| Chapcare-fair Oaks | |
|
1855 N Fair Oaks Ave Pasadena CA 91103-1620 | |
| (626) 398-6300 | |
| (626) 398-5948 |
| Full Name | Chapcare-fair Oaks |
|---|---|
| Speciality | Clinic/Center |
| Location | 1855 N Fair Oaks Ave, Pasadena, California |
| Authorized Official Name and Position | Margaret Banda Martinez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6269931227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapcare-fair Oaks 455 W Montana St Pasadena CA 91103-1327 Ph: (626) 993-1212 | Chapcare-fair Oaks 1855 N Fair Oaks Ave Pasadena CA 91103-1620 Ph: (626) 398-6300 |
| NPI Number | 1871689315 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/12/2015 |
| Medicare PECOS PAC ID | 4789628512 |
|---|---|
| Medicare Enrollment ID | O20050613001392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871689315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960001053 (California) | Primary |
| Provider Name | Dorothy J Marquez-maneja |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750473187 PECOS PAC ID: 1052327517 Enrollment ID: I20060221000902 |
| Provider Name | Daniel H Aguilera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891881017 PECOS PAC ID: 5395745061 Enrollment ID: I20070102000396 |
| Provider Name | Scott Yung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518008804 PECOS PAC ID: 8820157670 Enrollment ID: I20081107000367 |
| Provider Name | Enrique H Vallota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689862575 PECOS PAC ID: 5395896021 Enrollment ID: I20090619000240 |
| Provider Name | Theingi Oo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366637407 PECOS PAC ID: 3274673603 Enrollment ID: I20091216000311 |
| Provider Name | Carlette P Novero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245246412 PECOS PAC ID: 8921148735 Enrollment ID: I20091229000331 |
| Provider Name | Marc J Lariviere |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487721403 PECOS PAC ID: 9830229178 Enrollment ID: I20100611000592 |
| Provider Name | Terre Legried Osterkamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538134549 PECOS PAC ID: 7719067016 Enrollment ID: I20110203000861 |
| Provider Name | Gilmer J Youn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336477926 PECOS PAC ID: 2961658851 Enrollment ID: I20120808000758 |
| Provider Name | Emmeline Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841636784 PECOS PAC ID: 3971733734 Enrollment ID: I20140224001161 |
| Provider Name | Valerie A Greco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649580655 PECOS PAC ID: 8224268388 Enrollment ID: I20140311001676 |
| Provider Name | Rachel P Deboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184066649 PECOS PAC ID: 6901020825 Enrollment ID: I20140617000327 |
| Provider Name | Cynthia L Willard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467589325 PECOS PAC ID: 6305887225 Enrollment ID: I20140811000006 |
| Provider Name | Maria N Mejia-perez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558706804 PECOS PAC ID: 7214156967 Enrollment ID: I20140912000010 |
| Provider Name | Helen S Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639490949 PECOS PAC ID: 6901027598 Enrollment ID: I20141023002260 |
| Provider Name | Veronica Morales Banta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265692925 PECOS PAC ID: 8224340468 Enrollment ID: I20150701000829 |
| Provider Name | Shirley Sotelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063778199 PECOS PAC ID: 1658685201 Enrollment ID: I20150728003028 |
| Provider Name | Roxana Gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033495411 PECOS PAC ID: 0042517328 Enrollment ID: I20160331001607 |
| Provider Name | Shawanda R Obey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922125442 PECOS PAC ID: 6800856824 Enrollment ID: I20160419002403 |
| Provider Name | Holly M Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558813154 PECOS PAC ID: 8628352168 Enrollment ID: I20170301002476 |
| Provider Name | Diana Tabatha Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073884920 PECOS PAC ID: 2769767722 Enrollment ID: I20170314001982 |
| Provider Name | David C Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285184465 PECOS PAC ID: 0345526935 Enrollment ID: I20170413002656 |
| Provider Name | Onnig J Panosian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265814586 PECOS PAC ID: 7810274438 Enrollment ID: I20170509002738 |
| Provider Name | Diana S Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033346705 PECOS PAC ID: 7719248475 Enrollment ID: I20180221001907 |
| Provider Name | Jill M Lekovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265543185 PECOS PAC ID: 7214983733 Enrollment ID: I20180315002472 |
| Provider Name | Susana S Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588938997 PECOS PAC ID: 5193087310 Enrollment ID: I20180327002130 |
| Provider Name | Molly N Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952828915 PECOS PAC ID: 5698038818 Enrollment ID: I20180420000897 |
| Provider Name | Kevin Thang Dinh Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154718021 PECOS PAC ID: 9234488099 Enrollment ID: I20180828001594 |
| Provider Name | Faith N Mwiti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558825935 PECOS PAC ID: 8729416565 Enrollment ID: I20200310001527 |
| Provider Name | Sandra Leticia Bernabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972855823 PECOS PAC ID: 2264862895 Enrollment ID: I20200423000872 |
| Provider Name | Jochen Strack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558712349 PECOS PAC ID: 4688004120 Enrollment ID: I20200423001550 |
| Provider Name | Pamela A Castro Camero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518328608 PECOS PAC ID: 0345670808 Enrollment ID: I20200423002283 |
| Provider Name | Trudy S Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285114405 PECOS PAC ID: 3779913256 Enrollment ID: I20200424000001 |
| Provider Name | Nicole M Vaccarello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457895476 PECOS PAC ID: 1254694409 Enrollment ID: I20200424002086 |
| Provider Name | Susanna K Sackitey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427534767 PECOS PAC ID: 3870983240 Enrollment ID: I20211130000793 |
| Provider Name | Alekseky Inokhodov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306506126 PECOS PAC ID: 0244625770 Enrollment ID: I20220321001707 |
| Provider Name | Faisal V Uraizee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295392686 PECOS PAC ID: 3072997113 Enrollment ID: I20220908002121 |
| Provider Name | Yuxi Tang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770835829 PECOS PAC ID: 8123415981 Enrollment ID: I20221005001004 |
| Provider Name | Jennie W Gary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811359318 PECOS PAC ID: 4284983149 Enrollment ID: I20221109002685 |
| Provider Name | Tonia R Garnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073175584 PECOS PAC ID: 0446632061 Enrollment ID: I20221222000506 |
| Provider Name | Angelica Alonso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174019210 PECOS PAC ID: 9638418635 Enrollment ID: I20230202000887 |
| Provider Name | Anabell Galindo-guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003518457 PECOS PAC ID: 6406210632 Enrollment ID: I20230906004173 |
Artin Nazarian Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 S Fair Oaks Ave, 215, Pasadena, CA 91105 Phone: 626-344-0039 Fax: 626-397-2968 | |
Ruth Pilpa Tiongson Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 Las Lunas St, Pasadena, CA 91107 Phone: 818-683-8721 | |
The Leela Integrative Medicine Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Bellefontaine St, 307, Pasadena, CA 91105 Phone: 626-795-0411 Fax: 626-795-0080 | |
Arbis Rojas Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 S Arroyo Pkwy Fl 3, Pasadena, CA 91105 Phone: 626-584-1919 Fax: 626-228-0695 | |
Huntington Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Fair Oaks Ave, Ste #405, Pasadena, CA 91105 Phone: 626-792-1912 Fax: 626-792-1960 | |
Hany K. Zaki,m.d,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 N Hill Ave, Pasadena, CA 91106 Phone: 626-564-9758 Fax: 626-564-9104 | |
Lori J. Wynstock, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bellefontaine St, #203, Pasadena, CA 91105 Phone: 626-793-6113 Fax: 626-793-8013 |