| California Care Wellness Medical Center Inc. | |
| 
					6280 Jackson Drive Suite 8 San Diego CA 92119  | |
| (855) 839-8878 | |
| Not Available | 
| Full Name | California Care Wellness Medical Center Inc. | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 6280 Jackson Drive, San Diego, California | 
| Authorized Official Name and Position | Teja Singh (MEDICAL DIRECTOR / CEO) | 
| Authorized Official Contact | 8558398878 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| California Care Wellness Medical Center Inc. 9436 W Lake Mead Blvd Suite 5 Pmb 1113 Las Vegas NV 89134 Ph: (855) 839-8878  | California Care Wellness Medical Center Inc. 6280 Jackson Drive Suite 8 San Diego CA 92119 Ph: (855) 839-8878  | 
| NPI Number | 1447874516 | 
|---|---|
| Provider Enumeration Date | 06/03/2020 | 
| Last Update Date | 01/04/2024 | 
| Medicare PECOS PAC ID | 2264856236 | 
|---|---|
| Medicare Enrollment ID | O20200723000732 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447874516 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Teja Singh | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1205875606 PECOS PAC ID: 5193732030 Enrollment ID: I20060317000546  | 
| Provider Name | Laurie Eastwood Raher | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1629000104 PECOS PAC ID: 1759575525 Enrollment ID: I20101105000352  | 
| Provider Name | Lindsey M Swan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578712303 PECOS PAC ID: 5799841144 Enrollment ID: I20110914000615  | 
| Provider Name | Meesha Puri | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215103098 PECOS PAC ID: 0840442570 Enrollment ID: I20121204000223  | 
| Provider Name | Maria P Sanchez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1477739126 PECOS PAC ID: 1052552254 Enrollment ID: I20130731000409  | 
| Provider Name | Serena C Arts | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1801881552 PECOS PAC ID: 9638108830 Enrollment ID: I20140728002590  | 
| Provider Name | Manoj Saini | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1780082230 PECOS PAC ID: 2668792227 Enrollment ID: I20150521001234  | 
| Provider Name | Heather Grace Moore | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427426386 PECOS PAC ID: 7012217789 Enrollment ID: I20151202000545  | 
| Provider Name | Bethany Louque | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275988537 PECOS PAC ID: 3173811569 Enrollment ID: I20161018002524  | 
| Provider Name | Gail Borbe Perry | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1306369483 PECOS PAC ID: 4082973995 Enrollment ID: I20180123002457  | 
| Provider Name | Cecille Suzette Yu | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750770947 PECOS PAC ID: 5395095921 Enrollment ID: I20180831002065  | 
| Provider Name | Victoria M Hirst | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1619499142 PECOS PAC ID: 8527304971 Enrollment ID: I20190107002284  | 
| Provider Name | Aristotle E Santos | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1932659695 PECOS PAC ID: 7618227018 Enrollment ID: I20190405001412  | 
| Provider Name | Dean Shehadeh | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942688429 PECOS PAC ID: 9830421536 Enrollment ID: I20191030001041  | 
| Provider Name | Maribel Marin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992341762 PECOS PAC ID: 8022439314 Enrollment ID: I20200521001698  | 
| Provider Name | Dawn E Rose | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134747595 PECOS PAC ID: 5092139287 Enrollment ID: I20200721002543  | 
| Provider Name | Keena Harrison | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790334696 PECOS PAC ID: 1254747728 Enrollment ID: I20210308001627  | 
| Provider Name | Thai My Ngoc Nguyen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982206876 PECOS PAC ID: 5496156333 Enrollment ID: I20210629002019  | 
| Provider Name | Shalaine E Reddic | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598438699 PECOS PAC ID: 1759787088 Enrollment ID: I20210910002154  | 
| Provider Name | Lesley M Fung | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518581917 PECOS PAC ID: 3274939475 Enrollment ID: I20210914002561  | 
| Provider Name | My Van Luu Thi Nguyen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598383689 PECOS PAC ID: 8921496910 Enrollment ID: I20211025000764  | 
| Provider Name | Katherine Barringer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255732228 PECOS PAC ID: 3072735125 Enrollment ID: I20211124001493  | 
| Provider Name | Madison Palmer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336893254 PECOS PAC ID: 1658766050 Enrollment ID: I20220322001885  | 
