| Datnguyen MD Inc | |
|
9855 Erma Rd Ste 133 San Diego CA 92131-1092 | |
| (760) 656-5523 | |
| Not Available |
| Full Name | Datnguyen MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9855 Erma Rd Ste 133, San Diego, California |
| Authorized Official Name and Position | Dat William Nguyen (PRESIDENT) |
| Authorized Official Contact | 8662842771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Datnguyen MD Inc Po Box 8005 Rancho Santa Fe CA 92067-8005 Ph: (858) 349-3760 | Datnguyen MD Inc 9855 Erma Rd Ste 133 San Diego CA 92131-1092 Ph: (760) 656-5523 |
| NPI Number | 1215977723 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Medicare PECOS PAC ID | 4587668736 |
|---|---|
| Medicare Enrollment ID | O20060831000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215977723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A83262 (California) | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Dat W Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386626448 PECOS PAC ID: 8224018700 Enrollment ID: I20040723001097 |
| Provider Name | Lawrence Vernon Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669453262 PECOS PAC ID: 8921030479 Enrollment ID: I20050906000353 |
| Provider Name | Benjamin Gross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124053665 PECOS PAC ID: 1759308984 Enrollment ID: I20051027000604 |
| Provider Name | Shota Gurchumelidze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821284449 PECOS PAC ID: 0941381628 Enrollment ID: I20080118000669 |
| Provider Name | Wilfredo R Abesamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754832 PECOS PAC ID: 3870686116 Enrollment ID: I20110407000130 |
| Provider Name | Mary C Gessner-peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861662884 PECOS PAC ID: 9638200033 Enrollment ID: I20110607000169 |
| Provider Name | Jimi O Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477751667 PECOS PAC ID: 7315111408 Enrollment ID: I20111130000256 |
| Provider Name | Kourosh Khamooshian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659523975 PECOS PAC ID: 9133253958 Enrollment ID: I20130502000050 |
| Provider Name | Alan L Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639110869 PECOS PAC ID: 1153563853 Enrollment ID: I20130808000701 |
| Provider Name | Charles N Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821243759 PECOS PAC ID: 2860533767 Enrollment ID: I20131120001740 |
| Provider Name | Silpa R Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013386432 PECOS PAC ID: 1153630173 Enrollment ID: I20151014001017 |
| Provider Name | Markus Ploesser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669662755 PECOS PAC ID: 9638458268 Enrollment ID: I20161122000924 |
| Provider Name | Rizalina Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811430820 PECOS PAC ID: 1254564594 Enrollment ID: I20170627001542 |
| Provider Name | Stephen Daniel Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245677624 PECOS PAC ID: 3173894656 Enrollment ID: I20170801003135 |
| Provider Name | Manuel Robert Brasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083127088 PECOS PAC ID: 3678833340 Enrollment ID: I20180129002245 |
| Provider Name | Eiad Sabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796734 PECOS PAC ID: 7416190525 Enrollment ID: I20190424003212 |
| Provider Name | Thomas Ward-mckinlay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346778081 PECOS PAC ID: 1355619016 Enrollment ID: I20190625000963 |
| Provider Name | Sukhjit K Mann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972149706 PECOS PAC ID: 2264867282 Enrollment ID: I20200122001838 |
| Provider Name | Jeffensen Jay Timacdog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083103956 PECOS PAC ID: 5890105076 Enrollment ID: I20201028002170 |
| Provider Name | Sasha Katrina Recht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851057087 PECOS PAC ID: 8729472105 Enrollment ID: I20220301000721 |
| Provider Name | Gemma Dulosa Balcita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750033155 PECOS PAC ID: 9638565443 Enrollment ID: I20220404002309 |
| Provider Name | Rani Barba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912571944 PECOS PAC ID: 1456733351 Enrollment ID: I20220809000192 |
| Provider Name | Marilou Marasigan Cabusao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514957 PECOS PAC ID: 1052789781 Enrollment ID: I20221130000655 |
| Provider Name | Sandee C San Mateo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609543909 PECOS PAC ID: 4385012970 Enrollment ID: I20221202000647 |
| Provider Name | Michael Scott Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144606963 PECOS PAC ID: 1355716002 Enrollment ID: I20230411000678 |
| Provider Name | Edelpaulette Jane Tumbali Pugh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902383334 PECOS PAC ID: 9537509542 Enrollment ID: I20240425002617 |
| Provider Name | Ajay Kumra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385644 PECOS PAC ID: 3577098086 Enrollment ID: I20241120003890 |
| Provider Name | Jusac Arizthian Suryanata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124897046 PECOS PAC ID: 4082131453 Enrollment ID: I20250508002243 |
| Provider Name | Brittany Voelker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841096492 PECOS PAC ID: 5991200511 Enrollment ID: I20250924004870 |
| Provider Name | Thong Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194318436 PECOS PAC ID: 8527564368 Enrollment ID: I20251001001571 |
| Provider Name | Sara Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053132902 PECOS PAC ID: 2668961483 Enrollment ID: I20251030003349 |
| Provider Name | Lena Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831544766 PECOS PAC ID: 7012407539 Enrollment ID: I20251104001885 |
| Provider Name | Hannah Bugby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023733821 PECOS PAC ID: 8527434331 Enrollment ID: I20260105003465 |
| Provider Name | Julie Ann Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538984265 PECOS PAC ID: 6901381136 Enrollment ID: I20260326000627 |
| Provider Name | Christian Durand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023990165 PECOS PAC ID: 9133695182 Enrollment ID: I20260416003135 |
| Provider Name | Daisy Chea Concon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695867 PECOS PAC ID: 1153892864 Enrollment ID: I20260603003396 |
| Provider Name | Brandon Chang Hwun Ro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487381059 PECOS PAC ID: 7618448218 Enrollment ID: I20260604002056 |
| Provider Name | Kyle Martin Gambill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730054883 PECOS PAC ID: 8628541323 Enrollment ID: I20260624002926 |
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