| Carbon Health | |
|
2920 Telegraph Ave Berkeley CA 94705-2031 | |
| (510) 686-3621 | |
| Not Available |
| Full Name | Carbon Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2920 Telegraph Ave, Berkeley, California |
| Authorized Official Name and Position | Marley Page (DIRECTOR) |
| Authorized Official Contact | 4178619739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Health 2100 Franklin St Ste 355 Oakland CA 94612-3140 | Carbon Health 2920 Telegraph Ave Berkeley CA 94705-2031 Ph: (510) 686-3621 |
| NPI Number | 1417294232 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 05/14/2026 |
| Certification Date | 05/14/2026 |
| Medicare PECOS PAC ID | 9032340047 |
|---|---|
| Medicare Enrollment ID | O20140314001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417294232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Shay K Seitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477620227 PECOS PAC ID: 1456259464 Enrollment ID: I20031229000960 |
| Provider Name | Joel S Kahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255371423 PECOS PAC ID: 0648179317 Enrollment ID: I20040102000278 |
| Provider Name | Alicia Haglund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760449581 PECOS PAC ID: 0042109001 Enrollment ID: I20040316001065 |
| Provider Name | Heather L Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225065998 PECOS PAC ID: 4880687029 Enrollment ID: I20040405001247 |
| Provider Name | Sujal Mandavia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992791164 PECOS PAC ID: 0042204687 Enrollment ID: I20040415000710 |
| Provider Name | Maria Aceves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710973862 PECOS PAC ID: 0143209981 Enrollment ID: I20040715001085 |
| Provider Name | Arnold S Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487682514 PECOS PAC ID: 6901878800 Enrollment ID: I20040811000416 |
| Provider Name | Rajiv Pramanik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346323094 PECOS PAC ID: 7113987017 Enrollment ID: I20041014001064 |
| Provider Name | Joey Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538137013 PECOS PAC ID: 7012971419 Enrollment ID: I20041116000399 |
| Provider Name | Kellie J Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164477683 PECOS PAC ID: 0042276891 Enrollment ID: I20041203000570 |
| Provider Name | Henry M Schumaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326083197 PECOS PAC ID: 5193781698 Enrollment ID: I20041207000274 |
| Provider Name | Roberta S Yoshimura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306820881 PECOS PAC ID: 6800841461 Enrollment ID: I20050316000465 |
| Provider Name | Harry B Andrews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295865426 PECOS PAC ID: 3870539455 Enrollment ID: I20050705000991 |
| Provider Name | Siu-ping Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437128055 PECOS PAC ID: 7113954462 Enrollment ID: I20050719000756 |
| Provider Name | Tom L Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669547006 PECOS PAC ID: 6204864887 Enrollment ID: I20050803001255 |
| Provider Name | Thuc N Ly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407968712 PECOS PAC ID: 1759315724 Enrollment ID: I20050920000982 |
| Provider Name | Dina a Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033155452 PECOS PAC ID: 7618993049 Enrollment ID: I20051014000793 |
| Provider Name | Christopher L Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
| Provider Name | Monica R Guillemin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528184751 PECOS PAC ID: 4183633050 Enrollment ID: I20060420000600 |
| Provider Name | Regina M Schroeder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578788287 PECOS PAC ID: 3678583184 Enrollment ID: I20060427000779 |
| Provider Name | Hui G Bettencourt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598795791 PECOS PAC ID: 5991718538 Enrollment ID: I20060726000115 |
| Provider Name | Marcella M Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902858483 PECOS PAC ID: 5395748602 Enrollment ID: I20060804000365 |
| Provider Name | Gina Maria Gabreski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821032707 PECOS PAC ID: 6901867225 Enrollment ID: I20060823000379 |
| Provider Name | Michael a Davalos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285641902 PECOS PAC ID: 5799789731 Enrollment ID: I20060906000475 |
| Provider Name | John C Michalak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922057934 PECOS PAC ID: 3375548597 Enrollment ID: I20060921000588 |
| Provider Name | Carrington D Horton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750416665 PECOS PAC ID: 2860596020 Enrollment ID: I20070327000604 |
| Provider Name | Danielle D Wells |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750466181 PECOS PAC ID: 4880799337 Enrollment ID: I20070412000222 |
| Provider Name | Melissa M Chancellor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518183573 PECOS PAC ID: 2062511181 Enrollment ID: I20070629000453 |
| Provider Name | Debra S Goettsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841202165 PECOS PAC ID: 2264533389 Enrollment ID: I20070719000437 |
| Provider Name | Erick Ruiz Miranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669597167 PECOS PAC ID: 9335231398 Enrollment ID: I20070822000601 |
| Provider Name | Elizabeth Torres |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679777346 PECOS PAC ID: 0648366112 Enrollment ID: I20071013000076 |
| Provider Name | Tammy L Witschger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376734053 PECOS PAC ID: 6406945310 Enrollment ID: I20071129000710 |
| Provider Name | Andrelyn C Almario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124233176 PECOS PAC ID: 7012006745 Enrollment ID: I20071204000355 |
| Provider Name | Patricia P Strock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134205024 PECOS PAC ID: 1658452784 Enrollment ID: I20080115000576 |
| Provider Name | Leslie a Cady |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952586547 PECOS PAC ID: 6103909205 Enrollment ID: I20080213000217 |
| Provider Name | Caesar Djavaherian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790760551 PECOS PAC ID: 3577654417 Enrollment ID: I20080922000228 |
| Provider Name | Sapna Lalwani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356500672 PECOS PAC ID: 7517025091 Enrollment ID: I20081028000464 |
| Provider Name | Vivian M Brady |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578683843 PECOS PAC ID: 8022178029 Enrollment ID: I20081120000637 |
| Provider Name | Vinh Ngo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386796118 PECOS PAC ID: 8426118217 Enrollment ID: I20081124000737 |
| Provider Name | Serena K Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285847665 PECOS PAC ID: 3274694799 Enrollment ID: I20081202000854 |
| Provider Name | Emmanuel E Jonson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386898591 PECOS PAC ID: 4183786973 Enrollment ID: I20090105000372 |
| Provider Name | Ela Grigorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598937468 PECOS PAC ID: 9537222179 Enrollment ID: I20090108000484 |
| Provider Name | Colin X Jairam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821272295 PECOS PAC ID: 7810052719 Enrollment ID: I20090209000683 |
| Provider Name | Sarah Sadeghi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295965333 PECOS PAC ID: 9830243328 Enrollment ID: I20090818000611 |
| Provider Name | Jodean Nicolette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962599720 PECOS PAC ID: 0941272850 Enrollment ID: I20090902000253 |
| Provider Name | Maryanne M Furtek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659303881 PECOS PAC ID: 5890831747 Enrollment ID: I20091006000494 |
| Provider Name | Amy Sage Thomsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043449119 PECOS PAC ID: 0648317529 Enrollment ID: I20091026000441 |
| Provider Name | Gul Iram Anwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225234974 PECOS PAC ID: 9537209903 Enrollment ID: I20091215000481 |
| Provider Name | Juanita a Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881920007 PECOS PAC ID: 0547302440 Enrollment ID: I20100114000606 |
| Provider Name | Judi Ann D Meindl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649210451 PECOS PAC ID: 5193860393 Enrollment ID: I20100226000292 |
| Provider Name | Andrea Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396999488 PECOS PAC ID: 5496883407 Enrollment ID: I20100512000972 |
| Provider Name | Rita Farr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821310103 PECOS PAC ID: 0648462804 Enrollment ID: I20101006000277 |
| Provider Name | Mariam S Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699083675 PECOS PAC ID: 1254520174 Enrollment ID: I20110107000669 |
| Provider Name | Matthew J Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306159918 PECOS PAC ID: 1052593597 Enrollment ID: I20110304000649 |
| Provider Name | Stanton T Emerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033184452 PECOS PAC ID: 5193911394 Enrollment ID: I20110308000892 |
| Provider Name | Dina Villapudua |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992871941 PECOS PAC ID: 4385826635 Enrollment ID: I20110308001024 |
| Provider Name | Rajinder K Sekhon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710117924 PECOS PAC ID: 2860679099 Enrollment ID: I20110615000502 |
| Provider Name | Dena M Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821270273 PECOS PAC ID: 0547348377 Enrollment ID: I20110909002740 |
| Provider Name | Paula a Arriaga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417248337 PECOS PAC ID: 1153594536 Enrollment ID: I20111104000055 |
| Provider Name | Thang Yang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518240506 PECOS PAC ID: 0941474613 Enrollment ID: I20111114000851 |
