| Chest Medicine And Critical Care Medical Group, Inc. | |
|
7910 Frost Street Suite 245 San Diego CA 92123 | |
| (858) 650-5036 | |
| (858) 650-5039 |
| Full Name | Chest Medicine And Critical Care Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7910 Frost Street, San Diego, California |
| Authorized Official Name and Position | Davies Y. Wong (PRESIDENT) |
| Authorized Official Contact | 8586505036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chest Medicine And Critical Care Medical Group, Inc. 7910 Frost Street Suite 245 San Diego CA 92123 Ph: (858) 650-5036 | Chest Medicine And Critical Care Medical Group, Inc. 7910 Frost Street Suite 245 San Diego CA 92123 Ph: (858) 650-5036 |
| NPI Number | 1841292521 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 08/18/2014 |
| Medicare PECOS PAC ID | 6103898259 |
|---|---|
| Medicare Enrollment ID | O20040809001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841292521 | NPI | - | NPPES |
| GR0041490 | Medicaid | CA | |
| W10812 | Other | CA | MEDICARE PTAN |
| Provider Name | Juan Deza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407846157 PECOS PAC ID: 4789577313 Enrollment ID: I20040205001345 |
| Provider Name | Thomas E Lawrie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124020755 PECOS PAC ID: 0244202307 Enrollment ID: I20040809001414 |
| Provider Name | Elan Hekier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225092463 PECOS PAC ID: 2264463280 Enrollment ID: I20050829000885 |
| Provider Name | Stephen H Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760430995 PECOS PAC ID: 2668497959 Enrollment ID: I20051005001105 |
| Provider Name | Samuel J Clark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689611709 PECOS PAC ID: 5991777054 Enrollment ID: I20060420000454 |
| Provider Name | Davies Y Wong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841282407 PECOS PAC ID: 4082686142 Enrollment ID: I20060821000396 |
| Provider Name | Christopher Michael Stafford |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275613796 PECOS PAC ID: 4587767975 Enrollment ID: I20070305000407 |
| Provider Name | Frank T Grassi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659342624 PECOS PAC ID: 3476656323 Enrollment ID: I20070313000579 |
| Provider Name | David C Willms |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285626747 PECOS PAC ID: 3173595238 Enrollment ID: I20070416000553 |
| Provider Name | Richard S Sacks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811034143 PECOS PAC ID: 5496854135 Enrollment ID: I20070621000311 |
| Provider Name | Kevin Daniel Shaw |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154520864 PECOS PAC ID: 4486738085 Enrollment ID: I20080220000658 |
| Provider Name | John R Lemoine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073505707 PECOS PAC ID: 9638141799 Enrollment ID: I20080328000571 |
| Provider Name | Steven D Kavy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285646802 PECOS PAC ID: 9133023278 Enrollment ID: I20100909000300 |
| Provider Name | Michael S Tripp |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467424671 PECOS PAC ID: 6608028006 Enrollment ID: I20121211000493 |
| Provider Name | Ahmed A Salem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578798013 PECOS PAC ID: 8527210715 Enrollment ID: I20121217000181 |
| Provider Name | Konrad L Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285605691 PECOS PAC ID: 3678602190 Enrollment ID: I20130115000368 |
| Provider Name | David M Shaw |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205829728 PECOS PAC ID: 0244202935 Enrollment ID: I20140829001300 |
| Provider Name | Roland El Ghazal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649465469 PECOS PAC ID: 8325117930 Enrollment ID: I20141002000046 |
| Provider Name | Anuja Vyas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316171283 PECOS PAC ID: 3870713332 Enrollment ID: I20150711000189 |
| Provider Name | Cynthia Baffi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417264227 PECOS PAC ID: 4284878174 Enrollment ID: I20150807015391 |
| Provider Name | Stephanie Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023317286 PECOS PAC ID: 9335369800 Enrollment ID: I20160705000615 |
