| Golden Valley Health Center | |
|
1141 N Olive Ave Turlock CA 95380-3365 | |
| (209) 667-2749 | |
| (209) 668-5396 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1141 N Olive Ave, Turlock, California |
| Authorized Official Name and Position | Tony Weber (CEO) |
| Authorized Official Contact | 2093846493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Valley Health Center 737 West Childs Avenue Merced CA 95340-6805 Ph: (209) 384-6493 | Golden Valley Health Center 1141 N Olive Ave Turlock CA 95380-3365 Ph: (209) 667-2749 |
| NPI Number | 1356445753 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20040128000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356445753 | NPI | - | NPPES |
| CMM71153F | Medicaid | CA | |
| ZZZ52520Z | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000302 (California) | Primary |
| Provider Name | Susan F Kraus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194708412 PECOS PAC ID: 0446145072 Enrollment ID: I20040220000841 |
| Provider Name | Christopher J Hawley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073616041 PECOS PAC ID: 4880687375 Enrollment ID: I20040408000673 |
| Provider Name | Christopher Mark Grover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033192232 PECOS PAC ID: 3375538655 Enrollment ID: I20040416000488 |
| Provider Name | Veronique L Au |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255399531 PECOS PAC ID: 5991794463 Enrollment ID: I20040510000935 |
| Provider Name | Jay P Ratilal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487698585 PECOS PAC ID: 1456332741 Enrollment ID: I20040524001496 |
| Provider Name | Joseph Sami Mansour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679668420 PECOS PAC ID: 5799760815 Enrollment ID: I20040622001698 |
| Provider Name | Stanley B Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578555058 PECOS PAC ID: 3870571987 Enrollment ID: I20040713001193 |
| Provider Name | Catherine S Song |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548255888 PECOS PAC ID: 7315910510 Enrollment ID: I20040816001479 |
| Provider Name | Mohan P Reddy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184722183 PECOS PAC ID: 5890754345 Enrollment ID: I20041008000964 |
| Provider Name | Antonio E Apellanes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679555213 PECOS PAC ID: 8729064068 Enrollment ID: I20041022000523 |
| Provider Name | Emillie Mallillin De Ocampo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609858182 PECOS PAC ID: 3274597687 Enrollment ID: I20041116000491 |
| Provider Name | Colleen A Aitken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811995293 PECOS PAC ID: 5698739597 Enrollment ID: I20041118001028 |
| Provider Name | Ana R Revilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083792501 PECOS PAC ID: 5193789006 Enrollment ID: I20041118001159 |
| Provider Name | Alfred A Patino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710042965 PECOS PAC ID: 2062470016 Enrollment ID: I20041222000496 |
| Provider Name | Naveen S Manohar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790777308 PECOS PAC ID: 9032168133 Enrollment ID: I20050114000898 |
| Provider Name | Kevin E Rine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841256633 PECOS PAC ID: 5799736377 Enrollment ID: I20050201000994 |
| Provider Name | Kaewchai Puktarasiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306051131 PECOS PAC ID: 9234180787 Enrollment ID: I20050202000510 |
| Provider Name | Danielle Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164405445 PECOS PAC ID: 9830140045 Enrollment ID: I20050204000516 |
| Provider Name | Jennifer G Tarazon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184609208 PECOS PAC ID: 5395798292 Enrollment ID: I20050302000669 |
| Provider Name | William L Pistel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518979418 PECOS PAC ID: 5092762468 Enrollment ID: I20050407000421 |
| Provider Name | Maria Obispo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679647234 PECOS PAC ID: 8921041807 Enrollment ID: I20050602000592 |
| Provider Name | George M Savage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063577823 PECOS PAC ID: 0345284576 Enrollment ID: I20050617000403 |
| Provider Name | Elaine J Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154304335 PECOS PAC ID: 6901825132 Enrollment ID: I20051117000180 |
| Provider Name | Susie Wenstrup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013020288 PECOS PAC ID: 0749202778 Enrollment ID: I20051219000781 |
| Provider Name | James Song Choi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417050378 PECOS PAC ID: 5799799664 Enrollment ID: I20060130000914 |
| Provider Name | Norman Dale Low |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861440869 PECOS PAC ID: 1850306721 Enrollment ID: I20060214000307 |
| Provider Name | Pamela D Simons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124188115 PECOS PAC ID: 9436165693 Enrollment ID: I20060224000218 |
| Provider Name | Daniel T Diep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962454652 PECOS PAC ID: 0244249860 Enrollment ID: I20060410000684 |
| Provider Name | Monique T Godbold Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528045317 PECOS PAC ID: 5294745014 Enrollment ID: I20060424000672 |
| Provider Name | James A Kraus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477580595 PECOS PAC ID: 5890798540 Enrollment ID: I20060817000584 |
| Provider Name | Sabrina J Hussain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629083902 PECOS PAC ID: 1759308018 Enrollment ID: I20060915000387 |
| Provider Name | John E Abordo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982627675 PECOS PAC ID: 7618974601 Enrollment ID: I20061106000231 |
| Provider Name | Lloyd James Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336134303 PECOS PAC ID: 0749291508 Enrollment ID: I20061213000618 |
| Provider Name | Robert David Simenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942283221 PECOS PAC ID: 4880798180 Enrollment ID: I20070326000573 |
| Provider Name | Samuel D Esparza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750416038 PECOS PAC ID: 9133220866 Enrollment ID: I20070725000591 |
| Provider Name | Eduardo Trinidad Villarama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003957895 PECOS PAC ID: 9234225327 Enrollment ID: I20071020000195 |
| Provider Name | Ramaa Maruthachalam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437369170 PECOS PAC ID: 6103913090 Enrollment ID: I20071024000288 |
| Provider Name | Arundati D Halappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679547897 PECOS PAC ID: 0840370565 Enrollment ID: I20080108000466 |