| Provider Name | Linda M Hunt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366401572 PECOS PAC ID: 4284808684 Enrollment ID: I20111121000967 |
| Provider Name | Ariella Jessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609161132 PECOS PAC ID: 4981871696 Enrollment ID: I20120120000689 |
| Provider Name | Venkataramana K Nalluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972786275 PECOS PAC ID: 0941493209 Enrollment ID: I20120127000235 |
| Provider Name | Estela Hauser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922386416 PECOS PAC ID: 5597923466 Enrollment ID: I20120223000232 |
| Provider Name | Charles S Edward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366711558 PECOS PAC ID: 3476716796 Enrollment ID: I20120524000523 |
| Provider Name | Anna Ngo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649525437 PECOS PAC ID: 4385891464 Enrollment ID: I20120824000115 |
| Provider Name | Christine Soriano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568608529 PECOS PAC ID: 6608023460 Enrollment ID: I20120829000766 |
| Provider Name | Waraporn Denjalearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669760310 PECOS PAC ID: 2769654714 Enrollment ID: I20121101000294 |
| Provider Name | Margaret Helen Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801945944 PECOS PAC ID: 6406008564 Enrollment ID: I20121218000571 |
| Provider Name | Ami Narayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962774935 PECOS PAC ID: 6002051133 Enrollment ID: I20130320000665 |
| Provider Name | Karen J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427391820 PECOS PAC ID: 4284869413 Enrollment ID: I20131024001074 |
| Provider Name | John Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598032559 PECOS PAC ID: 3779718580 Enrollment ID: I20131104000707 |
| Provider Name | Allison L Devers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144308263 PECOS PAC ID: 3274531363 Enrollment ID: I20131122000862 |
| Provider Name | Kenesha P Colson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912333840 PECOS PAC ID: 8820225204 Enrollment ID: I20131210000732 |
| Provider Name | Monica Separzadeh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447691787 PECOS PAC ID: 2264669043 Enrollment ID: I20131227000331 |
| Provider Name | Kelly a Morin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124450143 PECOS PAC ID: 9133356892 Enrollment ID: I20131230001069 |
| Provider Name | Stacy R Cohen-barrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689615361 PECOS PAC ID: 8628155231 Enrollment ID: I20140121001420 |
| Provider Name | Jennie Quach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467883207 PECOS PAC ID: 0547493710 Enrollment ID: I20140424001068 |
| Provider Name | Joanna S Josue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114356789 PECOS PAC ID: 8921231432 Enrollment ID: I20140508000941 |
| Provider Name | Wilson Mak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922427665 PECOS PAC ID: 2961626304 Enrollment ID: I20140605000432 |
| Provider Name | Felipe M Cendejas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093149783 PECOS PAC ID: 8820212533 Enrollment ID: I20140620000427 |
| Provider Name | Soumiya Prakasam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497914949 PECOS PAC ID: 8527110501 Enrollment ID: I20140812001432 |
| Provider Name | Natalie Benudiz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932542099 PECOS PAC ID: 2062633589 Enrollment ID: I20141027002420 |
| Provider Name | Kelby T Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104231489 PECOS PAC ID: 1850513193 Enrollment ID: I20141120002408 |
| Provider Name | Dennis P Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093114365 PECOS PAC ID: 6507189149 Enrollment ID: I20150106001763 |
| Provider Name | Debra L Kabaivanoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831198597 PECOS PAC ID: 0446254932 Enrollment ID: I20150115002050 |
| Provider Name | Amit Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003218025 PECOS PAC ID: 9830413020 Enrollment ID: I20150116000753 |
| Provider Name | Bryan a Mota |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578970265 PECOS PAC ID: 6608191127 Enrollment ID: I20150204001152 |
| Provider Name | Mark L Larroque |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396143855 PECOS PAC ID: 3274858550 Enrollment ID: I20150207000431 |
| Provider Name | Veronica Dallal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831521681 PECOS PAC ID: 6305161506 Enrollment ID: I20150210002383 |
| Provider Name | Maria M Tiu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629322110 PECOS PAC ID: 5698090892 Enrollment ID: I20150211000163 |
| Provider Name | Michael Difronzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881095107 PECOS PAC ID: 6800113275 Enrollment ID: I20150323002664 |
| Provider Name | Alexandra B Huey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669875266 PECOS PAC ID: 4082932959 Enrollment ID: I20150406002322 |
| Provider Name | Christine M Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649556309 PECOS PAC ID: 3577882356 Enrollment ID: I20150428002462 |
| Provider Name | Fatimah Z Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053727982 PECOS PAC ID: 8729200522 Enrollment ID: I20150604002477 |
| Provider Name | Deborah C Umeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790163871 PECOS PAC ID: 4688988561 Enrollment ID: I20150805009062 |
| Provider Name | Matthew J Belmont |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215341730 PECOS PAC ID: 6507171261 Enrollment ID: I20150811003646 |
| Provider Name | Brandon J Freund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033590278 PECOS PAC ID: 2961717822 Enrollment ID: I20150820012232 |
| Provider Name | Susan Dolores Morley Mendes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740662022 PECOS PAC ID: 7810201290 Enrollment ID: I20150821014106 |
| Provider Name | Jaime Linsenbigler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053796359 PECOS PAC ID: 9830407345 Enrollment ID: I20151002001430 |
| Provider Name | Sara Ghannadi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619343654 PECOS PAC ID: 7315256146 Enrollment ID: I20151019001321 |
| Provider Name | Ryan D Palt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528437340 PECOS PAC ID: 2567772767 Enrollment ID: I20151029002594 |
| Provider Name | Deron Theodore Warren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962491670 PECOS PAC ID: 1355658741 Enrollment ID: I20151112001812 |
| Provider Name | Grace Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026050 PECOS PAC ID: 0244530517 Enrollment ID: I20151118002950 |
| Provider Name | Lori Katnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124499413 PECOS PAC ID: 1557661436 Enrollment ID: I20151125000614 |
| Provider Name | Jennifer N Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419742 PECOS PAC ID: 7810297371 Enrollment ID: I20151204002505 |
| Provider Name | Bradley Theodor Winkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902272750 PECOS PAC ID: 3476862970 Enrollment ID: I20151228000903 |
| Provider Name | Neeru K Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669672424 PECOS PAC ID: 8820122708 Enrollment ID: I20151230002140 |
| Provider Name | Niccole Blanchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996839 PECOS PAC ID: 8820395783 Enrollment ID: I20160321002569 |
| Provider Name | Euna Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184974859 PECOS PAC ID: 8820395593 Enrollment ID: I20160323001305 |
| Provider Name | Lisa G. Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083099 PECOS PAC ID: 0648578468 Enrollment ID: I20160412001352 |
| Provider Name | Viviana E Partida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902967 PECOS PAC ID: 9931408978 Enrollment ID: I20160426001747 |
| Provider Name | Tania Ponce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356664890 PECOS PAC ID: 3072802883 Enrollment ID: I20160518001465 |
| Provider Name | Edwin Kyunghun Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487097846 PECOS PAC ID: 0648562801 Enrollment ID: I20160707002466 |
| Provider Name | Esther H Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568753242 PECOS PAC ID: 0648490300 Enrollment ID: I20160725001752 |
| Provider Name | Thomas H Heflin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568720332 PECOS PAC ID: 4183917206 Enrollment ID: I20160727002157 |
| Provider Name | Nicholas Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932546173 PECOS PAC ID: 9335432145 Enrollment ID: I20160801000518 |
| Provider Name | Roger Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801156799 PECOS PAC ID: 9537386750 Enrollment ID: I20160816002708 |
| Provider Name | Diksha Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467895201 PECOS PAC ID: 2264651777 Enrollment ID: I20160902000913 |
| Provider Name | Taera Y Felkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912378332 PECOS PAC ID: 5395032395 Enrollment ID: I20160919002240 |
| Provider Name | Christina T Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063894988 PECOS PAC ID: 0840571121 Enrollment ID: I20161228000767 |
| Provider Name | Sarah I Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770037277 PECOS PAC ID: 3274815568 Enrollment ID: I20170120002719 |
| Provider Name | Mara L Stevens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790231967 PECOS PAC ID: 0840572087 Enrollment ID: I20170123001987 |
| Provider Name | Jocelyn Y Moon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649580259 PECOS PAC ID: 6406139013 Enrollment ID: I20170206001490 |
| Provider Name | Jessica M Wirth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932591245 PECOS PAC ID: 7416230941 Enrollment ID: I20170208000488 |
| Provider Name | Tach Hao Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487005443 PECOS PAC ID: 5092098152 Enrollment ID: I20170215001648 |
