041218000146 |
| Provider Name | Venkatramana Srinivasan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578576591 PECOS PAC ID: 8022075282 Enrollment ID: I20041220000428 |
| Provider Name | Mary M P Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356335053 PECOS PAC ID: 4981662160 Enrollment ID: I20041221000250 |
| Provider Name | Gundala S Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144274184 PECOS PAC ID: 4082672993 Enrollment ID: I20041227000239 |
| Provider Name | Lynn Patty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730225780 PECOS PAC ID: 5597714246 Enrollment ID: I20050119001135 |
| Provider Name | Jeffrey E Aoki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760463624 PECOS PAC ID: 1456302496 Enrollment ID: I20050207000694 |
| Provider Name | Ajit S Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538253190 PECOS PAC ID: 1456303007 Enrollment ID: I20050211000572 |
| Provider Name | Stewart W Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871519835 PECOS PAC ID: 1254384456 Enrollment ID: I20050307000572 |
| Provider Name | Heather M Bacon-putirka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831393446 PECOS PAC ID: 1759335961 Enrollment ID: I20050310000529 |
| Provider Name | Brian D Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265492821 PECOS PAC ID: 3870530546 Enrollment ID: I20050413001312 |
| Provider Name | Karraine A Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053408401 PECOS PAC ID: 6204875255 Enrollment ID: I20050428000702 |
| Provider Name | David S Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871669838 PECOS PAC ID: 2466491436 Enrollment ID: I20050428000804 |
| Provider Name | Brad A Sumrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952382749 PECOS PAC ID: 0042250771 Enrollment ID: I20050511000983 |
| Provider Name | Harry D Jameson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194710673 PECOS PAC ID: 3678515327 Enrollment ID: I20050524000373 |
| Provider Name | Kristin P Kroeker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205908969 PECOS PAC ID: 3072555267 Enrollment ID: I20050527000227 |
| Provider Name | Jeffrey Todd Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063588200 PECOS PAC ID: 2668415092 Enrollment ID: I20050607000850 |
| Provider Name | Mary Beth Yuskavage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093881245 PECOS PAC ID: 4385687714 Enrollment ID: I20050607001001 |
| Provider Name | Richard Alan Paulsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639148794 PECOS PAC ID: 2961445036 Enrollment ID: I20050609000355 |
| Provider Name | Martin B Jacobsson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326240367 PECOS PAC ID: 8820032857 Enrollment ID: I20050610000551 |
| Provider Name | Cecil K Litiema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609908243 PECOS PAC ID: 4587609607 Enrollment ID: I20050627001147 |
| Provider Name | Carlos Palomares |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942216957 PECOS PAC ID: 1759327414 Enrollment ID: I20050701001000 |
| Provider Name | Armyn Anne A Carbonell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689681140 PECOS PAC ID: 3870520778 Enrollment ID: I20050722000207 |
| Provider Name | Patrick J Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104811330 PECOS PAC ID: 0244267714 Enrollment ID: I20050726001100 |
| Provider Name | Mark G Pandapas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609946029 PECOS PAC ID: 9739176470 Enrollment ID: I20050801000709 |
| Provider Name | Nancy S Dickerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659301224 PECOS PAC ID: 0143206516 Enrollment ID: I20050808001164 |
| Provider Name | Ambreen Khurshid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265490551 PECOS PAC ID: 3072542109 Enrollment ID: I20050809001012 |
| Provider Name | Alexander Majors |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598879694 PECOS PAC ID: 5193754018 Enrollment ID: I20050810000809 |
| Provider Name | Mylea N Wiley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275535627 PECOS PAC ID: 7012947096 Enrollment ID: I20050818001027 |
| Provider Name | Carol Y Sliva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235198524 PECOS PAC ID: 6709819246 Enrollment ID: I20050914001188 |
| Provider Name | Julie Laberteaux-medina |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528061298 PECOS PAC ID: 2365472040 Enrollment ID: I20050927000467 |
| Provider Name | Katherine T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083725428 PECOS PAC ID: 4284669565 Enrollment ID: I20051005000939 |
| Provider Name | Naeem Akhtar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831291863 PECOS PAC ID: 7416977277 Enrollment ID: I20051123000221 |
| Provider Name | Francis Glaser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124001318 PECOS PAC ID: 2769402692 Enrollment ID: I20051206000934 |
| Provider Name | Thomas Willard Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225011968 PECOS PAC ID: 1658391594 Enrollment ID: I20051206000962 |
| Provider Name | Daniel L Schaffner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588659072 PECOS PAC ID: 7416971460 Enrollment ID: I20060118000269 |
| Provider Name | Paramjeet Gill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033183140 PECOS PAC ID: 9335111970 Enrollment ID: I20060123000672 |
| Provider Name | Karen K Philp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508812389 PECOS PAC ID: 3779591474 Enrollment ID: I20060322000222 |
| Provider Name | Senen T Uyan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558312405 PECOS PAC ID: 6406864149 Enrollment ID: I20060322000596 |
| Provider Name | Joseph R Grim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609834167 PECOS PAC ID: 2264442698 Enrollment ID: I20060501000422 |
| Provider Name | Anasuya Kamlapurker Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780607531 PECOS PAC ID: 1557365327 Enrollment ID: I20060908000479 |
| Provider Name | Jai Uttam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740212703 PECOS PAC ID: 3274539473 Enrollment ID: I20061011000445 |
| Provider Name | Mercedes Cerda Chapa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295842326 PECOS PAC ID: 4284633892 Enrollment ID: I20061208000360 |
| Provider Name | Matthew D Lozano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992723381 PECOS PAC ID: 6204835515 Enrollment ID: I20061214000486 |
| Provider Name | Bao Anh L Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588673024 PECOS PAC ID: 2163423336 Enrollment ID: I20070131000244 |
| Provider Name | Chris P Thomson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902803216 PECOS PAC ID: 2668474610 Enrollment ID: I20070205000571 |
| Provider Name | Thomas X Minor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356411649 PECOS PAC ID: 7810999596 Enrollment ID: I20070208000560 |
| Provider Name | Gloria I Brough Stevenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942234935 PECOS PAC ID: 6103920731 Enrollment ID: I20070409000290 |
| Provider Name | Richard J Berquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588659718 PECOS PAC ID: 6002910635 Enrollment ID: I20070409000300 |
| Provider Name | Boaz Ovadia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952436289 PECOS PAC ID: 9234234246 Enrollment ID: I20070419000744 |
| Provider Name | Lauren S Hiyama |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1215025275 PECOS PAC ID: 6204932437 Enrollment ID: I20070504000474 |
| Provider Name | Saqib Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922009752 PECOS PAC ID: 7517864853 Enrollment ID: I20070518000204 |
| Provider Name | Kevin W Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760406789 PECOS PAC ID: 3971600982 Enrollment ID: I20070524000744 |
| Provider Name | Jill M Russom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639140791 PECOS PAC ID: 9830298363 Enrollment ID: I20070625000702 |
| Provider Name | Joel Swanbom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366502684 PECOS PAC ID: 4486754793 Enrollment ID: I20070714000258 |
| Provider Name | Shaukat Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154521540 PECOS PAC ID: 2163514894 Enrollment ID: I20070824000699 |
| Provider Name | Robert D Stewart |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659350668 PECOS PAC ID: 2365536505 Enrollment ID: I20070919000732 |
| Provider Name | Ariya N Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199041 PECOS PAC ID: 6002901048 Enrollment ID: I20071004000797 |
| Provider Name | Jayanta Choudhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851312268 PECOS PAC ID: 1557456357 Enrollment ID: I20071008000530 |
| Provider Name | Pradnya Mitroo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538371901 PECOS PAC ID: 1951496769 Enrollment ID: I20071008000586 |
| Provider Name | Henry E Aryan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992867329 PECOS PAC ID: 4082700562 Enrollment ID: I20071013000114 |
