| Graybill Medical Group Inc | |
|
225 E 2nd Ave Escondido CA 92025-4249 | |
| (760) 291-6700 | |
| (760) 737-7324 |
| Full Name | Graybill Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 225 E 2nd Ave, Escondido, California |
| Authorized Official Name and Position | Alejandro Paz (PRESIDENT) |
| Authorized Official Contact | 7602737920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graybill Medical Group Inc 225 E 2nd Ave Escondido CA 92025-4212 Ph: (760) 273-7920 | Graybill Medical Group Inc 225 E 2nd Ave Escondido CA 92025-4249 Ph: (760) 291-6700 |
| NPI Number | 1891729745 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 9335050517 |
|---|---|
| Medicare Enrollment ID | O20040108000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891729745 | NPI | - | NPPES |
| CC8365 | Other | CA | MEDICARE RAIL ROAD |
| GR0092120 | Medicaid | CA |
| Provider Name | Stefan Moldovan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245291624 PECOS PAC ID: 3577450600 Enrollment ID: I20040302001402 |
| Provider Name | Luca Vassalli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467451880 PECOS PAC ID: 9830087485 Enrollment ID: I20040305001170 |
| Provider Name | Mark D Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508886730 PECOS PAC ID: 9931098571 Enrollment ID: I20040406000976 |
| Provider Name | Emad D Bishay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821087511 PECOS PAC ID: 9830187889 Enrollment ID: I20040712000735 |
| Provider Name | Alexander Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164620522 PECOS PAC ID: 7911976931 Enrollment ID: I20040927001139 |
| Provider Name | Kelly Elizabeth Boyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295784130 PECOS PAC ID: 4284695727 Enrollment ID: I20041019000894 |
| Provider Name | Victor H Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548295124 PECOS PAC ID: 9638130370 Enrollment ID: I20041025001222 |
| Provider Name | Jim P Marte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659389096 PECOS PAC ID: 0547222861 Enrollment ID: I20041029000349 |
| Provider Name | Fernando Quezada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851411797 PECOS PAC ID: 0042273021 Enrollment ID: I20041110000704 |
| Provider Name | Nasser Bayati |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902851744 PECOS PAC ID: 8426040783 Enrollment ID: I20041201001118 |
| Provider Name | Isela Penunuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548295439 PECOS PAC ID: 7315903994 Enrollment ID: I20041206000527 |
| Provider Name | F Omar B Tordilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225063795 PECOS PAC ID: 2163488396 Enrollment ID: I20041208000981 |
| Provider Name | Kristin Michelle Olah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811970916 PECOS PAC ID: 9638120215 Enrollment ID: I20050201001054 |
| Provider Name | Daniel Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629098884 PECOS PAC ID: 4385686591 Enrollment ID: I20050527000386 |
| Provider Name | Minh Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154403640 PECOS PAC ID: 0840234647 Enrollment ID: I20050622000616 |
| Provider Name | David M Illich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528125754 PECOS PAC ID: 9638106875 Enrollment ID: I20050720000247 |
| Provider Name | Terri Denise Henry Barbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508966045 PECOS PAC ID: 0749383834 Enrollment ID: I20070309000358 |
| Provider Name | Alejandro Paz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760400386 PECOS PAC ID: 8527970284 Enrollment ID: I20070806000456 |
| Provider Name | Richard Mallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588699490 PECOS PAC ID: 9537257852 Enrollment ID: I20071119000706 |
| Provider Name | Kesha K Hudson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093721540 PECOS PAC ID: 9335220177 Enrollment ID: I20080117000409 |
| Provider Name | Akemi J Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841473170 PECOS PAC ID: 3779664370 Enrollment ID: I20080122000359 |
| Provider Name | Paul V Polishuk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487648754 PECOS PAC ID: 8820170384 Enrollment ID: I20080123000699 |
| Provider Name | Robert W Orr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598734550 PECOS PAC ID: 8022041821 Enrollment ID: I20080307000368 |
| Provider Name | Mary Cueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023008083 PECOS PAC ID: 2567547425 Enrollment ID: I20080317000563 |
| Provider Name | Stephen D R Tinio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093973018 PECOS PAC ID: 6507931367 Enrollment ID: I20080813000929 |
| Provider Name | Loan T P Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063670966 PECOS PAC ID: 5799846986 Enrollment ID: I20081205000636 |
| Provider Name | Rhyl Ann Fenequito Faeldonea Seruelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013177906 PECOS PAC ID: 9032269246 Enrollment ID: I20090610000141 |
| Provider Name | Ramin Sorkhi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477751535 PECOS PAC ID: 3870673270 Enrollment ID: I20090618000788 |
| Provider Name | Juan Carlos Torres Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437357852 PECOS PAC ID: 7517018856 Enrollment ID: I20090626000599 |
| Provider Name | Jennifer a Montgomery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568658698 PECOS PAC ID: 4981799079 Enrollment ID: I20090828000510 |
