| Martin Luther King Jr Community Medical Foundation | |
|
12021 Wilmington Ave. Bldg. 11 Suite 1000 Los Angeles CA 90059-3019 | |
| (424) 529-6755 | |
| (424) 338-8984 |
| Full Name | Martin Luther King Jr Community Medical Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 12021 Wilmington Ave., Los Angeles, California |
| Authorized Official Name and Position | Jeffrey Stout (COO) |
| Authorized Official Contact | 4245296755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Luther King Jr Community Medical Foundation 12021 Wilmington Ave Bldg 11 Los Angeles CA 90059-3019 Ph: (424) 529-6755 | Martin Luther King Jr Community Medical Foundation 12021 Wilmington Ave. Bldg. 11 Suite 1000 Los Angeles CA 90059-3019 Ph: (424) 529-6755 |
| NPI Number | 1356899777 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 02/05/2026 |
| Medicare PECOS PAC ID | 8628359502 |
|---|---|
| Medicare Enrollment ID | O20170109001311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356899777 | NPI | - | NPPES |
| Provider Name | Steven M Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639268253 PECOS PAC ID: 7719890540 Enrollment ID: I20031107000619 |
| Provider Name | Peregrina L Arciaga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831120070 PECOS PAC ID: 5294629143 Enrollment ID: I20040211000562 |
| Provider Name | Somer Bridgette Bitar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730358516 PECOS PAC ID: 6305731688 Enrollment ID: I20040216001328 |
| Provider Name | Oliver T Brooks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013013150 PECOS PAC ID: 3870484520 Enrollment ID: I20040322001924 |
| Provider Name | Ariel Malamud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518032218 PECOS PAC ID: 8224028303 Enrollment ID: I20040512001502 |
| Provider Name | Maxine M Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851303234 PECOS PAC ID: 6305828690 Enrollment ID: I20040601001550 |
| Provider Name | Doojin Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487679858 PECOS PAC ID: 4789666728 Enrollment ID: I20040603000917 |
| Provider Name | John Louie Go |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982643060 PECOS PAC ID: 1850375239 Enrollment ID: I20040614001669 |
| Provider Name | Suzanne Yoon Homer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194767582 PECOS PAC ID: 1759367162 Enrollment ID: I20040626000207 |
| Provider Name | Ronald Homer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316982614 PECOS PAC ID: 8022077429 Enrollment ID: I20041008001409 |
| Provider Name | Patrick J Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992851471 PECOS PAC ID: 3678536612 Enrollment ID: I20041110000494 |
| Provider Name | Cheryl H Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528040508 PECOS PAC ID: 7012811946 Enrollment ID: I20041118000444 |
| Provider Name | Pedro M Orozco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902098858 PECOS PAC ID: 1658339411 Enrollment ID: I20041227000356 |
| Provider Name | Heidi L Clausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033141650 PECOS PAC ID: 2961454970 Enrollment ID: I20050217000988 |
| Provider Name | Stefan G Ruehm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669416632 PECOS PAC ID: 6901850411 Enrollment ID: I20050308000846 |
| Provider Name | Mohamad Yaman Al Sayed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568428134 PECOS PAC ID: 8628019635 Enrollment ID: I20050519001089 |
| Provider Name | Anne C Hoyt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740230291 PECOS PAC ID: 7810960499 Enrollment ID: I20050526000501 |
| Provider Name | Frank P Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821016452 PECOS PAC ID: 8527003896 Enrollment ID: I20050627001145 |
| Provider Name | Richard T Kaplan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265462980 PECOS PAC ID: 9638105844 Enrollment ID: I20050711000393 |
| Provider Name | Ali Salehi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437195799 PECOS PAC ID: 4183655996 Enrollment ID: I20050822000899 |
| Provider Name | John T Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437109345 PECOS PAC ID: 2567493703 Enrollment ID: I20050826000572 |
| Provider Name | Noriko Salamon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558397430 PECOS PAC ID: 9739113473 Enrollment ID: I20050922000578 |
| Provider Name | Leanne L Seeger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396795464 PECOS PAC ID: 3072531706 Enrollment ID: I20051110000532 |
| Provider Name | Denise R Aberle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053361501 PECOS PAC ID: 1153349899 Enrollment ID: I20051110000625 |
| Provider Name | David S Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073542668 PECOS PAC ID: 8426076100 Enrollment ID: I20051110000913 |
| Provider Name | Steven S Raman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114956745 PECOS PAC ID: 6204854987 Enrollment ID: I20051110000949 |
| Provider Name | Kambiz Motamedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912956681 PECOS PAC ID: 4082632765 Enrollment ID: I20051110000968 |
| Provider Name | Jonathan G Goldin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477502144 PECOS PAC ID: 9436177110 Enrollment ID: I20051110000986 |
| Provider Name | Whitney B Pope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295763761 PECOS PAC ID: 2062430754 Enrollment ID: I20051110001002 |
| Provider Name | John P Finn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619054533 PECOS PAC ID: 5698793388 Enrollment ID: I20051110001006 |
| Provider Name | Juan P Villablanca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073564407 PECOS PAC ID: 6406876226 Enrollment ID: I20051122000889 |
| Provider Name | Lev Iofis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124070396 PECOS PAC ID: 5991725434 Enrollment ID: I20051129001097 |
| Provider Name | Edward J Zaragoza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518995141 PECOS PAC ID: 0244250546 Enrollment ID: I20051201000494 |
| Provider Name | Myron L Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114964970 PECOS PAC ID: 4183647993 Enrollment ID: I20060106000883 |
| Provider Name | Justin P Mcwilliams |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437292331 PECOS PAC ID: 2466466081 Enrollment ID: I20060202000413 |
| Provider Name | Michael L Douek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043253255 PECOS PAC ID: 6204844129 Enrollment ID: I20060403000803 |
| Provider Name | Joe C Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972551356 PECOS PAC ID: 8123030095 Enrollment ID: I20060613000279 |
| Provider Name | Michael Linetsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568405389 PECOS PAC ID: 4880607753 Enrollment ID: I20060718000188 |
| Provider Name | Fereidoun G Abtin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447267547 PECOS PAC ID: 9436152873 Enrollment ID: I20060824000356 |
| Provider Name | Deborah A Paris Teho |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174607675 PECOS PAC ID: 0648270231 Enrollment ID: I20070104000367 |
| Provider Name | Cheryce P Fischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487696134 PECOS PAC ID: 1850204223 Enrollment ID: I20070205000177 |
| Provider Name | Maitraya K Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932255189 PECOS PAC ID: 8426153388 Enrollment ID: I20070420000476 |
| Provider Name | Jessica E Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215981170 PECOS PAC ID: 7719083500 Enrollment ID: I20070511000356 |
| Provider Name | Benjamin D Levine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508985565 PECOS PAC ID: 5890894703 Enrollment ID: I20070618000479 |
| Provider Name | Richard W Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770680506 PECOS PAC ID: 2961402516 Enrollment ID: I20070725000742 |
| Provider Name | John P Livoni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033200902 PECOS PAC ID: 9032200704 Enrollment ID: I20070809000497 |
| Provider Name | Barbara Marion Kadell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891747564 PECOS PAC ID: 3274626932 Enrollment ID: I20070911000664 |
| Provider Name | Robert D Suh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285659748 PECOS PAC ID: 2264528223 Enrollment ID: I20071022000742 |
| Provider Name | William Lee Bailey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518970086 PECOS PAC ID: 0749363935 Enrollment ID: I20080211000821 |
| Provider Name | Shelly M Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033397120 PECOS PAC ID: 9830275593 Enrollment ID: I20080321000233 |
| Provider Name | Antonio J Gutierrez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396917688 PECOS PAC ID: 6406935287 Enrollment ID: I20080505000717 |
| Provider Name | Brian Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689782831 PECOS PAC ID: 0840395760 Enrollment ID: I20080514000737 |
| Provider Name | Katrine Alexandra Zhiroff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245353952 PECOS PAC ID: 3072683077 Enrollment ID: I20080603000341 |