| Provider Name | Pardeep S Bhullar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063419364 PECOS PAC ID: 2163519851 Enrollment ID: I20071026000640 |
| Provider Name | Jay F Downey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073610960 PECOS PAC ID: 9537249545 Enrollment ID: I20080103000385 |
| Provider Name | Kanwer R S Dhami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326134115 PECOS PAC ID: 7416038609 Enrollment ID: I20080114000491 |
| Provider Name | Kelvin D Higa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356304224 PECOS PAC ID: 6103895859 Enrollment ID: I20080122000388 |
| Provider Name | Chou Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215131818 PECOS PAC ID: 1557450384 Enrollment ID: I20080214000524 |
| Provider Name | Ren N Imai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538153853 PECOS PAC ID: 0143303826 Enrollment ID: I20080219000376 |
| Provider Name | Rokhshana A Zaheen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447244728 PECOS PAC ID: 0840374278 Enrollment ID: I20080225000373 |
| Provider Name | Mary A Sadlek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981863 PECOS PAC ID: 0244129773 Enrollment ID: I20080305000362 |
| Provider Name | Sami A Issa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558356014 PECOS PAC ID: 6406931112 Enrollment ID: I20080305000381 |
| Provider Name | Jessica Stendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427042639 PECOS PAC ID: 0840375556 Enrollment ID: I20080305000404 |
| Provider Name | Grant J Nakamura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053305334 PECOS PAC ID: 4385638923 Enrollment ID: I20080305000454 |
| Provider Name | James M Sorensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801880125 PECOS PAC ID: 3476554486 Enrollment ID: I20080305000469 |
| Provider Name | Sukhbir S Manjal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043205594 PECOS PAC ID: 7214012954 Enrollment ID: I20080305000576 |
| Provider Name | Ronald L Kleyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760476386 PECOS PAC ID: 7113002866 Enrollment ID: I20080305000691 |
| Provider Name | Steven T Thaxter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760465496 PECOS PAC ID: 6507882768 Enrollment ID: I20080613000539 |
| Provider Name | Jerome R Dunklin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063403442 PECOS PAC ID: 6204912637 Enrollment ID: I20080613000542 |
| Provider Name | Rodney S Kraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851374979 PECOS PAC ID: 9931285368 Enrollment ID: I20080613000580 |
| Provider Name | Jeryl J Wiens |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760465686 PECOS PAC ID: 7810073244 Enrollment ID: I20080613000584 |
| Provider Name | Joanne L Steele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194817668 PECOS PAC ID: 6709957921 Enrollment ID: I20080616000728 |
| Provider Name | Eric J Little |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275625725 PECOS PAC ID: 9032280268 Enrollment ID: I20080616000769 |
| Provider Name | Rebecca Labandeira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124175880 PECOS PAC ID: 5193896322 Enrollment ID: I20080616000794 |
| Provider Name | John J Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821079310 PECOS PAC ID: 5496826562 Enrollment ID: I20080617000448 |
| Provider Name | Dennis A Nakata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962483834 PECOS PAC ID: 5799856894 Enrollment ID: I20080617000718 |
| Provider Name | Jerry Reimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700867678 PECOS PAC ID: 3779654884 Enrollment ID: I20080617000742 |
| Provider Name | Judy Miramontes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477534345 PECOS PAC ID: 4183795123 Enrollment ID: I20080618000357 |
| Provider Name | Robert Guzoujian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972584472 PECOS PAC ID: 7517039076 Enrollment ID: I20080628000172 |
| Provider Name | George C Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992786487 PECOS PAC ID: 3971675349 Enrollment ID: I20080630000138 |
| Provider Name | Mario H Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376557991 PECOS PAC ID: 8921918210 Enrollment ID: I20080630000300 |
| Provider Name | Robert G Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417938994 PECOS PAC ID: 0547332785 Enrollment ID: I20080703000618 |
| Provider Name | William B Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528001815 PECOS PAC ID: 1052484649 Enrollment ID: I20080715000443 |
| Provider Name | Natalya G Malley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019930 PECOS PAC ID: 4284707886 Enrollment ID: I20080715000494 |
| Provider Name | Roman B Malley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083655443 PECOS PAC ID: 4981777588 Enrollment ID: I20080715000520 |
| Provider Name | John E Garry |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669558573 PECOS PAC ID: 7810061009 Enrollment ID: I20080806000427 |
| Provider Name | Patricia A Quintana-van Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780690693 PECOS PAC ID: 8527161611 Enrollment ID: I20080918000478 |
| Provider Name | Kelleen M Bosch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811105414 PECOS PAC ID: 2062580830 Enrollment ID: I20081007000081 |
| Provider Name | Nadeem Rahman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467426478 PECOS PAC ID: 2769439199 Enrollment ID: I20081013000396 |
| Provider Name | Oji Oji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750434783 PECOS PAC ID: 5799843496 Enrollment ID: I20081024000346 |
| Provider Name | Myint Zaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063527463 PECOS PAC ID: 6002974532 Enrollment ID: I20081027000776 |
| Provider Name | Ethan N Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902072424 PECOS PAC ID: 3678632346 Enrollment ID: I20081110000640 |
| Provider Name | Victor Morales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457513368 PECOS PAC ID: 5597825844 Enrollment ID: I20081117000763 |
| Provider Name | Harjagjit Maan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699933952 PECOS PAC ID: 7810057056 Enrollment ID: I20081118000823 |
| Provider Name | Debra J Stotts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740431535 PECOS PAC ID: 5597825513 Enrollment ID: I20081120000785 |
| Provider Name | Humaira Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205096831 PECOS PAC ID: 2163583584 Enrollment ID: I20081204000080 |
| Provider Name | Martin T Wenthe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063453827 PECOS PAC ID: 1759442866 Enrollment ID: I20081208000654 |
| Provider Name | Eriko Iwata |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215181367 PECOS PAC ID: 1951464148 Enrollment ID: I20090114000489 |
| Provider Name | Janice M Stain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619981933 PECOS PAC ID: 1951464080 Enrollment ID: I20090115000115 |
| Provider Name | Rasheed A Amireh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1023040748 PECOS PAC ID: 5991691156 Enrollment ID: I20090120000076 |
| Provider Name | Usman Javed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770592578 PECOS PAC ID: 3678638632 Enrollment ID: I20090209000248 |
| Provider Name | Soo Y Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205924800 PECOS PAC ID: 2961565452 Enrollment ID: I20090220000235 |
| Provider Name | Bruce A Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154474971 PECOS PAC ID: 7113086687 Enrollment ID: I20090220000579 |
| Provider Name | Josephine M Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477618650 PECOS PAC ID: 9931268406 Enrollment ID: I20090220000580 |
| Provider Name | Margaret L Zaun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366659732 PECOS PAC ID: 1557426657 Enrollment ID: I20090224000178 |
| Provider Name | Pradeep Atla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649446543 PECOS PAC ID: 1658437678 Enrollment ID: I20090226000639 |
| Provider Name | Robert Eugene Curry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033205539 PECOS PAC ID: 8325104946 Enrollment ID: I20090306000291 |
| Provider Name | Ahamed Raza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457325029 PECOS PAC ID: 2769419340 Enrollment ID: I20090325000124 |
| Provider Name | Kevin T Kodama |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750395828 PECOS PAC ID: 8123175916 Enrollment ID: I20090414000288 |
| Provider Name | Patrick David Ginn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790799864 PECOS PAC ID: 2769539543 Enrollment ID: I20090414000313 |
| Provider Name | Loveneet Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952560377 PECOS PAC ID: 6901953330 Enrollment ID: I20090422000015 |
| Provider Name | Rosa Nogales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912911249 PECOS PAC ID: 7012065964 Enrollment ID: I20090501000431 |