| Provider Name | John English |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437169224 PECOS PAC ID: 8325129158 Enrollment ID: I20080117000309 |
| Provider Name | Peter Gaines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912915380 PECOS PAC ID: 9133157910 Enrollment ID: I20080118000523 |
| Provider Name | Priti T Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568440246 PECOS PAC ID: 0244311793 Enrollment ID: I20080122000829 |
| Provider Name | Thomas Wenstrup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447268966 PECOS PAC ID: 0547342008 Enrollment ID: I20080123000708 |
| Provider Name | Roseline Dauphin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053593657 PECOS PAC ID: 1355427279 Enrollment ID: I20080318000500 |
| Provider Name | Evelyn C Manalang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265520894 PECOS PAC ID: 4587734892 Enrollment ID: I20080529000358 |
| Provider Name | Joerg Schuller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437120508 PECOS PAC ID: 7214008507 Enrollment ID: I20080613000199 |
| Provider Name | Mani Nallasivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639171606 PECOS PAC ID: 3678646718 Enrollment ID: I20080722000631 |
| Provider Name | Jane C Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871574772 PECOS PAC ID: 9032279161 Enrollment ID: I20081119000777 |
| Provider Name | Jonathan Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134160674 PECOS PAC ID: 6103987375 Enrollment ID: I20081205000496 |
| Provider Name | Muhammad Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851554372 PECOS PAC ID: 0941362636 Enrollment ID: I20081213000220 |
| Provider Name | Octavia Hyacinth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588842637 PECOS PAC ID: 1557424439 Enrollment ID: I20090121000073 |
| Provider Name | Abraham J Sklar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053424127 PECOS PAC ID: 9931263381 Enrollment ID: I20090129000256 |
| Provider Name | Paul H Love |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386663987 PECOS PAC ID: 3375600356 Enrollment ID: I20090318000342 |
| Provider Name | Feng Hua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972677581 PECOS PAC ID: 9133111370 Enrollment ID: I20090728000076 |
| Provider Name | Andrea French |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750551792 PECOS PAC ID: 6002961778 Enrollment ID: I20090901000431 |
| Provider Name | Robert E Caton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861593196 PECOS PAC ID: 7517043466 Enrollment ID: I20090904000562 |
| Provider Name | Wesley M Tresenriter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235284381 PECOS PAC ID: 5496895039 Enrollment ID: I20091212000051 |
| Provider Name | John J Casey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811909716 PECOS PAC ID: 1254417108 Enrollment ID: I20100205000477 |
| Provider Name | Donald Zweig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942317706 PECOS PAC ID: 7416082490 Enrollment ID: I20100316000437 |
| Provider Name | Theppharack A Sounthala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083745780 PECOS PAC ID: 6800921719 Enrollment ID: I20100317000757 |
| Provider Name | Manpreet K Brar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619117181 PECOS PAC ID: 1456480706 Enrollment ID: I20100525000203 |
| Provider Name | Jennifer M Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154650927 PECOS PAC ID: 3971633751 Enrollment ID: I20100605000218 |
| Provider Name | Michael Rossini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922199959 PECOS PAC ID: 6406987213 Enrollment ID: I20100623000188 |
| Provider Name | Theresa Ng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730274507 PECOS PAC ID: 2961534433 Enrollment ID: I20100719000729 |
| Provider Name | Brian R Bigelow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033297940 PECOS PAC ID: 3870789183 Enrollment ID: I20101129001025 |
| Provider Name | Jason T Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699966291 PECOS PAC ID: 3678752524 Enrollment ID: I20110124001058 |
| Provider Name | Pierre A Scales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679544662 PECOS PAC ID: 7113106956 Enrollment ID: I20110125000890 |
| Provider Name | Linda G Ottemoeller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912978115 PECOS PAC ID: 2567642432 Enrollment ID: I20110224000085 |
| Provider Name | Kelly Andrea Shields |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265638993 PECOS PAC ID: 0648452078 Enrollment ID: I20110307000708 |
| Provider Name | Husam A Abdulnour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740451749 PECOS PAC ID: 2466621438 Enrollment ID: I20110808000691 |
| Provider Name | Kenichi T Miyata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376687772 PECOS PAC ID: 7214100056 Enrollment ID: I20111024000212 |
| Provider Name | Loraine Escarcha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902847395 PECOS PAC ID: 0648294967 Enrollment ID: I20111229000219 |
| Provider Name | Marcus Reed Bernardi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679581656 PECOS PAC ID: 5092974402 Enrollment ID: I20120305000193 |
| Provider Name | Randee Marie Villarreal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760631485 PECOS PAC ID: 5193985018 Enrollment ID: I20120329000473 |
| Provider Name | Francesca Grousis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497866792 PECOS PAC ID: 3375705916 Enrollment ID: I20120427000281 |
| Provider Name | Sikhnandan Sidhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306931522 PECOS PAC ID: 8022272079 Enrollment ID: I20120604000367 |
| Provider Name | Parminder S Sidhu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164663878 PECOS PAC ID: 6507020864 Enrollment ID: I20120618000313 |
| Provider Name | Hasmik Arzumanyan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033301882 PECOS PAC ID: 5597912915 Enrollment ID: I20120820001012 |
| Provider Name | Peter Rim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730165044 PECOS PAC ID: 4284883133 Enrollment ID: I20121009000452 |
| Provider Name | Monique Lee Deterville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225396062 PECOS PAC ID: 2567613722 Enrollment ID: I20121115000507 |
| Provider Name | Paul A Aubin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821398058 PECOS PAC ID: 6103078894 Enrollment ID: I20121203000479 |
| Provider Name | Robert Bogue |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427066497 PECOS PAC ID: 1456505221 Enrollment ID: I20130201000056 |
| Provider Name | Coleen F O'hare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982736179 PECOS PAC ID: 6305090580 Enrollment ID: I20130218000325 |
