| Marian Community Clinic | |
|
1745 N Broadway Ste 101 Santa Maria CA 93454-1940 | |
| (805) 739-3890 | |
| (805) 347-7697 |
| Full Name | Marian Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1745 N Broadway Ste 101, Santa Maria, California |
| Authorized Official Name and Position | Matthew Richardson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8057393108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Community Clinic 1414 E Main St Ste 201 Santa Maria CA 93454-4890 Ph: (805) 994-5485 | Marian Community Clinic 1745 N Broadway Ste 101 Santa Maria CA 93454-1940 Ph: (805) 739-3890 |
| NPI Number | 1063496651 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 9739091364 |
|---|---|
| Medicare Enrollment ID | O20031103000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063496651 | NPI | - | NPPES |
| CMM70597G | Medicaid | CA | |
| CMM70597O | Medicaid | CA | |
| EAP03882G | Medicaid | CA | |
| ZZZ06481Z | Other | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Scott E Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811970437 PECOS PAC ID: 1759294291 Enrollment ID: I20031203000104 |
| Provider Name | Savitha Nukal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184664237 PECOS PAC ID: 5395644900 Enrollment ID: I20040102000504 |
| Provider Name | Patricia D Lanter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679501993 PECOS PAC ID: 0840188132 Enrollment ID: I20040308001463 |
| Provider Name | Rebecca I Valverde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144543109 PECOS PAC ID: 0749171981 Enrollment ID: I20040324001312 |
| Provider Name | James M Malone |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1457343113 PECOS PAC ID: 7113910159 Enrollment ID: I20040406000892 |
| Provider Name | Paul C Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841202710 PECOS PAC ID: 8628062767 Enrollment ID: I20040412001704 |
| Provider Name | Thomas M Dawes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386668473 PECOS PAC ID: 7012901804 Enrollment ID: I20040414000610 |
| Provider Name | Richard Arthur Insco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275592495 PECOS PAC ID: 3274515259 Enrollment ID: I20040603000481 |
| Provider Name | Jesse Arellano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285659284 PECOS PAC ID: 3274516950 Enrollment ID: I20040611001475 |
| Provider Name | Vivian R Storrer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144240367 PECOS PAC ID: 8820072523 Enrollment ID: I20040621001027 |
| Provider Name | Richard I Zachrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043206204 PECOS PAC ID: 9638159726 Enrollment ID: I20040720001644 |
| Provider Name | Carl Yasutoshi Owada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427168624 PECOS PAC ID: 9133109473 Enrollment ID: I20040726000715 |
| Provider Name | Michael James Ryan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700863511 PECOS PAC ID: 8325011364 Enrollment ID: I20040817001070 |
| Provider Name | Mitchell A Adler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649276916 PECOS PAC ID: 2365418373 Enrollment ID: I20040909000888 |
| Provider Name | Jeffrey B Mundorf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598746174 PECOS PAC ID: 5395712418 Enrollment ID: I20040920000469 |
| Provider Name | Michelle A Marine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114976149 PECOS PAC ID: 1254390206 Enrollment ID: I20041006000625 |
| Provider Name | Carol A Karamitsos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760475453 PECOS PAC ID: 2668422205 Enrollment ID: I20050201000652 |
| Provider Name | Elaine K Yin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861418246 PECOS PAC ID: 7810881323 Enrollment ID: I20050331001236 |
| Provider Name | Shan Jeffrey Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821017294 PECOS PAC ID: 8022919737 Enrollment ID: I20050331001256 |
| Provider Name | Jonathan E Fow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699792523 PECOS PAC ID: 0749237717 Enrollment ID: I20050401000182 |
| Provider Name | Lisa T Vasak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023081510 PECOS PAC ID: 9436195856 Enrollment ID: I20050707000110 |
| Provider Name | Randall M Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205827474 PECOS PAC ID: 5395727408 Enrollment ID: I20050720000353 |
| Provider Name | Bruce C Stone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104914050 PECOS PAC ID: 2264469733 Enrollment ID: I20050726001093 |
| Provider Name | Victor Ismael Pulido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407894652 PECOS PAC ID: 0749219616 Enrollment ID: I20050810001127 |
