| California Mobile Physicians and Comprehensive Medicine | |
|
1730 Alpine Blvd Ste 205 Alpine CA 91901-3878 | |
| (619) 326-4445 | |
| (619) 722-1721 |
| Full Name | California Mobile Physicians and Comprehensive Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1730 Alpine Blvd Ste 205, Alpine, California |
| Authorized Official Name and Position | Mary Gessner-peterson (OWNER) |
| Authorized Official Contact | 2157785011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Mobile Physicians and Comprehensive Medicine 2710 Alpine Blvd Suite 434 Alpine CA 91901-2276 Ph: (619) 326-4445 | California Mobile Physicians and Comprehensive Medicine 1730 Alpine Blvd Ste 205 Alpine CA 91901-3878 Ph: (619) 326-4445 |
| NPI Number | 1467709220 |
|---|---|
| Provider Enumeration Date | 08/11/2012 |
| Last Update Date | 09/27/2018 |
| Medicare PECOS PAC ID | 1658526637 |
|---|---|
| Medicare Enrollment ID | O20130222000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467709220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A11744 (California) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
| Provider Name | Stacy Fuller Baecker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043543473 PECOS PAC ID: 8820271943 Enrollment ID: I20110328000762 |
| Provider Name | Anna C Baston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649588005 PECOS PAC ID: 3577749076 Enrollment ID: I20110518000273 |
| Provider Name | Brian J Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225119621 PECOS PAC ID: 4587641360 Enrollment ID: I20110606000364 |
| Provider Name | Mary C Gessner-peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861662884 PECOS PAC ID: 9638200033 Enrollment ID: I20110607000169 |
| Provider Name | Brenda J Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417922873 PECOS PAC ID: 3173508538 Enrollment ID: I20150905000045 |
| Provider Name | Tanya Marcus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659784130 PECOS PAC ID: 6103042072 Enrollment ID: I20170731003415 |
| Provider Name | Mary Allison Redden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508381302 PECOS PAC ID: 9234495904 Enrollment ID: I20171113003027 |
| Provider Name | Robin C Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689100687 PECOS PAC ID: 7012270184 Enrollment ID: I20180424002603 |
| Provider Name | Sheryl Elaine Harpel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780177147 PECOS PAC ID: 1951652056 Enrollment ID: I20181001000356 |
| Provider Name | Lindsay D Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257907 PECOS PAC ID: 6507199320 Enrollment ID: I20190611001564 |
| Provider Name | Stacy Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891252318 PECOS PAC ID: 3476883927 Enrollment ID: I20190925002818 |
| Provider Name | Oana Grigoras Pickering |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033735329 PECOS PAC ID: 4385055888 Enrollment ID: I20201203002607 |
| Provider Name | Taylor a Mattioli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689146367 PECOS PAC ID: 3779824693 Enrollment ID: I20211208003524 |
| Provider Name | David Mcneel Dunlap |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356018782 PECOS PAC ID: 2961894399 Enrollment ID: I20220117000182 |
| Provider Name | Chae Young Kwon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447969233 PECOS PAC ID: 0547626418 Enrollment ID: I20230518001865 |
| Provider Name | Jeffrey Zhan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295371532 PECOS PAC ID: 4880022011 Enrollment ID: I20230817004033 |
| Provider Name | Krina Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922711209 PECOS PAC ID: 8921462854 Enrollment ID: I20230912000679 |
| Provider Name | Krystina Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528713369 PECOS PAC ID: 4284082348 Enrollment ID: I20231129003324 |
| Provider Name | Natalia Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952173395 PECOS PAC ID: 9830542042 Enrollment ID: I20240124001627 |
| Provider Name | Alexis Hope Wray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083476253 PECOS PAC ID: 5991140857 Enrollment ID: I20240301000149 |
| Provider Name | Laura Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388521 PECOS PAC ID: 0446695266 Enrollment ID: I20240301002616 |
Alpine Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 110, Alpine, CA 91901 Phone: 619-445-6200 Fax: 619-320-3343 |
Southern Indian Health Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-3140 |
A J Klein MD a Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3897 Via Palo Verde Lago, Alpine, CA 91901 Phone: 619-659-9555 Fax: 619-659-9666 |
Elite Hospital Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 Phone: 619-985-0532 |
San Ysidro Health Alpine Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 Alpine Blvd Ste 110, Alpine, CA 91901 Phone: 619-662-4100 |
San Ysidro Health Alpine Pediatrics Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2733 Alpine Blvd Ste 200, Alpine, CA 91901 Phone: 619-662-4100 |