| Provider Name | Ravi Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003859414 PECOS PAC ID: 9335163880 Enrollment ID: I20090529000248 |
| Provider Name | Trilok Singh Puniani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235231770 PECOS PAC ID: 3971653940 Enrollment ID: I20090612000287 |
| Provider Name | Sung Chae |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518999200 PECOS PAC ID: 9537138292 Enrollment ID: I20090707000122 |
| Provider Name | Daniel E Liao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760439939 PECOS PAC ID: 8325191042 Enrollment ID: I20090728000847 |
| Provider Name | Lynn Jakobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437162757 PECOS PAC ID: 4587632823 Enrollment ID: I20090903000650 |
| Provider Name | Anthony W Montana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588789788 PECOS PAC ID: 2567508849 Enrollment ID: I20090930000667 |
| Provider Name | Davin R Soehnen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740438043 PECOS PAC ID: 9436295409 Enrollment ID: I20091005000471 |
| Provider Name | Jennifer Nolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225175821 PECOS PAC ID: 4587701792 Enrollment ID: I20091021000076 |
| Provider Name | William J Ritchey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518932219 PECOS PAC ID: 6709890304 Enrollment ID: I20091103000301 |
| Provider Name | Eric R Schmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629242888 PECOS PAC ID: 2769521913 Enrollment ID: I20091201000061 |
| Provider Name | Salvador A Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023024932 PECOS PAC ID: 5991848988 Enrollment ID: I20100129000223 |
| Provider Name | Andreas E Heller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528066560 PECOS PAC ID: 8123153335 Enrollment ID: I20100312000717 |
| Provider Name | Daniel V Cordoba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215934526 PECOS PAC ID: 4183759293 Enrollment ID: I20100315000673 |
| Provider Name | Paul J Goebel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851398150 PECOS PAC ID: 3173652575 Enrollment ID: I20100524000394 |
| Provider Name | Sandeep Singh Sekhon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205058856 PECOS PAC ID: 3476652546 Enrollment ID: I20100723000519 |
| Provider Name | Rowena R Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447416029 PECOS PAC ID: 4789716861 Enrollment ID: I20100726000383 |
| Provider Name | Peter T Simonian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679571624 PECOS PAC ID: 2365411022 Enrollment ID: I20100730000943 |
| Provider Name | Marguerite M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487635983 PECOS PAC ID: 2961535604 Enrollment ID: I20100802001061 |
| Provider Name | Timothy C Doughty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750314225 PECOS PAC ID: 5496743601 Enrollment ID: I20100803000178 |
| Provider Name | Elizabeth A Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063410322 PECOS PAC ID: 5597898817 Enrollment ID: I20100805001170 |
| Provider Name | Michele Schulz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891778775 PECOS PAC ID: 3476639808 Enrollment ID: I20100813000899 |
| Provider Name | Lindsey M Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265750459 PECOS PAC ID: 3971627605 Enrollment ID: I20100901000258 |
| Provider Name | David L Weeks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053581900 PECOS PAC ID: 8921122672 Enrollment ID: I20100901000584 |
| Provider Name | Pavel S Volkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245556315 PECOS PAC ID: 2365634698 Enrollment ID: I20101005001116 |
| Provider Name | Adam J Brant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811998248 PECOS PAC ID: 5991891475 Enrollment ID: I20101006000552 |
| Provider Name | Norma Solis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790791622 PECOS PAC ID: 2567657349 Enrollment ID: I20101108000419 |
| Provider Name | Lorilee A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083924906 PECOS PAC ID: 0446445787 Enrollment ID: I20101111000837 |
| Provider Name | Joseph A Andrade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184763278 PECOS PAC ID: 1951469477 Enrollment ID: I20101116000212 |
| Provider Name | Rajeev Verma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962580795 PECOS PAC ID: 4385830231 Enrollment ID: I20101118000379 |
| Provider Name | Ronald W Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649419086 PECOS PAC ID: 9436339074 Enrollment ID: I20110214000752 |
| Provider Name | Dennis Carmelo G Samson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124356654 PECOS PAC ID: 8022153212 Enrollment ID: I20110427000755 |
| Provider Name | Hiroko Miura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639477466 PECOS PAC ID: 7113103086 Enrollment ID: I20110511000386 |
| Provider Name | Abel G Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295037588 PECOS PAC ID: 4284811654 Enrollment ID: I20110613000180 |
| Provider Name | Wenjing Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750691374 PECOS PAC ID: 0547438228 Enrollment ID: I20110725000218 |
| Provider Name | Benjamin J Steinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124280581 PECOS PAC ID: 9830265859 Enrollment ID: I20110809000239 |
| Provider Name | Brian Lamar Brice |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346349065 PECOS PAC ID: 1951342666 Enrollment ID: I20110824000660 |
| Provider Name | Angela M Corchado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699053728 PECOS PAC ID: 8325219215 Enrollment ID: I20110926000732 |
| Provider Name | Rodrigo F Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114124682 PECOS PAC ID: 4587835392 Enrollment ID: I20110927000221 |
| Provider Name | Connor J Telles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053595280 PECOS PAC ID: 2163694886 Enrollment ID: I20110930000314 |
| Provider Name | Darlene K Falco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457658346 PECOS PAC ID: 2567634488 Enrollment ID: I20111018000594 |
| Provider Name | Marcine A Schreckengost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154591444 PECOS PAC ID: 6103003835 Enrollment ID: I20111020000250 |
| Provider Name | Gopi Kasturi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497963896 PECOS PAC ID: 6103849567 Enrollment ID: I20111020000534 |
| Provider Name | Hoa V Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487604419 PECOS PAC ID: 2466627492 Enrollment ID: I20111202000359 |
| Provider Name | Jeff Vangundy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750318390 PECOS PAC ID: 0244406452 Enrollment ID: I20120110000019 |
| Provider Name | James A Stansbury |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548267149 PECOS PAC ID: 1951202266 Enrollment ID: I20120119000458 |
| Provider Name | Nicolle Oneill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700865813 PECOS PAC ID: 6901703412 Enrollment ID: I20120120000360 |
| Provider Name | Ali Najafi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124129473 PECOS PAC ID: 7719073295 Enrollment ID: I20120417000263 |
| Provider Name | David W Dorough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144384918 PECOS PAC ID: 6305008772 Enrollment ID: I20120501000317 |
| Provider Name | Dan M Dorough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417011289 PECOS PAC ID: 9638331713 Enrollment ID: I20120507000740 |
| Provider Name | Adanna O Ikedilo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659554509 PECOS PAC ID: 3870756695 Enrollment ID: I20120515000276 |
| Provider Name | Laura B Schleicher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225307614 PECOS PAC ID: 2860655487 Enrollment ID: I20120518000113 |
| Provider Name | Lorenzo Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578566246 PECOS PAC ID: 8628231180 Enrollment ID: I20120519000002 |
| Provider Name | Constantine Michael Makredes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568736833 PECOS PAC ID: 5698938991 Enrollment ID: I20120524000303 |
| Provider Name | Quinton T Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306148879 PECOS PAC ID: 7416110697 Enrollment ID: I20120525000544 |
| Provider Name | Amber C Moses |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588921415 PECOS PAC ID: 9739343914 Enrollment ID: I20120620000194 |
| Provider Name | Trung Tan Nguyen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1134331549 PECOS PAC ID: 5991848202 Enrollment ID: I20120828000164 |
| Provider Name | John Moua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154502573 PECOS PAC ID: 5395993463 Enrollment ID: I20120914000085 |
| Provider Name | Bakht Roshan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639201502 PECOS PAC ID: 1355435603 Enrollment ID: I20120925000840 |
| Provider Name | Ravinder Singh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548537780 PECOS PAC ID: 7911156138 Enrollment ID: I20121003000864 |
| Provider Name | Andrew A Chi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952517054 PECOS PAC ID: 7416108055 Enrollment ID: I20121108000180 |