| Provider Name | Laura Doepke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356420038 PECOS PAC ID: 5799856043 Enrollment ID: I20080614000050 |
| Provider Name | Jane M Dascalos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710159447 PECOS PAC ID: 1153492400 Enrollment ID: I20080614000058 |
| Provider Name | Robert F Briel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245255595 PECOS PAC ID: 2769449990 Enrollment ID: I20080806000467 |
| Provider Name | Omar S Sahagun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306812805 PECOS PAC ID: 0446351100 Enrollment ID: I20081104000190 |
| Provider Name | Cristianna Vallera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154594562 PECOS PAC ID: 9638239403 Enrollment ID: I20081124000529 |
| Provider Name | Ana Maria Maliglig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134277171 PECOS PAC ID: 4880756527 Enrollment ID: I20081215000467 |
| Provider Name | Alireza Tabesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356482392 PECOS PAC ID: 7113911363 Enrollment ID: I20090126000063 |
| Provider Name | Ravi Harshad Dave |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871519934 PECOS PAC ID: 1658435243 Enrollment ID: I20090126000750 |
| Provider Name | Scott Genshaft |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215189683 PECOS PAC ID: 6507922689 Enrollment ID: I20090226000208 |
| Provider Name | Melissa Joines |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043462369 PECOS PAC ID: 9234296161 Enrollment ID: I20090320000336 |
| Provider Name | Sarah M Lee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205028651 PECOS PAC ID: 0446309348 Enrollment ID: I20090526000378 |
| Provider Name | Anthony D Duk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154439131 PECOS PAC ID: 2062564479 Enrollment ID: I20090716000150 |
| Provider Name | Donald Lewis Roback |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467401240 PECOS PAC ID: 5395899140 Enrollment ID: I20090813000612 |
| Provider Name | Theodore Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538194840 PECOS PAC ID: 3870647571 Enrollment ID: I20090814000289 |
| Provider Name | Danny N Dan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588808943 PECOS PAC ID: 8527113158 Enrollment ID: I20090903000582 |
| Provider Name | Nazanin Yaghmai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629014329 PECOS PAC ID: 9133266398 Enrollment ID: I20091021000492 |
| Provider Name | Shahnaz G Ghahremani-koureh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205169075 PECOS PAC ID: 0446397301 Enrollment ID: I20091026000237 |
| Provider Name | John M Moriarty |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609009125 PECOS PAC ID: 3375680259 Enrollment ID: I20091026000436 |
| Provider Name | Maxime Cannesson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114150810 PECOS PAC ID: 4587702535 Enrollment ID: I20091111000399 |
| Provider Name | Arezou Tory Yaghoubian |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447442595 PECOS PAC ID: 6507908217 Enrollment ID: I20100119000377 |
| Provider Name | Linda Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366634727 PECOS PAC ID: 6103969837 Enrollment ID: I20100203000722 |
| Provider Name | Anokh Pahwa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689840944 PECOS PAC ID: 5597895755 Enrollment ID: I20100615000098 |
| Provider Name | Simin Bahrami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881846582 PECOS PAC ID: 0749310910 Enrollment ID: I20100615000126 |
| Provider Name | Faramarz T Tehrani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457507915 PECOS PAC ID: 3577695600 Enrollment ID: I20100724000262 |
| Provider Name | Edward W Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215189550 PECOS PAC ID: 1557494226 Enrollment ID: I20100802000284 |
| Provider Name | Katrina R Beckett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356668701 PECOS PAC ID: 7911031679 Enrollment ID: I20100817000365 |
| Provider Name | Lori Taylor Serwatka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891977468 PECOS PAC ID: 3870542871 Enrollment ID: I20100920001153 |
| Provider Name | Hamid Nourmand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790720563 PECOS PAC ID: 0749460889 Enrollment ID: I20110208000149 |
| Provider Name | James M Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235175548 PECOS PAC ID: 6406036235 Enrollment ID: I20110210000480 |
| Provider Name | Kathleen L Ruchalski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235306077 PECOS PAC ID: 7113101031 Enrollment ID: I20110418000374 |
| Provider Name | Kathleen Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346275237 PECOS PAC ID: 0749466258 Enrollment ID: I20110518000404 |
| Provider Name | Rinat Masamed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518153246 PECOS PAC ID: 3173700044 Enrollment ID: I20110601000258 |
| Provider Name | Kambiz Nael |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396997995 PECOS PAC ID: 6103003819 Enrollment ID: I20110607000136 |
| Provider Name | Brian Joon Moon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770808248 PECOS PAC ID: 4688867344 Enrollment ID: I20110706000461 |
| Provider Name | Leon Rovner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811013766 PECOS PAC ID: 5193993681 Enrollment ID: I20110728000339 |
| Provider Name | Sarah N Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063664753 PECOS PAC ID: 4789853458 Enrollment ID: I20110815000407 |
| Provider Name | David W Boldt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124223565 PECOS PAC ID: 9931379203 Enrollment ID: I20110823000918 |
| Provider Name | Jacques Neelankavil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417146945 PECOS PAC ID: 6507036514 Enrollment ID: I20110831000156 |
| Provider Name | Ameer Fathy Moussa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942436225 PECOS PAC ID: 4587835913 Enrollment ID: I20110915000433 |
| Provider Name | Dana N Scott |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114109626 PECOS PAC ID: 4789856964 Enrollment ID: I20111012000341 |
| Provider Name | Goldie R Winge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710129325 PECOS PAC ID: 2062685274 Enrollment ID: I20111103000780 |
| Provider Name | Jose G Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174677207 PECOS PAC ID: 3476570474 Enrollment ID: I20111121000810 |
| Provider Name | Anthony F Arredondo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164689972 PECOS PAC ID: 8921274994 Enrollment ID: I20111222000510 |
| Provider Name | Paul J Iskander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114183829 PECOS PAC ID: 8426212317 Enrollment ID: I20120605000335 |
| Provider Name | Adam Plotnik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558621078 PECOS PAC ID: 8921263005 Enrollment ID: I20120625000226 |
| Provider Name | Bryan Y Yoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356546899 PECOS PAC ID: 8820253800 Enrollment ID: I20120625000331 |
| Provider Name | Ameera F. F. Ismail |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124238761 PECOS PAC ID: 3173792900 Enrollment ID: I20120628000258 |
| Provider Name | Kevin George King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225298565 PECOS PAC ID: 9739345026 Enrollment ID: I20120801000470 |
| Provider Name | Cameron Hassani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518261239 PECOS PAC ID: 6406024272 Enrollment ID: I20120803000580 |
| Provider Name | Catherine M Cha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003058827 PECOS PAC ID: 8325294820 Enrollment ID: I20120816000592 |
| Provider Name | Benjamin E Plotkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386844694 PECOS PAC ID: 1850569500 Enrollment ID: I20121217000289 |
| Provider Name | Kyung Ha Kim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295017374 PECOS PAC ID: 7416115522 Enrollment ID: I20121218000169 |
| Provider Name | Ely R Felker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942528468 PECOS PAC ID: 5092968727 Enrollment ID: I20130109000257 |
| Provider Name | Jeremy P Gaudin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467703769 PECOS PAC ID: 6103079678 Enrollment ID: I20130111000201 |
| Provider Name | Rose W Cheung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912258385 PECOS PAC ID: 1153574496 Enrollment ID: I20130116000494 |
| Provider Name | Sindy H Wei-mester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053548115 PECOS PAC ID: 4486892718 Enrollment ID: I20130529000101 |
| Provider Name | Victor F Sai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255593604 PECOS PAC ID: 6103064878 Enrollment ID: I20130608000001 |
| Provider Name | Sumit Dua |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740437441 PECOS PAC ID: 0648418319 Enrollment ID: I20130608000010 |
| Provider Name | Jordan Anaokar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386893055 PECOS PAC ID: 2961641667 Enrollment ID: I20130610000211 |
| Provider Name | Stellios Karnezis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205152956 PECOS PAC ID: 0840439808 Enrollment ID: I20130624000231 |
