| One Medical Group | |
|
2 Embarcadero Ctr Lbby Level San Francisco CA 94111-3823 | |
| (415) 578-3100 | |
| (415) 291-0489 |
| Full Name | One Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Embarcadero Ctr Lbby Level, San Francisco, California |
| Authorized Official Name and Position | Andrew Diamond (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4156586791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical Group 1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 Ph: (415) 658-6791 | One Medical Group 2 Embarcadero Ctr Lbby Level San Francisco CA 94111-3823 Ph: (415) 578-3100 |
| NPI Number | 1467781641 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 2567623739 |
|---|---|
| Medicare Enrollment ID | O20120416000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467781641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Laura J Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326234774 PECOS PAC ID: 8527958651 Enrollment ID: I20040319001084 |
| Provider Name | Bertrand Vandeville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386734150 PECOS PAC ID: 6406840891 Enrollment ID: I20040408001548 |
| Provider Name | Kevin Charles Fell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215990494 PECOS PAC ID: 7911991294 Enrollment ID: I20040409000630 |
| Provider Name | Christopher Ludwig Schiessl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053494997 PECOS PAC ID: 7810957024 Enrollment ID: I20041012001555 |
| Provider Name | Edwin Seth Munich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770556805 PECOS PAC ID: 6507811700 Enrollment ID: I20050321000976 |
| Provider Name | Divya T Raviendran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639106610 PECOS PAC ID: 6406802669 Enrollment ID: I20050330000880 |
| Provider Name | Peggy Newcomer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1417924531 PECOS PAC ID: 3779530811 Enrollment ID: I20050331001178 |
| Provider Name | George Francis Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134318918 PECOS PAC ID: 8123075447 Enrollment ID: I20050408000748 |
| Provider Name | Petia B Kremen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861570418 PECOS PAC ID: 9739120262 Enrollment ID: I20050516000361 |
| Provider Name | Louise E Nurre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316984974 PECOS PAC ID: 0547297004 Enrollment ID: I20050726000999 |
| Provider Name | Ida Chi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407003874 PECOS PAC ID: 3173543519 Enrollment ID: I20051130000936 |
| Provider Name | Spencer Blackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205914884 PECOS PAC ID: 2567483282 Enrollment ID: I20051209000247 |
| Provider Name | Andrew S Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154347235 PECOS PAC ID: 2668481144 Enrollment ID: I20060411000505 |
| Provider Name | Sue Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164509097 PECOS PAC ID: 3779593397 Enrollment ID: I20060426000949 |
| Provider Name | Khae Saephanh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669588133 PECOS PAC ID: 8426052291 Enrollment ID: I20060908000513 |
| Provider Name | Jing Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376621862 PECOS PAC ID: 3072571330 Enrollment ID: I20070502000525 |
| Provider Name | Michael H Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700826740 PECOS PAC ID: 1456443456 Enrollment ID: I20070822000983 |
| Provider Name | Wendy O Buffett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154373165 PECOS PAC ID: 3375628506 Enrollment ID: I20080311000686 |
| Provider Name | Priti Sanjay Parekh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069236 PECOS PAC ID: 4880770742 Enrollment ID: I20080318000821 |
| Provider Name | Maricar Pacquing-gribbin |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1881705978 PECOS PAC ID: 4587698030 Enrollment ID: I20080321000228 |
| Provider Name | Khorshed Madan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366464356 PECOS PAC ID: 7315019734 Enrollment ID: I20080630000650 |
| Provider Name | Peggy L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982742185 PECOS PAC ID: 8820160583 Enrollment ID: I20080712000055 |
| Provider Name | Richard B Medoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851372924 PECOS PAC ID: 9931274834 Enrollment ID: I20080812000292 |
| Provider Name | Catherine M Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336219468 PECOS PAC ID: 2860550845 Enrollment ID: I20081020000466 |
| Provider Name | Mary A Lowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609803386 PECOS PAC ID: 6103929195 Enrollment ID: I20081215000433 |
| Provider Name | Renaldo Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609865740 PECOS PAC ID: 4082776760 Enrollment ID: I20081215000797 |
| Provider Name | Longhang T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194894550 PECOS PAC ID: 1951463041 Enrollment ID: I20081226000007 |
| Provider Name | Zeljko Milovanovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548278633 PECOS PAC ID: 0749225175 Enrollment ID: I20090124000096 |