| Provider Name | Veena a Prabhakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902874761 PECOS PAC ID: 7214082809 Enrollment ID: I20090903000211 |
| Provider Name | Adnan M Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285821207 PECOS PAC ID: 0941398374 Enrollment ID: I20090904000218 |
| Provider Name | Hui- Wen Dai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609053701 PECOS PAC ID: 2567518244 Enrollment ID: I20090922000262 |
| Provider Name | Frank a Winton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750300315 PECOS PAC ID: 0547307969 Enrollment ID: I20091016000287 |
| Provider Name | David a Bridgeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134147986 PECOS PAC ID: 5991617656 Enrollment ID: I20091016000302 |
| Provider Name | Jeffrey B Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699794735 PECOS PAC ID: 1153468574 Enrollment ID: I20091016000317 |
| Provider Name | Michelle R Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689822181 PECOS PAC ID: 2769522242 Enrollment ID: I20091214000467 |
| Provider Name | Vanessa M Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306871918 PECOS PAC ID: 0840333084 Enrollment ID: I20100210000238 |
| Provider Name | Emmet W Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558326801 PECOS PAC ID: 0143329565 Enrollment ID: I20100420000913 |
| Provider Name | Peter M Jenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184835407 PECOS PAC ID: 2365542438 Enrollment ID: I20100519000921 |
| Provider Name | Alan Thomas Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699784934 PECOS PAC ID: 4880727395 Enrollment ID: I20100804000976 |
| Provider Name | Brian Meyerhoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467417717 PECOS PAC ID: 7315046737 Enrollment ID: I20100921000746 |
| Provider Name | Robert Stein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922063270 PECOS PAC ID: 9234238650 Enrollment ID: I20101006001064 |
| Provider Name | George Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114946753 PECOS PAC ID: 4880506542 Enrollment ID: I20101101001583 |
| Provider Name | David Borecky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679591705 PECOS PAC ID: 4082526744 Enrollment ID: I20101103000625 |
| Provider Name | Lara Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043239841 PECOS PAC ID: 4981516648 Enrollment ID: I20101110000979 |
| Provider Name | David Haffie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649252636 PECOS PAC ID: 5294920021 Enrollment ID: I20101111000494 |
| Provider Name | Anna Rita Foraci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477535466 PECOS PAC ID: 0749475572 Enrollment ID: I20101111000566 |
| Provider Name | Thomas Rastle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972522506 PECOS PAC ID: 2163334822 Enrollment ID: I20101115000719 |
| Provider Name | Neil Tarzy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427030402 PECOS PAC ID: 8921293754 Enrollment ID: I20101129000292 |
| Provider Name | Kandan Baban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285954941 PECOS PAC ID: 4880881747 Enrollment ID: I20101206000271 |
| Provider Name | Mark Haberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497780563 PECOS PAC ID: 6800708561 Enrollment ID: I20101207000215 |
| Provider Name | John Scrivano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235224395 PECOS PAC ID: 6709074800 Enrollment ID: I20101215001040 |
| Provider Name | Thao Dinh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649363185 PECOS PAC ID: 7113115437 Enrollment ID: I20101230000240 |
| Provider Name | Tiara C Esani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902130842 PECOS PAC ID: 3072702133 Enrollment ID: I20110105001177 |
| Provider Name | Linden J Burzell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003017906 PECOS PAC ID: 7012198567 Enrollment ID: I20110216001149 |
| Provider Name | Oksana B Hirniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891750345 PECOS PAC ID: 5597948539 Enrollment ID: I20110329000178 |
| Provider Name | Tsehaye U Seare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184725798 PECOS PAC ID: 4183661986 Enrollment ID: I20110512000179 |
| Provider Name | Natalie R Higgins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932415072 PECOS PAC ID: 6103004858 Enrollment ID: I20110628000274 |
| Provider Name | Justin C Marquis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891729422 PECOS PAC ID: 9133016264 Enrollment ID: I20110728000173 |
| Provider Name | Rebecca a Samuels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821288069 PECOS PAC ID: 4981732526 Enrollment ID: I20110805000149 |
| Provider Name | Dan N Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134389026 PECOS PAC ID: 8729241427 Enrollment ID: I20120516000339 |
| Provider Name | Ingrid Alicia Stabinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588959555 PECOS PAC ID: 8022272699 Enrollment ID: I20120611000574 |
| Provider Name | Nupur K Gosalia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528223542 PECOS PAC ID: 6204960727 Enrollment ID: I20121002000789 |
| Provider Name | Sarina Adhikary Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134377633 PECOS PAC ID: 6507058674 Enrollment ID: I20121212000112 |
| Provider Name | Hashim N Deen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194041319 PECOS PAC ID: 6204063084 Enrollment ID: I20131227000194 |