| Provider Name | Timothy J Fernandes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487848966 PECOS PAC ID: 2668610247 Enrollment ID: I20130522000170 |
| Provider Name | Michael Nuzzo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265583587 PECOS PAC ID: 4284792193 Enrollment ID: I20130622000119 |
| Provider Name | Pallavi Shikaripur Nadig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306073309 PECOS PAC ID: 8921240458 Enrollment ID: I20130813000946 |
| Provider Name | Abhilasha Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780998021 PECOS PAC ID: 0244488872 Enrollment ID: I20130909000818 |
| Provider Name | Nahid Abdali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700210242 PECOS PAC ID: 2961630637 Enrollment ID: I20140102001514 |
| Provider Name | Eleftherios B Sideris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548417058 PECOS PAC ID: 3678702479 Enrollment ID: I20140127000492 |
| Provider Name | Alvin M Topacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609200898 PECOS PAC ID: 3375772536 Enrollment ID: I20140210001397 |
| Provider Name | Millard E Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730162892 PECOS PAC ID: 7214824937 Enrollment ID: I20140401001304 |
| Provider Name | Chengyu Xu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669600086 PECOS PAC ID: 1355564501 Enrollment ID: I20140516000268 |
| Provider Name | Anika Godhwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275829756 PECOS PAC ID: 4486879483 Enrollment ID: I20140708000607 |
| Provider Name | Christine Battaglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558657106 PECOS PAC ID: 5597981449 Enrollment ID: I20140729002475 |
| Provider Name | Jorge L Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538288998 PECOS PAC ID: 0244457745 Enrollment ID: I20140806002280 |
| Provider Name | Jennifer L Leoniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588808703 PECOS PAC ID: 0941420939 Enrollment ID: I20140924002607 |
| Provider Name | Pahoua Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295155653 PECOS PAC ID: 3779704143 Enrollment ID: I20141028002468 |
| Provider Name | Lisa Nhan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811288418 PECOS PAC ID: 1850513706 Enrollment ID: I20141110002344 |
| Provider Name | Kris Yogam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265528053 PECOS PAC ID: 4082936752 Enrollment ID: I20141208001649 |
| Provider Name | Ladan Modallel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669633376 PECOS PAC ID: 7416115878 Enrollment ID: I20141210001414 |
| Provider Name | Michelle Laverne Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356747687 PECOS PAC ID: 5496078743 Enrollment ID: I20141218000346 |
| Provider Name | Amanzoopinder Samrao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245462845 PECOS PAC ID: 2365765559 Enrollment ID: I20141218002148 |
| Provider Name | Thinh D Mai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558505750 PECOS PAC ID: 3072837327 Enrollment ID: I20150115001706 |
| Provider Name | Gail Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831587740 PECOS PAC ID: 6204148943 Enrollment ID: I20150708002928 |
| Provider Name | James Adam Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093920928 PECOS PAC ID: 8527104967 Enrollment ID: I20150709002122 |
| Provider Name | Rosalie F Sia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316972250 PECOS PAC ID: 5597819086 Enrollment ID: I20150713002931 |
| Provider Name | Eileen Edith Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339146 PECOS PAC ID: 1052464575 Enrollment ID: I20150805008852 |
| Provider Name | Umair Yousufi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134357437 PECOS PAC ID: 4587979091 Enrollment ID: I20150812009005 |
| Provider Name | Omairah L Moti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598029647 PECOS PAC ID: 1355657420 Enrollment ID: I20150903002110 |
| Provider Name | Alonso Cardenas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811212145 PECOS PAC ID: 6002124260 Enrollment ID: I20151007003232 |
| Provider Name | Carrie R Janiski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124186101 PECOS PAC ID: 1850515982 Enrollment ID: I20151109000030 |
| Provider Name | Ruth A Ogot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720463318 PECOS PAC ID: 3971804071 Enrollment ID: I20151215000789 |
| Provider Name | Sunita Saini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689839854 PECOS PAC ID: 4486947181 Enrollment ID: I20160718001918 |
| Provider Name | Suzarie V Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339930 PECOS PAC ID: 6608169784 Enrollment ID: I20160727000920 |
| Provider Name | Diksha Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467895201 PECOS PAC ID: 2264651777 Enrollment ID: I20160902000913 |
| Provider Name | Richa Verma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639511843 PECOS PAC ID: 5799072823 Enrollment ID: I20160916002332 |
| Provider Name | Jumnah Arasu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790824878 PECOS PAC ID: 2163724113 Enrollment ID: I20161010000742 |
| Provider Name | Heydi Selenia Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699894097 PECOS PAC ID: 7517255094 Enrollment ID: I20161017001312 |
| Provider Name | Cinthya L Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578758736 PECOS PAC ID: 6305125303 Enrollment ID: I20161115001698 |
| Provider Name | Christine M Ndetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760734974 PECOS PAC ID: 8426201138 Enrollment ID: I20161129001770 |
| Provider Name | Jagrup Bal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881071454 PECOS PAC ID: 4587944939 Enrollment ID: I20161201000850 |
| Provider Name | Ekaterina M Petrova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265750129 PECOS PAC ID: 6103942487 Enrollment ID: I20161213001625 |
| Provider Name | Nichole D Liggins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184982308 PECOS PAC ID: 3577843267 Enrollment ID: I20161215001749 |
| Provider Name | Melody Jean Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093120099 PECOS PAC ID: 7214157015 Enrollment ID: I20161221001411 |
| Provider Name | Anna Maria Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194001958 PECOS PAC ID: 0547543928 Enrollment ID: I20170208002917 |
| Provider Name | Andrea H Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861934838 PECOS PAC ID: 2062795222 Enrollment ID: I20170214000082 |
| Provider Name | Edward J Stanford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326094715 PECOS PAC ID: 4385619931 Enrollment ID: I20170413001649 |