| Provider Name | Kenneth S Kishihara |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679771638 PECOS PAC ID: 4385895143 Enrollment ID: I20121119000140 |
| Provider Name | Aumnard Saiseubyat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083973499 PECOS PAC ID: 6901058650 Enrollment ID: I20121204000443 |
| Provider Name | Sai Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740533868 PECOS PAC ID: 8729230362 Enrollment ID: I20121206000345 |
| Provider Name | Veronica A Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427358027 PECOS PAC ID: 3779735980 Enrollment ID: I20121217000358 |
| Provider Name | Gloria C Lovering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992715320 PECOS PAC ID: 6507019619 Enrollment ID: I20130123000127 |
| Provider Name | Mysore S Shilpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750398897 PECOS PAC ID: 4587672027 Enrollment ID: I20130201000335 |
| Provider Name | Jakkarin J Sareerak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235474016 PECOS PAC ID: 4981858313 Enrollment ID: I20130211000557 |
| Provider Name | Jennifer Gutilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356609101 PECOS PAC ID: 1850545153 Enrollment ID: I20130215000021 |
| Provider Name | Erick Roy Welch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548505621 PECOS PAC ID: 6507011194 Enrollment ID: I20130305000614 |
| Provider Name | John C Lin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992961270 PECOS PAC ID: 3779728019 Enrollment ID: I20130314000451 |
| Provider Name | Debbie Joyce Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326320094 PECOS PAC ID: 1456590512 Enrollment ID: I20130620000539 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669638391 PECOS PAC ID: 4385883198 Enrollment ID: I20130626000546 |
| Provider Name | Omar S Chowdhry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972735074 PECOS PAC ID: 6103066881 Enrollment ID: I20130628000728 |
| Provider Name | Amitasha Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619215837 PECOS PAC ID: 8022258235 Enrollment ID: I20130711000824 |
| Provider Name | Vijai J Daniel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043473986 PECOS PAC ID: 5092873901 Enrollment ID: I20130723000487 |
| Provider Name | Sasan Sazgar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770896722 PECOS PAC ID: 3375785942 Enrollment ID: I20130809000625 |
| Provider Name | Luis A Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134423684 PECOS PAC ID: 2961644588 Enrollment ID: I20130812000335 |
| Provider Name | Kimpreet K Aulakh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104121524 PECOS PAC ID: 4789827007 Enrollment ID: I20130905000158 |
| Provider Name | Vidushi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790091064 PECOS PAC ID: 1850534058 Enrollment ID: I20130906000250 |
| Provider Name | Edwin K Yamoah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073757738 PECOS PAC ID: 2365677903 Enrollment ID: I20131106001471 |
| Provider Name | Aisha Shafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679802854 PECOS PAC ID: 7012048499 Enrollment ID: I20131212000670 |
| Provider Name | Kelly L Tracey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255441143 PECOS PAC ID: 2961486113 Enrollment ID: I20140319001520 |
| Provider Name | Thomas Steven Stinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407277924 PECOS PAC ID: 3779714498 Enrollment ID: I20140322000143 |
| Provider Name | Rachel P Deboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184066649 PECOS PAC ID: 6901020825 Enrollment ID: I20140617000327 |
| Provider Name | Shradha Rathi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720129497 PECOS PAC ID: 0446475685 Enrollment ID: I20140702001682 |
| Provider Name | Viola W Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588814404 PECOS PAC ID: 6709018229 Enrollment ID: I20140712000121 |
| Provider Name | Vannakorn Soonthon-brant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730273434 PECOS PAC ID: 7517183080 Enrollment ID: I20140719000147 |
| Provider Name | Marty S Clayman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932294972 PECOS PAC ID: 7012133002 Enrollment ID: I20140729000000 |
| Provider Name | Rene Salinas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083872667 PECOS PAC ID: 9234296617 Enrollment ID: I20140821000215 |
| Provider Name | Michael N Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407146269 PECOS PAC ID: 9638397557 Enrollment ID: I20140905000904 |
| Provider Name | Joseph W Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003239336 PECOS PAC ID: 9234369422 Enrollment ID: I20140908002160 |
| Provider Name | Samathha R Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659620854 PECOS PAC ID: 1557580032 Enrollment ID: I20140915002701 |
| Provider Name | Eijean I Wu |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1396024600 PECOS PAC ID: 0840419297 Enrollment ID: I20140917000017 |
| Provider Name | Atul K Munjal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023240579 PECOS PAC ID: 1052435468 Enrollment ID: I20140929002078 |
| Provider Name | Daniel Jeffrey Wiest |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104139443 PECOS PAC ID: 7719116276 Enrollment ID: I20141015002317 |
| Provider Name | Julie Nicole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912149691 PECOS PAC ID: 9335360544 Enrollment ID: I20141030002681 |
| Provider Name | Vani T Dasu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932341963 PECOS PAC ID: 6406078625 Enrollment ID: I20141103002616 |
| Provider Name | Ann T Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225267966 PECOS PAC ID: 0941447643 Enrollment ID: I20150108001296 |
| Provider Name | Nivedita Lakhera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730399387 PECOS PAC ID: 3173691847 Enrollment ID: I20150113000029 |
| Provider Name | Mehri Pahlavani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326374737 PECOS PAC ID: 0648308015 Enrollment ID: I20150226001318 |
| Provider Name | Jagroop S Basraon |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1154492569 PECOS PAC ID: 7618109299 Enrollment ID: I20150306002144 |
| Provider Name | Shani Muhammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154594968 PECOS PAC ID: 3678616034 Enrollment ID: I20150416002533 |
| Provider Name | Christopher L Simonson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578970752 PECOS PAC ID: 4880913078 Enrollment ID: I20150511001389 |
| Provider Name | Stephanie Vaux Voyles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386081776 PECOS PAC ID: 1052543394 Enrollment ID: I20150608002967 |
| Provider Name | Daniel Vera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407234206 PECOS PAC ID: 0143531749 Enrollment ID: I20150624000230 |
| Provider Name | Brooks H Rohlen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922295971 PECOS PAC ID: 6406049782 Enrollment ID: I20150701001556 |
| Provider Name | James E Phillips |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851681399 PECOS PAC ID: 1254644958 Enrollment ID: I20150724009982 |
| Provider Name | Matthew Simons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689816266 PECOS PAC ID: 0840504239 Enrollment ID: I20150729008613 |
| Provider Name | Marcella A Nole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659335735 PECOS PAC ID: 1850605213 Enrollment ID: I20150730010977 |
| Provider Name | Omid Saeed Tehrani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659508281 PECOS PAC ID: 8729392188 Enrollment ID: I20150730011115 |
| Provider Name | John D Abdulian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437114113 PECOS PAC ID: 6901820737 Enrollment ID: I20150807014143 |
| Provider Name | Amandeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669729414 PECOS PAC ID: 0941515191 Enrollment ID: I20150817001933 |
| Provider Name | Jaswant S Basraon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720283393 PECOS PAC ID: 7618149931 Enrollment ID: I20150818004498 |
| Provider Name | Ana-liza Pascual |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720347453 PECOS PAC ID: 2466699491 Enrollment ID: I20150901001018 |
| Provider Name | R Renee Halstead |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336204163 PECOS PAC ID: 3476869678 Enrollment ID: I20150902002936 |
| Provider Name | Emmy Agwu Oji |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114281557 PECOS PAC ID: 5890002133 Enrollment ID: I20150917002869 |
| Provider Name | Siranuysh Salmastyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245527308 PECOS PAC ID: 9335111624 Enrollment ID: I20151006002567 |
| Provider Name | Melissa Christine Edginton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093136269 PECOS PAC ID: 7012138456 Enrollment ID: I20151130002152 |
| Provider Name | Lauren M Ruskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932576584 PECOS PAC ID: 0143522383 Enrollment ID: I20160105002995 |