| Provider Name | Mariel Muriel Pastrana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538488580 PECOS PAC ID: 6406095769 Enrollment ID: I20140128001945 |
| Provider Name | Amir a Asgari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730484981 PECOS PAC ID: 2860622560 Enrollment ID: I20140225001093 |
| Provider Name | Amy M Marin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801234349 PECOS PAC ID: 7618109125 Enrollment ID: I20140416001307 |
| Provider Name | Trisha E Blakesley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228711 PECOS PAC ID: 3072745470 Enrollment ID: I20140417002165 |
| Provider Name | Heather M Cones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649550435 PECOS PAC ID: 6103049226 Enrollment ID: I20140519000776 |
| Provider Name | Liora J Kirby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730413931 PECOS PAC ID: 7517006901 Enrollment ID: I20140613002276 |
| Provider Name | Mario Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124327606 PECOS PAC ID: 6608027115 Enrollment ID: I20140821000545 |
| Provider Name | Fatemeh B Esfahani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902197569 PECOS PAC ID: 1759501661 Enrollment ID: I20140926002337 |
| Provider Name | Farah Hamdard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205984945 PECOS PAC ID: 8022106459 Enrollment ID: I20141121000012 |
| Provider Name | Boris Arutyunov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144562703 PECOS PAC ID: 0749599405 Enrollment ID: I20151020000742 |
| Provider Name | Indira Molai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992999551 PECOS PAC ID: 0042376873 Enrollment ID: I20151106001378 |
| Provider Name | Karen E Muchowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699791178 PECOS PAC ID: 2668499047 Enrollment ID: I20160518001761 |
| Provider Name | Erin Stacey Pollett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467887646 PECOS PAC ID: 9739470832 Enrollment ID: I20160621001188 |
| Provider Name | Saurabh Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790717957 PECOS PAC ID: 1153395041 Enrollment ID: I20160729001755 |
| Provider Name | Julia Lo Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245209071 PECOS PAC ID: 2264468032 Enrollment ID: I20160927001923 |
| Provider Name | Brenda Bebal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336508506 PECOS PAC ID: 3375831910 Enrollment ID: I20170424000429 |
| Provider Name | Jared a Brummel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225265101 PECOS PAC ID: 6901054295 Enrollment ID: I20170504002566 |
| Provider Name | William Kyle Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609296813 PECOS PAC ID: 4486940905 Enrollment ID: I20170919003823 |
| Provider Name | Kimberly Denise Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811400708 PECOS PAC ID: 1759640485 Enrollment ID: I20180125001636 |
| Provider Name | Alex Joseph Crotteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063925386 PECOS PAC ID: 6608137385 Enrollment ID: I20180220001247 |
| Provider Name | Mohamad Ahmadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992207062 PECOS PAC ID: 2264794478 Enrollment ID: I20180328002840 |
| Provider Name | Adnan Ameer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346554201 PECOS PAC ID: 1052675451 Enrollment ID: I20180511001306 |
| Provider Name | Yara Matta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073932133 PECOS PAC ID: 6709137524 Enrollment ID: I20180918002533 |
| Provider Name | Adam E Freiwald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912367830 PECOS PAC ID: 9335445584 Enrollment ID: I20181109001861 |
| Provider Name | Nicole Noel Silvestri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013482363 PECOS PAC ID: 0840532578 Enrollment ID: I20190430001066 |
| Provider Name | Paul Smith Villaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124327739 PECOS PAC ID: 5193085678 Enrollment ID: I20191211002872 |
| Provider Name | Mariette a Macrander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679828438 PECOS PAC ID: 6608099262 Enrollment ID: I20200225002864 |
| Provider Name | Afsaneh Sharsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992158125 PECOS PAC ID: 1658603360 Enrollment ID: I20200929001733 |
| Provider Name | Hamza Gohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215464037 PECOS PAC ID: 4789954702 Enrollment ID: I20201008002204 |
| Provider Name | Manveen Bassi Sasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174902142 PECOS PAC ID: 5092012559 Enrollment ID: I20201228002055 |
| Provider Name | Jose Mari Atangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427611656 PECOS PAC ID: 4587098827 Enrollment ID: I20210225001523 |
| Provider Name | Allison M Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083226245 PECOS PAC ID: 8224447917 Enrollment ID: I20210510002337 |
| Provider Name | Sarah Kay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538634209 PECOS PAC ID: 1759710437 Enrollment ID: I20210524001151 |
| Provider Name | Sophia G Marquis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174692545 PECOS PAC ID: 6901038041 Enrollment ID: I20210525002791 |
| Provider Name | Sharon K Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700868791 PECOS PAC ID: 1456582378 Enrollment ID: I20210527001486 |