| Provider Name | Talato Kabore | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1396349395 PECOS PAC ID: 3779983028 Enrollment ID: I20220811000255  | 
| Provider Name | Elvie Victoria Mendoza Calderon | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1295462265 PECOS PAC ID: 9537542600 Enrollment ID: I20220823001312  | 
| Provider Name | Natalie Ecliseria Taylor | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1366162943 PECOS PAC ID: 2961888599 Enrollment ID: I20221004003274  | 
| Provider Name | Allison Breeann Leopold | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1720379647 PECOS PAC ID: 3870751696 Enrollment ID: I20221013001503  | 
| Provider Name | Oscar Brian Castillo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1396382206 PECOS PAC ID: 0446626345 Enrollment ID: I20221018001757  | 
| Provider Name | Bernadette Pua | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1114320652 PECOS PAC ID: 2062889082 Enrollment ID: I20221104000624  | 
| Provider Name | Katherine Henson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083335525 PECOS PAC ID: 1153799135 Enrollment ID: I20221122003478  | 
| Provider Name | Belen Anzaldo Wongk | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639849284 PECOS PAC ID: 2264801810 Enrollment ID: I20221205000190  | 
| Provider Name | Cindy Florentino | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497330294 PECOS PAC ID: 5698144061 Enrollment ID: I20221206002521  | 
| Provider Name | Ralaine Abdon | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124699855 PECOS PAC ID: 8628447596 Enrollment ID: I20221215002048  | 
| Provider Name | Michelle Erazo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1306556618 PECOS PAC ID: 8921478496 Enrollment ID: I20221227000525  | 
| Provider Name | Christine Mari Johnson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790408045 PECOS PAC ID: 1355711540 Enrollment ID: I20230104002105  | 
| Provider Name | Praise Him Tinungki | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255056834 PECOS PAC ID: 4183094147 Enrollment ID: I20230109000712  | 
| Provider Name | Tamara Selina Mcmillan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881391480 PECOS PAC ID: 2365815131 Enrollment ID: I20230224001999  | 
| Provider Name | Maruska Sanchez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1194261321 PECOS PAC ID: 1052785292 Enrollment ID: I20230329003154  | 
| Provider Name | Lauren Lowery | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598492902 PECOS PAC ID: 5496111437 Enrollment ID: I20230518000200  | 
| Provider Name | Inna Lipkind | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407563331 PECOS PAC ID: 1355708694 Enrollment ID: I20230601001657  | 
| Provider Name | Araceli Gutierrez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881381465 PECOS PAC ID: 0143687384 Enrollment ID: I20230605000322  | 
| Provider Name | Mariam C Ajmal | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104585090 PECOS PAC ID: 7719349646 Enrollment ID: I20230809003012  | 
| Provider Name | Christopher Go | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083221568 PECOS PAC ID: 1052775095 Enrollment ID: I20230911000484  | 
| Provider Name | Pardeep Kaur | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083332076 PECOS PAC ID: 9537523444 Enrollment ID: I20230911004357  | 
| Provider Name | Amber Lynn Brown | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376201723 PECOS PAC ID: 7416301353 Enrollment ID: I20230927000925  | 
| Provider Name | Pratibha Sehgal | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700571114 PECOS PAC ID: 5294180659 Enrollment ID: I20231005000766  | 
| Provider Name | Macdaly Owens | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912313602 PECOS PAC ID: 0749584084 Enrollment ID: I20231019001858  | 
| Provider Name | Tzu Wei Lin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568243848 PECOS PAC ID: 4880040781 Enrollment ID: I20231030001511  | 
| Provider Name | Brandon O'malley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1952082646 PECOS PAC ID: 0648626481 Enrollment ID: I20231030003287  | 
| Provider Name | Bethania Gonzalez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1922620657 PECOS PAC ID: 3971970054 Enrollment ID: I20231107000594  | 
| Provider Name | Nike E Akinjero | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992335277 PECOS PAC ID: 9638591894 Enrollment ID: I20231121001150  | 