| Provider Name | Genevieve F Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205111069 PECOS PAC ID: 8426225855 Enrollment ID: I20160107001088 |
| Provider Name | John M Wiemann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730228768 PECOS PAC ID: 1759530207 Enrollment ID: I20160113002653 |
| Provider Name | Tariq Nazeer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881640704 PECOS PAC ID: 2961303375 Enrollment ID: I20160215002804 |
| Provider Name | Supreet Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386906592 PECOS PAC ID: 4789989609 Enrollment ID: I20160301001601 |
| Provider Name | Chokechai Rongkavilit |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245277730 PECOS PAC ID: 4880889096 Enrollment ID: I20160303002391 |
| Provider Name | Christopher D Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295131373 PECOS PAC ID: 1153643549 Enrollment ID: I20160309002825 |
| Provider Name | Nina Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225494453 PECOS PAC ID: 8224337258 Enrollment ID: I20160426001350 |
| Provider Name | Cynthia D Myers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891941068 PECOS PAC ID: 7517191984 Enrollment ID: I20160606001254 |
| Provider Name | Ermias Ghebreyesus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487010997 PECOS PAC ID: 0042517187 Enrollment ID: I20160610000441 |
| Provider Name | Pearl Ma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073815767 PECOS PAC ID: 1759673080 Enrollment ID: I20160707000917 |
| Provider Name | Sarah R S Stender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083671580 PECOS PAC ID: 1355317447 Enrollment ID: I20160727003019 |
| Provider Name | Kelsey O Pappas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821435041 PECOS PAC ID: 2466776125 Enrollment ID: I20160901002658 |
| Provider Name | John Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346658390 PECOS PAC ID: 4587950126 Enrollment ID: I20160908001634 |
| Provider Name | Kathleen Suzanne Rindahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386966216 PECOS PAC ID: 4284850603 Enrollment ID: I20160915002687 |
| Provider Name | Asako Y Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558674069 PECOS PAC ID: 0345539912 Enrollment ID: I20160922002587 |
| Provider Name | Melanie Aiken |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831445659 PECOS PAC ID: 2264720929 Enrollment ID: I20161012001036 |
| Provider Name | Mark Menniti Stecker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740238856 PECOS PAC ID: 3476448895 Enrollment ID: I20161026001356 |
| Provider Name | Thimmaiah G Theethira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225284359 PECOS PAC ID: 5890976856 Enrollment ID: I20161027002326 |
| Provider Name | Joyalene Onn Lin Ng Hiersche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083093975 PECOS PAC ID: 0941510093 Enrollment ID: I20161103000082 |
| Provider Name | John E T Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154870301 PECOS PAC ID: 9931488749 Enrollment ID: I20161118001723 |
| Provider Name | Vajeeha Tabassum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699951582 PECOS PAC ID: 4981749793 Enrollment ID: I20161129002343 |
| Provider Name | On C Ching |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578014171 PECOS PAC ID: 8729368279 Enrollment ID: I20161129002537 |
| Provider Name | Ragini Sastry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942568431 PECOS PAC ID: 8224319710 Enrollment ID: I20161220002518 |
| Provider Name | Brian D Vander Werf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881030674 PECOS PAC ID: 3476834847 Enrollment ID: I20161222000713 |
| Provider Name | William Likosky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730176207 PECOS PAC ID: 4284630732 Enrollment ID: I20170119002304 |
| Provider Name | Jehnette R Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669915666 PECOS PAC ID: 4082996392 Enrollment ID: I20170123000454 |
| Provider Name | Sonia Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396180741 PECOS PAC ID: 9830472992 Enrollment ID: I20170215001515 |
| Provider Name | Jennifer Maynez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952841983 PECOS PAC ID: 6002192945 Enrollment ID: I20170407001795 |
| Provider Name | Brittany George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972959351 PECOS PAC ID: 6002184348 Enrollment ID: I20170609001796 |
| Provider Name | Kathleen L Piro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730523952 PECOS PAC ID: 1254609068 Enrollment ID: I20170620003169 |
| Provider Name | Mark Sison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275777583 PECOS PAC ID: 8628209921 Enrollment ID: I20170622001381 |
| Provider Name | Danneal Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346778529 PECOS PAC ID: 2860762481 Enrollment ID: I20170714000383 |
| Provider Name | Jonathan J Myers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831173293 PECOS PAC ID: 0244487676 Enrollment ID: I20170731002907 |
| Provider Name | Marieta Marcial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811095037 PECOS PAC ID: 5597036327 Enrollment ID: I20170811002412 |
| Provider Name | Robert Gousse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952667792 PECOS PAC ID: 0547532921 Enrollment ID: I20170818002694 |
| Provider Name | Julia Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437444759 PECOS PAC ID: 7416106844 Enrollment ID: I20170906001941 |
| Provider Name | Abhishek Gulati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629380308 PECOS PAC ID: 4981835501 Enrollment ID: I20170913000011 |
| Provider Name | Patrick Shepherd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972896157 PECOS PAC ID: 9234403148 Enrollment ID: I20170915001629 |
| Provider Name | David E Disbrow |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730406901 PECOS PAC ID: 9931359742 Enrollment ID: I20170918003686 |
| Provider Name | Kamaljeet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407386642 PECOS PAC ID: 5698049310 Enrollment ID: I20170919003999 |
| Provider Name | Vamshidhara R Gade |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902178304 PECOS PAC ID: 1850665332 Enrollment ID: I20170921002910 |
| Provider Name | Marina Alper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609817337 PECOS PAC ID: 9032483474 Enrollment ID: I20170922001921 |
| Provider Name | Samia Abdul Ghaffar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093004988 PECOS PAC ID: 6204126386 Enrollment ID: I20171023002892 |
| Provider Name | Robin D Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013444165 PECOS PAC ID: 8628334968 Enrollment ID: I20171102001238 |
| Provider Name | Cary E Gosney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548659592 PECOS PAC ID: 9234455296 Enrollment ID: I20171110002953 |
| Provider Name | Gabriel R Garton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770538167 PECOS PAC ID: 4082639042 Enrollment ID: I20171228000734 |
| Provider Name | John J Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063484392 PECOS PAC ID: 2062770779 Enrollment ID: I20171228002193 |
| Provider Name | Iriana J Sadaghiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669985974 PECOS PAC ID: 7911266804 Enrollment ID: I20180123001167 |
| Provider Name | Kaitlyn M Sitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952811846 PECOS PAC ID: 4385903004 Enrollment ID: I20180125001248 |
| Provider Name | Joel A Saltzman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235138389 PECOS PAC ID: 8527034370 Enrollment ID: I20180222002340 |
| Provider Name | Jason D Meade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538597356 PECOS PAC ID: 3072890888 Enrollment ID: I20180420000068 |
| Provider Name | Zenret Yadok |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346605581 PECOS PAC ID: 6507168200 Enrollment ID: I20180425001538 |
| Provider Name | Lynna G Nguyen Chhaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821451766 PECOS PAC ID: 9830454073 Enrollment ID: I20180517001857 |
| Provider Name | Shannon Killian Patrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871010702 PECOS PAC ID: 8820353550 Enrollment ID: I20180531000070 |
| Provider Name | Kenneth V Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497272835 PECOS PAC ID: 8921353897 Enrollment ID: I20180618000877 |
| Provider Name | Dejen Tekeste |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477075158 PECOS PAC ID: 1254687429 Enrollment ID: I20180629001362 |
| Provider Name | Ji Young Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194084384 PECOS PAC ID: 2264741131 Enrollment ID: I20180711001708 |
| Provider Name | Peter E Zaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205254414 PECOS PAC ID: 6901191881 Enrollment ID: I20180718001998 |
| Provider Name | Carlye N Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760969174 PECOS PAC ID: 7618227877 Enrollment ID: I20180910000561 |