| Provider Name | Todd W Monroe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528192754 PECOS PAC ID: 0941228506 Enrollment ID: I20051102001096 |
| Provider Name | Kevin T Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689768848 PECOS PAC ID: 1658392071 Enrollment ID: I20051213000887 |
| Provider Name | Lisa Y Ryan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134157639 PECOS PAC ID: 9830103860 Enrollment ID: I20060130000518 |
| Provider Name | Brian S Penton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558316083 PECOS PAC ID: 6709818131 Enrollment ID: I20060817000617 |
| Provider Name | Anna B Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588682769 PECOS PAC ID: 2860495298 Enrollment ID: I20060824000275 |
| Provider Name | Carolyn D Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104839968 PECOS PAC ID: 2769487016 Enrollment ID: I20060920000468 |
| Provider Name | James Jerome Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760495535 PECOS PAC ID: 2466457643 Enrollment ID: I20060921000268 |
| Provider Name | Steven Barbere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568487908 PECOS PAC ID: 9537164355 Enrollment ID: I20060928000324 |
| Provider Name | Matthew Katics |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114039153 PECOS PAC ID: 6901808070 Enrollment ID: I20070202000515 |
| Provider Name | Paul Raymond Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932139540 PECOS PAC ID: 0648162750 Enrollment ID: I20070212000380 |
| Provider Name | Gladys Descargar Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336228337 PECOS PAC ID: 5294830782 Enrollment ID: I20070411000301 |
| Provider Name | Rashiklal R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356331185 PECOS PAC ID: 2961442603 Enrollment ID: I20070517000645 |
| Provider Name | Gity Supervizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376502039 PECOS PAC ID: 0042317307 Enrollment ID: I20070521000535 |
| Provider Name | Wen Chun J Lan |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1750452447 PECOS PAC ID: 8820198807 Enrollment ID: I20070703000668 |
| Provider Name | Kathleen A Kennedy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528080967 PECOS PAC ID: 0244239168 Enrollment ID: I20070907000742 |
| Provider Name | Luke Marshall Rawlings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861682627 PECOS PAC ID: 0143315408 Enrollment ID: I20071001000803 |
| Provider Name | Lily Ann Mallare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902002488 PECOS PAC ID: 4688761240 Enrollment ID: I20071029000436 |
| Provider Name | Diana G Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679791578 PECOS PAC ID: 4981784907 Enrollment ID: I20080103000455 |
| Provider Name | Bahija Saouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811031388 PECOS PAC ID: 7719071067 Enrollment ID: I20080123000896 |
| Provider Name | James P Sweeney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932213014 PECOS PAC ID: 8022190362 Enrollment ID: I20080125000429 |
| Provider Name | Lin Soe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467524900 PECOS PAC ID: 2163505355 Enrollment ID: I20080211000863 |
| Provider Name | Jonathan L Riegler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184725707 PECOS PAC ID: 1557303757 Enrollment ID: I20080407000739 |
| Provider Name | James Joseph Ingaglio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124006838 PECOS PAC ID: 5890732507 Enrollment ID: I20080729000141 |
| Provider Name | Mark I Soll |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750367587 PECOS PAC ID: 1254312556 Enrollment ID: I20080804000271 |
| Provider Name | Cory B Gusland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689688442 PECOS PAC ID: 8325038771 Enrollment ID: I20080811000599 |
| Provider Name | Jeffry A Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144316878 PECOS PAC ID: 4284792011 Enrollment ID: I20081023000526 |
| Provider Name | Laurence Shields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295741668 PECOS PAC ID: 0547328957 Enrollment ID: I20081028000735 |
| Provider Name | Amanthi Chandrasena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790937332 PECOS PAC ID: 0042374522 Enrollment ID: I20090128000197 |
| Provider Name | Charles D Wong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255508131 PECOS PAC ID: 0547325284 Enrollment ID: I20090213000051 |
| Provider Name | Serra P Tranmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245494475 PECOS PAC ID: 2264581255 Enrollment ID: I20090521000515 |
| Provider Name | Alfred J Coppola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679578090 PECOS PAC ID: 4385795129 Enrollment ID: I20090707000709 |