| Provider Name | Shiloh S Wecklich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558639476 PECOS PAC ID: 3870724354 Enrollment ID: I20210527002495 |
| Provider Name | Megan Renee Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497216824 PECOS PAC ID: 8527464841 Enrollment ID: I20210910001542 |
| Provider Name | Aashiv Bharij |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932605615 PECOS PAC ID: 9436554896 Enrollment ID: I20210925000001 |
| Provider Name | Nicholas Ray Spear |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144985128 PECOS PAC ID: 4082005202 Enrollment ID: I20211223001594 |
| Provider Name | Maricel Deveza Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174292874 PECOS PAC ID: 2769873645 Enrollment ID: I20220104000628 |
| Provider Name | Christina Marie Chorazy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427714591 PECOS PAC ID: 3577956705 Enrollment ID: I20220210000368 |
| Provider Name | Angie Shammo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679110464 PECOS PAC ID: 2668800822 Enrollment ID: I20220315001973 |
| Provider Name | Elisabete Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134433717 PECOS PAC ID: 2860617263 Enrollment ID: I20220412001097 |
| Provider Name | Sarah Van Leuven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013676667 PECOS PAC ID: 9537555271 Enrollment ID: I20220620001253 |
| Provider Name | Alec Jeffrey Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598400772 PECOS PAC ID: 9234510322 Enrollment ID: I20220720003717 |
| Provider Name | Maryam Barangi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528626918 PECOS PAC ID: 5092196949 Enrollment ID: I20220722002651 |
| Provider Name | Nhu-y Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316567696 PECOS PAC ID: 7416330014 Enrollment ID: I20220815002086 |
| Provider Name | Jamie Kroesch Lidster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538633219 PECOS PAC ID: 5092191866 Enrollment ID: I20220930002127 |
| Provider Name | Tambra Lajoy Ratledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689307779 PECOS PAC ID: 9335516657 Enrollment ID: I20221029000330 |
| Provider Name | Hamid Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473162 PECOS PAC ID: 9436556149 Enrollment ID: I20230214002318 |
| Provider Name | Amanda J. Ahmadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639889983 PECOS PAC ID: 8426423401 Enrollment ID: I20230404002380 |
| Provider Name | Venessa Terdoo Oteniya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689341109 PECOS PAC ID: 2466827928 Enrollment ID: I20230414000558 |
| Provider Name | Michelle Renea Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932807112 PECOS PAC ID: 9234594482 Enrollment ID: I20230424000920 |
| Provider Name | Jana L Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093418287 PECOS PAC ID: 9436515715 Enrollment ID: I20230510003095 |
| Provider Name | Omar Velasco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275845570 PECOS PAC ID: 5991060188 Enrollment ID: I20230712001444 |
| Provider Name | Veronica a Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851918718 PECOS PAC ID: 3577925064 Enrollment ID: I20230815003962 |
| Provider Name | Kevin Cleary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922627827 PECOS PAC ID: 3274995766 Enrollment ID: I20230815004041 |
| Provider Name | Jefferey Raunig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043603863 PECOS PAC ID: 6305291642 Enrollment ID: I20231006000996 |
| Provider Name | Jordan Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437786688 PECOS PAC ID: 9335596329 Enrollment ID: I20231113003407 |
| Provider Name | Cassidy Rose Doyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861126286 PECOS PAC ID: 9739536731 Enrollment ID: I20231113003748 |
| Provider Name | Rana Safiedine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043061237 PECOS PAC ID: 5890135834 Enrollment ID: I20240502000944 |
| Provider Name | Bethany Meyers Bartlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053761403 PECOS PAC ID: 8921546565 Enrollment ID: I20240814003284 |
| Provider Name | Abiola Babawale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841764230 PECOS PAC ID: 5395169312 Enrollment ID: I20241016000664 |
| Provider Name | Megan Elise Nunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942029681 PECOS PAC ID: 8729511738 Enrollment ID: I20250623003701 |
| Provider Name | Faiqa Habib Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205003050 PECOS PAC ID: 6901931021 Enrollment ID: I20260302001779 |
Rady Children's Hospital San Diego Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025 Phone: 760-294-9270 Fax: 760-294-9268 |
Danicare Family Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Grand Ave Ste 100, Escondido, CA 92025 Phone: 760-294-8898 Fax: 760-294-8827 |
Dap Health-centro Medico Escondido-1121 Washington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1121 E Washington Ave, Escondido, CA 92025 Phone: 760-871-0606 Fax: 760-871-3534 |
Clinica Familia De Santa Maria Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 935 E Pennsylvania Ave, Escondido, CA 92025 Phone: 760-747-7512 |
Planned Parenthood of the Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 W Mission Ave, Escondido, CA 92025 Phone: 760-738-7770 |
Escondido Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Ash St Ste 101, Escondido, CA 92027 Phone: 760-745-5832 Fax: 760-745-7847 |