| Provider Name | Grace B Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386060234 PECOS PAC ID: 6800170903 Enrollment ID: I20170310000019 |
| Provider Name | Edmund Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790137057 PECOS PAC ID: 2668757733 Enrollment ID: I20170403000843 |
| Provider Name | Jennifer Fukasawa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477093714 PECOS PAC ID: 4486930377 Enrollment ID: I20170406003181 |
| Provider Name | Kassandra Macpherson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487924510 PECOS PAC ID: 2062798770 Enrollment ID: I20170412001596 |
| Provider Name | Craig Jancay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356631675 PECOS PAC ID: 7517142128 Enrollment ID: I20170426002292 |
| Provider Name | Stephen E White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871907105 PECOS PAC ID: 3476878760 Enrollment ID: I20170508000851 |
| Provider Name | Jonathan J Tan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285010322 PECOS PAC ID: 8022328954 Enrollment ID: I20170605002519 |
| Provider Name | Paula Drivas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497819395 PECOS PAC ID: 4981784535 Enrollment ID: I20170627002830 |
| Provider Name | Jessica Ann Rendin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194130906 PECOS PAC ID: 7113200635 Enrollment ID: I20170628000558 |
| Provider Name | Sammantha L Boaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437387198 PECOS PAC ID: 1456620673 Enrollment ID: I20170703000825 |
| Provider Name | Khavita D Singh-harry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528493210 PECOS PAC ID: 9931402328 Enrollment ID: I20170710000374 |
| Provider Name | Rima G Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134448152 PECOS PAC ID: 4183804776 Enrollment ID: I20170712002436 |
| Provider Name | Jennifer M Quail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538689310 PECOS PAC ID: 9931470317 Enrollment ID: I20170803000244 |
| Provider Name | Denise M Doronila |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003216482 PECOS PAC ID: 4183845621 Enrollment ID: I20170808000797 |
| Provider Name | Edward Delos Trino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346773306 PECOS PAC ID: 2163793951 Enrollment ID: I20170814001035 |
| Provider Name | Tawny Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649666298 PECOS PAC ID: 2163795980 Enrollment ID: I20170830001003 |
| Provider Name | Nathan Lycan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366755993 PECOS PAC ID: 4082891890 Enrollment ID: I20170831003029 |
| Provider Name | Vincent M Lieras |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477074094 PECOS PAC ID: 1759655848 Enrollment ID: I20170928002117 |
| Provider Name | Jessica L Chalmers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346552411 PECOS PAC ID: 3678756988 Enrollment ID: I20171019001444 |
| Provider Name | Elizabeth Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726850 PECOS PAC ID: 3274809686 Enrollment ID: I20171030001038 |
| Provider Name | Vanessa P Guzman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588190664 PECOS PAC ID: 6709142854 Enrollment ID: I20171107001067 |
| Provider Name | Jasmine Neman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013250919 PECOS PAC ID: 0446516926 Enrollment ID: I20171116001368 |
| Provider Name | Nychele E Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497283618 PECOS PAC ID: 6204193022 Enrollment ID: I20171204002791 |
| Provider Name | Gretchen Debbie Genato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245603174 PECOS PAC ID: 0547528572 Enrollment ID: I20171221001721 |
| Provider Name | Jenine K Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043688161 PECOS PAC ID: 9436411105 Enrollment ID: I20180315001971 |
| Provider Name | Elizabeth T Tirpak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306342860 PECOS PAC ID: 9234493511 Enrollment ID: I20180514002960 |
| Provider Name | Dianna C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654447 PECOS PAC ID: 4284998576 Enrollment ID: I20180515000747 |
| Provider Name | Amy Dawn Causey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049878 PECOS PAC ID: 4688939820 Enrollment ID: I20180517002153 |
| Provider Name | Deborah Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740772870 PECOS PAC ID: 3971859802 Enrollment ID: I20180709001125 |
| Provider Name | Lalita Poon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205328317 PECOS PAC ID: 0749537447 Enrollment ID: I20180726002342 |
| Provider Name | Nowelle M Gaid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831568815 PECOS PAC ID: 3072862465 Enrollment ID: I20180817001780 |
| Provider Name | Samantha I Ang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982134078 PECOS PAC ID: 6406108067 Enrollment ID: I20181009002051 |
| Provider Name | Geraldin Romis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053819961 PECOS PAC ID: 0345594404 Enrollment ID: I20181108002765 |
| Provider Name | Shea Ericka Gillan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841681632 PECOS PAC ID: 7517278815 Enrollment ID: I20181110000341 |
| Provider Name | Avo Gregory Serafino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821589953 PECOS PAC ID: 0143574889 Enrollment ID: I20181114003634 |
| Provider Name | Keith Allen Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326527045 PECOS PAC ID: 8729332333 Enrollment ID: I20181119001317 |
| Provider Name | Carolina Sciambia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710425814 PECOS PAC ID: 8729322540 Enrollment ID: I20181205003098 |
| Provider Name | Katy Johnston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629544556 PECOS PAC ID: 6103161377 Enrollment ID: I20181215000473 |
| Provider Name | Audrey Zanzucchi Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265960256 PECOS PAC ID: 5294070785 Enrollment ID: I20190103001280 |
| Provider Name | Sukhdeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073089074 PECOS PAC ID: 6901142066 Enrollment ID: I20190109003458 |
| Provider Name | Yesim Kanlioglu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598021537 PECOS PAC ID: 0648561183 Enrollment ID: I20190201002662 |
| Provider Name | Jordan R Daniels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811478035 PECOS PAC ID: 4284972878 Enrollment ID: I20190206000953 |
| Provider Name | Reshna Maniklal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346623923 PECOS PAC ID: 2668789637 Enrollment ID: I20190215002280 |
| Provider Name | Stefan J Meers Estrada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043774144 PECOS PAC ID: 0749528503 Enrollment ID: I20190220003409 |
| Provider Name | Riley Newcomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184198616 PECOS PAC ID: 0648512665 Enrollment ID: I20190423001680 |
| Provider Name | Nissma Mahmoud Elbeed Kinsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578921425 PECOS PAC ID: 2163764523 Enrollment ID: I20190503002461 |
| Provider Name | Michael L Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012041 PECOS PAC ID: 2163765496 Enrollment ID: I20190529003046 |
| Provider Name | Hee Namgoong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235607508 PECOS PAC ID: 0840523858 Enrollment ID: I20190606001000 |
| Provider Name | Janee N Malan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750845483 PECOS PAC ID: 2567795289 Enrollment ID: I20190612002695 |
| Provider Name | Haley Bogdanovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891285995 PECOS PAC ID: 0042545006 Enrollment ID: I20190712001043 |
| Provider Name | Robert P Gnat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386876712 PECOS PAC ID: 4486937539 Enrollment ID: I20190717000924 |
| Provider Name | Hailey Forde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063074755 PECOS PAC ID: 0749511665 Enrollment ID: I20191008000897 |
| Provider Name | Sarah Raffaelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508411497 PECOS PAC ID: 6507198678 Enrollment ID: I20191023002034 |
| Provider Name | Leanne F Kent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629552815 PECOS PAC ID: 9234561150 Enrollment ID: I20191114002743 |
| Provider Name | Janice Bautista |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326699372 PECOS PAC ID: 5395178636 Enrollment ID: I20191127001520 |
| Provider Name | Madison Stargell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235780289 PECOS PAC ID: 4183057938 Enrollment ID: I20191209001408 |
| Provider Name | Bryan James Tsujimoto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124661186 PECOS PAC ID: 2466886817 Enrollment ID: I20191218001765 |
| Provider Name | Jennifer Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609425461 PECOS PAC ID: 8123452422 Enrollment ID: I20191219000920 |
| Provider Name | Luz Daniela Acevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568951440 PECOS PAC ID: 0345674602 Enrollment ID: I20191219003173 |
| Provider Name | Cary B Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700067378 PECOS PAC ID: 4284707910 Enrollment ID: I20200106001699 |
| Provider Name | Emily Luu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790349652 PECOS PAC ID: 1456785096 Enrollment ID: I20200107001732 |
| Provider Name | Nathan J Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942720222 PECOS PAC ID: 7214208016 Enrollment ID: I20200114001200 |
| Provider Name | Angie Ling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922643931 PECOS PAC ID: 3274968953 Enrollment ID: I20200128000613 |
| Provider Name | Emily Kathleen Presmanes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679123111 PECOS PAC ID: 9739515347 Enrollment ID: I20200130000188 |
| Provider Name | Mariel Alvarez Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477041853 PECOS PAC ID: 5991139693 Enrollment ID: I20200131001311 |