| Provider Name | Brandon Woodbury |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447424023 PECOS PAC ID: 8921276312 Enrollment ID: I20180927000298 |
| Provider Name | Olubukunola Modupe Olalemi-toth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982090502 PECOS PAC ID: 9739431651 Enrollment ID: I20181003003913 |
| Provider Name | Aaron Sabbota |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861734626 PECOS PAC ID: 9234420084 Enrollment ID: I20181015000985 |
| Provider Name | Amy K Yetasook |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1982028130 PECOS PAC ID: 2769786938 Enrollment ID: I20181015003165 |
| Provider Name | Matthew Jarod Twichell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487132163 PECOS PAC ID: 3779837760 Enrollment ID: I20181109001300 |
| Provider Name | Lily Dhungana Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467933903 PECOS PAC ID: 0244574879 Enrollment ID: I20181207000969 |
| Provider Name | Rupinder K Bhangoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866418 PECOS PAC ID: 7517202658 Enrollment ID: I20181218003550 |
| Provider Name | Jennifer A Reedal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558843326 PECOS PAC ID: 9537405675 Enrollment ID: I20190111000035 |
| Provider Name | Andrew T Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861978819 PECOS PAC ID: 6800133620 Enrollment ID: I20190131001779 |
| Provider Name | Sia Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548740459 PECOS PAC ID: 2961741574 Enrollment ID: I20190226002213 |
| Provider Name | Muhammad Rizvi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104301001 PECOS PAC ID: 8325387228 Enrollment ID: I20190311000835 |
| Provider Name | Vernon Chad Nielsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043775604 PECOS PAC ID: 7214278159 Enrollment ID: I20190403000405 |
| Provider Name | Jayaram Srivatsan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386604049 PECOS PAC ID: 4183628860 Enrollment ID: I20190418000577 |
| Provider Name | Mien T Le |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053881193 PECOS PAC ID: 2860734480 Enrollment ID: I20190501001982 |
| Provider Name | Courtney Claire Zakhary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447710686 PECOS PAC ID: 3971845488 Enrollment ID: I20190502002887 |
| Provider Name | Ace Jonah Panes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548725187 PECOS PAC ID: 7911240973 Enrollment ID: I20190515002692 |
| Provider Name | Phuoc Thanh Dinh Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851823421 PECOS PAC ID: 9234472937 Enrollment ID: I20190521002264 |
| Provider Name | Casey J Elison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073086310 PECOS PAC ID: 8820321185 Enrollment ID: I20190531002015 |
| Provider Name | Ajit Rai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811317985 PECOS PAC ID: 4082948138 Enrollment ID: I20190625000669 |
| Provider Name | Juan Ramon Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922453356 PECOS PAC ID: 8921332529 Enrollment ID: I20190702002091 |
| Provider Name | Heidi Reich |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730440686 PECOS PAC ID: 1951636430 Enrollment ID: I20190708000364 |
| Provider Name | Jasdip Singh Sahota |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457915696 PECOS PAC ID: 2860727773 Enrollment ID: I20190715003534 |
| Provider Name | Laura Elaine Mulligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366005340 PECOS PAC ID: 4385987171 Enrollment ID: I20190814000929 |
| Provider Name | Christopher Glezos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922341601 PECOS PAC ID: 8123374881 Enrollment ID: I20190819002519 |
| Provider Name | Vincent Benson Gomez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568872018 PECOS PAC ID: 1951526896 Enrollment ID: I20190823003556 |
| Provider Name | Adam Werth Greenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962745752 PECOS PAC ID: 5294063590 Enrollment ID: I20190823003586 |
| Provider Name | Emmily J Poole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518320456 PECOS PAC ID: 1557690104 Enrollment ID: I20190909000695 |
| Provider Name | Karanvir Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373897 PECOS PAC ID: 1850621483 Enrollment ID: I20190925001377 |
| Provider Name | Richard Quan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861477168 PECOS PAC ID: 5395717409 Enrollment ID: I20190925002268 |
| Provider Name | Andrea Marie Turnage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609439553 PECOS PAC ID: 2365772886 Enrollment ID: I20190926001650 |
| Provider Name | Amanda Alice Tymn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700227030 PECOS PAC ID: 2567794738 Enrollment ID: I20191022000903 |
| Provider Name | Heather A Pedersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083032635 PECOS PAC ID: 1658596317 Enrollment ID: I20191114000119 |
| Provider Name | Erika Kuehn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447695705 PECOS PAC ID: 7315298643 Enrollment ID: I20191205001302 |
| Provider Name | Robert Dale Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740821099 PECOS PAC ID: 0446683205 Enrollment ID: I20191209001848 |
| Provider Name | Kevin Peter Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841831955 PECOS PAC ID: 3274966874 Enrollment ID: I20191212002824 |
| Provider Name | Patrick Nugent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427690510 PECOS PAC ID: 4688008857 Enrollment ID: I20191220001093 |
| Provider Name | Samuel Martinez-morales |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730619545 PECOS PAC ID: 6800167453 Enrollment ID: I20200108003085 |
| Provider Name | Gagandeep K Khara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416480 PECOS PAC ID: 1456787225 Enrollment ID: I20200214001782 |
| Provider Name | Mona Stecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831163633 PECOS PAC ID: 4082509054 Enrollment ID: I20200303001736 |
| Provider Name | Cecilia V Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285297192 PECOS PAC ID: 5799113320 Enrollment ID: I20200314000225 |
| Provider Name | Michelle Marie Mertens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043843741 PECOS PAC ID: 3072941319 Enrollment ID: I20200319001029 |
| Provider Name | Sholin Shaneil Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720518640 PECOS PAC ID: 3779912720 Enrollment ID: I20200326002765 |
| Provider Name | Ronald L Truong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205460292 PECOS PAC ID: 7214366178 Enrollment ID: I20200330000396 |
| Provider Name | Kuljit Kaur Sapraj |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508404153 PECOS PAC ID: 2769811264 Enrollment ID: I20200403003158 |
| Provider Name | Denia Caneta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558922328 PECOS PAC ID: 4486083771 Enrollment ID: I20200408001127 |
| Provider Name | Clement K Mwaura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629348768 PECOS PAC ID: 4688833817 Enrollment ID: I20200409002738 |
| Provider Name | Jean-marc Ndame |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518599711 PECOS PAC ID: 0345671137 Enrollment ID: I20200511003523 |
| Provider Name | Darby Le Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407338908 PECOS PAC ID: 6103167085 Enrollment ID: I20200527001354 |
| Provider Name | Cindy Mai Nguyen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1558893297 PECOS PAC ID: 4183045255 Enrollment ID: I20200527001807 |
| Provider Name | John Echeverria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407268931 PECOS PAC ID: 7416279310 Enrollment ID: I20200529002449 |
| Provider Name | Ehsaan Akhtar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710255591 PECOS PAC ID: 1254753882 Enrollment ID: I20200626001240 |
| Provider Name | Laura Poindexter Rowe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063944049 PECOS PAC ID: 2365715414 Enrollment ID: I20200701002770 |
| Provider Name | Beau Kalmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083062475 PECOS PAC ID: 9537452511 Enrollment ID: I20200708001057 |
| Provider Name | Roger Truang Yuh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982086831 PECOS PAC ID: 5496170110 Enrollment ID: I20200729000278 |
| Provider Name | Brandon J Leroy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194364273 PECOS PAC ID: 1355779679 Enrollment ID: I20200824003646 |
| Provider Name | Diana Thant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306935242 PECOS PAC ID: 6406854611 Enrollment ID: I20200828001274 |
| Provider Name | Matthew Dean Jacinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679187264 PECOS PAC ID: 9133549355 Enrollment ID: I20201008003042 |
| Provider Name | Ryan Tobin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730797705 PECOS PAC ID: 5496175267 Enrollment ID: I20201015002995 |
| Provider Name | Daniel James Garland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669080511 PECOS PAC ID: 4082034608 Enrollment ID: I20201021001357 |