| Provider Name | Sally Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801916044 PECOS PAC ID: 8224118922 Enrollment ID: I20090220000232 |
| Provider Name | Maryam Kermani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548454283 PECOS PAC ID: 6002972437 Enrollment ID: I20090310000066 |
| Provider Name | Yasmin Nibbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831226794 PECOS PAC ID: 2860559713 Enrollment ID: I20090320000548 |
| Provider Name | Maureen E Flaherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366582637 PECOS PAC ID: 0042377590 Enrollment ID: I20090327000081 |
| Provider Name | Darenie Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295992527 PECOS PAC ID: 3173679826 Enrollment ID: I20090921000711 |
| Provider Name | Veronica M Jow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053597005 PECOS PAC ID: 8426198011 Enrollment ID: I20091211000351 |
| Provider Name | Thomas Tae-hyuk Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982879987 PECOS PAC ID: 1951446848 Enrollment ID: I20100303000494 |
| Provider Name | William R Sellman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205999034 PECOS PAC ID: 9335275379 Enrollment ID: I20100330000427 |
| Provider Name | Lenard I Lesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801087309 PECOS PAC ID: 7012104482 Enrollment ID: I20101210000449 |
| Provider Name | Ganga D Nadella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700119823 PECOS PAC ID: 5799972956 Enrollment ID: I20101214000645 |
| Provider Name | Kwun Shan Lip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578615373 PECOS PAC ID: 9638358187 Enrollment ID: I20110128001044 |
| Provider Name | Robert L Hickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952473779 PECOS PAC ID: 2163602723 Enrollment ID: I20110215000011 |
| Provider Name | Emily Caro-bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164633806 PECOS PAC ID: 3072654243 Enrollment ID: I20110420000501 |
| Provider Name | Kimberlie Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851430896 PECOS PAC ID: 6204982044 Enrollment ID: I20110708000317 |
| Provider Name | Beth Pferdehirt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083804983 PECOS PAC ID: 7911177241 Enrollment ID: I20110824000545 |
| Provider Name | Rosanne O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568764926 PECOS PAC ID: 0244400067 Enrollment ID: I20110902000051 |
| Provider Name | Mihal L Emberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861650756 PECOS PAC ID: 4880866920 Enrollment ID: I20111013000277 |
| Provider Name | Zarah Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285917823 PECOS PAC ID: 9537334479 Enrollment ID: I20111228000253 |
| Provider Name | Apurva Samant Pinnamaneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700048378 PECOS PAC ID: 8527228170 Enrollment ID: I20120320000287 |
| Provider Name | Leah R Rothman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477715613 PECOS PAC ID: 2365603412 Enrollment ID: I20120417000187 |
| Provider Name | Wayne W Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790853885 PECOS PAC ID: 8022279819 Enrollment ID: I20120423000668 |
| Provider Name | Rekha C Avirah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306154075 PECOS PAC ID: 6103089123 Enrollment ID: I20120531000246 |
| Provider Name | Sarah H Eberst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699970673 PECOS PAC ID: 8527222918 Enrollment ID: I20120615000043 |
| Provider Name | Sarah D Stenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326325291 PECOS PAC ID: 0648435925 Enrollment ID: I20120712000233 |
| Provider Name | Steven Lawton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366486748 PECOS PAC ID: 0547241291 Enrollment ID: I20120725000370 |
| Provider Name | Hemalee K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992931273 PECOS PAC ID: 1153578281 Enrollment ID: I20120824000638 |
| Provider Name | Charles Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588651582 PECOS PAC ID: 3678528270 Enrollment ID: I20120906000490 |
| Provider Name | Iris R Lowenberg-lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952661985 PECOS PAC ID: 9133379845 Enrollment ID: I20121015000437 |
| Provider Name | David Taylor Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164747671 PECOS PAC ID: 0840441010 Enrollment ID: I20121115000612 |
| Provider Name | Michelle Melo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922356807 PECOS PAC ID: 4486890415 Enrollment ID: I20130418000228 |
| Provider Name | Jerusalem Makonnen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972510022 PECOS PAC ID: 1254578768 Enrollment ID: I20130430000419 |
| Provider Name | Olayinka Olowoyeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902122237 PECOS PAC ID: 4486895463 Enrollment ID: I20130802000678 |
| Provider Name | Tami S Rowen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649507906 PECOS PAC ID: 1456593037 Enrollment ID: I20130810000023 |