| Provider Name | Brittany A Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609007509 PECOS PAC ID: 2365588126 Enrollment ID: I20091007000790 |
| Provider Name | Daniel Richard Lewis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598749079 PECOS PAC ID: 8123161684 Enrollment ID: I20100205000194 |
| Provider Name | Mirela Cernaianu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467465120 PECOS PAC ID: 8022153253 Enrollment ID: I20100226000524 |
| Provider Name | Ross G Michel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871633784 PECOS PAC ID: 6901931500 Enrollment ID: I20100322000604 |
| Provider Name | Laura A Lubarsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639155468 PECOS PAC ID: 4880675180 Enrollment ID: I20100323000271 |
| Provider Name | Thomas R Vendegna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760468599 PECOS PAC ID: 3971584277 Enrollment ID: I20100323000317 |
| Provider Name | Scott R Negri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942240080 PECOS PAC ID: 2365577863 Enrollment ID: I20100323000712 |
| Provider Name | Stephen P Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780739144 PECOS PAC ID: 8729116504 Enrollment ID: I20100514000900 |
| Provider Name | Michael J Dibiase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316188048 PECOS PAC ID: 9133257868 Enrollment ID: I20100517000545 |
| Provider Name | Carsten Zieger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215971312 PECOS PAC ID: 1658400213 Enrollment ID: I20100520000540 |
| Provider Name | Edwin R Ramirez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558683920 PECOS PAC ID: 0143364505 Enrollment ID: I20100615000510 |
| Provider Name | Thuc N D Ta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497072128 PECOS PAC ID: 0042342362 Enrollment ID: I20100721000598 |
| Provider Name | Steven B Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295775328 PECOS PAC ID: 3375457054 Enrollment ID: I20100723000305 |
| Provider Name | David O Javitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235291881 PECOS PAC ID: 1850322009 Enrollment ID: I20100921001071 |
| Provider Name | Robert S Firestone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497811194 PECOS PAC ID: 7012102478 Enrollment ID: I20101110001316 |
| Provider Name | Lisa Molin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366447138 PECOS PAC ID: 0244289346 Enrollment ID: I20101209000945 |
| Provider Name | Matthew Talarico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548341050 PECOS PAC ID: 4183511231 Enrollment ID: I20101216001078 |
| Provider Name | Peter S Masny |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144376740 PECOS PAC ID: 1951599166 Enrollment ID: I20110103000343 |
| Provider Name | Laura Slaughter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487640611 PECOS PAC ID: 2365623162 Enrollment ID: I20110228000509 |
| Provider Name | Thomas J Spillane |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477558435 PECOS PAC ID: 8123046265 Enrollment ID: I20110303000376 |
| Provider Name | Menashe Ehrenburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275791436 PECOS PAC ID: 3274710728 Enrollment ID: I20110609000144 |
| Provider Name | Keith A Somma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528279841 PECOS PAC ID: 7517136930 Enrollment ID: I20110801000681 |
| Provider Name | Karen Myrl Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386686202 PECOS PAC ID: 7214107093 Enrollment ID: I20110906000115 |
| Provider Name | Peter Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437273687 PECOS PAC ID: 5991874703 Enrollment ID: I20110920000636 |
| Provider Name | George M Wahba |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982893772 PECOS PAC ID: 7113041104 Enrollment ID: I20110927000361 |
| Provider Name | Karen B Song |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356632947 PECOS PAC ID: 0042482309 Enrollment ID: I20111010000124 |
| Provider Name | Stephen A Denaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598975328 PECOS PAC ID: 3375703457 Enrollment ID: I20120327000799 |
| Provider Name | Nicholas P Slimack |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265743884 PECOS PAC ID: 1456514652 Enrollment ID: I20120529000082 |
| Provider Name | Grant Delamotte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548412026 PECOS PAC ID: 2365690807 Enrollment ID: I20120907000257 |
| Provider Name | Julian Chiang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043276363 PECOS PAC ID: 2961553391 Enrollment ID: I20130104000278 |
| Provider Name | Richard Graham Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861619355 PECOS PAC ID: 3870679475 Enrollment ID: I20130515000055 |