| Provider Name | Thomas T Heacock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215228473 PECOS PAC ID: 0840418901 Enrollment ID: I20160721000973 |
| Provider Name | Ashraf Rashid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558435396 PECOS PAC ID: 0345344719 Enrollment ID: I20160722000815 |
| Provider Name | Stephen Mcburney Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114339397 PECOS PAC ID: 4183912009 Enrollment ID: I20161010001180 |
| Provider Name | Timothy M Quast |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205809209 PECOS PAC ID: 5294966305 Enrollment ID: I20170207002139 |
| Provider Name | Roshni R Jamadar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487106225 PECOS PAC ID: 3476839069 Enrollment ID: I20170413002308 |
| Provider Name | Nicholas Pham Huynh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427322197 PECOS PAC ID: 7810274933 Enrollment ID: I20170427001108 |
| Provider Name | Walter Jing Yu Chou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477824498 PECOS PAC ID: 5799056180 Enrollment ID: I20170803000641 |
| Provider Name | Alejandro M Villegas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558541235 PECOS PAC ID: 5294920450 Enrollment ID: I20170925000145 |
| Provider Name | William M Fisher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245674001 PECOS PAC ID: 7214231133 Enrollment ID: I20180221002780 |
| Provider Name | Ryan Keith Nelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851633143 PECOS PAC ID: 8921305137 Enrollment ID: I20180302000798 |
| Provider Name | Michael Tun Yiin Lam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578974259 PECOS PAC ID: 0143575563 Enrollment ID: I20180626000889 |
| Provider Name | Laura A Barnes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558749242 PECOS PAC ID: 3476801309 Enrollment ID: I20180808002793 |
| Provider Name | Mazen Odish |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992141428 PECOS PAC ID: 7618269978 Enrollment ID: I20191120001459 |
| Provider Name | Amy Lynn Bellinghausen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801206354 PECOS PAC ID: 2860824208 Enrollment ID: I20191122002289 |
| Provider Name | Spyros Kamarinos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841523545 PECOS PAC ID: 7517183148 Enrollment ID: I20200403003170 |
| Provider Name | Jenny Zhu Yang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346636453 PECOS PAC ID: 1052733532 Enrollment ID: I20200630001101 |
| Provider Name | William Cameron Mcguire |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841684081 PECOS PAC ID: 8820304249 Enrollment ID: I20210512000767 |
| Provider Name | Soud A Sediqe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366820540 PECOS PAC ID: 3870893316 Enrollment ID: I20210513002514 |
| Provider Name | Nikunj A Bhatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720307564 PECOS PAC ID: 4688813199 Enrollment ID: I20210514000674 |
| Provider Name | Gaurav Khanna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235319500 PECOS PAC ID: 5890862544 Enrollment ID: I20210525001520 |
| Provider Name | Ramni Khattar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225423619 PECOS PAC ID: 0941605893 Enrollment ID: I20210816003367 |
| Provider Name | Aiyang Allen Jiang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720519200 PECOS PAC ID: 8527452572 Enrollment ID: I20220308002096 |
| Provider Name | Eric Mlodzinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477083541 PECOS PAC ID: 8527330521 Enrollment ID: I20220314001990 |
| Provider Name | Alyssa Self |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386164663 PECOS PAC ID: 1658643499 Enrollment ID: I20230606002342 |
| Provider Name | Anna Astashchanka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821594359 PECOS PAC ID: 8729448782 Enrollment ID: I20230721002467 |
| Provider Name | Erica Blossom Feldman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104385202 PECOS PAC ID: 3678925724 Enrollment ID: I20240115000535 |
| Provider Name | Nicholas J Rohrhoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851657530 PECOS PAC ID: 7810321163 Enrollment ID: I20240603001517 |
| Provider Name | Katharine Epler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558855817 PECOS PAC ID: 2860748878 Enrollment ID: I20240618002801 |
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