| Provider Name | Luis Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639303571 PECOS PAC ID: 0840429700 Enrollment ID: I20140219000434 |
| Provider Name | Stephanie Lynne Phalip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497998595 PECOS PAC ID: 7719110824 Enrollment ID: I20140425000218 |
| Provider Name | Patrick M Portiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780011726 PECOS PAC ID: 7012130255 Enrollment ID: I20140515002073 |
| Provider Name | Jonathan D A Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477836856 PECOS PAC ID: 3779756143 Enrollment ID: I20140625000881 |
| Provider Name | Eric James Acay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437499530 PECOS PAC ID: 9436374824 Enrollment ID: I20140626001677 |
| Provider Name | Virginia Katherine Heese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528270196 PECOS PAC ID: 2264657618 Enrollment ID: I20140627001310 |
| Provider Name | Jonathan Edward Lynne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982975892 PECOS PAC ID: 8729203047 Enrollment ID: I20140630001506 |
| Provider Name | Cynthia Lynne Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487690244 PECOS PAC ID: 4082839808 Enrollment ID: I20140710000244 |
| Provider Name | Bliss M Temple |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205126695 PECOS PAC ID: 4183855380 Enrollment ID: I20140915002640 |
| Provider Name | Rosemarie Dominia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215371844 PECOS PAC ID: 9436370293 Enrollment ID: I20141020000821 |
| Provider Name | Emilie Gruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447663927 PECOS PAC ID: 0042431256 Enrollment ID: I20141031000049 |
| Provider Name | Diana Coupard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275938003 PECOS PAC ID: 2466674437 Enrollment ID: I20141106000579 |
| Provider Name | Benjamin F Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588939771 PECOS PAC ID: 0547582363 Enrollment ID: I20141206000034 |
| Provider Name | May Samantha Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124349303 PECOS PAC ID: 2668629585 Enrollment ID: I20141226000647 |
| Provider Name | Pamela J Geraghty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063800217 PECOS PAC ID: 9931423514 Enrollment ID: I20150130002375 |
| Provider Name | Kathy Ho-hue Chang-lipsenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356340079 PECOS PAC ID: 7416188370 Enrollment ID: I20150216001867 |
| Provider Name | Megan M Foret |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538562269 PECOS PAC ID: 1850617572 Enrollment ID: I20150224000406 |
| Provider Name | Sayanta Akkad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801155387 PECOS PAC ID: 7113155755 Enrollment ID: I20150407002196 |
| Provider Name | Brian Secemsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790044519 PECOS PAC ID: 7012238520 Enrollment ID: I20150610000060 |
| Provider Name | Vijan Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649545062 PECOS PAC ID: 1658685805 Enrollment ID: I20150731015053 |
| Provider Name | Margot Munzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619360807 PECOS PAC ID: 6305151044 Enrollment ID: I20150810003037 |
| Provider Name | Brett London |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730474933 PECOS PAC ID: 4486969854 Enrollment ID: I20150813010868 |
| Provider Name | Elizabeth R Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750571766 PECOS PAC ID: 0840282893 Enrollment ID: I20150921003080 |
| Provider Name | Victoria Kate Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336482298 PECOS PAC ID: 6507174596 Enrollment ID: I20150924000619 |
| Provider Name | Rajneesh Behal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285784868 PECOS PAC ID: 2466515804 Enrollment ID: I20151124002969 |
| Provider Name | Judith A Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407225121 PECOS PAC ID: 8123328887 Enrollment ID: I20151202000431 |
| Provider Name | Jennifer N Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419742 PECOS PAC ID: 7810297371 Enrollment ID: I20151204002505 |
| Provider Name | Jennifer S Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144666272 PECOS PAC ID: 8426364571 Enrollment ID: I20151221001244 |
| Provider Name | Adaobi Onochie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376940254 PECOS PAC ID: 5698078442 Enrollment ID: I20160128000812 |
| Provider Name | Shagun Bindlish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487885067 PECOS PAC ID: 2769632710 Enrollment ID: I20160309002093 |
| Provider Name | Brian Kenneth Cogburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205195112 PECOS PAC ID: 3375841646 Enrollment ID: I20160420000560 |
| Provider Name | Shuk Fong Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003221102 PECOS PAC ID: 0042430696 Enrollment ID: I20160426001395 |
| Provider Name | Sarah A Brill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861787236 PECOS PAC ID: 2062702491 Enrollment ID: I20160526000600 |
| Provider Name | Aradhana G Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594573 PECOS PAC ID: 2961793500 Enrollment ID: I20160629000393 |
