| County Of Riverside | |
|
47923 Oasis Street Indio CA 92201-6950 | |
| (760) 863-8283 | |
| (760) 863-8366 |
| Full Name | County Of Riverside |
|---|---|
| Speciality | Clinic/Center |
| Location | 47923 Oasis Street, Indio, California |
| Authorized Official Name and Position | Jennifer Lynn Cruikshank (CFO) |
| Authorized Official Contact | 9514866698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Riverside 7888 Mission Grove Pkwy S Ste 120 Riverside CA 92508-5064 Ph: (951) 486-6698 | County Of Riverside 47923 Oasis Street Indio CA 92201-6950 Ph: (760) 863-8283 |
| NPI Number | 1023122967 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 11/21/2025 |
| Medicare PECOS PAC ID | 6507754488 |
|---|---|
| Medicare Enrollment ID | O20040310001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023122967 | NPI | - | NPPES |
| FHC70550F | Medicaid | CA | |
| HAP70550F | Other | CA | FAMILY PACT |
| BCP70550F | Other | CA | CANCER DETECTION PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 250000538 (California) | Primary |
| Provider Name | Andrew J Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053423384 PECOS PAC ID: 4082526587 Enrollment ID: I20031103000698 |
| Provider Name | Shahrzad Sodagar-marvasti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275748733 PECOS PAC ID: 4082512983 Enrollment ID: I20031230000417 |
| Provider Name | Wade Faerber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700856713 PECOS PAC ID: 7911896410 Enrollment ID: I20040312000709 |
| Provider Name | Christopher G Genobaga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902826894 PECOS PAC ID: 3870483688 Enrollment ID: I20040316001415 |
| Provider Name | Ellison T Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508906181 PECOS PAC ID: 6002707940 Enrollment ID: I20040322000993 |
| Provider Name | Ida Z Lodriguito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891872073 PECOS PAC ID: 2365333929 Enrollment ID: I20040323000700 |
| Provider Name | Jesus A Bucardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861581993 PECOS PAC ID: 0042102469 Enrollment ID: I20040329001068 |
| Provider Name | David M Englander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871608992 PECOS PAC ID: 2668385626 Enrollment ID: I20040401001048 |
| Provider Name | Roger C Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013941475 PECOS PAC ID: 8022003227 Enrollment ID: I20040416001490 |
| Provider Name | Daniel Il-sun Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295769651 PECOS PAC ID: 6507851599 Enrollment ID: I20040419000939 |
| Provider Name | Theresa K Moon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477581270 PECOS PAC ID: 8325035892 Enrollment ID: I20040427001069 |
| Provider Name | Marc A Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316032386 PECOS PAC ID: 1850380049 Enrollment ID: I20040513001101 |
| Provider Name | Rosalie Espinosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265451801 PECOS PAC ID: 4486644051 Enrollment ID: I20040514001230 |
| Provider Name | Gary John Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316971468 PECOS PAC ID: 1850373937 Enrollment ID: I20040602001461 |
| Provider Name | Emmanuel P Katsaros |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144240961 PECOS PAC ID: 0749267359 Enrollment ID: I20040701000915 |
| Provider Name | Richard D Prather |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033207881 PECOS PAC ID: 4385623560 Enrollment ID: I20040720000742 |
| Provider Name | David J Michelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043233737 PECOS PAC ID: 5597730846 Enrollment ID: I20040830000925 |
| Provider Name | Scott L Weigold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992895056 PECOS PAC ID: 0446227904 Enrollment ID: I20040914000547 |
| Provider Name | Olayinka L Kamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689620676 PECOS PAC ID: 3375510654 Enrollment ID: I20040915000840 |
| Provider Name | Gail V Silver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154352003 PECOS PAC ID: 0840268876 Enrollment ID: I20040917000948 |
| Provider Name | Jesus Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790703197 PECOS PAC ID: 9830159367 Enrollment ID: I20041018001272 |
| Provider Name | John G Donnelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760566160 PECOS PAC ID: 9234193137 Enrollment ID: I20041118001032 |
| Provider Name | Mahender Purmandla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841376589 PECOS PAC ID: 8628026036 Enrollment ID: I20050111001130 |
| Provider Name | Rebecca A Moellmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497796080 PECOS PAC ID: 4587610142 Enrollment ID: I20050325000779 |
| Provider Name | Concepcion Mangasep |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861441701 PECOS PAC ID: 0345297131 Enrollment ID: I20050404000988 |
| Provider Name | Morteza Chitsazan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164513677 PECOS PAC ID: 4981651304 Enrollment ID: I20050406001291 |
| Provider Name | Ralph P Lissaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245287960 PECOS PAC ID: 1557318870 Enrollment ID: I20050407000879 |
| Provider Name | Adolfo Aguilera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477609808 PECOS PAC ID: 1658318837 Enrollment ID: I20050408000968 |
| Provider Name | Faheem Mohammed Jukaku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518072230 PECOS PAC ID: 9931146784 Enrollment ID: I20050413000258 |
| Provider Name | Made Sutjita |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053428334 PECOS PAC ID: 2860430238 Enrollment ID: I20050418000876 |
| Provider Name | Mark E Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669587614 PECOS PAC ID: 4688616808 Enrollment ID: I20050527000462 |
| Provider Name | Lakshmi K Puvvula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295848174 PECOS PAC ID: 2668416249 Enrollment ID: I20050614001367 |
| Provider Name | Waheed A Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205888658 PECOS PAC ID: 2769416627 Enrollment ID: I20050921000322 |
| Provider Name | Jasdeep S Aulakh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932153616 PECOS PAC ID: 9436183001 Enrollment ID: I20050922000874 |
| Provider Name | Maria Cecilia J Cudal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205984291 PECOS PAC ID: 8426083999 Enrollment ID: I20051004000263 |
| Provider Name | Ikechi O Obiocha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467479295 PECOS PAC ID: 0941221030 Enrollment ID: I20051216000397 |
| Provider Name | Roberto P Cabugao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598852998 PECOS PAC ID: 1153337555 Enrollment ID: I20060222000383 |
| Provider Name | Carol Guy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750488078 PECOS PAC ID: 7012923352 Enrollment ID: I20060223000848 |
