| Enlightened Healthcare Alliance Medical Corporation | |
|
662 Encinitas Blvd Ste 220 Encinitas CA 92024-6791 | |
| (833) 446-6363 | |
| Not Available |
| Full Name | Enlightened Healthcare Alliance Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 662 Encinitas Blvd Ste 220, Encinitas, California |
| Authorized Official Name and Position | Alexie Khanh Nguyen (PRESIDENT) |
| Authorized Official Contact | 8334666363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightened Healthcare Alliance Medical Corporation Po Box 231366 Encinitas CA 92023-1366 Ph: () - | Enlightened Healthcare Alliance Medical Corporation 662 Encinitas Blvd Ste 220 Encinitas CA 92024-6791 Ph: (833) 446-6363 |
| NPI Number | 1710458245 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 04/15/2020 |
| Medicare PECOS PAC ID | 6608115043 |
|---|---|
| Medicare Enrollment ID | O20190313000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710458245 | NPI | - | NPPES |
| 1710458245 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sam Baroudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316936933 PECOS PAC ID: 3678465465 Enrollment ID: I20040326000627 |
| Provider Name | Colleen Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861417917 PECOS PAC ID: 4183607567 Enrollment ID: I20040608000559 |
| Provider Name | Eric Yuen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598765968 PECOS PAC ID: 2163492562 Enrollment ID: I20040730000881 |
| Provider Name | Alexie Khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659367613 PECOS PAC ID: 2961472378 Enrollment ID: I20040730000945 |
| Provider Name | Carlos G Perez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356341606 PECOS PAC ID: 2466422878 Enrollment ID: I20040730000982 |
| Provider Name | Daniel Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568510360 PECOS PAC ID: 8628030152 Enrollment ID: I20041027001223 |
| Provider Name | Robert Dinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922077031 PECOS PAC ID: 4284698846 Enrollment ID: I20041115000564 |
| Provider Name | Renee I Smilde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427010594 PECOS PAC ID: 4587621032 Enrollment ID: I20041215001073 |
| Provider Name | Samuel C Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134214406 PECOS PAC ID: 3577590355 Enrollment ID: I20050722000838 |
| Provider Name | Timothy J Corbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093881443 PECOS PAC ID: 3779505961 Enrollment ID: I20060103000218 |
| Provider Name | Jinnu A Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093804767 PECOS PAC ID: 5890794614 Enrollment ID: I20061205000386 |
| Provider Name | Adam Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285731661 PECOS PAC ID: 1850450891 Enrollment ID: I20081106000182 |
| Provider Name | Arezou Minooee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275770836 PECOS PAC ID: 3274661681 Enrollment ID: I20100505000765 |
| Provider Name | Mary D Jaramillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255361895 PECOS PAC ID: 7618056672 Enrollment ID: I20100506000809 |
| Provider Name | Neil D Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992732606 PECOS PAC ID: 0941256002 Enrollment ID: I20100525000306 |
| Provider Name | Michael C Steadman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285830950 PECOS PAC ID: 2860522976 Enrollment ID: I20100616000952 |
| Provider Name | Steve M Kuriyama |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962412981 PECOS PAC ID: 7113112145 Enrollment ID: I20101116000439 |
| Provider Name | Steven T Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801815048 PECOS PAC ID: 9032399621 Enrollment ID: I20110215000273 |
| Provider Name | Jennifer Spurlock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659531127 PECOS PAC ID: 6709063910 Enrollment ID: I20110615000237 |
| Provider Name | Courtney C Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609004191 PECOS PAC ID: 6507013323 Enrollment ID: I20120830000392 |
| Provider Name | Amanda M Caparso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003046004 PECOS PAC ID: 3072795087 Enrollment ID: I20140709002729 |
| Provider Name | Cory S Nelkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831475136 PECOS PAC ID: 9739305459 Enrollment ID: I20140731002767 |
| Provider Name | Ilinca Vladescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295025187 PECOS PAC ID: 1557679388 Enrollment ID: I20150929000552 |
| Provider Name | Zaida M Botello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876294 PECOS PAC ID: 7810206406 Enrollment ID: I20151021003253 |
| Provider Name | Johanna A Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255698155 PECOS PAC ID: 8224253380 Enrollment ID: I20160120002715 |
| Provider Name | Melissa A Nardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720321755 PECOS PAC ID: 4284855644 Enrollment ID: I20160722002071 |
| Provider Name | Andy Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053748459 PECOS PAC ID: 5395974646 Enrollment ID: I20161018002357 |
| Provider Name | Melvyn Grace Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225495294 PECOS PAC ID: 6406141993 Enrollment ID: I20161230001515 |
| Provider Name | Amy Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649615071 PECOS PAC ID: 6901180694 Enrollment ID: I20170223002382 |
| Provider Name | Sarah Jean Mcmurray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124274899 PECOS PAC ID: 7517028947 Enrollment ID: I20171226001116 |
| Provider Name | Michelle Faierman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235526617 PECOS PAC ID: 7517212236 Enrollment ID: I20180621001060 |
| Provider Name | Benny Rummani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811381064 PECOS PAC ID: 5597010116 Enrollment ID: I20180621001646 |
| Provider Name | Mohammed I Mehboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518921873 PECOS PAC ID: 9638162019 Enrollment ID: I20190805001725 |
| Provider Name | Hung Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023488806 PECOS PAC ID: 3375839731 Enrollment ID: I20190823002692 |
| Provider Name | Shetal Patel Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508201583 PECOS PAC ID: 8426345919 Enrollment ID: I20191008001605 |