| Provider Name | Stephanie H Yeh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467926477 PECOS PAC ID: 0042646366 Enrollment ID: I20200205001650 |
| Provider Name | Allison K Enomoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366080517 PECOS PAC ID: 2668808148 Enrollment ID: I20200218002701 |
| Provider Name | Tong M Luong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154839645 PECOS PAC ID: 0345677399 Enrollment ID: I20200306002522 |
| Provider Name | Brian a Speh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124593926 PECOS PAC ID: 1456605104 Enrollment ID: I20200309001280 |
| Provider Name | Anne M French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134691488 PECOS PAC ID: 4082042718 Enrollment ID: I20200312000174 |
| Provider Name | Sara Vega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447894902 PECOS PAC ID: 3779910831 Enrollment ID: I20200313000641 |
| Provider Name | Hannah Rebecca Hochman Segal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184002073 PECOS PAC ID: 4385956788 Enrollment ID: I20200313001394 |
| Provider Name | Benjamin Popescu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699150540 PECOS PAC ID: 2163722364 Enrollment ID: I20200320002806 |
| Provider Name | Daniel Tran-hoa Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962047365 PECOS PAC ID: 4688003312 Enrollment ID: I20200401001571 |
| Provider Name | Amy E Hartwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376180505 PECOS PAC ID: 8527496785 Enrollment ID: I20200406003426 |
| Provider Name | Manish Saha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619201167 PECOS PAC ID: 1052595899 Enrollment ID: I20200413003242 |
| Provider Name | Jessica Ann Fain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104378702 PECOS PAC ID: 5991085300 Enrollment ID: I20200414002003 |
| Provider Name | Kevin Scott Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225434988 PECOS PAC ID: 3375868250 Enrollment ID: I20200416002614 |
| Provider Name | Michelle L. Partain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033170600 PECOS PAC ID: 9830529601 Enrollment ID: I20200417002381 |
| Provider Name | Astha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427684166 PECOS PAC ID: 9830529023 Enrollment ID: I20200501001348 |
| Provider Name | Christine Chang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093341661 PECOS PAC ID: 5890126247 Enrollment ID: I20200519001240 |
| Provider Name | Maisa Morrar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568001204 PECOS PAC ID: 3173945375 Enrollment ID: I20200616003205 |
| Provider Name | Kaitlin Nicole Sutten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962023341 PECOS PAC ID: 2365864311 Enrollment ID: I20200619000805 |
| Provider Name | Marisa Yanez Jayakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083142582 PECOS PAC ID: 7315360245 Enrollment ID: I20200709003167 |
| Provider Name | Anne Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790301059 PECOS PAC ID: 7719300532 Enrollment ID: I20200710002964 |
| Provider Name | Jeannin Counts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386147999 PECOS PAC ID: 0547511693 Enrollment ID: I20200715001758 |
| Provider Name | Christina Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477912442 PECOS PAC ID: 0446674048 Enrollment ID: I20200715002163 |
| Provider Name | Maria Guadalupe Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441001 PECOS PAC ID: 7012331028 Enrollment ID: I20200723002005 |
| Provider Name | Kimberly Jeannie Hsu Zerillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225527880 PECOS PAC ID: 3173947835 Enrollment ID: I20200728001947 |
| Provider Name | Sara Ghohestani-bojd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710500848 PECOS PAC ID: 4183040587 Enrollment ID: I20200817000951 |
| Provider Name | Jessica Michelle Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811427347 PECOS PAC ID: 5294151361 Enrollment ID: I20200819003378 |
| Provider Name | Tiffany Ann Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982249587 PECOS PAC ID: 3173940269 Enrollment ID: I20200903002566 |
| Provider Name | Dustin L. Grossheim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598395709 PECOS PAC ID: 0648698563 Enrollment ID: I20200909002131 |
| Provider Name | Alma Depizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942734744 PECOS PAC ID: 6406125673 Enrollment ID: I20200917002299 |
| Provider Name | Kate Jeromae S Fetalco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306456223 PECOS PAC ID: 3870911043 Enrollment ID: I20200921001552 |
| Provider Name | Kimberly Joiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477085314 PECOS PAC ID: 4385911775 Enrollment ID: I20200924002815 |
| Provider Name | Kelsey a Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003284811 PECOS PAC ID: 7416252200 Enrollment ID: I20201008003052 |
| Provider Name | Lily Vu Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619405537 PECOS PAC ID: 4082034210 Enrollment ID: I20201008003337 |
| Provider Name | Nicole Writer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295073815 PECOS PAC ID: 7012151210 Enrollment ID: I20201026000843 |
| Provider Name | Anneliese Mizwicki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568896942 PECOS PAC ID: 9032333513 Enrollment ID: I20201026003071 |
| Provider Name | Torbertha Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467006577 PECOS PAC ID: 9830529213 Enrollment ID: I20201027003410 |
| Provider Name | Brian Daniel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336557644 PECOS PAC ID: 4789094996 Enrollment ID: I20201029000481 |
| Provider Name | Lana L Bordenkecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546833 PECOS PAC ID: 4385055318 Enrollment ID: I20201124001480 |
| Provider Name | Sarah Kohn Finnerty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942276886 PECOS PAC ID: 6406881648 Enrollment ID: I20201207001035 |
| Provider Name | Joseph a Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689195307 PECOS PAC ID: 7810260973 Enrollment ID: I20210126000388 |
| Provider Name | Chantal Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154929883 PECOS PAC ID: 8527473883 Enrollment ID: I20210218000958 |
| Provider Name | Angela Cassagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548881618 PECOS PAC ID: 5890100705 Enrollment ID: I20210225003107 |
| Provider Name | Bri'andra I Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204533 PECOS PAC ID: 1951717149 Enrollment ID: I20210312002313 |
| Provider Name | Lena Kil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518565738 PECOS PAC ID: 3476960428 Enrollment ID: I20210318002082 |
| Provider Name | Justin Kent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497353627 PECOS PAC ID: 8729496674 Enrollment ID: I20210414002395 |
| Provider Name | Madison L Helms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922649649 PECOS PAC ID: 8921416884 Enrollment ID: I20210414002824 |
| Provider Name | Tracy Nguyet-tran Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972137446 PECOS PAC ID: 9931517562 Enrollment ID: I20210421000720 |
| Provider Name | Loan Quynh Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881283240 PECOS PAC ID: 3678981933 Enrollment ID: I20210426002621 |
| Provider Name | Lorena Diaz-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869389 PECOS PAC ID: 6103235940 Enrollment ID: I20210507002331 |
| Provider Name | Jennifer R NG |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225670318 PECOS PAC ID: 6103225016 Enrollment ID: I20210526001477 |
| Provider Name | Elizabeth Nicole Kepley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649844929 PECOS PAC ID: 9335549930 Enrollment ID: I20210618002002 |
| Provider Name | Felicia Gu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114513132 PECOS PAC ID: 5294138509 Enrollment ID: I20210723002890 |
| Provider Name | Jason G Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194316604 PECOS PAC ID: 2466857024 Enrollment ID: I20210819001072 |
| Provider Name | Khoa Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558904847 PECOS PAC ID: 5698170157 Enrollment ID: I20210820001673 |
| Provider Name | Megan Renee Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497216824 PECOS PAC ID: 8527464841 Enrollment ID: I20210910001542 |
| Provider Name | Cindy Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679120133 PECOS PAC ID: 8426455049 Enrollment ID: I20210924001028 |
| Provider Name | Rokaya Hijaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154928885 PECOS PAC ID: 0840697116 Enrollment ID: I20210929001729 |
| Provider Name | Amanda R Hong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841841079 PECOS PAC ID: 8426456369 Enrollment ID: I20211007001690 |
| Provider Name | Thomas Edward Loe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790359081 PECOS PAC ID: 1153729702 Enrollment ID: I20211012001404 |
| Provider Name | Yiu Sing E Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912535451 PECOS PAC ID: 3375950645 Enrollment ID: I20211028001978 |
| Provider Name | Gurshakti Singh Pannu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790447019 PECOS PAC ID: 4789073974 Enrollment ID: I20211109002135 |
| Provider Name | Madina Aschrafnia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184269540 PECOS PAC ID: 3577953751 Enrollment ID: I20211201003105 |
| Provider Name | Karen Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982704714 PECOS PAC ID: 0244425767 Enrollment ID: I20211214002765 |
| Provider Name | Crysten Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467052282 PECOS PAC ID: 3678964814 Enrollment ID: I20211227000531 |
| Provider Name | Daniela HK Shon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013688738 PECOS PAC ID: 5890186969 Enrollment ID: I20211228000657 |
| Provider Name | Kimberly Uggiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306504592 PECOS PAC ID: 7416348511 Enrollment ID: I20211228002033 |