| Provider Name | Pamela E Yamanishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245307057 PECOS PAC ID: 8426066382 Enrollment ID: I20060404000323 |
| Provider Name | Barbara C Ackerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639126410 PECOS PAC ID: 4082626056 Enrollment ID: I20060613000224 |
| Provider Name | Annette Helena Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881607166 PECOS PAC ID: 0840296885 Enrollment ID: I20061013000340 |
| Provider Name | Michael C Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033122601 PECOS PAC ID: 0345246393 Enrollment ID: I20061013000396 |
| Provider Name | Marlene Esther Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790781417 PECOS PAC ID: 6608874789 Enrollment ID: I20061128000383 |
| Provider Name | Ibrahim Sumarli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780697979 PECOS PAC ID: 9335147420 Enrollment ID: I20061128000496 |
| Provider Name | Armaghan A Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639279417 PECOS PAC ID: 1254422819 Enrollment ID: I20070810000469 |
| Provider Name | Minho Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871700278 PECOS PAC ID: 9537251293 Enrollment ID: I20070825000138 |
| Provider Name | Bret C Powers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457377202 PECOS PAC ID: 3173615622 Enrollment ID: I20070828000988 |
| Provider Name | Elizabeth Mary Tully |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407861974 PECOS PAC ID: 6709891583 Enrollment ID: I20070829000581 |
| Provider Name | Priya S Victor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366590382 PECOS PAC ID: 4082707179 Enrollment ID: I20070905000748 |
| Provider Name | Amy Lynn Marquez Daguio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811100530 PECOS PAC ID: 8921197831 Enrollment ID: I20071129000655 |
| Provider Name | Monica Teresa P Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114117603 PECOS PAC ID: 6406946375 Enrollment ID: I20071214000628 |
| Provider Name | Geoffrey W Leung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831261155 PECOS PAC ID: 7719069137 Enrollment ID: I20080124000247 |
| Provider Name | Karina Marianne De Dios Torralba |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588671176 PECOS PAC ID: 9234139924 Enrollment ID: I20080213000261 |
| Provider Name | Bernhard Stepke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093781072 PECOS PAC ID: 1153405857 Enrollment ID: I20080219000618 |
| Provider Name | Cameron D Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972671196 PECOS PAC ID: 6103900030 Enrollment ID: I20080229000629 |
| Provider Name | Thomas F Minahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457394827 PECOS PAC ID: 2264511567 Enrollment ID: I20080510000135 |
| Provider Name | Kishore Desagani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427084839 PECOS PAC ID: 1254305816 Enrollment ID: I20080604000493 |
| Provider Name | Kenneth Jutzy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073531802 PECOS PAC ID: 8123917036 Enrollment ID: I20080620000426 |
| Provider Name | Carlos Fayard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669404737 PECOS PAC ID: 5294809976 Enrollment ID: I20080729000438 |
| Provider Name | Dean E Dagermangy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538374525 PECOS PAC ID: 6901972363 Enrollment ID: I20080909000140 |
| Provider Name | Sam Siddighi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336207844 PECOS PAC ID: 2466470356 Enrollment ID: I20081023000510 |
| Provider Name | Parastoo Aryafar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700896727 PECOS PAC ID: 4183782642 Enrollment ID: I20081028000219 |
| Provider Name | Arthur A Amador |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043203466 PECOS PAC ID: 8022177922 Enrollment ID: I20081106000799 |
| Provider Name | Phill V Halamandaris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194944736 PECOS PAC ID: 8426118670 Enrollment ID: I20081118000866 |
| Provider Name | Christine C Salonga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073666590 PECOS PAC ID: 9537220124 Enrollment ID: I20081201000351 |
| Provider Name | Sandar Kyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821258922 PECOS PAC ID: 4880755792 Enrollment ID: I20081210000891 |
| Provider Name | Michael R Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326106022 PECOS PAC ID: 3375589641 Enrollment ID: I20090107000333 |
| Provider Name | Neha Pandey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861643066 PECOS PAC ID: 0648333831 Enrollment ID: I20090114000528 |
| Provider Name | Christopher G Fichtner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265529515 PECOS PAC ID: 0143229369 Enrollment ID: I20090126000343 |
| Provider Name | Tshekedi Galen Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215015508 PECOS PAC ID: 9830254432 Enrollment ID: I20090216000052 |
| Provider Name | Azucena Ruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528288719 PECOS PAC ID: 7214092519 Enrollment ID: I20090220000327 |
| Provider Name | Niraj P Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073566261 PECOS PAC ID: 5991737934 Enrollment ID: I20090223000447 |
| Provider Name | Sanjay Agarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376721928 PECOS PAC ID: 1658428743 Enrollment ID: I20090407000152 |
| Provider Name | Stoyan Rusev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902978760 PECOS PAC ID: 0345398285 Enrollment ID: I20090501000319 |
| Provider Name | Santokh Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851598924 PECOS PAC ID: 1254489107 Enrollment ID: I20090501000387 |
| Provider Name | Sharon Jack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831348663 PECOS PAC ID: 5890843767 Enrollment ID: I20090502000033 |
| Provider Name | William A Hayton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942425178 PECOS PAC ID: 3971653098 Enrollment ID: I20090611000436 |
| Provider Name | Daniel N Padua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689626483 PECOS PAC ID: 3779661392 Enrollment ID: I20090629000134 |
| Provider Name | Raj P Rajani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861566572 PECOS PAC ID: 2769535566 Enrollment ID: I20090727000460 |
| Provider Name | Ilho Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578754602 PECOS PAC ID: 7618021536 Enrollment ID: I20090812000208 |
| Provider Name | John Luo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093748535 PECOS PAC ID: 7113071051 Enrollment ID: I20090812000389 |
| Provider Name | William Ochoa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558574954 PECOS PAC ID: 7810041241 Enrollment ID: I20090819000277 |
| Provider Name | Duc D To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629205216 PECOS PAC ID: 9537213673 Enrollment ID: I20090824000644 |
| Provider Name | Ryan E Zane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669534293 PECOS PAC ID: 9133275910 Enrollment ID: I20090921000012 |