| Provider Name | Terry L Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992748651 PECOS PAC ID: 6204870686 Enrollment ID: I20130521000513 |
| Provider Name | Yasmin Sarafzadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215197413 PECOS PAC ID: 8123267853 Enrollment ID: I20130617000682 |
| Provider Name | Eli S Zinner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174614036 PECOS PAC ID: 6204825177 Enrollment ID: I20130730000105 |
| Provider Name | Elizabeth E Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265661110 PECOS PAC ID: 8820231228 Enrollment ID: I20130904000808 |
| Provider Name | David E Hardesty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942239157 PECOS PAC ID: 6800899576 Enrollment ID: I20130910000995 |
| Provider Name | Melvin A Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831419258 PECOS PAC ID: 1759518517 Enrollment ID: I20131226001009 |
| Provider Name | Tiffney Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003116674 PECOS PAC ID: 9032332465 Enrollment ID: I20140603001462 |
| Provider Name | Elizabeth Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962688762 PECOS PAC ID: 0941424907 Enrollment ID: I20140612001413 |
| Provider Name | Jan S Eperjesi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528389020 PECOS PAC ID: 8628294980 Enrollment ID: I20140722000901 |
| Provider Name | Nicholas Saguan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316109465 PECOS PAC ID: 6305062274 Enrollment ID: I20140729002916 |
| Provider Name | Robert A Taylor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487643193 PECOS PAC ID: 9638139207 Enrollment ID: I20140805003115 |
| Provider Name | Randolph Bryant Cook |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740254192 PECOS PAC ID: 7214821214 Enrollment ID: I20140826001007 |
| Provider Name | Daniele Sarah Hecht Feldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417156118 PECOS PAC ID: 2668692690 Enrollment ID: I20140925001138 |
| Provider Name | Aiga Charles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801118443 PECOS PAC ID: 6103046560 Enrollment ID: I20141007000418 |
| Provider Name | Katrina Hirsig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366797995 PECOS PAC ID: 2264653310 Enrollment ID: I20141015000835 |
| Provider Name | Margaret B Greenough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245542224 PECOS PAC ID: 1153558135 Enrollment ID: I20150324001044 |
| Provider Name | Rajan K Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700197217 PECOS PAC ID: 9830404342 Enrollment ID: I20150812008808 |
| Provider Name | Carol A Mccloskey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336114065 PECOS PAC ID: 9739121989 Enrollment ID: I20150918000927 |
| Provider Name | Abraham Tillah Rasul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750328647 PECOS PAC ID: 0840264842 Enrollment ID: I20150923000705 |
| Provider Name | Jason C Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407083470 PECOS PAC ID: 5395053094 Enrollment ID: I20150929003303 |
| Provider Name | Barry R Fleischer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578520409 PECOS PAC ID: 1153351283 Enrollment ID: I20151001000710 |
| Provider Name | Maria C Rasul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366438806 PECOS PAC ID: 0143241851 Enrollment ID: I20151015001280 |
| Provider Name | Ricardo R Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790769479 PECOS PAC ID: 9638168511 Enrollment ID: I20151116000507 |
| Provider Name | Brian J Crisp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861446262 PECOS PAC ID: 5193027944 Enrollment ID: I20160111001490 |
| Provider Name | Anne Kennard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689969412 PECOS PAC ID: 3678876299 Enrollment ID: I20160114001668 |
| Provider Name | Anna Leah Goodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972844157 PECOS PAC ID: 1456665991 Enrollment ID: I20160123000217 |
| Provider Name | Diane De Vos-schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790176543 PECOS PAC ID: 7517261480 Enrollment ID: I20160212002178 |
| Provider Name | Amanda Lynn Tuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326411414 PECOS PAC ID: 2668777327 Enrollment ID: I20160218000970 |
| Provider Name | Mary Cryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912366790 PECOS PAC ID: 2860790094 Enrollment ID: I20160420002679 |
| Provider Name | Lisa Michelle Gleason |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235330960 PECOS PAC ID: 4688964166 Enrollment ID: I20160613001413 |