| Provider Name | Laura M Bertsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881283299 PECOS PAC ID: 2860884558 Enrollment ID: I20220107001588 |
| Provider Name | Steven M Piper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063178739 PECOS PAC ID: 0042602781 Enrollment ID: I20220110001256 |
| Provider Name | Steven Kurtz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649843590 PECOS PAC ID: 5193117919 Enrollment ID: I20220127001787 |
| Provider Name | Megan Vingqui Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619634839 PECOS PAC ID: 9638562226 Enrollment ID: I20220202002631 |
| Provider Name | Shaula Carbajal Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639753262 PECOS PAC ID: 2163816802 Enrollment ID: I20220223002093 |
| Provider Name | Stephanie Rigor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217909 PECOS PAC ID: 3870987365 Enrollment ID: I20220226000216 |
| Provider Name | Desirae a Segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477153278 PECOS PAC ID: 7517351042 Enrollment ID: I20220228001076 |
| Provider Name | Paula R Ochoa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720697030 PECOS PAC ID: 9830583103 Enrollment ID: I20220302001739 |
| Provider Name | Amanda Hong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780345629 PECOS PAC ID: 8325432404 Enrollment ID: I20220307001613 |
| Provider Name | Susan Choi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700323888 PECOS PAC ID: 8123303013 Enrollment ID: I20220405001604 |
| Provider Name | Fatimah Zaghari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194295519 PECOS PAC ID: 5193066397 Enrollment ID: I20220411001848 |
| Provider Name | Jandi Olivia Desinor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831868520 PECOS PAC ID: 2567859630 Enrollment ID: I20220420002637 |
| Provider Name | Rachael Elizabeth Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376296004 PECOS PAC ID: 7911394788 Enrollment ID: I20220425002767 |
| Provider Name | Dorian Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003588914 PECOS PAC ID: 0547647794 Enrollment ID: I20220510001050 |
| Provider Name | Julia Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710635883 PECOS PAC ID: 7618354572 Enrollment ID: I20220513001846 |
| Provider Name | Jennifer Melcomian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487119491 PECOS PAC ID: 5395158364 Enrollment ID: I20220516002972 |
| Provider Name | Kendall Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598361321 PECOS PAC ID: 8224415898 Enrollment ID: I20220520000213 |
| Provider Name | Albert H Zhou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265991103 PECOS PAC ID: 8921485533 Enrollment ID: I20220520001759 |
| Provider Name | Vy Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174156475 PECOS PAC ID: 1052790110 Enrollment ID: I20220620001571 |
| Provider Name | Robert E Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255671186 PECOS PAC ID: 9537304977 Enrollment ID: I20220705000062 |
| Provider Name | Yoon Kyu Sung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851853550 PECOS PAC ID: 9133509458 Enrollment ID: I20220705001435 |
| Provider Name | Deanna L Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750393609 PECOS PAC ID: 2264420058 Enrollment ID: I20220721002319 |
| Provider Name | Emma Jayne Pinizzotto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619457876 PECOS PAC ID: 6507117355 Enrollment ID: I20220725001129 |
| Provider Name | Keturah C Braithwaite |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023773579 PECOS PAC ID: 0840672606 Enrollment ID: I20220727000774 |
| Provider Name | Lisa Tonelli Laguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750928388 PECOS PAC ID: 6204223019 Enrollment ID: I20220728001968 |
| Provider Name | Lillian Mary Ghosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174284855 PECOS PAC ID: 1759763873 Enrollment ID: I20220804003746 |
| Provider Name | Ibrahim Rouzyi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912541798 PECOS PAC ID: 6002247988 Enrollment ID: I20220805002317 |
| Provider Name | Erika M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467103689 PECOS PAC ID: 8820471634 Enrollment ID: I20220811001168 |
| Provider Name | Courtney R Cines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447758404 PECOS PAC ID: 0345503512 Enrollment ID: I20220813000788 |
| Provider Name | Mark Malabanan Canet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497490171 PECOS PAC ID: 3577946169 Enrollment ID: I20220815001766 |
| Provider Name | Shelby Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164190914 PECOS PAC ID: 3971986274 Enrollment ID: I20220819000694 |
| Provider Name | Ellre White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790365633 PECOS PAC ID: 8628452372 Enrollment ID: I20220830003878 |
| Provider Name | William Silas Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326664145 PECOS PAC ID: 1254715691 Enrollment ID: I20220901003363 |
| Provider Name | Nnenna N Ikegbu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801077680 PECOS PAC ID: 7315328291 Enrollment ID: I20220907001737 |
| Provider Name | Kayla Deshong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528514593 PECOS PAC ID: 6103108840 Enrollment ID: I20220908000899 |
| Provider Name | Birti Kaur Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134728983 PECOS PAC ID: 4082099932 Enrollment ID: I20220914000867 |
| Provider Name | Chantal Angelique Fry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477280006 PECOS PAC ID: 3678959764 Enrollment ID: I20220927001561 |
| Provider Name | Beth Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801531413 PECOS PAC ID: 1759767866 Enrollment ID: I20220927002510 |
| Provider Name | Kimberly Mulloy Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528583382 PECOS PAC ID: 0143651000 Enrollment ID: I20220928000706 |
| Provider Name | Chelsee Jeanine Brubaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013681717 PECOS PAC ID: 2466838248 Enrollment ID: I20220930002550 |
| Provider Name | Katie Terese Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821519810 PECOS PAC ID: 8729464011 Enrollment ID: I20221011001273 |
| Provider Name | Megan Hogg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013592658 PECOS PAC ID: 9436525524 Enrollment ID: I20221013003635 |
| Provider Name | Chris Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396319463 PECOS PAC ID: 2163898610 Enrollment ID: I20221025000890 |
| Provider Name | Kristine Amy Cavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588252662 PECOS PAC ID: 4284001595 Enrollment ID: I20221028002437 |
| Provider Name | Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053917963 PECOS PAC ID: 5698142784 Enrollment ID: I20221102001478 |
| Provider Name | Enrico Estrella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033506498 PECOS PAC ID: 8527376334 Enrollment ID: I20221102002473 |
| Provider Name | Chibuikem K Okoro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902544240 PECOS PAC ID: 7315314267 Enrollment ID: I20221104002032 |
| Provider Name | Lauren Katye Schwettmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972227270 PECOS PAC ID: 8921475534 Enrollment ID: I20221110000289 |
| Provider Name | Amber Marie Faherty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568877405 PECOS PAC ID: 2163643347 Enrollment ID: I20221122002447 |
| Provider Name | Rory Anthony Nichols |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760981047 PECOS PAC ID: 9335575349 Enrollment ID: I20221123000583 |
| Provider Name | Quan Minh Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174240535 PECOS PAC ID: 0244609691 Enrollment ID: I20221207001992 |
| Provider Name | Rizwana Sahabuddin Mollah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649625146 PECOS PAC ID: 0446629653 Enrollment ID: I20221210000298 |
| Provider Name | Jennifer L Scott Kang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720751738 PECOS PAC ID: 4981073061 Enrollment ID: I20221212002736 |
| Provider Name | Nicholas Kurt Kivior |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699157875 PECOS PAC ID: 2860707700 Enrollment ID: I20221216002468 |
| Provider Name | Lissande Mercedes Laverty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285142125 PECOS PAC ID: 1254700032 Enrollment ID: I20221219000730 |
| Provider Name | Amanda J Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891419073 PECOS PAC ID: 6103296124 Enrollment ID: I20230106002203 |
| Provider Name | Brandi Elyse Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134836133 PECOS PAC ID: 1759752777 Enrollment ID: I20230130000763 |
| Provider Name | Catherine Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093346504 PECOS PAC ID: 5799157517 Enrollment ID: I20230203002062 |
| Provider Name | Taranjeet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114645744 PECOS PAC ID: 1052783610 Enrollment ID: I20230207002750 |
| Provider Name | Paul Jean Loo Dwight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083288914 PECOS PAC ID: 4385016823 Enrollment ID: I20230210000583 |
| Provider Name | Sachi M Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609502293 PECOS PAC ID: 8325410442 Enrollment ID: I20230217000919 |
| Provider Name | Audrey Rosales Ogg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245757194 PECOS PAC ID: 9133536832 Enrollment ID: I20230223001533 |
| Provider Name | David K Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003529314 PECOS PAC ID: 4587037155 Enrollment ID: I20230301001474 |
| Provider Name | Mary Ann Reveles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164149621 PECOS PAC ID: 6103290119 Enrollment ID: I20230314002222 |
| Provider Name | Jessica Vyas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588057145 PECOS PAC ID: 7719296425 Enrollment ID: I20230321001500 |