| Provider Name | Huy D Au |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710165998 PECOS PAC ID: 1355487067 Enrollment ID: I20091012000139 |
| Provider Name | Maureen C Terrazano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942341920 PECOS PAC ID: 0749327013 Enrollment ID: I20091020000386 |
| Provider Name | Jeong A Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326270224 PECOS PAC ID: 8325185242 Enrollment ID: I20091027000141 |
| Provider Name | Sabeen H Abdul Sattar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730335084 PECOS PAC ID: 5294874772 Enrollment ID: I20091121000097 |
| Provider Name | Aliuddin M Khaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477754612 PECOS PAC ID: 8123048998 Enrollment ID: I20091125000531 |
| Provider Name | Nellie T Anosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568414936 PECOS PAC ID: 2567502818 Enrollment ID: I20091216000569 |
| Provider Name | Quoc M Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639121379 PECOS PAC ID: 7214076603 Enrollment ID: I20100311000458 |
| Provider Name | Oghenesume D Umugbe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831305143 PECOS PAC ID: 5092844704 Enrollment ID: I20100518000601 |
| Provider Name | Eugene A Ikhimiukor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134329725 PECOS PAC ID: 8022100957 Enrollment ID: I20100519000597 |
| Provider Name | Minqi Hao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174757819 PECOS PAC ID: 4789713090 Enrollment ID: I20100525000913 |
| Provider Name | Bipin L Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528197647 PECOS PAC ID: 6507995545 Enrollment ID: I20100601000010 |
| Provider Name | David Dinicola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205966082 PECOS PAC ID: 0042349086 Enrollment ID: I20100601000014 |
| Provider Name | Than Myint |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083709711 PECOS PAC ID: 1951432301 Enrollment ID: I20100629000006 |
| Provider Name | Daniela E Cervantes-elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861726093 PECOS PAC ID: 9931232584 Enrollment ID: I20100803000311 |
| Provider Name | Iqbal Munir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386822690 PECOS PAC ID: 2961536735 Enrollment ID: I20100816000403 |
| Provider Name | Ronald Bruce Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013913722 PECOS PAC ID: 1951459890 Enrollment ID: I20101005001091 |
| Provider Name | Ramesh G Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912044520 PECOS PAC ID: 4789876574 Enrollment ID: I20101012000834 |
| Provider Name | Jairo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669666186 PECOS PAC ID: 4385836048 Enrollment ID: I20101013000436 |
| Provider Name | Troy Jojiro Handojo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073506655 PECOS PAC ID: 2769678051 Enrollment ID: I20101129000793 |
| Provider Name | Ricardo Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881677649 PECOS PAC ID: 0547456634 Enrollment ID: I20101201000914 |
| Provider Name | Christina Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235251927 PECOS PAC ID: 4385824796 Enrollment ID: I20110202000131 |
| Provider Name | Asma B Jafri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487700894 PECOS PAC ID: 6901985696 Enrollment ID: I20110411000705 |
| Provider Name | Matthew S Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750571683 PECOS PAC ID: 2264617448 Enrollment ID: I20110503000819 |
| Provider Name | Zebayel Akele Baye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093988628 PECOS PAC ID: 9638349582 Enrollment ID: I20110831000715 |
| Provider Name | Mahbuba Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841524824 PECOS PAC ID: 5597937268 Enrollment ID: I20111003000283 |
| Provider Name | Giselle A Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255659892 PECOS PAC ID: 8022282854 Enrollment ID: I20111114000238 |
| Provider Name | Todd A Dawson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548363468 PECOS PAC ID: 7315112885 Enrollment ID: I20111212000510 |
| Provider Name | Michael R Christensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518081967 PECOS PAC ID: 7214102730 Enrollment ID: I20111213000086 |
| Provider Name | Rajagopal Krishnan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427082882 PECOS PAC ID: 0143375212 Enrollment ID: I20120606000471 |
| Provider Name | Shajitha B Nawaz |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1659476331 PECOS PAC ID: 3173508579 Enrollment ID: I20120618000398 |
| Provider Name | Jaswinder K Walia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982898136 PECOS PAC ID: 2567627326 Enrollment ID: I20120628000167 |
| Provider Name | Maryjoe Romando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821291030 PECOS PAC ID: 0446387658 Enrollment ID: I20120711000571 |
| Provider Name | Reba K Bindra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215138482 PECOS PAC ID: 5193810463 Enrollment ID: I20120730000676 |
| Provider Name | Oscar R Cama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407155047 PECOS PAC ID: 3274799507 Enrollment ID: I20120731000610 |
| Provider Name | Monica C Nichols |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851488795 PECOS PAC ID: 9032365390 Enrollment ID: I20120802000281 |
| Provider Name | Scott Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184681710 PECOS PAC ID: 6103912969 Enrollment ID: I20120821000121 |
| Provider Name | Jeremy J Defranco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114291010 PECOS PAC ID: 2567619927 Enrollment ID: I20120821000211 |
| Provider Name | Jianpeng Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821259086 PECOS PAC ID: 7719163088 Enrollment ID: I20120829000403 |
| Provider Name | Aalamgeer Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386838795 PECOS PAC ID: 1153578893 Enrollment ID: I20120830000738 |
| Provider Name | Earl P Ilano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417199969 PECOS PAC ID: 4981855392 Enrollment ID: I20121113000178 |
| Provider Name | Gustavo Wong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134139629 PECOS PAC ID: 8325137052 Enrollment ID: I20121119000197 |
| Provider Name | David Robert Seigler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023396132 PECOS PAC ID: 0547412678 Enrollment ID: I20121218000160 |
| Provider Name | Ali Motabar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447492467 PECOS PAC ID: 0840442927 Enrollment ID: I20121219000127 |
| Provider Name | Richard G Shu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356647788 PECOS PAC ID: 9931353745 Enrollment ID: I20130201000445 |
| Provider Name | Vinoy S Prasad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558528372 PECOS PAC ID: 2062666894 Enrollment ID: I20130204000180 |