| Provider Name | Stephanie N Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073747176 PECOS PAC ID: 5597906164 Enrollment ID: I20160816000362 |
| Provider Name | Mani Kalantari Nezhad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669716387 PECOS PAC ID: 6800181082 Enrollment ID: I20160826001696 |
| Provider Name | Nicole Lynn Abell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811243603 PECOS PAC ID: 3678878436 Enrollment ID: I20161003002508 |
| Provider Name | Nikita Mohan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932511904 PECOS PAC ID: 5991084196 Enrollment ID: I20161110001619 |
| Provider Name | Andrea Hughes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700091527 PECOS PAC ID: 9436439965 Enrollment ID: I20161129001776 |
| Provider Name | Meghan Mckiernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104260454 PECOS PAC ID: 8123328531 Enrollment ID: I20161220001348 |
| Provider Name | Saskia Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134662638 PECOS PAC ID: 4789967563 Enrollment ID: I20170202001060 |
| Provider Name | Eric L Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487094280 PECOS PAC ID: 7911281928 Enrollment ID: I20170310000688 |
| Provider Name | Robert Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437359767 PECOS PAC ID: 2163707829 Enrollment ID: I20170320000809 |
| Provider Name | Allysa Nicole Rueschenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689115446 PECOS PAC ID: 9638456841 Enrollment ID: I20170425002312 |
| Provider Name | Matthew Robert Schreckinger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447488556 PECOS PAC ID: 0941503254 Enrollment ID: I20170803000501 |
| Provider Name | Berkay Unal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285079608 PECOS PAC ID: 5193013068 Enrollment ID: I20170828002994 |
| Provider Name | Jonathan Marehbian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972875730 PECOS PAC ID: 9436430485 Enrollment ID: I20170830001443 |
| Provider Name | Jennifer Lynn Roberts-kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861805848 PECOS PAC ID: 9133493406 Enrollment ID: I20170926000711 |
| Provider Name | Therese M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841480035 PECOS PAC ID: 7618065657 Enrollment ID: I20180119002171 |
| Provider Name | Keilla Schmidt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013171800 PECOS PAC ID: 5294989216 Enrollment ID: I20180607001554 |
| Provider Name | Ian N Britton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508153024 PECOS PAC ID: 4981848355 Enrollment ID: I20180611002720 |
| Provider Name | Steven A Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811107907 PECOS PAC ID: 6608124201 Enrollment ID: I20180730001113 |
| Provider Name | Timothy N Tidwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275972325 PECOS PAC ID: 4688891542 Enrollment ID: I20180820003129 |
| Provider Name | Justin T Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104913425 PECOS PAC ID: 8628014271 Enrollment ID: I20180907001907 |
| Provider Name | Keith A Ayrons |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831143775 PECOS PAC ID: 0648281899 Enrollment ID: I20180928002705 |
| Provider Name | Scott Patrick Piazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063868180 PECOS PAC ID: 3072867092 Enrollment ID: I20181109002746 |
| Provider Name | Ena Sharma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235577941 PECOS PAC ID: 3577853803 Enrollment ID: I20181121000990 |
| Provider Name | Karen Ross Tammela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396770905 PECOS PAC ID: 8224093596 Enrollment ID: I20181127002770 |
| Provider Name | Jillian Davenport |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093133340 PECOS PAC ID: 9133419906 Enrollment ID: I20181205003069 |
| Provider Name | Jonathan E Tammela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265451058 PECOS PAC ID: 2668406315 Enrollment ID: I20181214000623 |
| Provider Name | Samantha Rose Jacot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902380884 PECOS PAC ID: 3971848219 Enrollment ID: I20181214001717 |
| Provider Name | Luis Ochoa-pelaez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528021383 PECOS PAC ID: 2769655737 Enrollment ID: I20190403001112 |
| Provider Name | Robert M Turbow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013979814 PECOS PAC ID: 2264615152 Enrollment ID: I20190426000509 |
| Provider Name | Rebecca K Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093823700 PECOS PAC ID: 3274617279 Enrollment ID: I20190506002359 |
| Provider Name | Kathleen Chak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356754659 PECOS PAC ID: 9537493960 Enrollment ID: I20190619000179 |