| Provider Name | Kaitlyn Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881212728 PECOS PAC ID: 4486028024 Enrollment ID: I20230321002437 |
| Provider Name | Gunnar E Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770251993 PECOS PAC ID: 3971977380 Enrollment ID: I20230327002213 |
| Provider Name | Monica D Ramirez Cisneros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427768217 PECOS PAC ID: 5395110712 Enrollment ID: I20230417000896 |
| Provider Name | Breanna M Barrows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124619580 PECOS PAC ID: 2365819323 Enrollment ID: I20230420002279 |
| Provider Name | Jordan Swartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760612840 PECOS PAC ID: 9335305788 Enrollment ID: I20230425000899 |
| Provider Name | Christopher James Yan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285345124 PECOS PAC ID: 2264897917 Enrollment ID: I20230502001117 |
| Provider Name | Tylen Leyvas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548974637 PECOS PAC ID: 2860857455 Enrollment ID: I20230504000616 |
| Provider Name | Owen Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192860 PECOS PAC ID: 2163888512 Enrollment ID: I20230510001311 |
| Provider Name | Kevin Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770297475 PECOS PAC ID: 2567828759 Enrollment ID: I20230512001940 |
| Provider Name | Roxane Alexis Roehl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396130605 PECOS PAC ID: 6800100892 Enrollment ID: I20230516003023 |
| Provider Name | Johnny Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689282618 PECOS PAC ID: 3072979897 Enrollment ID: I20230522001878 |
| Provider Name | Caroline H Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417627159 PECOS PAC ID: 5890151500 Enrollment ID: I20230523001911 |
| Provider Name | Oanh Hoang Nguyen Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467000463 PECOS PAC ID: 4789041641 Enrollment ID: I20230607003749 |
| Provider Name | Jocelyn a Jarick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891169397 PECOS PAC ID: 6901107879 Enrollment ID: I20230608001317 |
| Provider Name | Lillian Marie Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285391185 PECOS PAC ID: 5496112013 Enrollment ID: I20230613000688 |
| Provider Name | Katy Gene Gutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477241156 PECOS PAC ID: 4688032451 Enrollment ID: I20230627000683 |
| Provider Name | Laura Monica Manosalva Vargas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063078897 PECOS PAC ID: 6608235114 Enrollment ID: I20230630002102 |
| Provider Name | Alexis K Kahanu Leung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144858697 PECOS PAC ID: 6406215821 Enrollment ID: I20230703002163 |
| Provider Name | Lindsay Aiko Numata |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427621606 PECOS PAC ID: 2264891290 Enrollment ID: I20230707003167 |
| Provider Name | Allison M Dong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609565894 PECOS PAC ID: 3971963760 Enrollment ID: I20230712000212 |
| Provider Name | Megan Elyse Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497472831 PECOS PAC ID: 0244690907 Enrollment ID: I20230713001986 |
| Provider Name | Cheyenne Morgan Upton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598350886 PECOS PAC ID: 2769842954 Enrollment ID: I20230719003405 |
| Provider Name | Dolly Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487386017 PECOS PAC ID: 3577923622 Enrollment ID: I20230720002303 |
| Provider Name | Leslie Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104462803 PECOS PAC ID: 7719347665 Enrollment ID: I20230724002934 |
| Provider Name | Hamid Ehsani Nia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952824872 PECOS PAC ID: 9830511120 Enrollment ID: I20230731003278 |
| Provider Name | Tracy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346709011 PECOS PAC ID: 1355670753 Enrollment ID: I20230802003322 |
| Provider Name | Colton R Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285323295 PECOS PAC ID: 2365803558 Enrollment ID: I20230803004248 |
| Provider Name | Alex Bradley Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851956833 PECOS PAC ID: 5092100834 Enrollment ID: I20230809001566 |
| Provider Name | Francisca Turen Burgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942927173 PECOS PAC ID: 9830568955 Enrollment ID: I20230830001915 |
| Provider Name | Annabelle Willey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598335762 PECOS PAC ID: 0446649727 Enrollment ID: I20230905002047 |
| Provider Name | Hana Danish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659946499 PECOS PAC ID: 2163886185 Enrollment ID: I20230910000078 |
| Provider Name | Andrew Bottle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356026132 PECOS PAC ID: 6608230503 Enrollment ID: I20230911003900 |
| Provider Name | Luke a Layton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497471320 PECOS PAC ID: 0042674863 Enrollment ID: I20230913000514 |
| Provider Name | Kelley Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232387 PECOS PAC ID: 0446688782 Enrollment ID: I20230913003634 |
| Provider Name | Jocelyn Thuy Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326667072 PECOS PAC ID: 9537523105 Enrollment ID: I20230914003334 |
| Provider Name | Shree K Pandey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013639897 PECOS PAC ID: 4688029432 Enrollment ID: I20231013001245 |
| Provider Name | Miriam Sherif |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255083069 PECOS PAC ID: 6901288737 Enrollment ID: I20231020001469 |
| Provider Name | Andre Ross Saldana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801670666 PECOS PAC ID: 2466808209 Enrollment ID: I20231030003301 |
| Provider Name | Jonathan Toker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538944764 PECOS PAC ID: 4789030552 Enrollment ID: I20231031000948 |
| Provider Name | Ruth a Legesse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902330863 PECOS PAC ID: 5395155857 Enrollment ID: I20231103000654 |
| Provider Name | Rawzita Tohki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437800901 PECOS PAC ID: 1850748369 Enrollment ID: I20231106000912 |
| Provider Name | Helen Luu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871005850 PECOS PAC ID: 7012271141 Enrollment ID: I20231106002484 |
| Provider Name | Kailey Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104400498 PECOS PAC ID: 6608223839 Enrollment ID: I20231109002771 |
| Provider Name | Hannah Ames Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972253748 PECOS PAC ID: 4082090311 Enrollment ID: I20231113001985 |
| Provider Name | Nicole Albertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366078065 PECOS PAC ID: 1850717471 Enrollment ID: I20231114001835 |
| Provider Name | Katherine Krushena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952049306 PECOS PAC ID: 1254701253 Enrollment ID: I20231116001601 |
| Provider Name | Jamaica Alicia Gendel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114683422 PECOS PAC ID: 5597112292 Enrollment ID: I20231116001879 |
| Provider Name | Natasha Blonsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700569886 PECOS PAC ID: 8921455692 Enrollment ID: I20231117000938 |
| Provider Name | Robert Mena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730810672 PECOS PAC ID: 0143694612 Enrollment ID: I20231129002748 |
| Provider Name | Terri L Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720777469 PECOS PAC ID: 5991154510 Enrollment ID: I20231207003860 |
| Provider Name | Saul D Escobar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891572673 PECOS PAC ID: 8325498082 Enrollment ID: I20231221002358 |
| Provider Name | Janet C Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487260113 PECOS PAC ID: 3375993785 Enrollment ID: I20231227003357 |
| Provider Name | Natalie Pitre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245986462 PECOS PAC ID: 9335536838 Enrollment ID: I20240103003019 |
| Provider Name | Mira Paudel Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265007884 PECOS PAC ID: 7113378852 Enrollment ID: I20240108003399 |
| Provider Name | Christine Cassandra Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548951890 PECOS PAC ID: 3779935382 Enrollment ID: I20240119000540 |
| Provider Name | Ryan Pilones Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922883545 PECOS PAC ID: 4486007622 Enrollment ID: I20240124002395 |
| Provider Name | Holly R Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285416123 PECOS PAC ID: 5799138871 Enrollment ID: I20240124004109 |
| Provider Name | Daniel Alvarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619697125 PECOS PAC ID: 2567815475 Enrollment ID: I20240126003098 |
| Provider Name | Vasso a Kumarelas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477910537 PECOS PAC ID: 3173896321 Enrollment ID: I20240130001480 |
| Provider Name | Sophia R Spengler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336723022 PECOS PAC ID: 4284030057 Enrollment ID: I20240214001896 |
| Provider Name | Daniel Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831964121 PECOS PAC ID: 2860837317 Enrollment ID: I20240223003639 |
| Provider Name | Cassandra Lee King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053185686 PECOS PAC ID: 0345685426 Enrollment ID: I20240228002613 |
| Provider Name | Charlotte Mae Owings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912697236 PECOS PAC ID: 8628414869 Enrollment ID: I20240311003232 |
| Provider Name | Annie Y Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013189869 PECOS PAC ID: 0042656134 Enrollment ID: I20240312001097 |
| Provider Name | Clinton Joseph Born |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912367814 PECOS PAC ID: 8729425814 Enrollment ID: I20240325003516 |
| Provider Name | Antonina Haener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588440135 PECOS PAC ID: 4183061161 Enrollment ID: I20240326003075 |