| Provider Name | Amanda Renee Layman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275308744 PECOS PAC ID: 6103274956 Enrollment ID: I20231205000229  | 
| Provider Name | Leslie Rangel Gonzalez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1346843653 PECOS PAC ID: 4183072945 Enrollment ID: I20231205000713  | 
| Provider Name | Derrick Fian | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1417734658 PECOS PAC ID: 8820449432 Enrollment ID: I20240108006246  | 
| Provider Name | Sunghui Kim | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265210819 PECOS PAC ID: 0547611618 Enrollment ID: I20240112003185  | 
| Provider Name | Kaori Sawada | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013785609 PECOS PAC ID: 9931551918 Enrollment ID: I20240115001773  | 
| Provider Name | Fei Wang | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700535796 PECOS PAC ID: 0042662280 Enrollment ID: I20240123004050  | 
| Provider Name | Maian Ngo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174208110 PECOS PAC ID: 1052764198 Enrollment ID: I20240125001454  | 
| Provider Name | Taylor Connor | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1295413698 PECOS PAC ID: 2769835347 Enrollment ID: I20240131000096  | 
| Provider Name | Joshuah Hinojosa | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205603081 PECOS PAC ID: 0941653356 Enrollment ID: I20240201000093  | 
| Provider Name | Victoria Eisenberg | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1447025739 PECOS PAC ID: 6709239023 Enrollment ID: I20240201004203  | 
| Provider Name | Moorea Pugliese | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972195386 PECOS PAC ID: 0840643128 Enrollment ID: I20240202001665  | 
| Provider Name | Oluwadamilola Aderibigbe | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063133387 PECOS PAC ID: 8224475793 Enrollment ID: I20240319003501  | 
| Provider Name | Jennifer Mia Barnett | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215787692 PECOS PAC ID: 0345688255 Enrollment ID: I20240410002221  | 
| Provider Name | Rome Diostonne Evangelista | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1144902347 PECOS PAC ID: 2365881778 Enrollment ID: I20240418001576  | 
| Provider Name | Hospicio Escudero Naron | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063030047 PECOS PAC ID: 4587003611 Enrollment ID: I20240422002256  | 
| Provider Name | Joy Amoge Nnebe | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205601507 PECOS PAC ID: 3072953033 Enrollment ID: I20240425000002  | 
| Provider Name | Tejbir Bahia | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659071280 PECOS PAC ID: 5395185037 Enrollment ID: I20240429003189  | 
| Provider Name | Davidson Okechukwu Etoamaihe | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861258105 PECOS PAC ID: 6709226947 Enrollment ID: I20240503003160  | 
| Provider Name | Dailan Zhang | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033827993 PECOS PAC ID: 6608217740 Enrollment ID: I20240507003795  | 
| Provider Name | Sandy Ung | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023863487 PECOS PAC ID: 8628410479 Enrollment ID: I20240523003806  | 
| Provider Name | Lovely Maye Del Campo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639928047 PECOS PAC ID: 8325580509 Enrollment ID: I20240603003009  | 
| Provider Name | Jung Hwan Hyun | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326827171 PECOS PAC ID: 8123561263 Enrollment ID: I20240618001878  | 
| Provider Name | Liang Zhou | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881371201 PECOS PAC ID: 1951844679 Enrollment ID: I20240621001848  | 
| Provider Name | Cory Michael Hougardy | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427890771 PECOS PAC ID: 1951845452 Enrollment ID: I20240625003837  | 
| Provider Name | Nelson Sanchez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1801639133 PECOS PAC ID: 6800051921 Enrollment ID: I20240715000620  | 
| Provider Name | Ravinder Bhullar | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982448577 PECOS PAC ID: 4183160161 Enrollment ID: I20240725004758  | 
| Provider Name | Solhee Yang | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1285492504 PECOS PAC ID: 7810434347 Enrollment ID: I20240801004025  | 
| Provider Name | Jennilyn Banal | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386315729 PECOS PAC ID: 9436696457 Enrollment ID: I20240807003189  | 
| Provider Name | Jee Irene Estavilla | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982352803 PECOS PAC ID: 7810425592 Enrollment ID: I20250108002632  | 
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