| Provider Name | Lena Mae Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114933249 PECOS PAC ID: 6204838279 Enrollment ID: I20170501001614 |
| Provider Name | Jason Nguyen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386175248 PECOS PAC ID: 8820366792 Enrollment ID: I20170616002127 |
| Provider Name | Dante Manalo Baes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902089352 PECOS PAC ID: 4789953712 Enrollment ID: I20170707001258 |
| Provider Name | Aparna Yadatore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689014821 PECOS PAC ID: 2961774781 Enrollment ID: I20170814002960 |
| Provider Name | Bhavin Doshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134353915 PECOS PAC ID: 9133491095 Enrollment ID: I20170828001780 |
| Provider Name | Lisa Torre-igwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851442529 PECOS PAC ID: 2769755370 Enrollment ID: I20170901001921 |
| Provider Name | Lisa Ippolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922523034 PECOS PAC ID: 8022382233 Enrollment ID: I20170926002881 |
| Provider Name | Lauren K Brown-berchtold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770927972 PECOS PAC ID: 7911200787 Enrollment ID: I20171113001886 |
| Provider Name | Ibraheem Al Shareef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306283239 PECOS PAC ID: 3678830965 Enrollment ID: I20171121002030 |
| Provider Name | Veena Rani Mamidi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104016054 PECOS PAC ID: 0941481386 Enrollment ID: I20180118002798 |
| Provider Name | Alexander Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750796371 PECOS PAC ID: 4284852849 Enrollment ID: I20180130001597 |
| Provider Name | Nicole Soares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467752469 PECOS PAC ID: 3274893730 Enrollment ID: I20180201002953 |
| Provider Name | Philip Antwi Badu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609301340 PECOS PAC ID: 6901168459 Enrollment ID: I20180320003286 |
| Provider Name | Shabana Sunesara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730549080 PECOS PAC ID: 0042574071 Enrollment ID: I20180427002155 |
| Provider Name | Eva Lomeli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396145611 PECOS PAC ID: 1658636725 Enrollment ID: I20180521003059 |
| Provider Name | Yan Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074035 PECOS PAC ID: 6901151182 Enrollment ID: I20180611002846 |
| Provider Name | Susan L Vang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790153989 PECOS PAC ID: 7719232495 Enrollment ID: I20180620003064 |
| Provider Name | Muluneh Abebe Yimer |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1558620047 PECOS PAC ID: 3476700659 Enrollment ID: I20180822000599 |
| Provider Name | Marcia Patricia Roye-madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447542303 PECOS PAC ID: 3870756133 Enrollment ID: I20180829004422 |
| Provider Name | Megan Michelle Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922371004 PECOS PAC ID: 9638450489 Enrollment ID: I20180830001619 |
| Provider Name | Christopher P. Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588669832 PECOS PAC ID: 7911818315 Enrollment ID: I20180924003116 |
| Provider Name | Pratibha Patil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609251925 PECOS PAC ID: 3870845720 Enrollment ID: I20181004001125 |
| Provider Name | Kamalpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063919561 PECOS PAC ID: 0749534659 Enrollment ID: I20181113000767 |
| Provider Name | Joan Nkechi Anukam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013382373 PECOS PAC ID: 8426306861 Enrollment ID: I20181214001899 |
| Provider Name | Khatereh A Assadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427327766 PECOS PAC ID: 3971763509 Enrollment ID: I20190111001785 |
| Provider Name | Sudy R Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932514791 PECOS PAC ID: 2961628607 Enrollment ID: I20190219001381 |
| Provider Name | Diane Renee Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376882357 PECOS PAC ID: 8022326537 Enrollment ID: I20190311002201 |
| Provider Name | Joy O Egwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780043224 PECOS PAC ID: 2062750110 Enrollment ID: I20190320000699 |
| Provider Name | Aziz A Rasooli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194295469 PECOS PAC ID: 2769722024 Enrollment ID: I20190322001852 |
| Provider Name | Mariel Liza Telmo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730568163 PECOS PAC ID: 0840531117 Enrollment ID: I20190415001359 |
| Provider Name | Anushri Oza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356736508 PECOS PAC ID: 8921340498 Enrollment ID: I20190502001151 |
| Provider Name | Marjorie Millan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942776935 PECOS PAC ID: 3375885627 Enrollment ID: I20190507000947 |
| Provider Name | Andrea Naomi Heyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194159319 PECOS PAC ID: 8022239441 Enrollment ID: I20190605002369 |
| Provider Name | Juan Carlos Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083031033 PECOS PAC ID: 5698004802 Enrollment ID: I20190913001411 |
| Provider Name | Charmin Gohel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144773037 PECOS PAC ID: 6305176975 Enrollment ID: I20190924003077 |
| Provider Name | Stacy Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891252318 PECOS PAC ID: 3476883927 Enrollment ID: I20190925002818 |
| Provider Name | Arlene Acta Gabot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548741515 PECOS PAC ID: 1557691904 Enrollment ID: I20190926002996 |
| Provider Name | Melisa Lauren Rotondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003460460 PECOS PAC ID: 1153652540 Enrollment ID: I20191016002523 |
| Provider Name | Marycruz Saldivar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982258885 PECOS PAC ID: 6507197910 Enrollment ID: I20191016003079 |
| Provider Name | Mi-hyun Sooyeon Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316451099 PECOS PAC ID: 4789915992 Enrollment ID: I20191018000869 |
| Provider Name | Vanitha Banajjar Revanasiddappa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669856217 PECOS PAC ID: 0941532188 Enrollment ID: I20191021003200 |
| Provider Name | Gregory R Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20191024000991 |
| Provider Name | Daniel Oliver Pederson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811130669 PECOS PAC ID: 2961659198 Enrollment ID: I20191104003308 |
| Provider Name | Jaspreet Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225582695 PECOS PAC ID: 6901238641 Enrollment ID: I20191118001696 |
