| Home Physicians Medical Group, Inc. | |
|
9619 Chesapeake Dr Suite #102 San Diego CA 92123-1368 | |
| (858) 279-1212 | |
| (858) 279-1420 |
| Full Name | Home Physicians Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9619 Chesapeake Dr, San Diego, California |
| Authorized Official Name and Position | Christopher Michael Hunt (OWNER) |
| Authorized Official Contact | 8582791212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Physicians Medical Group, Inc. 4849 Ronson Ct Ste 217 San Diego CA 92111-1805 Ph: (858) 279-1212 | Home Physicians Medical Group, Inc. 9619 Chesapeake Dr Suite #102 San Diego CA 92123-1368 Ph: (858) 279-1212 |
| NPI Number | 1770523169 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 09/02/2020 |
| Medicare PECOS PAC ID | 0648277673 |
|---|---|
| Medicare Enrollment ID | O20061103000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770523169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A053537 (California) | Primary |
| Provider Name | Edwin H Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801937107 PECOS PAC ID: 7113813601 Enrollment ID: I20040223000800 |
| Provider Name | Michael John Martelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306886304 PECOS PAC ID: 2365410040 Enrollment ID: I20040921000525 |
| Provider Name | Hope A Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225035991 PECOS PAC ID: 6305884107 Enrollment ID: I20050421001145 |
| Provider Name | Christopher Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356384481 PECOS PAC ID: 0244265957 Enrollment ID: I20051209000679 |
| Provider Name | Carol L Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407853328 PECOS PAC ID: 4183755267 Enrollment ID: I20100707000102 |
| Provider Name | Samson Oluwafemi Ilori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770921652 PECOS PAC ID: 9638319049 Enrollment ID: I20140820000582 |
| Provider Name | Oksana Nizheborsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417336827 PECOS PAC ID: 6305157454 Enrollment ID: I20150616003022 |
| Provider Name | Nakisha Sattelmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053644435 PECOS PAC ID: 3678607900 Enrollment ID: I20160705002148 |
| Provider Name | Sikander Bains |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922377712 PECOS PAC ID: 7012239452 Enrollment ID: I20160829002617 |
| Provider Name | Dede E Echitey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821474412 PECOS PAC ID: 8426366212 Enrollment ID: I20160920002780 |
| Provider Name | Jaimie Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003350943 PECOS PAC ID: 1153608781 Enrollment ID: I20170508001301 |
| Provider Name | Amanda Janell Aspeytia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578238 PECOS PAC ID: 4789988452 Enrollment ID: I20170726001757 |
| Provider Name | Christine Lundstedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376016048 PECOS PAC ID: 3577805365 Enrollment ID: I20190426000870 |
| Provider Name | Tracy M Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972080455 PECOS PAC ID: 8729321765 Enrollment ID: I20190515001633 |
| Provider Name | Phillip Stephen Garibotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386107712 PECOS PAC ID: 3375877970 Enrollment ID: I20190702002161 |
| Provider Name | Jacqueline Nicole Sniffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637901 PECOS PAC ID: 3476962044 Enrollment ID: I20210511002781 |
| Provider Name | Danton Cruel Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811555980 PECOS PAC ID: 8426424219 Enrollment ID: I20221019001985 |
| Provider Name | Maria Katrina Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427890326 PECOS PAC ID: 0042754384 Enrollment ID: I20240627003323 |
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