| Provider Name | Julie A Smith-clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457626061 PECOS PAC ID: 2264687755 Enrollment ID: I20130307000391 |
| Provider Name | Theresa Lopez-zepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558570085 PECOS PAC ID: 5991940082 Enrollment ID: I20130320000242 |
| Provider Name | Douglas H Phan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366671992 PECOS PAC ID: 2466693536 Enrollment ID: I20130801000372 |
| Provider Name | William S Hamra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134445596 PECOS PAC ID: 4082856927 Enrollment ID: I20130806000548 |
| Provider Name | Samer M Kamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649458977 PECOS PAC ID: 0547403438 Enrollment ID: I20130824000030 |
| Provider Name | Neeta Kumari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508094830 PECOS PAC ID: 2365676475 Enrollment ID: I20131003000193 |
| Provider Name | Sarjak S Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437484904 PECOS PAC ID: 3173709169 Enrollment ID: I20131106000497 |
| Provider Name | Yuliana Soe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235450594 PECOS PAC ID: 0042446544 Enrollment ID: I20131111000756 |
| Provider Name | Kristine G Nicolas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851605554 PECOS PAC ID: 8921234311 Enrollment ID: I20131113000292 |
| Provider Name | Nathan D Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104069889 PECOS PAC ID: 0547412843 Enrollment ID: I20131227000587 |
| Provider Name | Roshinie M Fernando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386959666 PECOS PAC ID: 5991933442 Enrollment ID: I20140109000024 |
| Provider Name | Joseph F Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881836211 PECOS PAC ID: 9436387982 Enrollment ID: I20140109000037 |
| Provider Name | Esterlita Fiel Quinones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831407600 PECOS PAC ID: 5991933996 Enrollment ID: I20140121001927 |
| Provider Name | Kathie K Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407175342 PECOS PAC ID: 7618107640 Enrollment ID: I20140313000086 |
| Provider Name | Anas A Alani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154633709 PECOS PAC ID: 6800019589 Enrollment ID: I20140527001939 |
| Provider Name | Jill D Forbes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336208529 PECOS PAC ID: 5193949618 Enrollment ID: I20140623002793 |
| Provider Name | Margaret Carrizosa-hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003068289 PECOS PAC ID: 2365666880 Enrollment ID: I20140623002820 |
| Provider Name | Edward A Bacho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922362581 PECOS PAC ID: 4587889993 Enrollment ID: I20140627000002 |
| Provider Name | Edwin Romel Soriano De Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871735464 PECOS PAC ID: 7618192303 Enrollment ID: I20140714002334 |
| Provider Name | Dong Doan To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215369459 PECOS PAC ID: 7416173950 Enrollment ID: I20140718001759 |
| Provider Name | Brandon Lee Nathaniel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851550834 PECOS PAC ID: 1557587896 Enrollment ID: I20140723001293 |
| Provider Name | Michael H Ree |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952692287 PECOS PAC ID: 6103042163 Enrollment ID: I20140728001503 |
| Provider Name | Ryan I Buller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801182308 PECOS PAC ID: 7517183478 Enrollment ID: I20140729002765 |
| Provider Name | Bryan R Hyler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811218092 PECOS PAC ID: 5799904298 Enrollment ID: I20140916000858 |
| Provider Name | Martha A Chong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245243815 PECOS PAC ID: 1951522952 Enrollment ID: I20141016000192 |
| Provider Name | Farangis Jalali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841312972 PECOS PAC ID: 4183845076 Enrollment ID: I20141017000592 |
| Provider Name | Mazdak Momeni |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275865917 PECOS PAC ID: 5092908384 Enrollment ID: I20141023001834 |
| Provider Name | Mehrnaz Hojjati |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720029135 PECOS PAC ID: 3971576091 Enrollment ID: I20141125001853 |
| Provider Name | Adedapo B Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588759195 PECOS PAC ID: 7719943240 Enrollment ID: I20141204001942 |
| Provider Name | Tokunbo L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422274 PECOS PAC ID: 3173763661 Enrollment ID: I20150105001897 |
| Provider Name | Perpemelo B Balasta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548580624 PECOS PAC ID: 2062698269 Enrollment ID: I20150202001219 |
| Provider Name | Jonson J Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114101995 PECOS PAC ID: 4880772623 Enrollment ID: I20150211002217 |
| Provider Name | Kristen Anderson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447575568 PECOS PAC ID: 9739405275 Enrollment ID: I20150227001920 |
| Provider Name | Gita Tavassoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427380435 PECOS PAC ID: 7517286180 Enrollment ID: I20150501001891 |
| Provider Name | Steve Serrao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659630549 PECOS PAC ID: 5799004305 Enrollment ID: I20150504001132 |
| Provider Name | Katia Rosario Alfaro-finkenstadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962637215 PECOS PAC ID: 5597085662 Enrollment ID: I20150513002677 |
| Provider Name | Roberto Castanos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184914970 PECOS PAC ID: 5395066286 Enrollment ID: I20150603002887 |
| Provider Name | Carmencita B Arda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801289939 PECOS PAC ID: 1052623295 Enrollment ID: I20150701000811 |
| Provider Name | Joseph P James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023030327 PECOS PAC ID: 5193805885 Enrollment ID: I20150701002642 |
| Provider Name | Vaneet K Sandhu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134362163 PECOS PAC ID: 6507179827 Enrollment ID: I20150715002631 |
| Provider Name | Debbie Ann I Rosario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942331509 PECOS PAC ID: 9830159797 Enrollment ID: I20150818005539 |
| Provider Name | Eduardo A Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508122631 PECOS PAC ID: 6305152364 Enrollment ID: I20150904002131 |
| Provider Name | Linda Jahwa Hong |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649444050 PECOS PAC ID: 1456669084 Enrollment ID: I20151001001611 |
| Provider Name | Raymond D Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396057725 PECOS PAC ID: 1951610286 Enrollment ID: I20151027001943 |
| Provider Name | Bryan Oshiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780608489 PECOS PAC ID: 4385637032 Enrollment ID: I20151030000918 |
| Provider Name | Matthew S Mccarty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992095434 PECOS PAC ID: 2668772344 Enrollment ID: I20151202000975 |