| Provider Name | John S Shin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326281619 PECOS PAC ID: 0840433736 Enrollment ID: I20130824000116 |
| Provider Name | Amir B Rabbani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023130242 PECOS PAC ID: 2062608334 Enrollment ID: I20130827000348 |
| Provider Name | Olcay Aksoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881748630 PECOS PAC ID: 9032353222 Enrollment ID: I20130909000617 |
| Provider Name | Grace N Deukmedjian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922323856 PECOS PAC ID: 5698905453 Enrollment ID: I20140224001209 |
| Provider Name | Stanley Frencher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124341086 PECOS PAC ID: 5395977516 Enrollment ID: I20140422001045 |
| Provider Name | Kelly M Mccormick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932534039 PECOS PAC ID: 1557594546 Enrollment ID: I20140428000887 |
| Provider Name | Erica J Mccall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700815578 PECOS PAC ID: 3375432891 Enrollment ID: I20140522001276 |
| Provider Name | Kara-lee Pool |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508025289 PECOS PAC ID: 7810111382 Enrollment ID: I20140624001995 |
| Provider Name | Banafsheh Salehi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629210653 PECOS PAC ID: 5991920845 Enrollment ID: I20140708002562 |
| Provider Name | Peter Y Jin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750607073 PECOS PAC ID: 4082831581 Enrollment ID: I20140806002215 |
| Provider Name | Ashley Elizabeth Prosper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932534492 PECOS PAC ID: 9931326931 Enrollment ID: I20140815000444 |
| Provider Name | Steven R Kussman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437386000 PECOS PAC ID: 8426280215 Enrollment ID: I20140816000101 |
| Provider Name | Jordan Scott Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902032931 PECOS PAC ID: 1850519083 Enrollment ID: I20140828002536 |
| Provider Name | Jonathan S Gordin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174840102 PECOS PAC ID: 1456674100 Enrollment ID: I20150105000130 |
| Provider Name | Angela O Sojobi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154382216 PECOS PAC ID: 0244288066 Enrollment ID: I20150123000010 |
| Provider Name | Susana Chae |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548664089 PECOS PAC ID: 4385968049 Enrollment ID: I20150129000039 |
| Provider Name | Stephanie A Lee-felker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568780096 PECOS PAC ID: 5597080226 Enrollment ID: I20150220001345 |
| Provider Name | Huy Q Vo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942615737 PECOS PAC ID: 8820314164 Enrollment ID: I20150305000133 |
| Provider Name | Natasha Pyykko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649677881 PECOS PAC ID: 3173841392 Enrollment ID: I20150417001020 |
| Provider Name | Simson J Wang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629313515 PECOS PAC ID: 2062658511 Enrollment ID: I20150505001572 |
| Provider Name | Karen Hwang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437547247 PECOS PAC ID: 8224358627 Enrollment ID: I20150527001012 |
| Provider Name | Matthew Y Park |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760897557 PECOS PAC ID: 5193048551 Enrollment ID: I20150527002476 |
| Provider Name | Matthew T Quirk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528324522 PECOS PAC ID: 5597086009 Enrollment ID: I20150609003099 |
| Provider Name | Neema Jamshidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275853434 PECOS PAC ID: 4688995921 Enrollment ID: I20150611001746 |
| Provider Name | Avetis Azizyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336452184 PECOS PAC ID: 0840511192 Enrollment ID: I20150611001832 |
| Provider Name | Lila T Pourzand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942539853 PECOS PAC ID: 7810213899 Enrollment ID: I20150611002910 |
| Provider Name | Michael G Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013171834 PECOS PAC ID: 1557514627 Enrollment ID: I20150717002251 |
| Provider Name | Christopher Oliver Ortiz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518283225 PECOS PAC ID: 2264746593 Enrollment ID: I20150730013875 |
| Provider Name | Christine Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467623322 PECOS PAC ID: 7618283268 Enrollment ID: I20150827003079 |
| Provider Name | Andrew Disque |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063737195 PECOS PAC ID: 4385950591 Enrollment ID: I20150902003291 |
| Provider Name | Tejas Chandrakant Manchandia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619242898 PECOS PAC ID: 4486960432 Enrollment ID: I20150904001793 |
| Provider Name | Oladunni B Adeyiga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801809751 PECOS PAC ID: 6002812799 Enrollment ID: I20150916002413 |
| Provider Name | Jacquelyn C Becerra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548683402 PECOS PAC ID: 2062635006 Enrollment ID: I20151103000973 |
| Provider Name | Eula Mei Kuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710319041 PECOS PAC ID: 3971725516 Enrollment ID: I20151105001075 |
| Provider Name | Luani Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073747135 PECOS PAC ID: 6608186028 Enrollment ID: I20151113001290 |
| Provider Name | Cynthia Leaks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801278072 PECOS PAC ID: 7618287988 Enrollment ID: I20151117002235 |
| Provider Name | Janise Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992175756 PECOS PAC ID: 7214237593 Enrollment ID: I20151119000186 |
| Provider Name | Alexander Olender |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730558446 PECOS PAC ID: 1254631997 Enrollment ID: I20151201002810 |
| Provider Name | Emily J Pinho |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912373226 PECOS PAC ID: 5496056855 Enrollment ID: I20151209001830 |
| Provider Name | Cortney L Jolin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922485028 PECOS PAC ID: 1557662665 Enrollment ID: I20151215000989 |
| Provider Name | Sarat J Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261106 PECOS PAC ID: 7719121805 Enrollment ID: I20160212002121 |
| Provider Name | Stefan E Richter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538480686 PECOS PAC ID: 9234379991 Enrollment ID: I20160222001796 |
| Provider Name | Natalia J Macdougall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679943013 PECOS PAC ID: 4981900735 Enrollment ID: I20160304001229 |
| Provider Name | Ana G Armenta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215306576 PECOS PAC ID: 2769789460 Enrollment ID: I20160323002353 |
| Provider Name | Johnathan Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669798443 PECOS PAC ID: 5597983916 Enrollment ID: I20160404000908 |
| Provider Name | Bo Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710272224 PECOS PAC ID: 3971802869 Enrollment ID: I20160427001411 |
| Provider Name | Lucy Chow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538402870 PECOS PAC ID: 4981993201 Enrollment ID: I20160510000781 |
| Provider Name | Arash Bedayat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801182621 PECOS PAC ID: 0143528075 Enrollment ID: I20160511002652 |
| Provider Name | Jason Evan Prasso |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033435953 PECOS PAC ID: 7416199278 Enrollment ID: I20160513000483 |
| Provider Name | Kevin F Seals |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033556238 PECOS PAC ID: 8527357243 Enrollment ID: I20160519001951 |
| Provider Name | Timothy Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063858215 PECOS PAC ID: 4486944741 Enrollment ID: I20160528000003 |
| Provider Name | Jay Acharya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871995498 PECOS PAC ID: 1951691831 Enrollment ID: I20160606001067 |
| Provider Name | Donald Y Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558651885 PECOS PAC ID: 2860782661 Enrollment ID: I20160607001969 |
| Provider Name | David Colin Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871884270 PECOS PAC ID: 3375768641 Enrollment ID: I20160721000876 |
| Provider Name | Milos M Cekic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609136258 PECOS PAC ID: 7911290960 Enrollment ID: I20160728000087 |
| Provider Name | Haatal Dave Macer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023309424 PECOS PAC ID: 7315230141 Enrollment ID: I20160801001311 |
| Provider Name | Lauren B Fagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689016867 PECOS PAC ID: 8729218656 Enrollment ID: I20160812000850 |
| Provider Name | Kristin E Bishop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861704249 PECOS PAC ID: 9638368988 Enrollment ID: I20160817001339 |
| Provider Name | Jenny Qian Dai-ju |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336497775 PECOS PAC ID: 8820384837 Enrollment ID: I20160830002992 |
| Provider Name | Arvind Vijayasarathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316204332 PECOS PAC ID: 8022311216 Enrollment ID: I20160902001235 |