| Provider Name | Jeremy E Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720660293 PECOS PAC ID: 4082052899 Enrollment ID: I20240328004088 |
| Provider Name | Rachel E Abergel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437923042 PECOS PAC ID: 0547608614 Enrollment ID: I20240409001955 |
| Provider Name | Tridang Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497531131 PECOS PAC ID: 0446690911 Enrollment ID: I20240501000536 |
| Provider Name | Tyler Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134834310 PECOS PAC ID: 5597106112 Enrollment ID: I20240514003206 |
| Provider Name | Wayne R Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053599464 PECOS PAC ID: 0143661777 Enrollment ID: I20240514003572 |
| Provider Name | Sara Frances Pelletier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871167908 PECOS PAC ID: 4385089960 Enrollment ID: I20240516001691 |
| Provider Name | Emily Christel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376142414 PECOS PAC ID: 5799127882 Enrollment ID: I20240521001618 |
| Provider Name | Norma Jean Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427630417 PECOS PAC ID: 8022450311 Enrollment ID: I20240531003509 |
| Provider Name | Ebony Hillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730822875 PECOS PAC ID: 9032651823 Enrollment ID: I20240607002285 |
| Provider Name | Nicolette Rose Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194584300 PECOS PAC ID: 6608318415 Enrollment ID: I20240607003299 |
| Provider Name | Mannveet Dhillon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992373401 PECOS PAC ID: 8729489141 Enrollment ID: I20240613002596 |
| Provider Name | Karandeep Singh Johal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962267542 PECOS PAC ID: 6608319967 Enrollment ID: I20240614003760 |
| Provider Name | Sydney Grier Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790427714 PECOS PAC ID: 6901349067 Enrollment ID: I20240617003385 |
| Provider Name | Jeanette M Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942544739 PECOS PAC ID: 1658816152 Enrollment ID: I20240709002176 |
| Provider Name | Linda Nnajiofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144854209 PECOS PAC ID: 2860815735 Enrollment ID: I20240720000454 |
| Provider Name | Aadil H Vora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871081588 PECOS PAC ID: 6709135072 Enrollment ID: I20240723004517 |
| Provider Name | Aljo Batin Elizarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730925074 PECOS PAC ID: 6103363783 Enrollment ID: I20240731003123 |
| Provider Name | Joshua Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932644036 PECOS PAC ID: 9133400146 Enrollment ID: I20240802003624 |
| Provider Name | Shabnam Shavakh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184321317 PECOS PAC ID: 6800333741 Enrollment ID: I20240808003810 |
| Provider Name | Nancy Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518718105 PECOS PAC ID: 5991243214 Enrollment ID: I20240819001556 |
| Provider Name | Revai Nicole Samuel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295308831 PECOS PAC ID: 1153869102 Enrollment ID: I20240821002699 |
| Provider Name | Rachel Lane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275302002 PECOS PAC ID: 2163960121 Enrollment ID: I20240821003179 |
| Provider Name | Reagan Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982337317 PECOS PAC ID: 2264971134 Enrollment ID: I20240823002411 |
| Provider Name | Joshua Arya Kohanchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689392078 PECOS PAC ID: 5496294068 Enrollment ID: I20240827002688 |
| Provider Name | Alyssa P Penton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881307049 PECOS PAC ID: 4789123308 Enrollment ID: I20240827004435 |
| Provider Name | Jennifer Vu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235744764 PECOS PAC ID: 8426466699 Enrollment ID: I20240901000122 |
| Provider Name | Melanie Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760231666 PECOS PAC ID: 4880134964 Enrollment ID: I20240904004315 |
| Provider Name | Samantha Dawnel Stearns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013763614 PECOS PAC ID: 5193266187 Enrollment ID: I20240918000113 |
| Provider Name | Eileen E Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134703838 PECOS PAC ID: 3971044884 Enrollment ID: I20240919000204 |
| Provider Name | Darlene Valderrama Topacio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528129095 PECOS PAC ID: 1557802311 Enrollment ID: I20240919002597 |
| Provider Name | Melanie Rangel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871333856 PECOS PAC ID: 8628500592 Enrollment ID: I20241016002987 |
| Provider Name | Jaspriya K Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548032600 PECOS PAC ID: 1951847011 Enrollment ID: I20241024003288 |
| Provider Name | Joseph John Lotsko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427629179 PECOS PAC ID: 5799111316 Enrollment ID: I20241105002880 |
| Provider Name | Kelsey Ade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568140077 PECOS PAC ID: 3072047372 Enrollment ID: I20241108002537 |
| Provider Name | Alexandra May Vasquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881473379 PECOS PAC ID: 5597299362 Enrollment ID: I20241115001971 |
| Provider Name | Robert Villanueva Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841035854 PECOS PAC ID: 0446784177 Enrollment ID: I20241118000223 |
| Provider Name | Janet Rhee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194292193 PECOS PAC ID: 2365775046 Enrollment ID: I20241126001473 |
| Provider Name | Sarah Ahdout |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497487722 PECOS PAC ID: 7416482476 Enrollment ID: I20241127002073 |
| Provider Name | Amy Beth Pelz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689307803 PECOS PAC ID: 4981139953 Enrollment ID: I20241127002522 |
| Provider Name | Jonathan Paul Sacks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841972668 PECOS PAC ID: 3274068077 Enrollment ID: I20241202003540 |
| Provider Name | Jonah Agra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124737903 PECOS PAC ID: 9234665068 Enrollment ID: I20241204000607 |
| Provider Name | Amanda Marie Pustilnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346910189 PECOS PAC ID: 2163958893 Enrollment ID: I20241205000462 |
| Provider Name | Karli Danielle Fischer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114698339 PECOS PAC ID: 4587014071 Enrollment ID: I20241206001649 |
| Provider Name | Patrick O Eronini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568078079 PECOS PAC ID: 6204963788 Enrollment ID: I20241206003319 |
| Provider Name | Nicole L Hawk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336477124 PECOS PAC ID: 0547417123 Enrollment ID: I20241210000334 |
| Provider Name | Angeline Nguyen Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427897495 PECOS PAC ID: 9032645361 Enrollment ID: I20241210004618 |
| Provider Name | Hannah Claus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043682461 PECOS PAC ID: 7517266463 Enrollment ID: I20241219002209 |
| Provider Name | Alexis Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407532377 PECOS PAC ID: 2769832336 Enrollment ID: I20241219003459 |
| Provider Name | Jennivy Rapanut Tabbay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093561664 PECOS PAC ID: 6406383934 Enrollment ID: I20241223002264 |
| Provider Name | Anna Polishchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447079447 PECOS PAC ID: 1153858691 Enrollment ID: I20241223002587 |
| Provider Name | Jaimer Galvez Cadang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750562906 PECOS PAC ID: 3971032459 Enrollment ID: I20250129000589 |
| Provider Name | Kelsey Jacqueline Earlington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134951726 PECOS PAC ID: 6800325176 Enrollment ID: I20250131000485 |
| Provider Name | Paul J. Nowak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265823561 PECOS PAC ID: 0840518437 Enrollment ID: I20250205002233 |
| Provider Name | Sophia Louise Howard Larriva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376191718 PECOS PAC ID: 9133515232 Enrollment ID: I20250219002488 |
| Provider Name | Michelle Chau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255905626 PECOS PAC ID: 9931629995 Enrollment ID: I20250220001366 |
| Provider Name | Liana Mkrtchyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528765799 PECOS PAC ID: 1759802796 Enrollment ID: I20250306003587 |
| Provider Name | Rachel Jerome |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144036724 PECOS PAC ID: 7214458108 Enrollment ID: I20250307001623 |
| Provider Name | April Canche |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487369997 PECOS PAC ID: 6608397450 Enrollment ID: I20250310000763 |
| Provider Name | Diana Ibarra Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093586604 PECOS PAC ID: 3274056528 Enrollment ID: I20250327003190 |
| Provider Name | Emily Ann Calabretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558167486 PECOS PAC ID: 7719400969 Enrollment ID: I20250327003201 |
| Provider Name | Tosca Talia Magnus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245043546 PECOS PAC ID: 7315460524 Enrollment ID: I20250328000999 |
| Provider Name | Hawa Ali Dahir |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689394223 PECOS PAC ID: 0749703841 Enrollment ID: I20250331000282 |
| Provider Name | Billie Danielle D S Lockett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295511095 PECOS PAC ID: 8921522301 Enrollment ID: I20250407003042 |
| Provider Name | Kim Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598334955 PECOS PAC ID: 8921402645 Enrollment ID: I20250409002996 |
| Provider Name | Michelle Claudette Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427890656 PECOS PAC ID: 8123547114 Enrollment ID: I20250522001598 |