| Provider Name | Michael H French |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053674606 PECOS PAC ID: 7012213549 Enrollment ID: I20160309002969 |
| Provider Name | Dallas Michael Dick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285809772 PECOS PAC ID: 3971809153 Enrollment ID: I20160315000795 |
| Provider Name | Ranee T Sahachartsiri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013198928 PECOS PAC ID: 6709183445 Enrollment ID: I20160324000895 |
| Provider Name | Payton G Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669434361 PECOS PAC ID: 0547284036 Enrollment ID: I20160328002293 |
| Provider Name | Tin Moe San |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124362546 PECOS PAC ID: 1456659564 Enrollment ID: I20160405002504 |
| Provider Name | Shannon Yoko Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982089173 PECOS PAC ID: 5991004012 Enrollment ID: I20160425000795 |
| Provider Name | Wael Hamade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295924710 PECOS PAC ID: 7113094723 Enrollment ID: I20160818000947 |
| Provider Name | Purnima Verma Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790070852 PECOS PAC ID: 3173818937 Enrollment ID: I20160818002127 |
| Provider Name | Shunling Tsang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497052443 PECOS PAC ID: 4880989318 Enrollment ID: I20160823002731 |
| Provider Name | Parastou Farhadian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538496419 PECOS PAC ID: 8224323621 Enrollment ID: I20160824001987 |
| Provider Name | Jennifer Lo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407114010 PECOS PAC ID: 3971735523 Enrollment ID: I20160906001686 |
| Provider Name | Bruce H Weng |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952472425 PECOS PAC ID: 0042314288 Enrollment ID: I20160908001930 |
| Provider Name | Lynnetta Enid Skoretz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023110343 PECOS PAC ID: 4587817457 Enrollment ID: I20161005001978 |
| Provider Name | Daren Gregory Rudisaile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477998862 PECOS PAC ID: 0648558510 Enrollment ID: I20161027000600 |
| Provider Name | Lindsey Lee Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851645642 PECOS PAC ID: 1850679671 Enrollment ID: I20161031000446 |
| Provider Name | Barbara Jane Ganchingco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427314368 PECOS PAC ID: 3971881368 Enrollment ID: I20161107001161 |
| Provider Name | Margaret K Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144472580 PECOS PAC ID: 0547549818 Enrollment ID: I20161110000334 |
| Provider Name | Markus Ploesser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669662755 PECOS PAC ID: 9638458268 Enrollment ID: I20161122000924 |
| Provider Name | Alexander Friedman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225441058 PECOS PAC ID: 4385925213 Enrollment ID: I20170106001722 |
| Provider Name | Akram Y Razzouk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710938980 PECOS PAC ID: 2860395373 Enrollment ID: I20170518002186 |
| Provider Name | Christina Downey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558625285 PECOS PAC ID: 3971813247 Enrollment ID: I20170717003439 |
| Provider Name | Uziel Sauceda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164837191 PECOS PAC ID: 3870873532 Enrollment ID: I20170726003564 |
| Provider Name | Mariam Mourad Gilmore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033529110 PECOS PAC ID: 7517238181 Enrollment ID: I20170801002079 |
| Provider Name | Vannessa M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255870739 PECOS PAC ID: 9830461557 Enrollment ID: I20170815004111 |
| Provider Name | Mary Stephanie Gangcaungco Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437506581 PECOS PAC ID: 8527331370 Enrollment ID: I20170830002268 |
| Provider Name | Rahul Bhardwaj |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730318452 PECOS PAC ID: 0446523096 Enrollment ID: I20170905000647 |
| Provider Name | Alexis S Hinds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295966596 PECOS PAC ID: 1254604531 Enrollment ID: I20170908000008 |
| Provider Name | Gloria M Ventura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689094757 PECOS PAC ID: 2264705300 Enrollment ID: I20170912000591 |
| Provider Name | Dan Lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144760893 PECOS PAC ID: 8820362858 Enrollment ID: I20170914002081 |
| Provider Name | Pooja Bhojak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881000438 PECOS PAC ID: 2567736143 Enrollment ID: I20170920001813 |
| Provider Name | Christia Del Rosario |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053700351 PECOS PAC ID: 4880968312 Enrollment ID: I20170922000835 |
| Provider Name | Lauren Elisabeth Orona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245642990 PECOS PAC ID: 6901170380 Enrollment ID: I20170923000260 |
| Provider Name | Kelly Ryan Downey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891059523 PECOS PAC ID: 5395040935 Enrollment ID: I20170926002199 |
| Provider Name | Bryan J Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396061651 PECOS PAC ID: 6406159789 Enrollment ID: I20171009002979 |
| Provider Name | John Dax Lindo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487947958 PECOS PAC ID: 0749410496 Enrollment ID: I20171026000402 |
| Provider Name | Karla Ivette Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194131722 PECOS PAC ID: 3072872886 Enrollment ID: I20180123002530 |
| Provider Name | Amar Dave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336588623 PECOS PAC ID: 8921368887 Enrollment ID: I20180214001464 |
| Provider Name | Lisa Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578075867 PECOS PAC ID: 6002177573 Enrollment ID: I20180223002203 |
| Provider Name | Catherine N Ajala-staats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376053413 PECOS PAC ID: 1355603580 Enrollment ID: I20180327002253 |
| Provider Name | Eric F Ontiveros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194013193 PECOS PAC ID: 4183988470 Enrollment ID: I20180515000806 |
| Provider Name | Mildred Lotty Mendez-andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437325560 PECOS PAC ID: 4385908557 Enrollment ID: I20180516001449 |
| Provider Name | Moazzum Nabeel Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780062869 PECOS PAC ID: 9931464294 Enrollment ID: I20180607002002 |
| Provider Name | Jin Seon Kim Paglingayen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699152819 PECOS PAC ID: 6507112786 Enrollment ID: I20180629002001 |
| Provider Name | Tejas Yogesh Chhaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376906990 PECOS PAC ID: 3779839956 Enrollment ID: I20180629002028 |
| Provider Name | Diem L Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538542287 PECOS PAC ID: 4789930603 Enrollment ID: I20180709000759 |