| Provider Name | Jerry Tsu-yuen Loo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700177847 PECOS PAC ID: 1254628258 Enrollment ID: I20160919002033 |
| Provider Name | Nathan J Schulman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649537663 PECOS PAC ID: 5698062602 Enrollment ID: I20160919002585 |
| Provider Name | Stacia E Mills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366565806 PECOS PAC ID: 4385932599 Enrollment ID: I20161004000678 |
| Provider Name | Mary Zhitnikova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407114796 PECOS PAC ID: 7113227331 Enrollment ID: I20161017000818 |
| Provider Name | Matthew A Fischer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093009169 PECOS PAC ID: 7012153224 Enrollment ID: I20161110001337 |
| Provider Name | Siddharth Ashok Padia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952578254 PECOS PAC ID: 7719031616 Enrollment ID: I20161206000863 |
| Provider Name | Cristina Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043676067 PECOS PAC ID: 2567743883 Enrollment ID: I20161228002117 |
| Provider Name | Alan M Zamora |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184172090 PECOS PAC ID: 9032491618 Enrollment ID: I20170113001626 |
| Provider Name | Tatiana Vladimirovna Sams |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174815427 PECOS PAC ID: 0345468492 Enrollment ID: I20170209001323 |
| Provider Name | Katelyn A Mcgowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033553953 PECOS PAC ID: 5193959187 Enrollment ID: I20170215002749 |
| Provider Name | Aydin H Pooli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548558067 PECOS PAC ID: 9133351026 Enrollment ID: I20170223001028 |
| Provider Name | Hyung Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295129583 PECOS PAC ID: 7517241953 Enrollment ID: I20170301002599 |
| Provider Name | Louis Alexander Saddic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336402320 PECOS PAC ID: 5395983548 Enrollment ID: I20170404000202 |
| Provider Name | Jamilla K Churchill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134672124 PECOS PAC ID: 5395021398 Enrollment ID: I20170405001607 |
| Provider Name | James H Shi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992112122 PECOS PAC ID: 7719264910 Enrollment ID: I20170425001905 |
| Provider Name | Brian L Dubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316365935 PECOS PAC ID: 3577840792 Enrollment ID: I20170425003152 |
| Provider Name | Hyung Won Choi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659783405 PECOS PAC ID: 5991082026 Enrollment ID: I20170427001558 |
| Provider Name | Tiffany M Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902163744 PECOS PAC ID: 9335417625 Enrollment ID: I20170608002448 |
| Provider Name | Gary G Tse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043577570 PECOS PAC ID: 7113295627 Enrollment ID: I20170623001732 |
| Provider Name | Behrad Golshani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225304652 PECOS PAC ID: 8123397627 Enrollment ID: I20170626002909 |
| Provider Name | Aarti Patil Luhar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477848471 PECOS PAC ID: 5698044964 Enrollment ID: I20170629000701 |
| Provider Name | Frank Hao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346508827 PECOS PAC ID: 5092084624 Enrollment ID: I20170712003923 |
| Provider Name | Jina E Kim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417136490 PECOS PAC ID: 1557441789 Enrollment ID: I20170718001638 |
| Provider Name | Adan De Jesus Romero Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033520002 PECOS PAC ID: 2062708233 Enrollment ID: I20170821001353 |
| Provider Name | Yamanda Mack Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396180428 PECOS PAC ID: 5395017529 Enrollment ID: I20170822003380 |
| Provider Name | Yulsi Lili Fernandez Montero |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1558780106 PECOS PAC ID: 7416220181 Enrollment ID: I20170830003359 |
| Provider Name | Sabine Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831515659 PECOS PAC ID: 9830462159 Enrollment ID: I20170908001700 |
| Provider Name | Peter Fu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912249574 PECOS PAC ID: 6800169921 Enrollment ID: I20170911002976 |
| Provider Name | Ancil Kora Philip |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295943884 PECOS PAC ID: 2769639210 Enrollment ID: I20170915001788 |
| Provider Name | Nancy Md Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154611432 PECOS PAC ID: 6204101603 Enrollment ID: I20171011002344 |
| Provider Name | Ravi H Halaswamy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548363708 PECOS PAC ID: 8820021744 Enrollment ID: I20171113001089 |
| Provider Name | Sandra H Sacks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649513110 PECOS PAC ID: 9032476544 Enrollment ID: I20171207002121 |
| Provider Name | Alan A Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518126341 PECOS PAC ID: 5294913067 Enrollment ID: I20180122002839 |
| Provider Name | Kristen Scott Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114392545 PECOS PAC ID: 5991008963 Enrollment ID: I20180228001311 |
| Provider Name | Anna Kim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164939781 PECOS PAC ID: 3476815408 Enrollment ID: I20180402001745 |
| Provider Name | Joseph David Shirk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376800300 PECOS PAC ID: 0244595494 Enrollment ID: I20180517002581 |
| Provider Name | Mollie Ann Rashid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588078968 PECOS PAC ID: 5991060451 Enrollment ID: I20180604001731 |
| Provider Name | Rohit Dewan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871859504 PECOS PAC ID: 9739450362 Enrollment ID: I20180605002640 |
| Provider Name | Regan C Ferraro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770978918 PECOS PAC ID: 9133484512 Enrollment ID: I20180606001058 |
| Provider Name | Nina M Capiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770979239 PECOS PAC ID: 5597020826 Enrollment ID: I20180607000942 |
| Provider Name | Tiffany L Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457796518 PECOS PAC ID: 7517222854 Enrollment ID: I20180607001245 |
| Provider Name | Ravi N Srinivasa |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134333768 PECOS PAC ID: 1456507664 Enrollment ID: I20180607002427 |
| Provider Name | Maita Siti Kuvhenguhwa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467795203 PECOS PAC ID: 7012262819 Enrollment ID: I20180619003153 |
| Provider Name | Nathaniel David Moradzadeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922341049 PECOS PAC ID: 6204182629 Enrollment ID: I20180627001889 |
| Provider Name | Peolia Kansas Fonsworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639412091 PECOS PAC ID: 5092061424 Enrollment ID: I20180627002025 |
| Provider Name | Varand Ghazikhanian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578759395 PECOS PAC ID: 1254519697 Enrollment ID: I20180628003583 |
| Provider Name | Christopher Weitekamp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114439908 PECOS PAC ID: 5193075588 Enrollment ID: I20180905003192 |
| Provider Name | Joseph M Seif |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235557497 PECOS PAC ID: 8921358177 Enrollment ID: I20180910000419 |
| Provider Name | Patricia Nwajuaku |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659690733 PECOS PAC ID: 1153636329 Enrollment ID: I20181108001303 |
| Provider Name | Iram T Dubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750762993 PECOS PAC ID: 1254685837 Enrollment ID: I20181117000472 |
| Provider Name | Hannah S Milch |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043573140 PECOS PAC ID: 3173898087 Enrollment ID: I20181120001397 |
| Provider Name | Ralph Cabrera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104305408 PECOS PAC ID: 8426392721 Enrollment ID: I20181127001711 |
| Provider Name | Marisa E Hernandez-morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568805612 PECOS PAC ID: 5799079422 Enrollment ID: I20181231001838 |
| Provider Name | Rami Horani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225340227 PECOS PAC ID: 3577798503 Enrollment ID: I20190104002886 |
| Provider Name | Tanya Scurry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225243009 PECOS PAC ID: 9133400237 Enrollment ID: I20190128002553 |
| Provider Name | Aleksandar Kitich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841618964 PECOS PAC ID: 4688914062 Enrollment ID: I20190321001407 |
| Provider Name | Jennifer T Katsura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356805436 PECOS PAC ID: 1052653284 Enrollment ID: I20190508001720 |
| Provider Name | James R Pinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124480124 PECOS PAC ID: 9537412762 Enrollment ID: I20190519000008 |
| Provider Name | Andrew Morgan Surman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245686351 PECOS PAC ID: 1456694934 Enrollment ID: I20190524001364 |