| Provider Name | Jade Michelle Mas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457738064 PECOS PAC ID: 1153656657 Enrollment ID: I20190703002404 |
| Provider Name | Ashley M Buchanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932589736 PECOS PAC ID: 9234421827 Enrollment ID: I20190708002873 |
| Provider Name | Gorgun Akpek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124068515 PECOS PAC ID: 5193910586 Enrollment ID: I20190719001021 |
| Provider Name | Peter Andrew Robilio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306813167 PECOS PAC ID: 5991708646 Enrollment ID: I20190729001549 |
| Provider Name | Akinwunmi O A Oni-orisan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831414770 PECOS PAC ID: 5395064877 Enrollment ID: I20190828000270 |
| Provider Name | Rocky Salvatore Greer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578883252 PECOS PAC ID: 7315275211 Enrollment ID: I20190829002061 |
| Provider Name | Sara A Moorehouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598125213 PECOS PAC ID: 0941539324 Enrollment ID: I20190925003645 |
| Provider Name | Megan L Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619296779 PECOS PAC ID: 3375789746 Enrollment ID: I20191002003124 |
| Provider Name | Monique Norma Diaz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548423585 PECOS PAC ID: 9638339997 Enrollment ID: I20191003000846 |
| Provider Name | Teresa Ann Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144887530 PECOS PAC ID: 0143551473 Enrollment ID: I20191017000319 |
| Provider Name | Erica N Manrriquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114312865 PECOS PAC ID: 4183056799 Enrollment ID: I20191120002710 |
| Provider Name | Mariacelis R Capeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083078901 PECOS PAC ID: 8022442474 Enrollment ID: I20191218001664 |
| Provider Name | Tracy Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487167482 PECOS PAC ID: 7810250735 Enrollment ID: I20191218003111 |
| Provider Name | Heather Kathleen Spreafico |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679117220 PECOS PAC ID: 1052745353 Enrollment ID: I20191219000891 |
| Provider Name | Jennifer Sue Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073157426 PECOS PAC ID: 1456786839 Enrollment ID: I20200113000693 |
| Provider Name | Bradley C Hiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326099151 PECOS PAC ID: 4183669674 Enrollment ID: I20200120000151 |
| Provider Name | Jennifer Nichole Pennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752860 PECOS PAC ID: 8123454469 Enrollment ID: I20200205002514 |
| Provider Name | Nicole Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457981615 PECOS PAC ID: 4082041322 Enrollment ID: I20200225002653 |
| Provider Name | Claudia S Zavala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588644249 PECOS PAC ID: 3678750445 Enrollment ID: I20200225002760 |
| Provider Name | Deborah A Turturro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457537763 PECOS PAC ID: 0446680813 Enrollment ID: I20200427000984 |
| Provider Name | Wei Bai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053567545 PECOS PAC ID: 1456525385 Enrollment ID: I20200513000824 |
| Provider Name | Jeremy Dayrit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578918421 PECOS PAC ID: 8022305028 Enrollment ID: I20200604002053 |
| Provider Name | John Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346450970 PECOS PAC ID: 6103999669 Enrollment ID: I20200721003847 |
| Provider Name | Michael Quezada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326466467 PECOS PAC ID: 4284058413 Enrollment ID: I20200721003924 |
| Provider Name | Liang Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467815175 PECOS PAC ID: 6800162900 Enrollment ID: I20200902002567 |
| Provider Name | Jaime Acosta Berrios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003347808 PECOS PAC ID: 6507285392 Enrollment ID: I20200928002958 |
| Provider Name | Nanci Mercer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306838776 PECOS PAC ID: 7911806427 Enrollment ID: I20201002000853 |
| Provider Name | Fredrick Dapaah-siakwan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811252182 PECOS PAC ID: 0749609105 Enrollment ID: I20201005000129 |
| Provider Name | Jamieson E Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902977762 PECOS PAC ID: 1254504624 Enrollment ID: I20201013003215 |
| Provider Name | Mona Bazargan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437502499 PECOS PAC ID: 7719266923 Enrollment ID: I20201117003025 |
| Provider Name | Jennifer Maharry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346522331 PECOS PAC ID: 9436560539 Enrollment ID: I20201120001864 |