| Provider Name | Michael Terry Ulrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598152183 PECOS PAC ID: 4385991355 Enrollment ID: I20180721000071 |
| Provider Name | Monique Q Manriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427345362 PECOS PAC ID: 1951650530 Enrollment ID: I20180814004243 |
| Provider Name | Redieat Assefa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013394311 PECOS PAC ID: 3173872728 Enrollment ID: I20180815002999 |
| Provider Name | Ashley Beem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730574559 PECOS PAC ID: 3971853771 Enrollment ID: I20180828003769 |
| Provider Name | Rachel Elizabeth Gelfond Davidge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013304286 PECOS PAC ID: 8022368927 Enrollment ID: I20180913000862 |
| Provider Name | Kyi Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518318625 PECOS PAC ID: 0547512162 Enrollment ID: I20181010000784 |
| Provider Name | Sarah D Smithson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477966307 PECOS PAC ID: 0547514267 Enrollment ID: I20181116000361 |
| Provider Name | Esther N Zarecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326570540 PECOS PAC ID: 9638411796 Enrollment ID: I20190422001630 |
| Provider Name | Li Che |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144602392 PECOS PAC ID: 9830431386 Enrollment ID: I20190502000729 |
| Provider Name | Gaurav Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235513102 PECOS PAC ID: 0446599542 Enrollment ID: I20190606002571 |
| Provider Name | Nancy Ann Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962863993 PECOS PAC ID: 4789918079 Enrollment ID: I20190619003346 |
| Provider Name | Lynette Espino Ilano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917524 PECOS PAC ID: 4981938248 Enrollment ID: I20190620002785 |
| Provider Name | Shivang Harshadbhai Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518100825 PECOS PAC ID: 4385950153 Enrollment ID: I20190708002617 |
| Provider Name | Tracy Anne Gould |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275989550 PECOS PAC ID: 9234464546 Enrollment ID: I20190709002132 |
| Provider Name | Canty Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881072346 PECOS PAC ID: 1658606918 Enrollment ID: I20190710000784 |
| Provider Name | Shannon Marie Valdez Carbajal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598129587 PECOS PAC ID: 6800123142 Enrollment ID: I20190809001333 |
| Provider Name | Christina Panton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780071142 PECOS PAC ID: 8729315601 Enrollment ID: I20190815001087 |
| Provider Name | Ivan Rybkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619364940 PECOS PAC ID: 1355679614 Enrollment ID: I20190823001874 |
| Provider Name | Howard Wenhung Lan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316206832 PECOS PAC ID: 2466780655 Enrollment ID: I20190826003990 |
| Provider Name | Cristhian Elizabeth Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407200942 PECOS PAC ID: 7416241971 Enrollment ID: I20190906001453 |
| Provider Name | Nicole Unjo Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467809012 PECOS PAC ID: 8426387648 Enrollment ID: I20190912001110 |
| Provider Name | Lenorre Ruth Clarke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962940148 PECOS PAC ID: 4981935772 Enrollment ID: I20191009000692 |
| Provider Name | Pejman Solaimani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750647418 PECOS PAC ID: 3072825751 Enrollment ID: I20191025001975 |
| Provider Name | Katherine M. Heisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811420102 PECOS PAC ID: 5890128227 Enrollment ID: I20191125003037 |
| Provider Name | Karina E Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417132671 PECOS PAC ID: 2668805979 Enrollment ID: I20191127000581 |
| Provider Name | Yvette Wade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740577881 PECOS PAC ID: 2163855370 Enrollment ID: I20191202001773 |
| Provider Name | Fairuz Coromoto Despujos Harfouche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548793946 PECOS PAC ID: 6507299294 Enrollment ID: I20191211001048 |
| Provider Name | Walter Ernesto Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073088225 PECOS PAC ID: 3375976087 Enrollment ID: I20191211002021 |
| Provider Name | Michael James Roum |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467011957 PECOS PAC ID: 9335572858 Enrollment ID: I20191213000764 |
| Provider Name | Kevin Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497288823 PECOS PAC ID: 0749614832 Enrollment ID: I20191224000529 |
| Provider Name | Laura M Nader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346402971 PECOS PAC ID: 1557531969 Enrollment ID: I20191231002067 |
| Provider Name | Mayra Leticia Padilla Arechiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265080949 PECOS PAC ID: 5496180978 Enrollment ID: I20200109001998 |
| Provider Name | Amanda M Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205225208 PECOS PAC ID: 0840626107 Enrollment ID: I20200204002378 |
| Provider Name | Sara Marie Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821636598 PECOS PAC ID: 4082042429 Enrollment ID: I20200317001792 |
| Provider Name | Mohammed Yousuf Zaveri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013395805 PECOS PAC ID: 0840628962 Enrollment ID: I20200323003136 |
| Provider Name | Sandy Annette Idle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124219068 PECOS PAC ID: 3476982349 Enrollment ID: I20200330001158 |
| Provider Name | Sarah J Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255750824 PECOS PAC ID: 8022237585 Enrollment ID: I20200407000131 |
| Provider Name | Stefan D Ursu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629201561 PECOS PAC ID: 0143442095 Enrollment ID: I20200407000878 |
| Provider Name | Marven Gerel Cabling |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063674265 PECOS PAC ID: 9830312487 Enrollment ID: I20200407002731 |
| Provider Name | Nneka Chioma Oluoha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770014615 PECOS PAC ID: 9335570712 Enrollment ID: I20200519002901 |
| Provider Name | Seema Mukadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922531110 PECOS PAC ID: 8325469604 Enrollment ID: I20200522002436 |
| Provider Name | Alphonso Raymond Edgecombe |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609018118 PECOS PAC ID: 4789981622 Enrollment ID: I20200608001396 |
| Provider Name | Heidi Pang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790213494 PECOS PAC ID: 7214358621 Enrollment ID: I20200610001296 |
| Provider Name | Vivian Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639604523 PECOS PAC ID: 0345661781 Enrollment ID: I20200610002638 |
| Provider Name | Jonathan Kyung Suk Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255864211 PECOS PAC ID: 5092138024 Enrollment ID: I20200709002967 |