| Provider Name | Craig Donald Zippe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750471777 PECOS PAC ID: 8628966009 Enrollment ID: I20191119003009 |
| Provider Name | Carlos F Eltagunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265096101 PECOS PAC ID: 9638502404 Enrollment ID: I20191209002185 |
| Provider Name | Jasjit Gill Rai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128094 PECOS PAC ID: 3375977499 Enrollment ID: I20191226001306 |
| Provider Name | Hemantkumar V Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255537155 PECOS PAC ID: 0446685531 Enrollment ID: I20200117001904 |
| Provider Name | Erica Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205487774 PECOS PAC ID: 5799112520 Enrollment ID: I20200217003316 |
| Provider Name | Andrea Elizabeth-mehl Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528690120 PECOS PAC ID: 2769812270 Enrollment ID: I20200424001090 |
| Provider Name | Amanda L Jamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982137212 PECOS PAC ID: 0941627418 Enrollment ID: I20200828001169 |
| Provider Name | Meaghan Victoria Hongo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740711332 PECOS PAC ID: 1759708225 Enrollment ID: I20200828001203 |
| Provider Name | Johann-christian Ordona Abordo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710409289 PECOS PAC ID: 2769801372 Enrollment ID: I20201001000756 |
| Provider Name | Karen Ann P Rayos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114300209 PECOS PAC ID: 5496165615 Enrollment ID: I20201029001004 |
| Provider Name | Jereme Glenn Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710430574 PECOS PAC ID: 0042550642 Enrollment ID: I20201029001994 |
| Provider Name | Dheera Tamvada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225552284 PECOS PAC ID: 7214201920 Enrollment ID: I20201118003116 |
| Provider Name | Allison Gapasin Arquero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528407582 PECOS PAC ID: 3577975358 Enrollment ID: I20201221000309 |
| Provider Name | Nataliya Pyatka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326435025 PECOS PAC ID: 2264844059 Enrollment ID: I20201221000953 |
| Provider Name | Carmen Hattie Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558967489 PECOS PAC ID: 4183038029 Enrollment ID: I20210204000281 |
| Provider Name | Nancy E Cisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104414598 PECOS PAC ID: 6901211556 Enrollment ID: I20210212002053 |
| Provider Name | Adrienne Michelle Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811594955 PECOS PAC ID: 7113332552 Enrollment ID: I20210217003160 |
| Provider Name | Kourtney Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053936948 PECOS PAC ID: 2860802501 Enrollment ID: I20210318002096 |
| Provider Name | Shiva Kolangara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952890956 PECOS PAC ID: 2769891308 Enrollment ID: I20210511001672 |
| Provider Name | Regina M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295317709 PECOS PAC ID: 7214336114 Enrollment ID: I20210526000872 |
| Provider Name | Lordesa Edison Fok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376117994 PECOS PAC ID: 9537560339 Enrollment ID: I20210630003825 |
| Provider Name | Barbara Milagros Porrello Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801372305 PECOS PAC ID: 6800299322 Enrollment ID: I20210721003053 |
| Provider Name | Weizheng Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275023780 PECOS PAC ID: 0244633386 Enrollment ID: I20210727000971 |
| Provider Name | Micheline Helou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609405992 PECOS PAC ID: 6507269610 Enrollment ID: I20210727003701 |
| Provider Name | Marc Kevin Te Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871087437 PECOS PAC ID: 9133469869 Enrollment ID: I20210729001383 |
| Provider Name | Liang Yin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144727306 PECOS PAC ID: 1951665652 Enrollment ID: I20210805001298 |
| Provider Name | Farhan Zafar Khokhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982199162 PECOS PAC ID: 1456755404 Enrollment ID: I20210812001837 |
| Provider Name | Abilash Jaganathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639665631 PECOS PAC ID: 5193129047 Enrollment ID: I20210813002622 |
| Provider Name | Bassam Aljomard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093282907 PECOS PAC ID: 7113265158 Enrollment ID: I20210903000392 |
| Provider Name | Roohi Shahjahan Bakhath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871088799 PECOS PAC ID: 7113324377 Enrollment ID: I20210930001986 |
| Provider Name | Krithika Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417442732 PECOS PAC ID: 9830440924 Enrollment ID: I20211012001840 |
| Provider Name | Rahema Haseeb |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205492683 PECOS PAC ID: 2961890991 Enrollment ID: I20211025002334 |
| Provider Name | Pearlita Ranada Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994689 PECOS PAC ID: 0840680310 Enrollment ID: I20211124001838 |
| Provider Name | Cynthia Lemos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184266389 PECOS PAC ID: 8527458421 Enrollment ID: I20211208002937 |
| Provider Name | Jaideep Misra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861965386 PECOS PAC ID: 5991043994 Enrollment ID: I20220131000992 |
| Provider Name | Roselande Mentor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205425931 PECOS PAC ID: 3971996893 Enrollment ID: I20220216002335 |
| Provider Name | Roshan Ara Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003990151 PECOS PAC ID: 0941554976 Enrollment ID: I20220228001037 |
| Provider Name | Colleen Pinch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275755142 PECOS PAC ID: 3173718087 Enrollment ID: I20220303002129 |
| Provider Name | Deepika Minnal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568426161 PECOS PAC ID: 1052705183 Enrollment ID: I20220306000003 |
| Provider Name | Yesenia Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598430555 PECOS PAC ID: 5496140493 Enrollment ID: I20220309001478 |
| Provider Name | Dawn Marie Lohr-poot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356968796 PECOS PAC ID: 1850786302 Enrollment ID: I20220318001273 |
| Provider Name | Mayra Olivia Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164908919 PECOS PAC ID: 2163819327 Enrollment ID: I20220419000700 |
| Provider Name | Erica Maria Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730655143 PECOS PAC ID: 9133395775 Enrollment ID: I20220426002298 |
| Provider Name | Crestley Patricia Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811663594 PECOS PAC ID: 8527446160 Enrollment ID: I20220609001954 |