| Provider Name | Jonathan Daniel Fosbre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306203195 PECOS PAC ID: 6608174024 Enrollment ID: I20250523000907 |
| Provider Name | Marvin Quinteros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811733140 PECOS PAC ID: 1850802430 Enrollment ID: I20250619002115 |
| Provider Name | Mariz Jane Carizon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396524567 PECOS PAC ID: 1557890324 Enrollment ID: I20250630000021 |
| Provider Name | Pamela I Zaldivar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447063508 PECOS PAC ID: 1456864594 Enrollment ID: I20250701003217 |
| Provider Name | Umi Caitlin Coronel Mangune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598659450 PECOS PAC ID: 3375057714 Enrollment ID: I20250709000178 |
| Provider Name | Ashly Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447045802 PECOS PAC ID: 9638683626 Enrollment ID: I20250710002003 |
| Provider Name | Michele Etzbach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588471460 PECOS PAC ID: 9133627276 Enrollment ID: I20250808001023 |
| Provider Name | Pamela Rivas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487335618 PECOS PAC ID: 3577061316 Enrollment ID: I20250811002132 |
| Provider Name | Maryam Eminic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316723042 PECOS PAC ID: 9830697689 Enrollment ID: I20250811002395 |
| Provider Name | Natasha Laroia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669278560 PECOS PAC ID: 2163920588 Enrollment ID: I20250813003291 |
| Provider Name | Kristin Masada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356189583 PECOS PAC ID: 4880192210 Enrollment ID: I20250813003565 |
| Provider Name | Breane Fulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447058458 PECOS PAC ID: 3173022605 Enrollment ID: I20250820001330 |
| Provider Name | John Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760198196 PECOS PAC ID: 2365899143 Enrollment ID: I20250820001446 |
| Provider Name | Eryka Bradley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730845801 PECOS PAC ID: 1850786955 Enrollment ID: I20250821001520 |
| Provider Name | Colette Jeanne Caldwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548084171 PECOS PAC ID: 4789184680 Enrollment ID: I20250825002609 |
| Provider Name | Michael Walter Richie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114796992 PECOS PAC ID: 3375043144 Enrollment ID: I20250826000836 |
| Provider Name | Michelle Hiromi SIU |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154815884 PECOS PAC ID: 1456851070 Enrollment ID: I20250826004437 |
| Provider Name | Maria Gracian Lavalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831864990 PECOS PAC ID: 2466953682 Enrollment ID: I20250829000294 |
| Provider Name | Bushra Iqbal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828916 PECOS PAC ID: 8628579315 Enrollment ID: I20250903001947 |
| Provider Name | Dylan L Bellavance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013414507 PECOS PAC ID: 1557768363 Enrollment ID: I20250915003863 |
| Provider Name | Adlin Pazmino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285262907 PECOS PAC ID: 2365861754 Enrollment ID: I20250918004636 |
| Provider Name | Monica Kawabe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083391817 PECOS PAC ID: 4981109055 Enrollment ID: I20250929000775 |
| Provider Name | Brittany Vega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184466427 PECOS PAC ID: 1850898487 Enrollment ID: I20251008004277 |
| Provider Name | Naomi Chernault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730068735 PECOS PAC ID: 5092202200 Enrollment ID: I20251013001815 |
| Provider Name | Karishma Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457139099 PECOS PAC ID: 6800383043 Enrollment ID: I20251013002633 |
| Provider Name | Susan Laura Tobias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952294001 PECOS PAC ID: 4284121369 Enrollment ID: I20251013003911 |
| Provider Name | Hong Ju Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841939618 PECOS PAC ID: 6709373707 Enrollment ID: I20251014001859 |
| Provider Name | Theresa Meinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215431895 PECOS PAC ID: 8729575477 Enrollment ID: I20251015003966 |
| Provider Name | Nicholas Michael Camarena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790674554 PECOS PAC ID: 6002303773 Enrollment ID: I20251015004296 |
| Provider Name | Trace a Mendler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720696768 PECOS PAC ID: 7618380874 Enrollment ID: I20251017002051 |
| Provider Name | Nicholas Grande |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316085756 PECOS PAC ID: 6800971532 Enrollment ID: I20251020001915 |
| Provider Name | Taylor Andreas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396548863 PECOS PAC ID: 6709374911 Enrollment ID: I20251021001188 |
| Provider Name | Khristine Lynn Holterman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619866852 PECOS PAC ID: 4486142601 Enrollment ID: I20251021001271 |
| Provider Name | Logan Elizabeth Howerton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568299188 PECOS PAC ID: 5496243644 Enrollment ID: I20251021002029 |
| Provider Name | Georgia Bringas Rabara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467331090 PECOS PAC ID: 1850889940 Enrollment ID: I20251021003359 |
| Provider Name | Aimee Baotran Nguyendinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326938705 PECOS PAC ID: 0941798060 Enrollment ID: I20251021003914 |
| Provider Name | Paul Stuart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790105187 PECOS PAC ID: 4688162712 Enrollment ID: I20251021004253 |
| Provider Name | Vyvy Hoang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730644030 PECOS PAC ID: 1153819206 Enrollment ID: I20251021004744 |
| Provider Name | Sinachi Anamdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336797414 PECOS PAC ID: 4981074796 Enrollment ID: I20251030001939 |
| Provider Name | Michelle Santizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275406126 PECOS PAC ID: 1355606914 Enrollment ID: I20251030004958 |
| Provider Name | Haley Jackson Bridgett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548805633 PECOS PAC ID: 4880020759 Enrollment ID: I20251031000784 |
| Provider Name | Camille Rebueno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922736222 PECOS PAC ID: 7214426949 Enrollment ID: I20251031001107 |
| Provider Name | Erin Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225821077 PECOS PAC ID: 6103315833 Enrollment ID: I20251031001181 |
| Provider Name | Michelle Annelynn Soledad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477368678 PECOS PAC ID: 7911496690 Enrollment ID: I20251031002595 |
| Provider Name | Nisha Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801416474 PECOS PAC ID: 0749779395 Enrollment ID: I20251103000412 |
| Provider Name | Danielle Miriam Ovadia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174411615 PECOS PAC ID: 6002306503 Enrollment ID: I20251104001210 |
| Provider Name | Phillip Thiranop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649962515 PECOS PAC ID: 9335502202 Enrollment ID: I20251120004363 |
| Provider Name | Megan Elizabeth Vaught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285405191 PECOS PAC ID: 4789176280 Enrollment ID: I20251121004065 |
| Provider Name | Jacob Edward Posner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891422283 PECOS PAC ID: 8426589136 Enrollment ID: I20251204002765 |
| Provider Name | Yuen Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639626757 PECOS PAC ID: 2668966326 Enrollment ID: I20251210001522 |
| Provider Name | Phillip Lawernce Hardy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992241228 PECOS PAC ID: 1557857232 Enrollment ID: I20251231003538 |
| Provider Name | Chelsea Del Rosario Caldejon-chang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033935929 PECOS PAC ID: 5698261386 Enrollment ID: I20251231004087 |
| Provider Name | Diana Olivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811284276 PECOS PAC ID: 6305160573 Enrollment ID: I20260120002295 |
| Provider Name | Jessica Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225339633 PECOS PAC ID: 0749500817 Enrollment ID: I20260305001215 |
| Provider Name | Ashley Renee Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336098706 PECOS PAC ID: 7810913597 Enrollment ID: I20260305004285 |
| Provider Name | Aileen Ma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013637826 PECOS PAC ID: 7719453034 Enrollment ID: I20260415001521 |
| Provider Name | Chrystelle Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023103413 PECOS PAC ID: 8123174224 Enrollment ID: I20260420001771 |
| Provider Name | Seungyeon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265048359 PECOS PAC ID: 5395152813 Enrollment ID: I20260520004286 |
| Provider Name | Christina Furino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053269050 PECOS PAC ID: 4587137674 Enrollment ID: I20260619001545 |
Uhs Pharmacy UC Berkeley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, Pharmacy; Room 1115, Berkeley, CA 94720 Phone: 510-642-3249 Fax: 510-642-5759 |
Lori Shore MD, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 Telegraph Ave, Berkeley, CA 94705 Phone: 510-224-8141 Fax: 510-848-9970 |
Berkeley General Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3017 Telegraph Ave Ste 210, Berkeley, CA 94705 Phone: 484-432-2177 Fax: 415-680-1717 |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Seventh St Ste 100, Berkeley, CA 94710 Phone: 510-845-5170 Fax: 510-845-5173 |
Berkeley Trust Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 University Ave, Berkeley, CA 94710 Phone: 916-749-6192 |
Inpatient Consultants of California, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444 |