| Provider Name | Omair A Sheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780830711 PECOS PAC ID: 3678708088 Enrollment ID: I20201208003316 |
| Provider Name | Eric M Gavarre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134619471 PECOS PAC ID: 2163834185 Enrollment ID: I20201216002288 |
| Provider Name | Eric M Sincoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730679010 PECOS PAC ID: 0042622953 Enrollment ID: I20201217002953 |
| Provider Name | Christine Ragay-cathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871740266 PECOS PAC ID: 4587980065 Enrollment ID: I20210204001721 |
| Provider Name | Ginger Sue Carmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760974018 PECOS PAC ID: 0446569990 Enrollment ID: I20210401001594 |
| Provider Name | Erika Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881609337 PECOS PAC ID: 8527048974 Enrollment ID: I20210423000433 |
| Provider Name | Mansoor Arain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649531625 PECOS PAC ID: 2062716558 Enrollment ID: I20210517002221 |
| Provider Name | Robin Scott Dibiase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255915716 PECOS PAC ID: 3971903428 Enrollment ID: I20210621002089 |
| Provider Name | Richard Tamotsu La Fayette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346594165 PECOS PAC ID: 1254733322 Enrollment ID: I20210712003271 |
| Provider Name | Maria A Kolmakova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235668849 PECOS PAC ID: 6709151145 Enrollment ID: I20210721001962 |
| Provider Name | Seta Nanor Darakdjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376112250 PECOS PAC ID: 5991042426 Enrollment ID: I20210721001963 |
| Provider Name | Ashlie Tam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942734538 PECOS PAC ID: 5496024820 Enrollment ID: I20210729000811 |
| Provider Name | Constantine Melitas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154731321 PECOS PAC ID: 5395048359 Enrollment ID: I20210816000874 |
| Provider Name | Erik Van Houten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093251571 PECOS PAC ID: 5799119350 Enrollment ID: I20210820001818 |
| Provider Name | Erika Kristine Lan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518490804 PECOS PAC ID: 0648675066 Enrollment ID: I20210824001603 |
| Provider Name | Chad Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679062632 PECOS PAC ID: 4688079775 Enrollment ID: I20210827001726 |
| Provider Name | Monica Mccormick Kistler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497376875 PECOS PAC ID: 3971900309 Enrollment ID: I20210927003047 |
| Provider Name | Erin Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972995835 PECOS PAC ID: 4385942564 Enrollment ID: I20211022002060 |
| Provider Name | Sikandra Hasnain Tank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811420326 PECOS PAC ID: 8224427695 Enrollment ID: I20211105002089 |
| Provider Name | Deena Elwan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588190227 PECOS PAC ID: 7719376847 Enrollment ID: I20211111001360 |
| Provider Name | Robert Kanard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073777934 PECOS PAC ID: 6204950355 Enrollment ID: I20211209001628 |
| Provider Name | Victoria Lynn Mendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487225116 PECOS PAC ID: 4082008768 Enrollment ID: I20220222002175 |
| Provider Name | Ludmila Burcovschi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477296424 PECOS PAC ID: 2769861186 Enrollment ID: I20220615001497 |
| Provider Name | Maryna Chumakova-orin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225422363 PECOS PAC ID: 2365861671 Enrollment ID: I20220726001772 |
| Provider Name | Edward Cho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508247057 PECOS PAC ID: 3678887171 Enrollment ID: I20220802001479 |
| Provider Name | Samuel T Gong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215496260 PECOS PAC ID: 1759618119 Enrollment ID: I20220804000252 |
| Provider Name | Jordan M Reader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770146862 PECOS PAC ID: 1658605381 Enrollment ID: I20220816003843 |
| Provider Name | Rebecca Ruebsamen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659861631 PECOS PAC ID: 7517340821 Enrollment ID: I20220819000708 |
| Provider Name | Lauren Doege |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407344146 PECOS PAC ID: 0941558001 Enrollment ID: I20221020001024 |
| Provider Name | Katelyn Yarnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023731346 PECOS PAC ID: 7315315470 Enrollment ID: I20221121001524 |