| Provider Name | Sarah D Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184932204 PECOS PAC ID: 3375835663 Enrollment ID: I20160706002442 |
| Provider Name | Ellen Kato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598044844 PECOS PAC ID: 4082905005 Enrollment ID: I20160713002843 |
| Provider Name | Alyssa Ren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811331903 PECOS PAC ID: 0547553877 Enrollment ID: I20160725002508 |
| Provider Name | Heather B Delagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326301177 PECOS PAC ID: 9830328905 Enrollment ID: I20160728000324 |
| Provider Name | Rebecca D Alarcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902970031 PECOS PAC ID: 1759554546 Enrollment ID: I20160801000957 |
| Provider Name | Courtney Westenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912344359 PECOS PAC ID: 6709009251 Enrollment ID: I20160804000807 |
| Provider Name | Jessica Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992169262 PECOS PAC ID: 5294024774 Enrollment ID: I20160804000946 |
| Provider Name | Catherine Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629300447 PECOS PAC ID: 2567598956 Enrollment ID: I20160809001869 |
| Provider Name | Lauren Bosin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215273362 PECOS PAC ID: 9739310665 Enrollment ID: I20160811002102 |
| Provider Name | Vansit Vajrabukka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437489846 PECOS PAC ID: 9133414568 Enrollment ID: I20160824002998 |
| Provider Name | Jess Pinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144594201 PECOS PAC ID: 0143451294 Enrollment ID: I20160901002332 |
| Provider Name | Francisco Virgen-giron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023449527 PECOS PAC ID: 4385965748 Enrollment ID: I20160907002733 |
| Provider Name | Sana Jivraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881047181 PECOS PAC ID: 4880980226 Enrollment ID: I20160909002368 |
| Provider Name | Tessa Alice Lannoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801170725 PECOS PAC ID: 3072773274 Enrollment ID: I20160912001712 |
| Provider Name | Leah Spieler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083630594 PECOS PAC ID: 7416018445 Enrollment ID: I20160924000376 |
| Provider Name | Jessica Karlene Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902211840 PECOS PAC ID: 9234426719 Enrollment ID: I20160927002177 |
| Provider Name | Teresa Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952739864 PECOS PAC ID: 0840599197 Enrollment ID: I20161005001097 |
| Provider Name | Supriya Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083939201 PECOS PAC ID: 1052692696 Enrollment ID: I20161220000504 |
| Provider Name | Geetha Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033557574 PECOS PAC ID: 5698074169 Enrollment ID: I20170109001385 |
| Provider Name | Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598919417 PECOS PAC ID: 1456414689 Enrollment ID: I20170116000476 |
| Provider Name | Emanuel Vergis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962478495 PECOS PAC ID: 1153455530 Enrollment ID: I20170120001809 |
| Provider Name | Michelle Benrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467730945 PECOS PAC ID: 7719290782 Enrollment ID: I20170207003083 |
| Provider Name | Nina Metsovaara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356706634 PECOS PAC ID: 8628351707 Enrollment ID: I20170215002640 |
| Provider Name | Grace Trieu Vettraino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679989651 PECOS PAC ID: 4789969338 Enrollment ID: I20170321002395 |
| Provider Name | Shirley I Hsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619365384 PECOS PAC ID: 6204126782 Enrollment ID: I20170328002675 |
| Provider Name | Niroshika S De Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306195979 PECOS PAC ID: 9032495585 Enrollment ID: I20170417001883 |
| Provider Name | Praveena S Selvaduray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568880102 PECOS PAC ID: 2163718016 Enrollment ID: I20170425002972 |
| Provider Name | John Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992140289 PECOS PAC ID: 7911204359 Enrollment ID: I20170502001481 |
| Provider Name | Rajeshwari Nagaraja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932495777 PECOS PAC ID: 7618114513 Enrollment ID: I20170525001045 |
| Provider Name | Jasmin Moultrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295272565 PECOS PAC ID: 0143590331 Enrollment ID: I20170720002114 |
| Provider Name | Eliza Gollub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952743288 PECOS PAC ID: 8527299072 Enrollment ID: I20170810001529 |
| Provider Name | Kayla Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992235766 PECOS PAC ID: 6608148184 Enrollment ID: I20170817002626 |
| Provider Name | Alexandra Claire Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881104925 PECOS PAC ID: 7012282270 Enrollment ID: I20171013002631 |