| Provider Name | Ashraf Elhofy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928129 PECOS PAC ID: 7315257615 Enrollment ID: I20191108002703 |
| Provider Name | Belinda A Akakpo Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477108470 PECOS PAC ID: 9032543533 Enrollment ID: I20191216001458 |
| Provider Name | Tejal Kanubhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194073213 PECOS PAC ID: 6103074919 Enrollment ID: I20200225001000 |
| Provider Name | Linda Nyagaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235612193 PECOS PAC ID: 6800226911 Enrollment ID: I20200413002712 |
| Provider Name | Yuri Shindo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700271939 PECOS PAC ID: 5698064285 Enrollment ID: I20200505002806 |
| Provider Name | Atheer Amer Razzouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003341116 PECOS PAC ID: 2567887920 Enrollment ID: I20200731001663 |
| Provider Name | Gloria Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720433907 PECOS PAC ID: 8325339401 Enrollment ID: I20200806003523 |
| Provider Name | Samantha Spilman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134651607 PECOS PAC ID: 2062837818 Enrollment ID: I20200811000219 |
| Provider Name | Stefan Tri Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952842221 PECOS PAC ID: 3577989797 Enrollment ID: I20200819001180 |
| Provider Name | Omar Khayyat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649711862 PECOS PAC ID: 1355763582 Enrollment ID: I20200901003202 |
| Provider Name | Daniel Beruti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710970983 PECOS PAC ID: 0648269092 Enrollment ID: I20210111001688 |
| Provider Name | Eleanor Pingeon Tring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609138767 PECOS PAC ID: 7911210976 Enrollment ID: I20210129000258 |
| Provider Name | Qinwen Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912403163 PECOS PAC ID: 9638585938 Enrollment ID: I20210311001461 |
| Provider Name | Tiffany Wen-an Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922549286 PECOS PAC ID: 8022425644 Enrollment ID: I20210327000173 |
| Provider Name | Patrick Z Desgranges |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922205491 PECOS PAC ID: 3870617673 Enrollment ID: I20210506001690 |
| Provider Name | Daniel Patrick Corbally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902303423 PECOS PAC ID: 2668873142 Enrollment ID: I20210622003587 |
| Provider Name | Steven Cuong Dang Long Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184120354 PECOS PAC ID: 8527460906 Enrollment ID: I20210707002840 |
| Provider Name | Emory S Winship |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265871693 PECOS PAC ID: 4789946633 Enrollment ID: I20220225002005 |
| Provider Name | Travis J Roark |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326601485 PECOS PAC ID: 1951795103 Enrollment ID: I20220303002026 |
| Provider Name | Alison Elizabeth Crisp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710446984 PECOS PAC ID: 7315334380 Enrollment ID: I20220420002981 |
| Provider Name | Cody Mitchell Delaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164982070 PECOS PAC ID: 3870970924 Enrollment ID: I20220527001974 |
| Provider Name | Yan Xing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043770001 PECOS PAC ID: 9739568429 Enrollment ID: I20220627003034 |
| Provider Name | Denise Mai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063076156 PECOS PAC ID: 6608257233 Enrollment ID: I20220713004278 |
| Provider Name | Joshua Hillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710540083 PECOS PAC ID: 1052647922 Enrollment ID: I20220801001994 |
| Provider Name | Mitch Biermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033671292 PECOS PAC ID: 1052794252 Enrollment ID: I20220822001411 |
| Provider Name | Ann Andee Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346615374 PECOS PAC ID: 4789055377 Enrollment ID: I20230118001368 |
| Provider Name | Katie Dawn Steadman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144910647 PECOS PAC ID: 9234596644 Enrollment ID: I20230530003017 |
| Provider Name | Andrew Tyler Scheinok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760001242 PECOS PAC ID: 5496113268 Enrollment ID: I20230627000733 |
| Provider Name | Khalid Sabah Abdullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205462264 PECOS PAC ID: 1153780440 Enrollment ID: I20230705001528 |
| Provider Name | Aritra Dey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285260125 PECOS PAC ID: 6204296981 Enrollment ID: I20230712004050 |
| Provider Name | Helen Junie Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922635341 PECOS PAC ID: 5193185148 Enrollment ID: I20230721001976 |
| Provider Name | Erik L Liederbauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467913848 PECOS PAC ID: 5597008896 Enrollment ID: I20240606002237 |
| Provider Name | Myunghoon Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073192860 PECOS PAC ID: 9931501269 Enrollment ID: I20240724002790 |
| Provider Name | Margaret Elaine Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376020362 PECOS PAC ID: 3779005202 Enrollment ID: I20250313002693 |
Relish Life Practitioners Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 Ocean View Ave, Encinitas, CA 92024 Phone: 833-472-5474 | |
Jeanette Mendez, M.d. , A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 N El Camino Real, Suite D-306, Encinitas, CA 92024 Phone: 760-436-9872 Fax: 888-596-1439 | |
Encinitas Palliative Care Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Santa Fe Dr, Encinitas, CA 92024 Phone: 760-230-2251 Fax: 760-230-2253 | |
Glenn G. Soppe Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Saxony Rd, Suite 204, Encinitas, CA 92024 Phone: 760-944-8402 | |
9amhealth Medical Group Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 N Coast Highway 101 Ste A, Encinitas, CA 92024 Phone: 202-932-9958 Fax: 844-927-4824 | |
9amhealth Medical Group Of New Jersey, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 N Coast Highway 101 Ste A, Encinitas, CA 92024 Phone: 202-932-9958 Fax: 844-927-4824 | |
Check Point Transition Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024 Phone: 760-230-8994 |