| Provider Name | Sarah Elizabeth Tisdale |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407565252 PECOS PAC ID: 8628447711 Enrollment ID: I20221212003185 |
| Provider Name | Adela Cristina Thom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386360964 PECOS PAC ID: 3870963812 Enrollment ID: I20230109000041 |
| Provider Name | Edward Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20230125001541 |
| Provider Name | Lars Ola Iinguar Sjoholm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558467209 PECOS PAC ID: 9335155209 Enrollment ID: I20230202002053 |
| Provider Name | Aira Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790499713 PECOS PAC ID: 3375916356 Enrollment ID: I20230223000323 |
| Provider Name | Amit Goyal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174813588 PECOS PAC ID: 5193029692 Enrollment ID: I20230223000670 |
| Provider Name | Mallory Jebbia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609396555 PECOS PAC ID: 4183010408 Enrollment ID: I20230620002389 |
| Provider Name | Nancy Kitson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174543664 PECOS PAC ID: 2062466022 Enrollment ID: I20230720003075 |
| Provider Name | Jennifer Irvine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346879731 PECOS PAC ID: 5991169088 Enrollment ID: I20230907002308 |
| Provider Name | Jessica Jorine Vaughn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639691298 PECOS PAC ID: 5193189207 Enrollment ID: I20230907003127 |
| Provider Name | Reagan Alexis Mckendree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992333082 PECOS PAC ID: 8820452956 Enrollment ID: I20230907004143 |
| Provider Name | Stephanie Patricia Zamora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952862443 PECOS PAC ID: 3870957905 Enrollment ID: I20230907004398 |
| Provider Name | Eduyna Andrea Omonte Yawata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790304384 PECOS PAC ID: 8628438843 Enrollment ID: I20230908001109 |
| Provider Name | Shirley Yue Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841879715 PECOS PAC ID: 6709240773 Enrollment ID: I20230908001515 |
| Provider Name | Brian Sang Chu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992200117 PECOS PAC ID: 9830553809 Enrollment ID: I20230908001765 |
| Provider Name | Amanda Hannah Thorson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366904575 PECOS PAC ID: 0345604328 Enrollment ID: I20230908001999 |
| Provider Name | Baylee Meehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356038129 PECOS PAC ID: 3274997283 Enrollment ID: I20230908003334 |
| Provider Name | Ashley Nicole Gardoni |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114702925 PECOS PAC ID: 9436503182 Enrollment ID: I20230928001789 |
| Provider Name | Micaela Analia Predazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932883147 PECOS PAC ID: 0446604946 Enrollment ID: I20231003001642 |
| Provider Name | Megan Suzanne Reynoso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306381462 PECOS PAC ID: 9335594811 Enrollment ID: I20231018003683 |
| Provider Name | Graceanne Ellen Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790359339 PECOS PAC ID: 9739535154 Enrollment ID: I20231020002445 |
| Provider Name | Sara Lien Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013659945 PECOS PAC ID: 1153770458 Enrollment ID: I20231212003007 |
| Provider Name | Nader Batal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740923135 PECOS PAC ID: 8527417708 Enrollment ID: I20231213002023 |
| Provider Name | Molly Kaylyn Svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043894678 PECOS PAC ID: 0648620195 Enrollment ID: I20231222003000 |
| Provider Name | Christine Louise Tanous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982479556 PECOS PAC ID: 7416307814 Enrollment ID: I20231227003098 |
| Provider Name | Justin Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063299717 PECOS PAC ID: 9830540566 Enrollment ID: I20240108000985 |
Santa Barbara County Public Health Department-good Samaritan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Morrison Ave, Santa Maria, CA 93458 Phone: 805-347-3338 | |
Med Plus Central Coast Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 Fax: 805-922-0083 | |
Santa Barbara County Public Health Dept-santa Maria Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2115 Centerpointe Pkwy, Santa Maria, CA 93455 Phone: 805-346-7230 Fax: 805-346-8449 | |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Restorative Spine & Joint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3596 Skyway Dr Ste B, Santa Maria, CA 93455 Phone: 805-614-7820 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 |