| Provider Name | Bei Bei Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184041105 PECOS PAC ID: 3173740925 Enrollment ID: I20171018000164 |
| Provider Name | Esther Wong Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093168270 PECOS PAC ID: 0345516027 Enrollment ID: I20171024003581 |
| Provider Name | Natalie E Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659803369 PECOS PAC ID: 7517225782 Enrollment ID: I20171215001171 |
| Provider Name | Julie Christine Quinonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124277181 PECOS PAC ID: 4981962552 Enrollment ID: I20180103002793 |
| Provider Name | Kirsten A Wiitala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922412543 PECOS PAC ID: 7618267980 Enrollment ID: I20180116002436 |
| Provider Name | Sarah Dobro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316367980 PECOS PAC ID: 7012276082 Enrollment ID: I20180119001074 |
| Provider Name | Jessica Fant Norkoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104283860 PECOS PAC ID: 9335401363 Enrollment ID: I20180402001994 |
| Provider Name | Laura Lee Busard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265749071 PECOS PAC ID: 5799962361 Enrollment ID: I20180417002760 |
| Provider Name | Chanel Elise Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831601145 PECOS PAC ID: 2466715503 Enrollment ID: I20180424001282 |
| Provider Name | Mark Vinh Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891044640 PECOS PAC ID: 9537423116 Enrollment ID: I20180507002292 |
| Provider Name | Jesahel A Madfes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982990792 PECOS PAC ID: 5395036057 Enrollment ID: I20180508002218 |
| Provider Name | Janushe P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922494194 PECOS PAC ID: 7517214695 Enrollment ID: I20180719003882 |
| Provider Name | Victor Rafael Laluz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740677913 PECOS PAC ID: 0345597050 Enrollment ID: I20180725002792 |
| Provider Name | Theron Croft Goudeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275928756 PECOS PAC ID: 9133405715 Enrollment ID: I20180915000049 |
| Provider Name | Alison Altschuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821110917 PECOS PAC ID: 5496831422 Enrollment ID: I20180924002848 |
| Provider Name | Landon S Hoecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740260561 PECOS PAC ID: 3870523814 Enrollment ID: I20181015001263 |
| Provider Name | Stephanie Kennell-heiling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205313384 PECOS PAC ID: 1456603570 Enrollment ID: I20181017002193 |
| Provider Name | Rhealynne B Quindor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740549286 PECOS PAC ID: 2163677980 Enrollment ID: I20181116000456 |
| Provider Name | Julia Danser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962886358 PECOS PAC ID: 2769726462 Enrollment ID: I20181206002911 |
| Provider Name | Jia Yu Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851653281 PECOS PAC ID: 7012227069 Enrollment ID: I20190113000017 |
| Provider Name | Hillary E Baldocchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407171705 PECOS PAC ID: 4981989951 Enrollment ID: I20190503000962 |
| Provider Name | Vanui Giltaji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912137423 PECOS PAC ID: 2365785425 Enrollment ID: I20190514000987 |
| Provider Name | Jessica Shahpar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295166403 PECOS PAC ID: 7517190812 Enrollment ID: I20190527000027 |
| Provider Name | Camille Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851801682 PECOS PAC ID: 1658647078 Enrollment ID: I20190528001945 |
| Provider Name | Hannah Ryann Peckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295253789 PECOS PAC ID: 5698008522 Enrollment ID: I20190610000425 |
| Provider Name | William Kimbrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821236357 PECOS PAC ID: 9739351784 Enrollment ID: I20190726002400 |
| Provider Name | David Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174919476 PECOS PAC ID: 7517247026 Enrollment ID: I20190803000129 |
| Provider Name | Luukia Ruidas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346295821 PECOS PAC ID: 6103843438 Enrollment ID: I20190806001838 |
| Provider Name | Peter Guy Cardiello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659432722 PECOS PAC ID: 6608111794 Enrollment ID: I20190808001164 |
| Provider Name | Nancy Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891282448 PECOS PAC ID: 4981958329 Enrollment ID: I20190918000905 |
| Provider Name | Melinda Kong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306296348 PECOS PAC ID: 2567792435 Enrollment ID: I20190919003118 |
| Provider Name | Catherine N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043660087 PECOS PAC ID: 0345501722 Enrollment ID: I20191014002084 |
| Provider Name | Kristen E Peek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932481686 PECOS PAC ID: 8729387170 Enrollment ID: I20191121002306 |
| Provider Name | Lena Lax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417406976 PECOS PAC ID: 5496038424 Enrollment ID: I20200114002396 |