| Provider Name | Hazel May Albancis Bais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174265102 PECOS PAC ID: 9032598172 Enrollment ID: I20220621002629 |
| Provider Name | Mary Garber Bartels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609925700 PECOS PAC ID: 5799977005 Enrollment ID: I20220623002736 |
| Provider Name | Maria Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154830842 PECOS PAC ID: 7911388863 Enrollment ID: I20220722002584 |
| Provider Name | Pooja Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962063743 PECOS PAC ID: 7012398852 Enrollment ID: I20220725003032 |
| Provider Name | Liz Elian Cavalier Cadenillas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467013706 PECOS PAC ID: 8224410469 Enrollment ID: I20220803003755 |
| Provider Name | Flor De Maria Lopez Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093277345 PECOS PAC ID: 9931582301 Enrollment ID: I20220817002667 |
| Provider Name | Chaithra Sreenath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073035226 PECOS PAC ID: 0345507976 Enrollment ID: I20220822000728 |
| Provider Name | Grace Duenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851048896 PECOS PAC ID: 7810370921 Enrollment ID: I20220822002480 |
| Provider Name | Navneet Saggu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881256568 PECOS PAC ID: 9830428820 Enrollment ID: I20220830004459 |
| Provider Name | Natasha Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932768173 PECOS PAC ID: 2961886148 Enrollment ID: I20220907002949 |
| Provider Name | Sylvia M Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609439793 PECOS PAC ID: 8224413141 Enrollment ID: I20220913003666 |
| Provider Name | Tiffany Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225355431 PECOS PAC ID: 7517342199 Enrollment ID: I20220919000206 |
| Provider Name | Maurine Bonkiyoy Forche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104473016 PECOS PAC ID: 5698107829 Enrollment ID: I20220923001797 |
| Provider Name | Raydel Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770856890 PECOS PAC ID: 9638397938 Enrollment ID: I20221101002289 |
| Provider Name | Anna Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043576861 PECOS PAC ID: 8426427345 Enrollment ID: I20221214003093 |
| Provider Name | Abdon Floresca Galera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396152179 PECOS PAC ID: 3678942539 Enrollment ID: I20221215001806 |
| Provider Name | Kendra Michele Erickson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437267846 PECOS PAC ID: 1254700982 Enrollment ID: I20221219002758 |
| Provider Name | Rachel E Govett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295453033 PECOS PAC ID: 9335510858 Enrollment ID: I20230120000840 |
| Provider Name | Tong Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740926237 PECOS PAC ID: 7719358944 Enrollment ID: I20230125001733 |
| Provider Name | Andrea Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942792007 PECOS PAC ID: 4284024522 Enrollment ID: I20230309002679 |
| Provider Name | Mark Jason Granada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386353761 PECOS PAC ID: 0749648939 Enrollment ID: I20230620003230 |
| Provider Name | Uyen Huynh Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033759345 PECOS PAC ID: 6709244627 Enrollment ID: I20230623002428 |
| Provider Name | Sithu Lin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023417649 PECOS PAC ID: 4284921727 Enrollment ID: I20230710002543 |
| Provider Name | Leah Santianez Manangat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436197 PECOS PAC ID: 9537546338 Enrollment ID: I20230714001952 |
| Provider Name | Khaingthazin San |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508387630 PECOS PAC ID: 2264786805 Enrollment ID: I20230802002662 |
| Provider Name | Lety Elizabeth Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821188269 PECOS PAC ID: 0042361180 Enrollment ID: I20230803003093 |
| Provider Name | Shruti Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851909782 PECOS PAC ID: 0244657716 Enrollment ID: I20230807000265 |
| Provider Name | Mitchell Mark Nass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609936558 PECOS PAC ID: 1557487493 Enrollment ID: I20230822002686 |
| Provider Name | Mayra Olivia Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164908919 PECOS PAC ID: 2163819327 Enrollment ID: I20230908003496 |
| Provider Name | Vilma Lorena Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684642 PECOS PAC ID: 0345585600 Enrollment ID: I20230914002173 |
| Provider Name | Christina Han-souksavong Ma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295382489 PECOS PAC ID: 6507220050 Enrollment ID: I20230915003048 |
| Provider Name | Jacqueline Jones Toal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488697 PECOS PAC ID: 8628358843 Enrollment ID: I20230920002097 |
| Provider Name | Maryan D Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376081158 PECOS PAC ID: 2264717123 Enrollment ID: I20230926001947 |
| Provider Name | Eric Francis Herzog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295795177 PECOS PAC ID: 0547453052 Enrollment ID: I20231013002562 |
| Provider Name | Simrit Singh Dyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578192043 PECOS PAC ID: 0648625137 Enrollment ID: I20231019000178 |
| Provider Name | Stephanie Santana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861856635 PECOS PAC ID: 2961701859 Enrollment ID: I20231019000991 |
| Provider Name | Adrienne Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366079337 PECOS PAC ID: 5092161281 Enrollment ID: I20231024002873 |
| Provider Name | Preethi Conjeevaram Selvakumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336792662 PECOS PAC ID: 4789030990 Enrollment ID: I20231024004056 |
| Provider Name | Michael Wu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225056856 PECOS PAC ID: 1254787237 Enrollment ID: I20231026004078 |
| Provider Name | Ami Gami |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1922871136 PECOS PAC ID: 8820445794 Enrollment ID: I20231114003410 |
| Provider Name | Tejaswini Bandaru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558970194 PECOS PAC ID: 0244640340 Enrollment ID: I20231127001510 |
| Provider Name | Ge Thao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225252968 PECOS PAC ID: 2062860182 Enrollment ID: I20231130001554 |
| Provider Name | Youhi Ghouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760019368 PECOS PAC ID: 0042693632 Enrollment ID: I20231201001987 |
| Provider Name | Jongserk Robert Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861999005 PECOS PAC ID: 9638550502 Enrollment ID: I20231205002775 |