| Provider Name | Almira Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356738389 PECOS PAC ID: 1254670441 Enrollment ID: I20200710000668 |
| Provider Name | Abdalhamid F Al Harash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790618 PECOS PAC ID: 4789809120 Enrollment ID: I20200724001798 |
| Provider Name | Zachary Grant Valadez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306371182 PECOS PAC ID: 9537429279 Enrollment ID: I20200817002335 |
| Provider Name | Dejerneria M Marshall |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639276306 PECOS PAC ID: 8022379734 Enrollment ID: I20200824000787 |
| Provider Name | Siddiqa Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750622650 PECOS PAC ID: 4880980812 Enrollment ID: I20200903003701 |
| Provider Name | Daniel Celeo Solis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619464161 PECOS PAC ID: 7517385115 Enrollment ID: I20200914002880 |
| Provider Name | Yinxi Wu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639782063 PECOS PAC ID: 8224458450 Enrollment ID: I20201008003523 |
| Provider Name | Stacie Lynn Nellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285720250 PECOS PAC ID: 8123448503 Enrollment ID: I20201023002288 |
| Provider Name | Rebecca Joe Rimka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528575602 PECOS PAC ID: 2961764352 Enrollment ID: I20210303001369 |
| Provider Name | Jonathan Bomin Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205324969 PECOS PAC ID: 8123437639 Enrollment ID: I20210513002426 |
| Provider Name | Margaret A Amoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164057022 PECOS PAC ID: 8426459272 Enrollment ID: I20210630001931 |
| Provider Name | Kiran Latif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992341234 PECOS PAC ID: 8022412386 Enrollment ID: I20210809001653 |
| Provider Name | Chioma M Enweasor |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184078099 PECOS PAC ID: 5092055806 Enrollment ID: I20210817003436 |
| Provider Name | Theresa Tuyen Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578917803 PECOS PAC ID: 1052680410 Enrollment ID: I20210824000594 |
| Provider Name | Joshua Buck Winn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831686492 PECOS PAC ID: 7113322215 Enrollment ID: I20210827002316 |
| Provider Name | Jose Banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972165660 PECOS PAC ID: 1456758192 Enrollment ID: I20210923001592 |
| Provider Name | Loan T Huynh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982614483 PECOS PAC ID: 6103224662 Enrollment ID: I20211013002704 |
| Provider Name | Cyrilla Marie Pauline Strothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801470935 PECOS PAC ID: 4981096047 Enrollment ID: I20220121001734 |
| Provider Name | Varsha Hitesh Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962428912 PECOS PAC ID: 7416248653 Enrollment ID: I20220504001841 |
| Provider Name | Nelson Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841892650 PECOS PAC ID: 3779961776 Enrollment ID: I20220603000546 |
| Provider Name | Ashlee Ann Schiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992267918 PECOS PAC ID: 3678951696 Enrollment ID: I20220603001038 |
| Provider Name | Diana Gonzalez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497328108 PECOS PAC ID: 1456739283 Enrollment ID: I20220607000246 |
| Provider Name | Cheri Lynn Blucher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174707038 PECOS PAC ID: 1153709977 Enrollment ID: I20220607003343 |
| Provider Name | Jhoanne Cana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306405139 PECOS PAC ID: 1153709746 Enrollment ID: I20220610000683 |
| Provider Name | Jesus Garcia Servin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699445973 PECOS PAC ID: 1456739911 Enrollment ID: I20220613000802 |
| Provider Name | Sophia Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841215613 PECOS PAC ID: 5991869208 Enrollment ID: I20220617000826 |
| Provider Name | Tala Shante Nahardani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417586942 PECOS PAC ID: 2769861897 Enrollment ID: I20220621002197 |
| Provider Name | Jackson Heilbronn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811550072 PECOS PAC ID: 7517347164 Enrollment ID: I20220629002052 |
| Provider Name | Katherine Ann Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316691769 PECOS PAC ID: 9335521558 Enrollment ID: I20220804003073 |
| Provider Name | Eunwoo Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073178091 PECOS PAC ID: 5496138190 Enrollment ID: I20220812001838 |
| Provider Name | Tien D Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460353 PECOS PAC ID: 6103209838 Enrollment ID: I20220812002992 |
| Provider Name | Mayra A Hernandez Schulte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689156168 PECOS PAC ID: 6002218559 Enrollment ID: I20220819001531 |
| Provider Name | Jonathan Hamilton Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922561265 PECOS PAC ID: 2163806506 Enrollment ID: I20220901003365 |
| Provider Name | Heather Gillespie |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346380748 PECOS PAC ID: 3971609736 Enrollment ID: I20220913000004 |
| Provider Name | Elizabeth Ann Donth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669077855 PECOS PAC ID: 8123403714 Enrollment ID: I20220919000356 |
| Provider Name | Laurence Nicholas Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275030850 PECOS PAC ID: 9133470735 Enrollment ID: I20220919001076 |
| Provider Name | Chassitie Tina Marie Anela Char |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992432124 PECOS PAC ID: 1456736941 Enrollment ID: I20220920001605 |
| Provider Name | Cristiaan Geronimo Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730831330 PECOS PAC ID: 6800812512 Enrollment ID: I20220921000766 |
| Provider Name | Jazmin Cruz-zuniga |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376266973 PECOS PAC ID: 9830565712 Enrollment ID: I20221018000827 |
| Provider Name | Sarah Duan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124687645 PECOS PAC ID: 0749656346 Enrollment ID: I20221024001303 |
| Provider Name | Rebekah Kathleen Padilla |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770200701 PECOS PAC ID: 6800264235 Enrollment ID: I20221116001339 |
| Provider Name | Sophie Grace Rodrigues |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548987498 PECOS PAC ID: 1759759954 Enrollment ID: I20221118001955 |
| Provider Name | Matthew Sasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497106215 PECOS PAC ID: 9830567916 Enrollment ID: I20221121001994 |
| Provider Name | Guillermo Galvez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043823305 PECOS PAC ID: 7214357300 Enrollment ID: I20221201001810 |