| Provider Name | Kristy Ahn Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679112353 PECOS PAC ID: 7911333174 Enrollment ID: I20200206000433 |
| Provider Name | Lauren Tower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801310404 PECOS PAC ID: 2860758034 Enrollment ID: I20200306002493 |
| Provider Name | Katharine E Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740626571 PECOS PAC ID: 8224332184 Enrollment ID: I20200401001740 |
| Provider Name | Claire Dellegrotti Liston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726082 PECOS PAC ID: 8325310196 Enrollment ID: I20200428001299 |
| Provider Name | Scott Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770947863 PECOS PAC ID: 7416370648 Enrollment ID: I20200707002037 |
| Provider Name | James Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215465927 PECOS PAC ID: 1052735032 Enrollment ID: I20200723001200 |
| Provider Name | Stephen Co Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962939884 PECOS PAC ID: 7911322110 Enrollment ID: I20200805001553 |
| Provider Name | Yousuf Shamsie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265969638 PECOS PAC ID: 9830452945 Enrollment ID: I20200814001217 |
| Provider Name | Stephanie Hocking |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225392616 PECOS PAC ID: 9032429881 Enrollment ID: I20200831000411 |
| Provider Name | Sarah Fihn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215566922 PECOS PAC ID: 1759709223 Enrollment ID: I20200915002543 |
| Provider Name | Jessica Pitluk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790970366 PECOS PAC ID: 7214052117 Enrollment ID: I20200917002364 |
| Provider Name | James B Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760845143 PECOS PAC ID: 8820383318 Enrollment ID: I20201006001708 |
| Provider Name | Tanya Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053764704 PECOS PAC ID: 1658650239 Enrollment ID: I20201008003073 |
| Provider Name | Lauren Pallis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376925727 PECOS PAC ID: 5799060802 Enrollment ID: I20201013002609 |
| Provider Name | Donna Marie Tambot Veridiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821524711 PECOS PAC ID: 9133346802 Enrollment ID: I20201030000864 |
| Provider Name | Aaron Boor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598727216 PECOS PAC ID: 7618952730 Enrollment ID: I20201119003407 |
| Provider Name | David Eisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942799283 PECOS PAC ID: 1355673617 Enrollment ID: I20210115001166 |
| Provider Name | Maria Bhaijee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073838280 PECOS PAC ID: 6305251208 Enrollment ID: I20210225002813 |
| Provider Name | Cathy Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811475528 PECOS PAC ID: 0648685537 Enrollment ID: I20210301000486 |
| Provider Name | Ima Nabiuny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558793281 PECOS PAC ID: 2769898493 Enrollment ID: I20210304000777 |
| Provider Name | Alice W Knowlton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194195305 PECOS PAC ID: 7719396886 Enrollment ID: I20210503001877 |
| Provider Name | Jimmy Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144724212 PECOS PAC ID: 7315347994 Enrollment ID: I20210618001149 |
| Provider Name | Qingping Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104818590 PECOS PAC ID: 8426076589 Enrollment ID: I20210630003074 |
| Provider Name | Jeremy Scott Parsons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396240859 PECOS PAC ID: 9931510880 Enrollment ID: I20210720001322 |
| Provider Name | Anna Askari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124515341 PECOS PAC ID: 3577967520 Enrollment ID: I20210812001726 |
| Provider Name | Manisha Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962909689 PECOS PAC ID: 5395081202 Enrollment ID: I20210813000075 |
| Provider Name | Chelsea Joy Thomsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003227927 PECOS PAC ID: 7810116662 Enrollment ID: I20211213001196 |
| Provider Name | Clarissa Katherine Calderon-meza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700449162 PECOS PAC ID: 9830427939 Enrollment ID: I20220131000518 |
| Provider Name | Sayuri Uotani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528347408 PECOS PAC ID: 6709051295 Enrollment ID: I20220216001066 |
| Provider Name | Elenor Macgregor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740509223 PECOS PAC ID: 0042604589 Enrollment ID: I20220228001656 |
| Provider Name | Erika Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144605395 PECOS PAC ID: 8820485600 Enrollment ID: I20220426000396 |
| Provider Name | Vanessa Dolores Paz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285382663 PECOS PAC ID: 3375930167 Enrollment ID: I20220426000851 |
| Provider Name | Julia Hou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710635883 PECOS PAC ID: 7618354572 Enrollment ID: I20220513001846 |