| Provider Name | Venkateswarlu Kadiveti |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871993238 PECOS PAC ID: 8123477684 Enrollment ID: I20231208001300 |
| Provider Name | Teresa Renae Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568987691 PECOS PAC ID: 2769742154 Enrollment ID: I20231214003818 |
| Provider Name | Syed Sharuq Ahmed |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659954402 PECOS PAC ID: 7517316557 Enrollment ID: I20231215000823 |
| Provider Name | Agnes Emilie Nyeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447872452 PECOS PAC ID: 5799102240 Enrollment ID: I20231228000029 |
| Provider Name | Ramandeep Kaur Randhawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871218685 PECOS PAC ID: 2062865652 Enrollment ID: I20240131000664 |
| Provider Name | Donna Pam Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952819831 PECOS PAC ID: 1850756644 Enrollment ID: I20240213003618 |
| Provider Name | Amanda Marie Agrela Pires |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831716695 PECOS PAC ID: 7810303302 Enrollment ID: I20240216002221 |
| Provider Name | Robert Stout |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699413351 PECOS PAC ID: 9830533892 Enrollment ID: I20240216004417 |
| Provider Name | Benjamin Hsieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164046827 PECOS PAC ID: 2062856560 Enrollment ID: I20240222002610 |
| Provider Name | Eunice Tuungafasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275263469 PECOS PAC ID: 5193199875 Enrollment ID: I20240319003768 |
| Provider Name | Carla Rita Antypas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063096113 PECOS PAC ID: 7719324680 Enrollment ID: I20240327002334 |
| Provider Name | Sadeg Taher Aldolaim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972099521 PECOS PAC ID: 3072951870 Enrollment ID: I20240328003650 |
| Provider Name | Harpradeep Ratia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629323043 PECOS PAC ID: 1254770928 Enrollment ID: I20240414000048 |
| Provider Name | Mohni Kaur Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316790983 PECOS PAC ID: 7416397245 Enrollment ID: I20240426002816 |
| Provider Name | Sarah Curboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255078101 PECOS PAC ID: 2567846496 Enrollment ID: I20240503003145 |
| Provider Name | Katelyn E Warren Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700469764 PECOS PAC ID: 7810361391 Enrollment ID: I20240506001443 |
| Provider Name | Joanna Alvarez Valenzuela-garay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245097781 PECOS PAC ID: 6204277825 Enrollment ID: I20240514003270 |
| Provider Name | Kamindara Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497335012 PECOS PAC ID: 4183066327 Enrollment ID: I20240520003444 |
| Provider Name | Glorifino Juan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548997422 PECOS PAC ID: 0446624969 Enrollment ID: I20240521002055 |
| Provider Name | Andrea Marie Pezoldt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447339353 PECOS PAC ID: 2769824002 Enrollment ID: I20240531001651 |
| Provider Name | Richard Z Chen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538231592 PECOS PAC ID: 0244473486 Enrollment ID: I20240531002280 |
| Provider Name | Zohra Jalala |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013595131 PECOS PAC ID: 5698117984 Enrollment ID: I20240531003403 |
| Provider Name | Tanagra Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912620022 PECOS PAC ID: 2466818505 Enrollment ID: I20240603001167 |
| Provider Name | Keariesha Natalee Addison Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124895958 PECOS PAC ID: 2860936630 Enrollment ID: I20240703002605 |
| Provider Name | Maria R Rios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871600288 PECOS PAC ID: 5395830715 Enrollment ID: I20240705000174 |
| Provider Name | Anahit Petrosyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124608765 PECOS PAC ID: 7911441688 Enrollment ID: I20240705001048 |
| Provider Name | Geralda James-posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659734119 PECOS PAC ID: 2365741931 Enrollment ID: I20240712001119 |
| Provider Name | Obinna Kizito Nwachukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790368967 PECOS PAC ID: 7810338183 Enrollment ID: I20240724001008 |
| Provider Name | Teodoro Lauro Carachure Charco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568220788 PECOS PAC ID: 4082151212 Enrollment ID: I20240805003409 |
| Provider Name | Jordan Combs |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003236886 PECOS PAC ID: 6305103623 Enrollment ID: I20240809003631 |
| Provider Name | Jake Michael Brierley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215501606 PECOS PAC ID: 0941748412 Enrollment ID: I20240814005053 |
| Provider Name | Leigh A Collins-vazquez Atecas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437645892 PECOS PAC ID: 7315284957 Enrollment ID: I20240816001528 |
| Provider Name | Samta Batra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366024838 PECOS PAC ID: 3870032485 Enrollment ID: I20240827004386 |
| Provider Name | Elmira Khodapanah |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750595195 PECOS PAC ID: 3072809045 Enrollment ID: I20240905001001 |
| Provider Name | Kasey Scott Perry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861708554 PECOS PAC ID: 3779714746 Enrollment ID: I20240911004722 |
| Provider Name | Harshil Dhananjay Modi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639759020 PECOS PAC ID: 2668814021 Enrollment ID: I20241014003881 |
| Provider Name | Konwre Cassey Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871048470 PECOS PAC ID: 9931488517 Enrollment ID: I20241018000000 |
| Provider Name | Felicia Yvonne Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205377017 PECOS PAC ID: 0547598997 Enrollment ID: I20241024003491 |
| Provider Name | Sarah Elizabeth Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245826270 PECOS PAC ID: 1355755299 Enrollment ID: I20241025000788 |
| Provider Name | Jivitesh Gaurav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376204669 PECOS PAC ID: 5597157024 Enrollment ID: I20241025002146 |
| Provider Name | Al Mamaril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497246342 PECOS PAC ID: 7719232479 Enrollment ID: I20241025002161 |
| Provider Name | Beverley Y Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689279994 PECOS PAC ID: 9638602790 Enrollment ID: I20241028001926 |
| Provider Name | Valerie Victoria Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164147179 PECOS PAC ID: 5496288250 Enrollment ID: I20241031002959 |
