| Nr Medical Associates | |
|
302 Washington St # 116 San Diego CA 92103-2110 | |
| (858) 754-1114 | |
| (858) 754-1114 |
| Full Name | Nr Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 302 Washington St # 116, San Diego, California |
| Authorized Official Name and Position | Tan Nguyen (CEO) |
| Authorized Official Contact | 8587541114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nr Medical Associates 302 Washington St # 116 San Diego CA 92103-2110 Ph: (866) 284-2771 | Nr Medical Associates 302 Washington St # 116 San Diego CA 92103-2110 Ph: (858) 754-1114 |
| NPI Number | 1649601113 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 05/10/2019 |
| Medicare PECOS PAC ID | 0547588162 |
|---|---|
| Medicare Enrollment ID | O20150410002252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649601113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G67119 (California) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | C53916 (California) | Primary |
| Provider Name | Tan The Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609839299 PECOS PAC ID: 7810995362 Enrollment ID: I20081212000602 |
| Provider Name | David Riker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164405528 PECOS PAC ID: 5294763223 Enrollment ID: I20100127000529 |
| Provider Name | Hassan K Bencheqroun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174786594 PECOS PAC ID: 1052470218 Enrollment ID: I20101015001163 |
| Provider Name | Anna C Baston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649588005 PECOS PAC ID: 3577749076 Enrollment ID: I20110518000273 |
| Provider Name | Charles Nguyen-than Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821243759 PECOS PAC ID: 2860533767 Enrollment ID: I20131120001740 |
| Provider Name | Ben B Mousavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003230079 PECOS PAC ID: 9032433057 Enrollment ID: I20150122002277 |
| Provider Name | Athir J Hajjar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164476362 PECOS PAC ID: 0446239198 Enrollment ID: I20150306000259 |
| Provider Name | Jiaoe Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548651797 PECOS PAC ID: 7113245549 Enrollment ID: I20150415002506 |
| Provider Name | Brian Hilton Graham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376665794 PECOS PAC ID: 2567775604 Enrollment ID: I20150720001352 |
| Provider Name | Richard T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578883385 PECOS PAC ID: 9739499872 Enrollment ID: I20151102002418 |
| Provider Name | Andy H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053748459 PECOS PAC ID: 5395974646 Enrollment ID: I20161018002357 |
| Provider Name | Zhike Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295086262 PECOS PAC ID: 6406139229 Enrollment ID: I20170201002015 |
| Provider Name | Hyacinth Pasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376065136 PECOS PAC ID: 1658645981 Enrollment ID: I20170925002609 |
| Provider Name | Kirk Anthony Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710406848 PECOS PAC ID: 8820334824 Enrollment ID: I20190111002541 |
| Provider Name | Cody James Frieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992179162 PECOS PAC ID: 9830492693 Enrollment ID: I20191105003074 |
| Provider Name | My Van Luu Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383689 PECOS PAC ID: 8921496910 Enrollment ID: I20211025000764 |
| Provider Name | Sasha Katrina Recht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851057087 PECOS PAC ID: 8729472105 Enrollment ID: I20220301000721 |
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