| Provider Name | Caroline Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205325958 PECOS PAC ID: 8921405978 Enrollment ID: I20220621001758 |
| Provider Name | Charles Brandsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214763 PECOS PAC ID: 1557627718 Enrollment ID: I20220624002604 |
| Provider Name | Niharika Mehrotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871081976 PECOS PAC ID: 6608256011 Enrollment ID: I20220701001065 |
| Provider Name | Julian Liang Yoshizawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841946837 PECOS PAC ID: 2466832696 Enrollment ID: I20220706002738 |
| Provider Name | Jennifer Triano Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205587086 PECOS PAC ID: 7012397862 Enrollment ID: I20220711001299 |
| Provider Name | Alexander Kazberouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831694660 PECOS PAC ID: 9436559929 Enrollment ID: I20220712003921 |
| Provider Name | Raghunandana Kasetty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669481198 PECOS PAC ID: 7315114949 Enrollment ID: I20220713003791 |
| Provider Name | Donna Mayeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700260247 PECOS PAC ID: 0143579300 Enrollment ID: I20220721000504 |
| Provider Name | Aparna Batlapenumarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598947962 PECOS PAC ID: 5294815775 Enrollment ID: I20220721001330 |
| Provider Name | Sarah Haney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003285420 PECOS PAC ID: 4183995475 Enrollment ID: I20220725001209 |
| Provider Name | Fiona Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386389682 PECOS PAC ID: 3274915855 Enrollment ID: I20220728001940 |
| Provider Name | Sacha Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649611922 PECOS PAC ID: 5698097533 Enrollment ID: I20220729002747 |
| Provider Name | Rachelle Lisa Bernard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639604507 PECOS PAC ID: 2264815778 Enrollment ID: I20220816003445 |
| Provider Name | Amrita K Nagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851032379 PECOS PAC ID: 9133503543 Enrollment ID: I20220902002567 |
| Provider Name | Lauren Consolazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194451120 PECOS PAC ID: 2264816578 Enrollment ID: I20220907000000 |
| Provider Name | Jirayut Latthivongskorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508422403 PECOS PAC ID: 2668789264 Enrollment ID: I20220912002327 |
| Provider Name | Lisa Christine Gertridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245968668 PECOS PAC ID: 0345625166 Enrollment ID: I20220915000546 |
| Provider Name | Alexis Dominique Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629747969 PECOS PAC ID: 5597154104 Enrollment ID: I20220923000523 |
| Provider Name | Mekhla Varma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760723191 PECOS PAC ID: 7315323581 Enrollment ID: I20220926003716 |
| Provider Name | Stephanie Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538596036 PECOS PAC ID: 5698151744 Enrollment ID: I20220927003811 |
| Provider Name | Khadjia Aminata Lobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144867557 PECOS PAC ID: 8022484310 Enrollment ID: I20221011001566 |
| Provider Name | Chandni Pindoria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508399866 PECOS PAC ID: 4082984018 Enrollment ID: I20221012003177 |
| Provider Name | Bandana Risal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588185276 PECOS PAC ID: 2567883903 Enrollment ID: I20221028000380 |
| Provider Name | Billy Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275196099 PECOS PAC ID: 7113394172 Enrollment ID: I20221103001325 |
| Provider Name | Tiffany Hillmen Lai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295000578 PECOS PAC ID: 3678940640 Enrollment ID: I20221103001735 |
| Provider Name | Rizwana Mollah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649625146 PECOS PAC ID: 0446629653 Enrollment ID: I20221210000298 |
| Provider Name | Julie Ann Mistretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366053548 PECOS PAC ID: 1658798186 Enrollment ID: I20221215002615 |
| Provider Name | Paul Paris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578639530 PECOS PAC ID: 1355711805 Enrollment ID: I20221228001675 |
| Provider Name | Mirna Mejia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346465218 PECOS PAC ID: 2769403146 Enrollment ID: I20230310002245 |
| Provider Name | Caitlin Adele Greenwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487161535 PECOS PAC ID: 2163896184 Enrollment ID: I20230314002762 |
| Provider Name | Leah Conde Stebbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336667351 PECOS PAC ID: 4587038500 Enrollment ID: I20230314002950 |
| Provider Name | Chi P Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720272156 PECOS PAC ID: 8729452370 Enrollment ID: I20230321002571 |
| Provider Name | Paul Yehuda Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558304089 PECOS PAC ID: 8325413578 Enrollment ID: I20230331001840 |