| Provider Name | Nick M Zilieris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467765586 PECOS PAC ID: 5294903902 Enrollment ID: I20241112003572 |
| Provider Name | Janise Michelle Roebuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023651080 PECOS PAC ID: 4981022837 Enrollment ID: I20241113001753 |
| Provider Name | Alexandra Taylor Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902648207 PECOS PAC ID: 5395279251 Enrollment ID: I20241114001885 |
| Provider Name | Gurneetpal Singh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306506134 PECOS PAC ID: 8123552940 Enrollment ID: I20241115000137 |
| Provider Name | Sarah Ashcraft Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023559937 PECOS PAC ID: 9739458423 Enrollment ID: I20241120001040 |
| Provider Name | Kent Harold Schwartz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992880363 PECOS PAC ID: 4385696970 Enrollment ID: I20241121001336 |
| Provider Name | Dennis Lee Schaurer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306674650 PECOS PAC ID: 9032644075 Enrollment ID: I20241127001241 |
| Provider Name | Kena Mihirate Yadeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548022338 PECOS PAC ID: 6709312242 Enrollment ID: I20241209000710 |
| Provider Name | Jasroop Jit Dhaliwal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871934208 PECOS PAC ID: 4587190897 Enrollment ID: I20241210003802 |
| Provider Name | Eefa Shehzad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508515651 PECOS PAC ID: 4082140314 Enrollment ID: I20241210004895 |
| Provider Name | Gabriel Harmon Deol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083431357 PECOS PAC ID: 7214463207 Enrollment ID: I20241213002736 |
| Provider Name | Brian T Xieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295475457 PECOS PAC ID: 3375070808 Enrollment ID: I20241223002392 |
| Provider Name | Deepthi Rimmalapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417308693 PECOS PAC ID: 9032511464 Enrollment ID: I20241224001018 |
| Provider Name | Karen Kate Collo Dimaano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508646829 PECOS PAC ID: 1254869902 Enrollment ID: I20250109001303 |
| Provider Name | Dudley Marvin Pang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457546921 PECOS PAC ID: 4385172931 Enrollment ID: I20250109002058 |
| Provider Name | Rebecca Kathleen Ledwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972693836 PECOS PAC ID: 5698180354 Enrollment ID: I20250115001548 |
| Provider Name | Donna Ann Marie Hemmings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598305526 PECOS PAC ID: 5496179137 Enrollment ID: I20250115002432 |
| Provider Name | Jammil Pagaduan Watan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427883115 PECOS PAC ID: 9638608748 Enrollment ID: I20250117001665 |
| Provider Name | Jenifer Esther Jesson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942860937 PECOS PAC ID: 5890165591 Enrollment ID: I20250123001301 |
| Provider Name | Saffie Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487299673 PECOS PAC ID: 2860896990 Enrollment ID: I20250128003586 |
| Provider Name | Michael A Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316348220 PECOS PAC ID: 9739619602 Enrollment ID: I20250206002772 |
| Provider Name | Theo Oscar Luu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053132407 PECOS PAC ID: 9032649462 Enrollment ID: I20250213003192 |
| Provider Name | Amit Bhargava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306096698 PECOS PAC ID: 1355646266 Enrollment ID: I20250221000332 |
| Provider Name | Susana Wayeta Kataka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457470148 PECOS PAC ID: 4981641735 Enrollment ID: I20250228002428 |
| Provider Name | Navneet Kaur Bahia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427865187 PECOS PAC ID: 1850812918 Enrollment ID: I20250305001294 |
| Provider Name | Elise Simone Francis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770025330 PECOS PAC ID: 9032630991 Enrollment ID: I20250307000796 |
| Provider Name | Tonya Kang |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962106898 PECOS PAC ID: 1759802325 Enrollment ID: I20250312000010 |
| Provider Name | Amanda Krieger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588393664 PECOS PAC ID: 9234651589 Enrollment ID: I20250317002254 |
| Provider Name | Efrain Arturo Montana |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114145265 PECOS PAC ID: 0941634521 Enrollment ID: I20250325000820 |
| Provider Name | Kishore Gaddam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093069411 PECOS PAC ID: 4284957390 Enrollment ID: I20250403001470 |
| Provider Name | Kenneth Brandon James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790148583 PECOS PAC ID: 0446502348 Enrollment ID: I20250408000000 |
| Provider Name | Holly Grace Currie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225794993 PECOS PAC ID: 3375067465 Enrollment ID: I20250410001273 |
| Provider Name | Smitha Balachandran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508327479 PECOS PAC ID: 3072038462 Enrollment ID: I20250417003022 |
| Provider Name | Amrita Manglesh Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396430195 PECOS PAC ID: 6103342415 Enrollment ID: I20250430000386 |
| Provider Name | Jennifer J Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962643858 PECOS PAC ID: 3072661164 Enrollment ID: I20250505001075 |
| Provider Name | Frantz Jean-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184120784 PECOS PAC ID: 6002335056 Enrollment ID: I20250522002697 |
| Provider Name | Christian Eduardo Torres |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811529001 PECOS PAC ID: 2769901131 Enrollment ID: I20250529000198 |
Livingston Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2141 Colorado Ave, Turlock, CA 95382 Phone: 209-850-3500 | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1199 Delbon Ave Ste 3, Turlock, CA 95382 Phone: 209-667-0905 Fax: 209-667-0922 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2240 W Monte Vista Ave, Turlock, CA 95382 Phone: 209-667-1270 Fax: 209-667-1269 | |
Vijaya Thakur Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Delbon Ave, Suite B, Turlock, CA 95382 Phone: 209-668-2600 Fax: 209-668-2631 | |
Mark Mangiapane Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Colorado Ave, Turlock, CA 95382 Phone: 209-250-2683 Fax: 209-250-2684 | |
Alexander Evens, Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1199 Delbon Ave, Ste 5, Turlock, CA 95382 Phone: 209-656-0183 Fax: 209-656-0199 | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Delbon Ave, Turlock, CA 95382 Phone: 209-667-0905 Fax: 209-667-0922 |