| |
8090 Parkway Dr Ste 100 La Mesa CA 91942-2105 | |
(760) 828-2196 | |
(888) 673-4870 |
Full Name | |
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Speciality | Internal Medicine |
Location | 8090 Parkway Dr Ste 100, La Mesa, California |
Authorized Official Name and Position | Huy Thanh Ho (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 9177715441 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5755 Oberlin Dr Ste 100 San Diego CA 92121-4715 Ph: (760) 828-2196 | 8090 Parkway Dr Ste 100 La Mesa CA 91942-2105 Ph: (760) 828-2196 |
NPI Number | 1982210183 |
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Provider Enumeration Date | 09/22/2020 |
Last Update Date | 12/03/2024 |
Medicare PECOS PAC ID | 0244650125 |
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Medicare Enrollment ID | O20201014002083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982210183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Huy Thanh Ho |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750370458 PECOS PAC ID: 9537135488 Enrollment ID: I20040902000766 |
Provider Name | Brandi Marie Terra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497346217 PECOS PAC ID: 9830506856 Enrollment ID: I20210318000689 |
Provider Name | Shannon Orr Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609522127 PECOS PAC ID: 1850763285 Enrollment ID: I20230214000591 |
Provider Name | John Clancy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508573940 PECOS PAC ID: 6608142013 Enrollment ID: I20230607001435 |
Provider Name | Supneet Kaur Kambo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649043951 PECOS PAC ID: 7315385176 Enrollment ID: I20240329001915 |
Provider Name | Natalie Faith Brubaker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356113278 PECOS PAC ID: 1355781279 Enrollment ID: I20240425002267 |
Provider Name | Katherine Anne Acker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235971144 PECOS PAC ID: 9436698651 Enrollment ID: I20240830002509 |
Nadi Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4535 70th St, La Mesa, CA 91942 Phone: 619-750-4962 | |
Shota Gurtch, M.d., Inc., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8875 La Mesa Blvd Ste C, La Mesa, CA 91942 Phone: 619-668-8100 | |
Michael Andrisani Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-469-3822 | |
Mohammed Miradi Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942 Phone: 619-644-1483 | |
Encompass Family And Internal Medicine Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7051 Alvarado Rd, 201, La Mesa, CA 91942 Phone: 619-460-7775 Fax: 858-519-5446 | |
Raed Al-naser, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-589-9158 Fax: 619-462-0371 |