| Provider Name | Andra Brosh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053542308 PECOS PAC ID: 8426423906 Enrollment ID: I20230414001593 |
| Provider Name | Catherine Ciano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649636895 PECOS PAC ID: 0446615637 Enrollment ID: I20230421001184 |
| Provider Name | Charlotte Robertshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780378406 PECOS PAC ID: 1254791833 Enrollment ID: I20230713003212 |
| Provider Name | Jerry Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124694377 PECOS PAC ID: 8123488715 Enrollment ID: I20230713003763 |
| Provider Name | Katarina Anne Yambao Yabut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386337012 PECOS PAC ID: 9032579578 Enrollment ID: I20230717000768 |
| Provider Name | Kathleen Nichole Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649962598 PECOS PAC ID: 1052771425 Enrollment ID: I20230717002365 |
| Provider Name | Leila Nomani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780378646 PECOS PAC ID: 2567822851 Enrollment ID: I20230718003364 |
| Provider Name | Emelle Fleur Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710604673 PECOS PAC ID: 9133589096 Enrollment ID: I20230724003193 |
| Provider Name | Erica Yeo |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1538796750 PECOS PAC ID: 3274957394 Enrollment ID: I20230726002354 |
| Provider Name | Madeline R Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912526724 PECOS PAC ID: 9739590365 Enrollment ID: I20230801002766 |
| Provider Name | Justin Calvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417494055 PECOS PAC ID: 7214210608 Enrollment ID: I20230810003718 |
| Provider Name | Naomi Hemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700552981 PECOS PAC ID: 9335501030 Enrollment ID: I20230811002511 |
| Provider Name | Dena Marie Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376662403 PECOS PAC ID: 2769845502 Enrollment ID: I20230828002065 |
| Provider Name | Alexander Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639706336 PECOS PAC ID: 6709259682 Enrollment ID: I20230914001178 |
| Provider Name | Rebecca Fujimura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275093353 PECOS PAC ID: 3971929613 Enrollment ID: I20230922001683 |
| Provider Name | Katherine Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194347260 PECOS PAC ID: 4789003625 Enrollment ID: I20231002003273 |
| Provider Name | Stephanie Baubie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508381 PECOS PAC ID: 5092047894 Enrollment ID: I20231016000344 |
| Provider Name | Neha Choubey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316575665 PECOS PAC ID: 7618323163 Enrollment ID: I20231019003187 |
| Provider Name | Cathy Alicia Ruffin-melton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093215014 PECOS PAC ID: 5597112953 Enrollment ID: I20231107003671 |
| Provider Name | Natalie D Guevara-lehman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578835757 PECOS PAC ID: 6608199708 Enrollment ID: I20231116000761 |
| Provider Name | Colin Charles Eric Womer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306351812 PECOS PAC ID: 4385093145 Enrollment ID: I20231206000796 |
| Provider Name | John Ma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912901737 PECOS PAC ID: 9436188992 Enrollment ID: I20231220002139 |
| Provider Name | Andrea Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992038434 PECOS PAC ID: 0749596310 Enrollment ID: I20231220002635 |
| Provider Name | Lauren Proctor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811997901 PECOS PAC ID: 3072554070 Enrollment ID: I20240207000182 |
| Provider Name | Sachdeep Takhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134504525 PECOS PAC ID: 6608105044 Enrollment ID: I20240212000271 |
| Provider Name | Cynthia Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053607069 PECOS PAC ID: 8820355357 Enrollment ID: I20240214002863 |
| Provider Name | June-ho Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235549296 PECOS PAC ID: 5799090940 Enrollment ID: I20240221001307 |
Richard Joseph Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 548 Market St # 50727, San Francisco, CA 94104 Phone: 415-851-3224 | |
James Y.greenberg, Md, A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2299 Post St Ste 205, San Francisco, CA 94115 Phone: 415-474-7955 Fax: 415-292-0718 | |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Cesar Chavez St, San Francisco, CA 94110 Phone: 415-641-6401 | |
Jew & Jew Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Clay St, San Francisco, CA 94108 Phone: 415-982-4011 Fax: 415-982-6291 | |
Hampton Health Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 California St, Ste. 470, San Francisco, CA 94109 Phone: 415-202-9990 Fax: 415-843-0548 | |
North East Medical Services-leland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Leland Avenue, San Francisco, CA 94134 Phone: 415-391-9686 Fax: 415-333-9067 | |
Mission Area Health Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Valencia St Ste 506, San Francisco, CA 94110 Phone: 415-852-4080 Fax: 415-431-3178 |