| Provider Name | Steven Deanchaim Kao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962899096 PECOS PAC ID: 3274866538 Enrollment ID: I20190531002086 |
| Provider Name | Daniel Sean Bradley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457700767 PECOS PAC ID: 0244522837 Enrollment ID: I20190603000985 |
| Provider Name | Alex Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982068284 PECOS PAC ID: 4385977578 Enrollment ID: I20190603001323 |
| Provider Name | Emily Jun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467865824 PECOS PAC ID: 8729311972 Enrollment ID: I20190604000610 |
| Provider Name | Zachary Mark Haber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922461862 PECOS PAC ID: 6406189455 Enrollment ID: I20190606002727 |
| Provider Name | Ryan P Beck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265845390 PECOS PAC ID: 6901100627 Enrollment ID: I20190607001468 |
| Provider Name | Nicholas Ryan Galloway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225458839 PECOS PAC ID: 9032339270 Enrollment ID: I20190612000053 |
| Provider Name | Shabnam Mortazavi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295154847 PECOS PAC ID: 5496050536 Enrollment ID: I20190612000269 |
| Provider Name | Linda Ratanaprasatporn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497161269 PECOS PAC ID: 3971818782 Enrollment ID: I20190612000443 |
| Provider Name | Yu-kai Su |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558775734 PECOS PAC ID: 1355687575 Enrollment ID: I20190612000944 |
| Provider Name | Eric Stephen Rupe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346669769 PECOS PAC ID: 3375811680 Enrollment ID: I20190612001434 |
| Provider Name | Andrew Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295140713 PECOS PAC ID: 0547541534 Enrollment ID: I20190612002344 |
| Provider Name | Hamid R Mohazab |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790726495 PECOS PAC ID: 4284547332 Enrollment ID: I20190614000748 |
| Provider Name | Brian Luu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881969038 PECOS PAC ID: 3274867734 Enrollment ID: I20190703000775 |
| Provider Name | Valeria Carcamo-cavazos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720473036 PECOS PAC ID: 9537419908 Enrollment ID: I20190708000577 |
| Provider Name | Eugene Won |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720407067 PECOS PAC ID: 2668725532 Enrollment ID: I20190708002017 |
| Provider Name | Holly Dieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184155285 PECOS PAC ID: 5597090506 Enrollment ID: I20190712002650 |
| Provider Name | Lourdes Alanis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699118281 PECOS PAC ID: 7214263698 Enrollment ID: I20190723001682 |
| Provider Name | Myroslav Figura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083000822 PECOS PAC ID: 8426385964 Enrollment ID: I20190807001111 |
| Provider Name | Bonny Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255750568 PECOS PAC ID: 6901134089 Enrollment ID: I20190828000189 |
| Provider Name | Mordecai Solomon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902244106 PECOS PAC ID: 3173852969 Enrollment ID: I20190903003082 |
| Provider Name | Kim M Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609275171 PECOS PAC ID: 5597094011 Enrollment ID: I20190909003779 |
| Provider Name | Dingle Foote |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215340047 PECOS PAC ID: 6800125279 Enrollment ID: I20190910002328 |
| Provider Name | Bashir Akhavan Tafti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154556306 PECOS PAC ID: 9739418120 Enrollment ID: I20190910003174 |
| Provider Name | Michael James Sliff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679125223 PECOS PAC ID: 2466781620 Enrollment ID: I20190912003037 |
| Provider Name | Betelehem Asnake |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821485392 PECOS PAC ID: 7315276326 Enrollment ID: I20190916003246 |
| Provider Name | Erin Nicole Dizon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215336136 PECOS PAC ID: 9537438775 Enrollment ID: I20190917002487 |
| Provider Name | Sahar Sherf |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336567510 PECOS PAC ID: 6204166234 Enrollment ID: I20190918000526 |
| Provider Name | Jason D Daughety |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154681534 PECOS PAC ID: 4587811336 Enrollment ID: I20190918000619 |
| Provider Name | David James Tobey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528324381 PECOS PAC ID: 5193957124 Enrollment ID: I20190918003587 |
| Provider Name | Julia G Gosis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326453861 PECOS PAC ID: 7113257932 Enrollment ID: I20190920002690 |
| Provider Name | Peyman Kangavari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962821207 PECOS PAC ID: 5294065900 Enrollment ID: I20190923003466 |
| Provider Name | Harry Robert Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386101947 PECOS PAC ID: 7810227527 Enrollment ID: I20190923003520 |
| Provider Name | Max C Padgett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679984736 PECOS PAC ID: 9830482249 Enrollment ID: I20190924003572 |
| Provider Name | Sarah Mohajeri Moghaddam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649699695 PECOS PAC ID: 0547511370 Enrollment ID: I20190924003756 |
| Provider Name | James S Chalfant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447679105 PECOS PAC ID: 6800136094 Enrollment ID: I20190925001895 |
| Provider Name | Shing L Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871948828 PECOS PAC ID: 0244560761 Enrollment ID: I20190926001380 |
| Provider Name | Jonathan Hin Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538600887 PECOS PAC ID: 5092059840 Enrollment ID: I20191017002348 |
| Provider Name | Sarah Anne Colosimo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386166254 PECOS PAC ID: 3779859822 Enrollment ID: I20191206001981 |
| Provider Name | Raed A Wahab |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285841437 PECOS PAC ID: 7214000504 Enrollment ID: I20191217002890 |
| Provider Name | Luo Xu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366084535 PECOS PAC ID: 4082048111 Enrollment ID: I20191226001742 |
| Provider Name | Jessica Estellina Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992937478 PECOS PAC ID: 5092149070 Enrollment ID: I20191227001851 |
| Provider Name | Augustine J Pyo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255741005 PECOS PAC ID: 6608111281 Enrollment ID: I20191227002022 |
| Provider Name | Metin Cayiroglu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649633710 PECOS PAC ID: 9931534518 Enrollment ID: I20200109001366 |
| Provider Name | Fatemeh Abdollahi Mofakham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659652915 PECOS PAC ID: 4587963400 Enrollment ID: I20200213000840 |
| Provider Name | Brianna Ortbals |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528601572 PECOS PAC ID: 3173950623 Enrollment ID: I20200224001883 |
| Provider Name | Joon Y Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629519889 PECOS PAC ID: 2961830237 Enrollment ID: I20200403002462 |
| Provider Name | Denis Wadzani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386177129 PECOS PAC ID: 0749610467 Enrollment ID: I20200421001932 |
| Provider Name | Luke N Ledbetter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730342775 PECOS PAC ID: 1052556453 Enrollment ID: I20200430002283 |
| Provider Name | Shimwoo Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982135315 PECOS PAC ID: 2264863331 Enrollment ID: I20200506001443 |
| Provider Name | Emilie Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447614748 PECOS PAC ID: 4082045521 Enrollment ID: I20200515002019 |
| Provider Name | Jean Michel Grillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609253533 PECOS PAC ID: 9234432295 Enrollment ID: I20200520003333 |
| Provider Name | Erin Deniz Kutay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902240955 PECOS PAC ID: 9335560648 Enrollment ID: I20200521002528 |
| Provider Name | Jena Nicole Depetris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962889063 PECOS PAC ID: 6305144452 Enrollment ID: I20200522001543 |
| Provider Name | Felipe Urdaneta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457747560 PECOS PAC ID: 2264853464 Enrollment ID: I20200526000976 |
| Provider Name | Sarah Russell Ceglar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063832533 PECOS PAC ID: 9638590847 Enrollment ID: I20200526001380 |
| Provider Name | Justin Ruey Tse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720473119 PECOS PAC ID: 2466873690 Enrollment ID: I20200526002407 |
| Provider Name | Phil Fei Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548655855 PECOS PAC ID: 6709207665 Enrollment ID: I20200601001334 |
| Provider Name | Ahrya Farrohi Derakhshani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942630173 PECOS PAC ID: 9436440211 Enrollment ID: I20200609002198 |