| Provider Name | Carl E Galeon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184245896 PECOS PAC ID: 1254751647 Enrollment ID: I20201023003114 |
| Provider Name | Christian P Panaligan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396354510 PECOS PAC ID: 5496175895 Enrollment ID: I20201025000062 |
| Provider Name | Matthew Bowring Shirts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447868013 PECOS PAC ID: 3779993969 Enrollment ID: I20201028002874 |
| Provider Name | Dallas M Bessette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578179677 PECOS PAC ID: 2860802915 Enrollment ID: I20201102000943 |
| Provider Name | Kelly Pataca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285235713 PECOS PAC ID: 4688086283 Enrollment ID: I20201223000264 |
| Provider Name | Whitney A Day |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831651892 PECOS PAC ID: 4789919333 Enrollment ID: I20210113000588 |
| Provider Name | Ruth Vinna Ringor Lamsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154565828 PECOS PAC ID: 5092128835 Enrollment ID: I20210115000493 |
| Provider Name | Cory Ott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952940306 PECOS PAC ID: 5193140010 Enrollment ID: I20210126001992 |
| Provider Name | Mariko Cynthia Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160796 PECOS PAC ID: 5395159685 Enrollment ID: I20210127003117 |
| Provider Name | Justina Hoa Miller-loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558976977 PECOS PAC ID: 7719391721 Enrollment ID: I20210203001952 |
| Provider Name | Marikit Beth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659983195 PECOS PAC ID: 4688089394 Enrollment ID: I20210210001698 |
| Provider Name | Minjung Kim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356958466 PECOS PAC ID: 4486069655 Enrollment ID: I20210222000070 |
| Provider Name | Ryan P Mcgiveney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649685579 PECOS PAC ID: 5991016479 Enrollment ID: I20210308002380 |
| Provider Name | Amreet K. Aujla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033643671 PECOS PAC ID: 6204108673 Enrollment ID: I20210316002151 |
| Provider Name | Christine Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518342609 PECOS PAC ID: 3375950231 Enrollment ID: I20210322001892 |
| Provider Name | Howard M Synn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902831274 PECOS PAC ID: 3375625841 Enrollment ID: I20210407001507 |
| Provider Name | Justin Fulkerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144500018 PECOS PAC ID: 8426215906 Enrollment ID: I20210408000014 |
| Provider Name | Vathany Chea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770168544 PECOS PAC ID: 9537577150 Enrollment ID: I20210421000496 |
| Provider Name | Mandeep Gill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225613995 PECOS PAC ID: 7214346717 Enrollment ID: I20210513001939 |
| Provider Name | Sarah Ann Torabi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154496362 PECOS PAC ID: 8325047202 Enrollment ID: I20210513002430 |
| Provider Name | Lucille Lynch Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023697299 PECOS PAC ID: 8628487030 Enrollment ID: I20210513002677 |
| Provider Name | Benjamin Adison Hendy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134515406 PECOS PAC ID: 8123347994 Enrollment ID: I20210514000770 |
| Provider Name | Jace D Jacobsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871116004 PECOS PAC ID: 1850790700 Enrollment ID: I20210525002643 |
| Provider Name | Gan Golshteyn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356874929 PECOS PAC ID: 3678973781 Enrollment ID: I20210610003186 |
| Provider Name | Prabhjot Bhinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326437468 PECOS PAC ID: 2769768621 Enrollment ID: I20210706001028 |
| Provider Name | Geoffrey Rohlfing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811382963 PECOS PAC ID: 1759783046 Enrollment ID: I20210708003054 |
| Provider Name | Devin Mangold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326427444 PECOS PAC ID: 0042522062 Enrollment ID: I20210714002216 |
| Provider Name | Muhammad Umair Bakhsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619226420 PECOS PAC ID: 2264749290 Enrollment ID: I20210802002469 |
| Provider Name | Cynthia Tom |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1245632033 PECOS PAC ID: 1254736937 Enrollment ID: I20210818001324 |
| Provider Name | Henry Matthew Dunn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922462159 PECOS PAC ID: 6406251412 Enrollment ID: I20210827003076 |
| Provider Name | Ellen Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336797091 PECOS PAC ID: 1850797549 Enrollment ID: I20210903001314 |
| Provider Name | Robert Malizia |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1508209800 PECOS PAC ID: 4587901087 Enrollment ID: I20210913002673 |
| Provider Name | Garrett Randall Speyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336730308 PECOS PAC ID: 5193126530 Enrollment ID: I20211003000016 |
| Provider Name | Joan N Nunoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700407426 PECOS PAC ID: 4789099664 Enrollment ID: I20211101000515 |
| Provider Name | Larry Bartolo Guinto |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497109144 PECOS PAC ID: 1557753167 Enrollment ID: I20220111001607 |
| Provider Name | Lauren Ashley Mangold |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700112018 PECOS PAC ID: 5496063687 Enrollment ID: I20220131001260 |
| Provider Name | Jory Leiss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578133948 PECOS PAC ID: 5698168391 Enrollment ID: I20220201001841 |
| Provider Name | Umar Nasir |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1972845709 PECOS PAC ID: 2668604968 Enrollment ID: I20220210001120 |
| Provider Name | Prabjot Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891181962 PECOS PAC ID: 7416207774 Enrollment ID: I20220307001828 |
| Provider Name | Anirudh Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043976285 PECOS PAC ID: 3476946021 Enrollment ID: I20220315002554 |
| Provider Name | Ashley Dion Salter-green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538586326 PECOS PAC ID: 2860888971 Enrollment ID: I20220329001952 |
| Provider Name | Jacob Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699421909 PECOS PAC ID: 2567858491 Enrollment ID: I20220401001217 |
| Provider Name | Jamaal Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497028625 PECOS PAC ID: 5799172888 Enrollment ID: I20220419002431 |
| Provider Name | Anthony Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841947892 PECOS PAC ID: 3779970835 Enrollment ID: I20220420002071 |
| Provider Name | Haley Marie Jungles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760138952 PECOS PAC ID: 8729475298 Enrollment ID: I20220502001282 |
| Provider Name | Gurjiwan S Virk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134583891 PECOS PAC ID: 9537405964 Enrollment ID: I20220613002544 |
| Provider Name | Kate Angela Borromeo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780241646 PECOS PAC ID: 1355720269 Enrollment ID: I20220623002639 |
| Provider Name | Anas Hamdi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588185482 PECOS PAC ID: 7719258235 Enrollment ID: I20220711001223 |
| Provider Name | Alexander Calkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740929314 PECOS PAC ID: 0547642662 Enrollment ID: I20220804003897 |
| Provider Name | Zhoobin Heidari Bateni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942762190 PECOS PAC ID: 1153704580 Enrollment ID: I20220818000789 |
| Provider Name | James Michael Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568100998 PECOS PAC ID: 7517340797 Enrollment ID: I20220822000907 |
| Provider Name | Kristine Camille Ongaigui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124589437 PECOS PAC ID: 8426431479 Enrollment ID: I20220824000863 |
| Provider Name | Ana Carmen Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275266744 PECOS PAC ID: 3072997899 Enrollment ID: I20220829001201 |
| Provider Name | Brittney Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851027700 PECOS PAC ID: 6103201199 Enrollment ID: I20220912001568 |
| Provider Name | Tara Brah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558724286 PECOS PAC ID: 4284058439 Enrollment ID: I20221005000319 |
| Provider Name | Guadalupe Klise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972230126 PECOS PAC ID: 9133596182 Enrollment ID: I20221103000681 |
| Provider Name | Nathaniel Robert Barrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497487516 PECOS PAC ID: 1850768870 Enrollment ID: I20221104000362 |
| Provider Name | Kumar Sanam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295049575 PECOS PAC ID: 7214208347 Enrollment ID: I20221123001248 |