| Provider Name | Magen Ashley Costilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023756194 PECOS PAC ID: 6103295613 Enrollment ID: I20221205002885 |
| Provider Name | Maureen Margaret Mccarthy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497410120 PECOS PAC ID: 9032588504 Enrollment ID: I20221206002137 |
| Provider Name | James Michael Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740862770 PECOS PAC ID: 6204208135 Enrollment ID: I20230202000819 |
| Provider Name | Ken Walls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992162242 PECOS PAC ID: 9032490149 Enrollment ID: I20230316002859 |
| Provider Name | Aura E Almazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063055184 PECOS PAC ID: 8224402821 Enrollment ID: I20230322001541 |
| Provider Name | Lea Nicole Bell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669186573 PECOS PAC ID: 6608241336 Enrollment ID: I20230412000685 |
| Provider Name | Jana L Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093418287 PECOS PAC ID: 9436515715 Enrollment ID: I20230510003095 |
| Provider Name | Corinne Verghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639708126 PECOS PAC ID: 9436510666 Enrollment ID: I20230803001591 |
| Provider Name | Derrick Anthony Cleland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720614712 PECOS PAC ID: 4486015591 Enrollment ID: I20230804000826 |
| Provider Name | Thai Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295361343 PECOS PAC ID: 8820450877 Enrollment ID: I20230808003578 |
| Provider Name | Cynthia Leticia Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811438740 PECOS PAC ID: 0345602033 Enrollment ID: I20230811001920 |
| Provider Name | Arunmozhi Aravagiri-do |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750888095 PECOS PAC ID: 4880097666 Enrollment ID: I20230920004062 |
| Provider Name | Jessica Vanessa Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144926601 PECOS PAC ID: 5991151714 Enrollment ID: I20231030002384 |
| Provider Name | Michel Antonios Makhlouf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275695603 PECOS PAC ID: 0345211900 Enrollment ID: I20231120001446 |
| Provider Name | Betty Wanjiku Mandela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881218154 PECOS PAC ID: 9830547074 Enrollment ID: I20231128002316 |
| Provider Name | Heena Hemani |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053642991 PECOS PAC ID: 9537577366 Enrollment ID: I20240114000203 |
| Provider Name | Sue Min Sophia Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174152631 PECOS PAC ID: 1052764800 Enrollment ID: I20240128000026 |
| Provider Name | Ruben Ignacio Robles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720586175 PECOS PAC ID: 8820431638 Enrollment ID: I20240208002970 |
| Provider Name | Yadira Gaeta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225493448 PECOS PAC ID: 6406299916 Enrollment ID: I20240212001436 |
| Provider Name | Elizabeth Anne Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396239810 PECOS PAC ID: 5698118115 Enrollment ID: I20240212001740 |
| Provider Name | Rosilyn Kattiyaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215407358 PECOS PAC ID: 3274872767 Enrollment ID: I20240219001213 |
| Provider Name | Abhinav Markus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376164335 PECOS PAC ID: 6002250693 Enrollment ID: I20240222002116 |
| Provider Name | Bushra Zaidi Hasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265173223 PECOS PAC ID: 2466897954 Enrollment ID: I20240223002027 |
| Provider Name | Sandra Lynn Tatchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578870010 PECOS PAC ID: 2163867649 Enrollment ID: I20240224000522 |
| Provider Name | Rosario Sabala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871862250 PECOS PAC ID: 6204270390 Enrollment ID: I20240226000074 |
| Provider Name | Brandy C Mckay-jacobs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356122964 PECOS PAC ID: 5799120770 Enrollment ID: I20240229001691 |
| Provider Name | Jennifer Chevinsky |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1902256415 PECOS PAC ID: 5991096844 Enrollment ID: I20240305003688 |
| Provider Name | Stacey Doolin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356110639 PECOS PAC ID: 6204272354 Enrollment ID: I20240311003901 |
| Provider Name | Kevin P Shiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104408632 PECOS PAC ID: 1456792928 Enrollment ID: I20240515001026 |
| Provider Name | Carlos L Calderon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346820610 PECOS PAC ID: 3375085541 Enrollment ID: I20240604002234 |
| Provider Name | Ellen Liang |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316568371 PECOS PAC ID: 1153783386 Enrollment ID: I20240730001050 |
| Provider Name | Michelle Ramon Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407432198 PECOS PAC ID: 2163961574 Enrollment ID: I20240829002513 |
| Provider Name | Gina Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467292680 PECOS PAC ID: 0345780177 Enrollment ID: I20240909000519 |
| Provider Name | Mubina Isani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346502507 PECOS PAC ID: 1557586625 Enrollment ID: I20241120001197 |
| Provider Name | Maria I Acosta De Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427670025 PECOS PAC ID: 4385171396 Enrollment ID: I20250102001281 |
| Provider Name | Lianna Navar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699331157 PECOS PAC ID: 5698157436 Enrollment ID: I20250115002377 |
| Provider Name | Kimberly Sales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992524136 PECOS PAC ID: 1658801188 Enrollment ID: I20250212002626 |
| Provider Name | Medora Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689171795 PECOS PAC ID: 9537681622 Enrollment ID: I20250318002787 |
| Provider Name | Kanale Kapono Rodrigues |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740014380 PECOS PAC ID: 6204351125 Enrollment ID: I20250423000997 |
Lifschutz Medical Group A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81767 Doctor Carreon Blvd Ste 102, Indio, CA 92201 Phone: 760-863-5355 | |
My Family Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81709 Dr Carreon Blvd Ste C5, Indio, CA 92201 Phone: 760-799-4957 Fax: 760-200-2870 | |
Retina Institute Of California Medical Group, A California Medical Par Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81893 Doctor Carreon Blvd Ste 2, Indio, CA 92201 Phone: 760-342-9991 Fax: 844-897-3788 | |
Apple Urgent Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82013 Doctor Carreon Blvd Ste G, Indio, CA 92201 Phone: 760-775-9500 Fax: 760-775-9567 | |
Clinicas De Salud Del Pueblo, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83791 Date Ave, Indio, CA 92201 Phone: 760-344-9951 Fax: 760-344-1629 | |
Dawson Rappe Chiropractic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82013 Dr Carreon Blvd, B, Indio, CA 92201 Phone: 760-775-6966 Fax: 760-342-6882 |