| Provider Name | Amanda Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184018509 PECOS PAC ID: 0042513129 Enrollment ID: I20200610003439 |
| Provider Name | Krista J. Cascia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285096784 PECOS PAC ID: 7315368701 Enrollment ID: I20200611001345 |
| Provider Name | Timothy William Iafe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508251422 PECOS PAC ID: 8921362856 Enrollment ID: I20200615002165 |
| Provider Name | Joseph R Kallini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336567031 PECOS PAC ID: 1153611538 Enrollment ID: I20200617002200 |
| Provider Name | Pejman Taghavi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902282304 PECOS PAC ID: 1658664982 Enrollment ID: I20200617002695 |
| Provider Name | Linda Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801259320 PECOS PAC ID: 8426344540 Enrollment ID: I20200618000396 |
| Provider Name | Jeremy S Paige |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891180014 PECOS PAC ID: 8628367463 Enrollment ID: I20200622002055 |
| Provider Name | Salisu A Aikoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497173694 PECOS PAC ID: 2163744699 Enrollment ID: I20200623003097 |
| Provider Name | Ali Rastegarpour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538547161 PECOS PAC ID: 9234421843 Enrollment ID: I20200629002833 |
| Provider Name | Colleen B Yen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609261585 PECOS PAC ID: 6204172562 Enrollment ID: I20200720002228 |
| Provider Name | Eriko Masuda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992123095 PECOS PAC ID: 5991076440 Enrollment ID: I20200731002588 |
| Provider Name | Mohamad Abdelfattah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134539711 PECOS PAC ID: 2769737626 Enrollment ID: I20200819000338 |
| Provider Name | Edward Cardenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801327630 PECOS PAC ID: 6901238351 Enrollment ID: I20200831003051 |
| Provider Name | Edward Michael Speltie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558881482 PECOS PAC ID: 5496172538 Enrollment ID: I20200903000987 |
| Provider Name | Christopher Travis Watterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598028367 PECOS PAC ID: 6305196031 Enrollment ID: I20200923002310 |
| Provider Name | Mona Ranade |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811296429 PECOS PAC ID: 3375813736 Enrollment ID: I20201001001494 |
| Provider Name | Maria Glorinicque Mechure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184971913 PECOS PAC ID: 7315366507 Enrollment ID: I20201008000783 |
| Provider Name | John Wesley Patton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831544352 PECOS PAC ID: 8123439262 Enrollment ID: I20201123000477 |
| Provider Name | Grace Choi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831585074 PECOS PAC ID: 3870857444 Enrollment ID: I20201202002699 |
| Provider Name | Megan Suzanne Jacobs |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689685885 PECOS PAC ID: 4082640586 Enrollment ID: I20210120002342 |
| Provider Name | Jessica Stewart |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932487964 PECOS PAC ID: 0345514774 Enrollment ID: I20210303001017 |
| Provider Name | Kenton Edward Kagy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821362740 PECOS PAC ID: 5698020444 Enrollment ID: I20210322002117 |
| Provider Name | Olivia E Linden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801250089 PECOS PAC ID: 5890086342 Enrollment ID: I20210325002684 |
| Provider Name | Hanna K Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255795092 PECOS PAC ID: 1355697319 Enrollment ID: I20210326001753 |
| Provider Name | Brittany Lea Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316309685 PECOS PAC ID: 2466861067 Enrollment ID: I20210512000786 |
| Provider Name | Haddy M Jarmakani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386007698 PECOS PAC ID: 2769773381 Enrollment ID: I20210512000950 |
| Provider Name | Chih-sheng Jason Chiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295198638 PECOS PAC ID: 7618269572 Enrollment ID: I20210514000735 |
| Provider Name | Hayet Amalou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235541814 PECOS PAC ID: 6901205160 Enrollment ID: I20210520002688 |
| Provider Name | Eva Xia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447609524 PECOS PAC ID: 7012316193 Enrollment ID: I20210521000762 |
| Provider Name | Phong Ha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023423217 PECOS PAC ID: 2466851571 Enrollment ID: I20210521001693 |
| Provider Name | Michael Jinpyo Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134583982 PECOS PAC ID: 2668871526 Enrollment ID: I20210525003144 |
| Provider Name | Andrew Christopher Ong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780138289 PECOS PAC ID: 6709133572 Enrollment ID: I20210525003220 |
| Provider Name | David Zucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104270909 PECOS PAC ID: 3375942238 Enrollment ID: I20210525003224 |
| Provider Name | Richard Kyle Rothman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346696028 PECOS PAC ID: 3476807033 Enrollment ID: I20210525003354 |
| Provider Name | Frank Hebroni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437509494 PECOS PAC ID: 0941609754 Enrollment ID: I20210527002442 |
| Provider Name | Priyanka Dube |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043664881 PECOS PAC ID: 7517259914 Enrollment ID: I20210602002623 |
| Provider Name | Matthew A Burr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164879177 PECOS PAC ID: 4183995020 Enrollment ID: I20210603000217 |
| Provider Name | Michael Jung Sobrinho Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235584749 PECOS PAC ID: 8426312190 Enrollment ID: I20210611002116 |
| Provider Name | Hewenfei Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285165340 PECOS PAC ID: 0042610834 Enrollment ID: I20210616000822 |
| Provider Name | Touraj Sedigh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912588286 PECOS PAC ID: 3173923893 Enrollment ID: I20210616002236 |
| Provider Name | Megan Jean Sue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528421989 PECOS PAC ID: 2466862941 Enrollment ID: I20210616003736 |
| Provider Name | Samantha Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033614482 PECOS PAC ID: 8628479532 Enrollment ID: I20210630000417 |
| Provider Name | Stefan Besada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851826333 PECOS PAC ID: 6901207604 Enrollment ID: I20210701003159 |
| Provider Name | Binay Chacko Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255591228 PECOS PAC ID: 8820280084 Enrollment ID: I20210713001630 |
| Provider Name | Dane Austin Saksa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407388622 PECOS PAC ID: 6800298886 Enrollment ID: I20210713003613 |
| Provider Name | Amir Imanzadeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841673142 PECOS PAC ID: 0244528701 Enrollment ID: I20210714001226 |
| Provider Name | Peyman Nourollah Tashkandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295197200 PECOS PAC ID: 8921388778 Enrollment ID: I20210726001165 |
| Provider Name | Chukwuemeka Kingsley Okoro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202329 PECOS PAC ID: 8527462258 Enrollment ID: I20210803002023 |
| Provider Name | Sohrab Nazertehrani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760878037 PECOS PAC ID: 2567707342 Enrollment ID: I20210819002392 |
| Provider Name | Shradha Devi Khadge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326579442 PECOS PAC ID: 0840536777 Enrollment ID: I20210826002671 |
| Provider Name | Shreya Pujara |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154611192 PECOS PAC ID: 4789817107 Enrollment ID: I20211013001559 |
| Provider Name | Ceylan Zeynep Cankurtaran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508064619 PECOS PAC ID: 7214105949 Enrollment ID: I20211201002372 |
| Provider Name | Reza Fardanesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972763993 PECOS PAC ID: 4385911379 Enrollment ID: I20211202001993 |
| Provider Name | Suraya Kawadry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336431667 PECOS PAC ID: 4284938358 Enrollment ID: I20211214000701 |
| Provider Name | Virginia Adesola Adewole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639512239 PECOS PAC ID: 1052705738 Enrollment ID: I20220222002313 |
| Provider Name | Elsa V Zecena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649940255 PECOS PAC ID: 2466846746 Enrollment ID: I20220302002173 |
| Provider Name | Andrea Sungjee Oh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740417765 PECOS PAC ID: 6305098484 Enrollment ID: I20220406001317 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20220411002526 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220422000934 |
| Provider Name | Vanessa Danquah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811351257 PECOS PAC ID: 4587575188 Enrollment ID: I20220422001038 |
| Provider Name | Taha Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538512629 PECOS PAC ID: 0749515948 Enrollment ID: I20220422002006 |