| Provider Name | Rachael Chantal Morin-rayburn |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1558611665 PECOS PAC ID: 1153604830 Enrollment ID: I20230119002062 |
| Provider Name | Marineh Noushig Ventresca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245950088 PECOS PAC ID: 0941672968 Enrollment ID: I20230220002387 |
| Provider Name | Morgan E Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750007654 PECOS PAC ID: 9739552803 Enrollment ID: I20230310002031 |
| Provider Name | Rebecca Jean Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326749003 PECOS PAC ID: 8729453261 Enrollment ID: I20230413002838 |
| Provider Name | Edson Charles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417683178 PECOS PAC ID: 8729443288 Enrollment ID: I20230505000842 |
| Provider Name | Jeremy Song |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467879379 PECOS PAC ID: 4587901947 Enrollment ID: I20230512001819 |
| Provider Name | Ania Bedrosian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144993429 PECOS PAC ID: 8729445960 Enrollment ID: I20230605000549 |
| Provider Name | Carlos-miguel Del Portillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689367666 PECOS PAC ID: 8325405277 Enrollment ID: I20230607002965 |
| Provider Name | Christopher Vazquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457962011 PECOS PAC ID: 1759740509 Enrollment ID: I20230711002931 |
| Provider Name | Oranus Mohammadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881119501 PECOS PAC ID: 9537587795 Enrollment ID: I20230725002788 |
| Provider Name | Daniel Joseph Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457045643 PECOS PAC ID: 3072975762 Enrollment ID: I20230811001943 |
| Provider Name | Gurjeet Kaur Binning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114638459 PECOS PAC ID: 4183086754 Enrollment ID: I20230814002215 |
| Provider Name | Timothy Juwono |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639674872 PECOS PAC ID: 2466814041 Enrollment ID: I20230814002590 |
| Provider Name | Hashroop Kaur Gurm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902338239 PECOS PAC ID: 4587026760 Enrollment ID: I20230821001313 |
| Provider Name | Ashley Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760180210 PECOS PAC ID: 2769845395 Enrollment ID: I20230830002552 |
| Provider Name | Vickie C Najera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619676053 PECOS PAC ID: 2668836784 Enrollment ID: I20230907003495 |
| Provider Name | Zachary Hill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003347840 PECOS PAC ID: 2860879905 Enrollment ID: I20230912001482 |
| Provider Name | Christina Han-souksavong Ma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295382489 PECOS PAC ID: 6507220050 Enrollment ID: I20230915003048 |
| Provider Name | Gene Booth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467153098 PECOS PAC ID: 8022462399 Enrollment ID: I20230921000382 |
| Provider Name | Starr Christie Hilliard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306308804 PECOS PAC ID: 0941654032 Enrollment ID: I20230922002200 |
| Provider Name | Molly Ronan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922789908 PECOS PAC ID: 6608220470 Enrollment ID: I20230927002648 |
| Provider Name | Devon Livingston-rosanoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457747248 PECOS PAC ID: 8224347638 Enrollment ID: I20231002002910 |
| Provider Name | Wilmer Augusto Palacios Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245913581 PECOS PAC ID: 8022462407 Enrollment ID: I20231004001120 |
| Provider Name | Isaac Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578253191 PECOS PAC ID: 4385099522 Enrollment ID: I20231009001969 |
| Provider Name | Joel Fredrick Hensley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922888742 PECOS PAC ID: 6002261880 Enrollment ID: I20231013002547 |
| Provider Name | Walter Thomas Roschek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245911429 PECOS PAC ID: 4789030941 Enrollment ID: I20231024001709 |
| Provider Name | Alicia Aaron Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205084837 PECOS PAC ID: 9638525835 Enrollment ID: I20231024003400 |
| Provider Name | Brett Kiyoshi Miyamoto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891476941 PECOS PAC ID: 0547610073 Enrollment ID: I20231227000206 |
| Provider Name | Phaxi Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538751540 PECOS PAC ID: 9830541960 Enrollment ID: I20240114000131 |
| Provider Name | Caitlin Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932971678 PECOS PAC ID: 8729421094 Enrollment ID: I20240205000849 |
| Provider Name | Amanda Marie Agrela Pires |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831716695 PECOS PAC ID: 7810303302 Enrollment ID: I20240216002221 |
| Provider Name | Jessica Tena Meninga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801663158 PECOS PAC ID: 7416391149 Enrollment ID: I20240221000694 |
| Provider Name | Lisa Marie Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669196424 PECOS PAC ID: 8224473749 Enrollment ID: I20240223002977 |
| Provider Name | Avneet Kaur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356908602 PECOS PAC ID: 8022494889 Enrollment ID: I20240301003409 |
| Provider Name | Shannae Salas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952173643 PECOS PAC ID: 3779929096 Enrollment ID: I20240308002911 |
| Provider Name | Mary Car Calaustro Baniaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427786193 PECOS PAC ID: 1951772664 Enrollment ID: I20240429003550 |
| Provider Name | Sean Michael Sabo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114796232 PECOS PAC ID: 5496196545 Enrollment ID: I20240507003951 |
| Provider Name | Kristin Love |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831769256 PECOS PAC ID: 2668916149 Enrollment ID: I20240626002067 |
| Provider Name | Flavio A Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407613920 PECOS PAC ID: 2264977685 Enrollment ID: I20240710002085 |
| Provider Name | Gurjeet Kaur Binning |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114638459 PECOS PAC ID: 4183086754 Enrollment ID: I20240711001348 |
| Provider Name | Amitpaul Gill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700382397 PECOS PAC ID: 2769927698 Enrollment ID: I20240715003685 |
| Provider Name | Niraj Bhalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255838363 PECOS PAC ID: 4486190584 Enrollment ID: I20240725001147 |
| Provider Name | Rajinder S Marok |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740410455 PECOS PAC ID: 6002100989 Enrollment ID: I20240730004438 |
| Provider Name | Evelyn Beatrix Rattu Boan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194327981 PECOS PAC ID: 0446798805 Enrollment ID: I20240815003582 |
| Provider Name | Hina Quasim |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1861886327 PECOS PAC ID: 7416251897 Enrollment ID: I20240829004211 |
| Provider Name | Cheryl Lorraine Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740905751 PECOS PAC ID: 2062953623 Enrollment ID: I20240923002384 |
| Provider Name | Pejmon Patrick Estakhri |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215460506 PECOS PAC ID: 5890165260 Enrollment ID: I20241009004525 |
| Provider Name | Harkanwal Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154940245 PECOS PAC ID: 2365974706 Enrollment ID: I20241010001348 |
| Provider Name | Jessie Rellosa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972320521 PECOS PAC ID: 3779016878 Enrollment ID: I20241029000105 |
| Provider Name | Gina J Yan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750062923 PECOS PAC ID: 8628501665 Enrollment ID: I20241029001742 |
| Provider Name | Raul Tellez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679307797 PECOS PAC ID: 2668905548 Enrollment ID: I20241030003368 |
| Provider Name | Konstantin Roman Malley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932661105 PECOS PAC ID: 5395076988 Enrollment ID: I20241031002036 |
| Provider Name | Leeshy Levi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013698208 PECOS PAC ID: 5799219051 Enrollment ID: I20241108000647 |
| Provider Name | Tinneke Abigail Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184143299 PECOS PAC ID: 5496289175 Enrollment ID: I20241118002116 |
| Provider Name | Kimia Etemadi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528695269 PECOS PAC ID: 0244765790 Enrollment ID: I20241121001058 |
| Provider Name | Genna M. Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942710355 PECOS PAC ID: 8820524143 Enrollment ID: I20241210004380 |
| Provider Name | Sukhjit Gill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336966159 PECOS PAC ID: 5698204287 Enrollment ID: I20250128001426 |
| Mailing Address | Practice Location Address |
|---|---|
| Community Foundation Medical Group Po Box 28949, Fresno, CA 93729-8949 Ph: (559) 228-5400 | Community Foundation Medical Group 7370 N Palm Ave Ste 101, Fresno, CA 93711-5782 Ph: (559) 228-5400 |