| Provider Name | Christopher Scott Burky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043330970 PECOS PAC ID: 8729054929 Enrollment ID: I20220511002215 |
| Provider Name | Juan Jose Andino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053846584 PECOS PAC ID: 7416233689 Enrollment ID: I20220511002643 |
| Provider Name | Cecilia Canales |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740786805 PECOS PAC ID: 6305223231 Enrollment ID: I20220516001842 |
| Provider Name | David Ban |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730570326 PECOS PAC ID: 9537438155 Enrollment ID: I20220518003126 |
| Provider Name | Tucker Van Rensselaer Burr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487186698 PECOS PAC ID: 1456609593 Enrollment ID: I20220520001072 |
| Provider Name | Stephen Shutian Cai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316471626 PECOS PAC ID: 7012264872 Enrollment ID: I20220523001090 |
| Provider Name | Jonathan Robert Douglas Barclay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871014829 PECOS PAC ID: 9133507528 Enrollment ID: I20220525001132 |
| Provider Name | Rhonda Rene Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20220601002355 |
| Provider Name | Adam Kinzel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326579715 PECOS PAC ID: 4082092127 Enrollment ID: I20220602001046 |
| Provider Name | Sipan Mathevosian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518499722 PECOS PAC ID: 4183014160 Enrollment ID: I20220603000359 |
| Provider Name | Aileen Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780117895 PECOS PAC ID: 8022495274 Enrollment ID: I20220603002281 |
| Provider Name | Raj Arvind Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326589524 PECOS PAC ID: 7416283924 Enrollment ID: I20220606000773 |
| Provider Name | Ross Frederick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992232268 PECOS PAC ID: 1153670179 Enrollment ID: I20220606001338 |
| Provider Name | Jeremy Joseph Middleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649771056 PECOS PAC ID: 9931587789 Enrollment ID: I20220607000971 |
| Provider Name | Jessica Sue Moon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154858702 PECOS PAC ID: 0840677894 Enrollment ID: I20220607001563 |
| Provider Name | Nooshin Najmi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174985386 PECOS PAC ID: 5395123079 Enrollment ID: I20220608002482 |
| Provider Name | Raffi Minas Ourfalian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891227559 PECOS PAC ID: 4789925421 Enrollment ID: I20220608003308 |
| Provider Name | Karen Broomberg Mendez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639671183 PECOS PAC ID: 2860739646 Enrollment ID: I20220610000316 |
| Provider Name | Tyler Joseph Sevco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790210961 PECOS PAC ID: 7416226204 Enrollment ID: I20220613001351 |
| Provider Name | Lucas R Cusumano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619408242 PECOS PAC ID: 4284037862 Enrollment ID: I20220613001373 |
| Provider Name | Daniel Jacob Philipson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043605090 PECOS PAC ID: 6305225731 Enrollment ID: I20220615001566 |
| Provider Name | Amir Ali Ali Rahsepar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710415146 PECOS PAC ID: 2365787769 Enrollment ID: I20220615002262 |
| Provider Name | Tam Minh Vu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942543517 PECOS PAC ID: 4880912906 Enrollment ID: I20220624002654 |
| Provider Name | Joshua Kingsley Sweigert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295265239 PECOS PAC ID: 0547640195 Enrollment ID: I20220629001978 |
| Provider Name | Shenise Nicole Gilyard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922528108 PECOS PAC ID: 8527331644 Enrollment ID: I20220629003088 |
| Provider Name | Justin C Paton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386169142 PECOS PAC ID: 5193084291 Enrollment ID: I20220725001716 |
| Provider Name | Ryan H Bakhit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639676760 PECOS PAC ID: 1658605357 Enrollment ID: I20220726000834 |
| Provider Name | Leo L Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013411917 PECOS PAC ID: 7911389697 Enrollment ID: I20220727002169 |
| Provider Name | Alice Soojung Ha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699824771 PECOS PAC ID: 8224109137 Enrollment ID: I20220729002581 |
| Provider Name | Juline Adelle Amma Kwakyewah Asamoah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679060495 PECOS PAC ID: 4880949692 Enrollment ID: I20220802003450 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20220804003876 |
| Provider Name | Linesse Maria Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114105897 PECOS PAC ID: 6002047206 Enrollment ID: I20220817002755 |
| Provider Name | Soheil Kooraki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124637087 PECOS PAC ID: 8426432006 Enrollment ID: I20220831000775 |
| Provider Name | Sarvesh Kaushik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174029458 PECOS PAC ID: 3779833256 Enrollment ID: I20220902001356 |
| Provider Name | Ardalan Tangestanipoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427538057 PECOS PAC ID: 7719361054 Enrollment ID: I20220906000157 |
| Provider Name | Therese Michaela Leano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063063386 PECOS PAC ID: 6406283043 Enrollment ID: I20221017001603 |
| Provider Name | Daniel H Libraty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255314100 PECOS PAC ID: 4082791918 Enrollment ID: I20221017002184 |
| Provider Name | Justin James Slade |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942662077 PECOS PAC ID: 6901288133 Enrollment ID: I20221128001348 |
| Provider Name | Ali Samee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871909333 PECOS PAC ID: 6800136169 Enrollment ID: I20221216001032 |
| Provider Name | Avrim Brett Fishkind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093727943 PECOS PAC ID: 2466539804 Enrollment ID: I20230127000968 |
| Provider Name | Sonali Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306559653 PECOS PAC ID: 3274905872 Enrollment ID: I20230208000764 |
| Provider Name | Lea Azour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790076941 PECOS PAC ID: 2365724994 Enrollment ID: I20230308000524 |
| Provider Name | Lin Wang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366974859 PECOS PAC ID: 0547531899 Enrollment ID: I20230315000742 |
| Provider Name | Nicole D Dirienzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316151632 PECOS PAC ID: 2163556887 Enrollment ID: I20230420002272 |
| Provider Name | Cato Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477084648 PECOS PAC ID: 1355707597 Enrollment ID: I20230515001254 |
| Provider Name | Brandon Lee Gisi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508363003 PECOS PAC ID: 3375909336 Enrollment ID: I20230517000588 |
| Provider Name | Barry Bardia Golestany |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134617772 PECOS PAC ID: 1759747728 Enrollment ID: I20230517000957 |
| Provider Name | Tiffany Tse Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629573019 PECOS PAC ID: 3072979939 Enrollment ID: I20230518001550 |
| Provider Name | Zhaoying Xian |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073018073 PECOS PAC ID: 1951767821 Enrollment ID: I20230518002108 |
| Provider Name | James Zhe Hui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023542099 PECOS PAC ID: 9638535495 Enrollment ID: I20230519002773 |
| Provider Name | Charles B Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568959120 PECOS PAC ID: 5395071799 Enrollment ID: I20230522001087 |
| Provider Name | Alan Dat Huynh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720585847 PECOS PAC ID: 9638407992 Enrollment ID: I20230523000685 |
| Provider Name | Cheickna Fofana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245729342 PECOS PAC ID: 9133585763 Enrollment ID: I20230523003312 |
| Provider Name | Kevin Young Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134626047 PECOS PAC ID: 0345606919 Enrollment ID: I20230524001669 |
| Provider Name | Joseph Saucier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336637628 PECOS PAC ID: 4789933359 Enrollment ID: I20230524001689 |
| Provider Name | Daniel Adran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518456441 PECOS PAC ID: 2769711688 Enrollment ID: I20230525001648 |
| Provider Name | Brian Ng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558868265 PECOS PAC ID: 5193181667 Enrollment ID: I20230525002760 |
| Provider Name | Savannah Elizabeth Fletcher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477058113 PECOS PAC ID: 7618223140 Enrollment ID: I20230530000389 |
| Provider Name | Tyler Eugene Callese |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073017836 PECOS PAC ID: 7911323183 Enrollment ID: I20230530000922 |
| Provider Name | Samantha C Phung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497252969 PECOS PAC ID: 3072866243 Enrollment ID: I20230530002509 |
| Provider Name | Nazanin Hajarol Asvadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689197196 PECOS PAC ID: 6002180437 Enrollment ID: I20230531002191 |
| Provider Name | Puja Shahrouki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790276079 PECOS PAC ID: 4486011665 Enrollment ID: I20230602000584 |
| Provider Name | Jonathan Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124515739 PECOS PAC ID: 0648637884 Enrollment ID: I20230605000493 |
| Provider Name | Iris Ejune Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366946444 PECOS PAC ID: 4981061033 Enrollment ID: I20230605001077 |
| Provider Name | Zaid Imtiyaz Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780181917 PECOS PAC ID: 1557617685 Enrollment ID: I20230607001500 |
| Provider Name | Adam Emmanuel Sierra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780172825 PECOS PAC ID: 2062878341 Enrollment ID: I20230608000857 |
| Provider Name | Samuel Larussa |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376993063 PECOS PAC ID: 5395102974 Enrollment ID: I20230613002821 |
| Provider Name | Landon Joseph Melchior |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992291488 PECOS PAC ID: 9739547944 Enrollment ID: I20230621000603 |
| Provider Name | Brittany N Burton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114488806 PECOS PAC ID: 1456719145 Enrollment ID: I20230628002409 |
| Provider Name | Kevin Meir Youssefzadeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386104875 PECOS PAC ID: 0042679680 Enrollment ID: I20230629003252 |
| Provider Name | Ashley Paige Oliver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760987390 PECOS PAC ID: 0143689919 Enrollment ID: I20230711003733 |
| Provider Name | Russell A Reeves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326573775 PECOS PAC ID: 3476819814 Enrollment ID: I20230713004015 |
| Provider Name | Lauren K Vajda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245692771 PECOS PAC ID: 6800151259 Enrollment ID: I20230801003748 |
| Provider Name | Lauren Prest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881012235 PECOS PAC ID: 3971804147 Enrollment ID: I20230901001965 |
| Provider Name | Mordechai Groner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427347764 PECOS PAC ID: 0547545204 Enrollment ID: I20231206001964 |
| Provider Name | Alexis Urzua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740864511 PECOS PAC ID: 2961852678 Enrollment ID: I20231221000621 |
| Provider Name | Mikhail Roubakha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699262683 PECOS PAC ID: 3173876828 Enrollment ID: I20240216004318 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20240314003678 |
| Provider Name | Michelle Silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326802364 PECOS PAC ID: 7214375096 Enrollment ID: I20240329002789 |
| Provider Name | Ogugua Anene Maidoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609212000 PECOS PAC ID: 3173881067 Enrollment ID: I20240418003831 |
| Provider Name | Sahar B Derakhshanian Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962065037 PECOS PAC ID: 7113257130 Enrollment ID: I20240419000385 |
| Provider Name | Madeline Renals |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487217550 PECOS PAC ID: 4880924737 Enrollment ID: I20240423002893 |
| Provider Name | Ksenia S Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336657725 PECOS PAC ID: 0244575470 Enrollment ID: I20240506004045 |
| Provider Name | Catherine Ann Mcnulty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902367634 PECOS PAC ID: 8628419058 Enrollment ID: I20240515003639 |
| Provider Name | Ashley Nicole Yeager |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700349529 PECOS PAC ID: 6204166168 Enrollment ID: I20240515004181 |
| Provider Name | Dustin Geldrich Roberts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033672605 PECOS PAC ID: 7214389618 Enrollment ID: I20240515004372 |
| Provider Name | Naomi Eiko Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336608603 PECOS PAC ID: 9830530146 Enrollment ID: I20240516002670 |
| Provider Name | Shannon Seunghyun Yoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669931879 PECOS PAC ID: 1658600457 Enrollment ID: I20240516003805 |
| Provider Name | Lucien Anthony Rizzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992366579 PECOS PAC ID: 3173958246 Enrollment ID: I20240517001409 |
| Provider Name | Christopher Ku Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124587423 PECOS PAC ID: 1951777275 Enrollment ID: I20240517001718 |
| Provider Name | Arjun Bipin Ranade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891255246 PECOS PAC ID: 1557702776 Enrollment ID: I20240517002757 |
| Provider Name | Sumana Dasari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114488210 PECOS PAC ID: 5395186530 Enrollment ID: I20240517003558 |
| Provider Name | Divya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669935185 PECOS PAC ID: 4183065329 Enrollment ID: I20240517003653 |
| Provider Name | Phoebe Ann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760847909 PECOS PAC ID: 9436590692 Enrollment ID: I20240518000701 |
| Provider Name | Alan Richard Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720540321 PECOS PAC ID: 5890028195 Enrollment ID: I20240520000411 |
| Provider Name | Sara Mozayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093277980 PECOS PAC ID: 1254669021 Enrollment ID: I20240520001055 |
| Provider Name | Faraien S Bahri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205396751 PECOS PAC ID: 3870935091 Enrollment ID: I20240520002672 |
| Provider Name | Chukwuemeka John Okafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285197905 PECOS PAC ID: 4486096625 Enrollment ID: I20240520003342 |
| Provider Name | John Z Gao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215496351 PECOS PAC ID: 5092139147 Enrollment ID: I20240521000794 |
| Provider Name | Kaleigh Marie Ritchie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083176911 PECOS PAC ID: 6406287242 Enrollment ID: I20240521004573 |
| Provider Name | Susan Win |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215498720 PECOS PAC ID: 0345573507 Enrollment ID: I20240522001306 |
| Provider Name | Sara Kim Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679033807 PECOS PAC ID: 9739521733 Enrollment ID: I20240522001720 |
| Provider Name | Tyler R Toth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053872184 PECOS PAC ID: 2668814617 Enrollment ID: I20240522003760 |
| Provider Name | Jason T Yoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699334862 PECOS PAC ID: 3072841451 Enrollment ID: I20240523003475 |
| Provider Name | David F Reilly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568849495 PECOS PAC ID: 0547692428 Enrollment ID: I20240524001492 |
| Provider Name | Gabriella R Marvizi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366901142 PECOS PAC ID: 9830531409 Enrollment ID: I20240528003012 |
| Provider Name | Matthew S Carr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174084354 PECOS PAC ID: 6608319819 Enrollment ID: I20240617001241 |
| Provider Name | Rizwan Mohiuddin Zafer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346700382 PECOS PAC ID: 1951726165 Enrollment ID: I20240617003995 |
| Provider Name | Brian Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528621828 PECOS PAC ID: 0143765685 Enrollment ID: I20240709003601 |
| Provider Name | Stephanie Ann Goddard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720579642 PECOS PAC ID: 3274070479 Enrollment ID: I20240806002374 |
| Provider Name | Radoslav Ilianov Zinoviev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720432693 PECOS PAC ID: 1254630759 Enrollment ID: I20240807004267 |
| Provider Name | Snehalkumar Baldevbhai Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487819744 PECOS PAC ID: 4789834615 Enrollment ID: I20240830002604 |
| Provider Name | Abhipsa Kar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275030397 PECOS PAC ID: 2062825458 Enrollment ID: I20240905002214 |
| Provider Name | Maritza Franqui |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952868119 PECOS PAC ID: 5092255851 Enrollment ID: I20240906002786 |
| Provider Name | Adam J Stivala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467738617 PECOS PAC ID: 7315376910 Enrollment ID: I20241108002185 |
| Provider Name | Amilcar Pina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649304403 PECOS PAC ID: 5799211165 Enrollment ID: I20241209002191 |
| Provider Name | Dana B Harbison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659477891 PECOS PAC ID: 8325013394 Enrollment ID: I20241218003441 |
| Provider Name | Yashar Fard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649746272 PECOS PAC ID: 0345665352 Enrollment ID: I20250320003744 |
| Provider Name | Catalina Draghici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255524930 PECOS PAC ID: 2961672704 Enrollment ID: I20250324002999 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |