| Pacific Pulmonary Medical Group | |
|
4234 Riverwalk Pkwy Suite 230 Riverside CA 92505-8510 | |
| (951) 781-3672 | |
| (951) 781-0365 |
| Full Name | Pacific Pulmonary Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4234 Riverwalk Pkwy, Riverside, California |
| Authorized Official Name and Position | Ahmed El-bershawi (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9517813672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Pulmonary Medical Group 4234 Riverwalk Pkwy Suite 230 Riverside CA 92505-8510 Ph: (951) 781-3672 | Pacific Pulmonary Medical Group 4234 Riverwalk Pkwy Suite 230 Riverside CA 92505-8510 Ph: (951) 781-3672 |
| NPI Number | 1386813103 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 03/03/2016 |
| Medicare PECOS PAC ID | 9032298492 |
|---|---|
| Medicare Enrollment ID | O20080509000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386813103 | NPI | - | NPPES |
| Provider Name | Manmohan Biring |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770650335 PECOS PAC ID: 2466347042 Enrollment ID: I20040220001149 |
| Provider Name | William R Alex |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558300681 PECOS PAC ID: 4183515687 Enrollment ID: I20050224001042 |
| Provider Name | Ryan D Junsay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750424248 PECOS PAC ID: 7810934874 Enrollment ID: I20050411001342 |
| Provider Name | Ahmed El Bershawi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619946654 PECOS PAC ID: 7618925371 Enrollment ID: I20050719000670 |
| Provider Name | Andrew T Duke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013986959 PECOS PAC ID: 8527097187 Enrollment ID: I20050804000729 |
| Provider Name | Judy V Alfonso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154471514 PECOS PAC ID: 1254435639 Enrollment ID: I20070323000251 |
| Provider Name | Huitzilin M Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20070605000554 |
| Provider Name | Mehrnaz Hadian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639113491 PECOS PAC ID: 3577568955 Enrollment ID: I20070813000789 |
| Provider Name | Samer X Kanaan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689864522 PECOS PAC ID: 0143318071 Enrollment ID: I20081104000063 |
| Provider Name | Subbu Nagappan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285616185 PECOS PAC ID: 6901960335 Enrollment ID: I20090130000254 |
| Provider Name | Samarjit Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689786139 PECOS PAC ID: 0749339141 Enrollment ID: I20090514000046 |
| Provider Name | Karim Tadlaoui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164695037 PECOS PAC ID: 9830233832 Enrollment ID: I20100215000194 |
| Provider Name | Donna M Varela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659563666 PECOS PAC ID: 5193860120 Enrollment ID: I20100302000776 |
| Provider Name | Ramin Akhavan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093049942 PECOS PAC ID: 6507047032 Enrollment ID: I20110216000986 |
| Provider Name | Bilal R Rayes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619095841 PECOS PAC ID: 0648332593 Enrollment ID: I20110401000651 |
| Provider Name | Mary A Alessi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962711838 PECOS PAC ID: 7810165180 Enrollment ID: I20110713000318 |
| Provider Name | Heba Ismail |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124296124 PECOS PAC ID: 9436327319 Enrollment ID: I20110720000210 |
| Provider Name | David S Plurad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750425278 PECOS PAC ID: 3678745254 Enrollment ID: I20111003000560 |
| Provider Name | Tigran Stepanyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982906756 PECOS PAC ID: 5395902589 Enrollment ID: I20120130000927 |
| Provider Name | Fernando Sorto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063705788 PECOS PAC ID: 4183871791 Enrollment ID: I20120904000118 |
| Provider Name | Chandra E Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174790802 PECOS PAC ID: 5294989646 Enrollment ID: I20130212000137 |
| Provider Name | Javier Coronado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154527554 PECOS PAC ID: 4981899929 Enrollment ID: I20130416000605 |
| Provider Name | Salim Harianawala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710183868 PECOS PAC ID: 0547358947 Enrollment ID: I20131122001024 |
| Provider Name | Phu Hoang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588094452 PECOS PAC ID: 5092946038 Enrollment ID: I20140315000383 |
| Provider Name | Yufei Lau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063840460 PECOS PAC ID: 4688806615 Enrollment ID: I20140407000574 |
| Provider Name | Catherine A Fontecha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093978314 PECOS PAC ID: 6901022219 Enrollment ID: I20140723000283 |
| Provider Name | Cynthia R Pitchford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154631687 PECOS PAC ID: 5597981720 Enrollment ID: I20140724001675 |
| Provider Name | Peter Zamfirescu Alexander |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548245830 PECOS PAC ID: 5597988923 Enrollment ID: I20140826000475 |
| Provider Name | Melissa K Ingkom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548564040 PECOS PAC ID: 8224257373 Enrollment ID: I20140922002901 |
| Provider Name | Andrew S Mccague |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992903207 PECOS PAC ID: 1153643366 Enrollment ID: I20141125000741 |
| Provider Name | Xavier F Varela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336447689 PECOS PAC ID: 9335460534 Enrollment ID: I20150529002163 |
| Provider Name | Kitae Kevin Park |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437335361 PECOS PAC ID: 0143351999 Enrollment ID: I20150717002519 |
| Provider Name | Cedric F Franklin Rutland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811122799 PECOS PAC ID: 1153589114 Enrollment ID: I20150805008482 |
| Provider Name | Rohit Hemant Godbole |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861758823 PECOS PAC ID: 3476868803 Enrollment ID: I20150814012619 |
| Provider Name | Jamshid Tehmton Mistry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770897266 PECOS PAC ID: 0749588333 Enrollment ID: I20160414001925 |
| Provider Name | Mufadda J Hasan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265703847 PECOS PAC ID: 9032401047 Enrollment ID: I20160712002849 |
| Provider Name | Hugh Sung Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639309156 PECOS PAC ID: 6608183553 Enrollment ID: I20160719002234 |
| Provider Name | Bhani K Chawla-kondal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972734333 PECOS PAC ID: 4284866047 Enrollment ID: I20161104002116 |
| Provider Name | Allison Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760710065 PECOS PAC ID: 4385823004 Enrollment ID: I20161130001228 |
| Provider Name | Mareena Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750824058 PECOS PAC ID: 3274819016 Enrollment ID: I20170411001100 |
| Provider Name | Sarah Kantelis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881047892 PECOS PAC ID: 5092091678 Enrollment ID: I20170413001996 |
| Provider Name | Enoch B Lule |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013147107 PECOS PAC ID: 8325218019 Enrollment ID: I20170615002507 |
| Provider Name | Liliana A Mendoza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174882450 PECOS PAC ID: 7719107887 Enrollment ID: I20170623001676 |
| Provider Name | Muhammad N Iqbal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225287881 PECOS PAC ID: 3375712094 Enrollment ID: I20170623002139 |
| Provider Name | Zeron Ghazarian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063785756 PECOS PAC ID: 1153690607 Enrollment ID: I20170627001952 |
| Provider Name | Shawn Robert Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013465202 PECOS PAC ID: 3173892437 Enrollment ID: I20170630001137 |
| Provider Name | Yen Hui M Soong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942572680 PECOS PAC ID: 6406166776 Enrollment ID: I20170808003860 |
| Provider Name | Kashif Yaqub |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124348479 PECOS PAC ID: 5799085155 Enrollment ID: I20170809003523 |
| Provider Name | Diana Jaqueline Romo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174046676 PECOS PAC ID: 1153697461 Enrollment ID: I20171031002273 |
| Provider Name | Emily D Dubina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336541937 PECOS PAC ID: 5395001390 Enrollment ID: I20171107003460 |
| Provider Name | Jennifer C Lievanos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659899813 PECOS PAC ID: 3577829951 Enrollment ID: I20171117002984 |
| Provider Name | Frances R Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023211463 PECOS PAC ID: 0244459303 Enrollment ID: I20171129001239 |
| Provider Name | Richard A Benavidez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013445691 PECOS PAC ID: 1850651985 Enrollment ID: I20180208002854 |
| Provider Name | Sepideh Homayoni |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003357955 PECOS PAC ID: 7517228224 Enrollment ID: I20180220002708 |
| Provider Name | Seung Hei Anna Ferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083122659 PECOS PAC ID: 8123380029 Enrollment ID: I20180312002055 |
| Provider Name | Tamara D Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992150775 PECOS PAC ID: 9537440839 Enrollment ID: I20180508001346 |
| Provider Name | Sylvia Soo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669882130 PECOS PAC ID: 4486918778 Enrollment ID: I20180515000680 |
| Provider Name | Christine J Healey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437353562 PECOS PAC ID: 0446515316 Enrollment ID: I20180523002124 |
| Provider Name | Chukwuka Akamnonu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225423353 PECOS PAC ID: 9830407675 Enrollment ID: I20190226002086 |
| Provider Name | Marilyn M Deridder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548748858 PECOS PAC ID: 2365781598 Enrollment ID: I20190305001951 |
| Provider Name | Ali Mojaverian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205829843 PECOS PAC ID: 9931199130 Enrollment ID: I20190327002446 |
| Provider Name | Nicole Lynise Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215411574 PECOS PAC ID: 0840531786 Enrollment ID: I20190403000460 |
| Provider Name | Sahar Hamidy Osman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033599469 PECOS PAC ID: 1759620693 Enrollment ID: I20190614000921 |
| Provider Name | Anita Bhagavath |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124394135 PECOS PAC ID: 6305192477 Enrollment ID: I20190620001804 |
| Provider Name | Mindy Truc Bui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407273600 PECOS PAC ID: 8224315908 Enrollment ID: I20190711000728 |
| Provider Name | Tamana Ahmadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427437730 PECOS PAC ID: 6608110564 Enrollment ID: I20190815000750 |
| Provider Name | Edward Menacho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760036958 PECOS PAC ID: 0840522322 Enrollment ID: I20191102000051 |
| Provider Name | Asad Javed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598076093 PECOS PAC ID: 7719103019 Enrollment ID: I20191104000891 |
| Provider Name | Stephanie Michele Karlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578125829 PECOS PAC ID: 2567895782 Enrollment ID: I20191202002057 |
| Provider Name | Beaivana Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891355798 PECOS PAC ID: 6800229774 Enrollment ID: I20191206000912 |
| Provider Name | Nicholas W Sheets |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912267758 PECOS PAC ID: 5890949408 Enrollment ID: I20191227000434 |
| Provider Name | Tae Young Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740437375 PECOS PAC ID: 8729203690 Enrollment ID: I20200116000985 |
| Provider Name | Matthew J Santa Cruz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609424027 PECOS PAC ID: 6800225137 Enrollment ID: I20200407001944 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20200407002491 |
| Provider Name | Mona Alipour |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053709071 PECOS PAC ID: 9133550304 Enrollment ID: I20200504002357 |
| Provider Name | Ahmad Alazzeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194037945 PECOS PAC ID: 4183867591 Enrollment ID: I20200507002957 |
| Provider Name | Linda Tai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386095339 PECOS PAC ID: 8921390659 Enrollment ID: I20200601001610 |
| Provider Name | Mohammad R Malekzadegan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881085207 PECOS PAC ID: 2668717869 Enrollment ID: I20200811001041 |
| Provider Name | Tom A Bui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093344004 PECOS PAC ID: 1658782586 Enrollment ID: I20201230001397 |
| Provider Name | Natalie Launchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891248142 PECOS PAC ID: 6002197688 Enrollment ID: I20210106001645 |
| Provider Name | Travis Petrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255982492 PECOS PAC ID: 1355754151 Enrollment ID: I20210118000647 |
| Provider Name | Mahmoud Q Moammar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952500696 PECOS PAC ID: 9931282332 Enrollment ID: I20210216000893 |
| Provider Name | Veronica Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477149011 PECOS PAC ID: 4183030174 Enrollment ID: I20210317002537 |
| Provider Name | Chaz Vink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437624764 PECOS PAC ID: 1355758871 Enrollment ID: I20210330002055 |
| Provider Name | Gabriel E Spencer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104476738 PECOS PAC ID: 5294161527 Enrollment ID: I20210413002139 |
| Provider Name | Faraz Afridi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871905257 PECOS PAC ID: 7113263500 Enrollment ID: I20210524001147 |
| Provider Name | Kia Ghiassi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861887077 PECOS PAC ID: 6103226261 Enrollment ID: I20210610001550 |
| Provider Name | Matthew Warren |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124412275 PECOS PAC ID: 6901101427 Enrollment ID: I20210615000000 |
| Provider Name | Simon Chi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841674025 PECOS PAC ID: 2961738158 Enrollment ID: I20210701001038 |
| Provider Name | Akintunde Akinjero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982085973 PECOS PAC ID: 1254736739 Enrollment ID: I20210820002557 |
| Provider Name | Erika R Hiller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033697172 PECOS PAC ID: 7012307697 Enrollment ID: I20211214002731 |
| Provider Name | Peter Chung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992952170 PECOS PAC ID: 1456400910 Enrollment ID: I20220119003091 |
| Provider Name | Sherif Moustafa Aly Elkinany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407377203 PECOS PAC ID: 8224422662 Enrollment ID: I20220228002057 |
| Provider Name | Yasser Omar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649617572 PECOS PAC ID: 7113214693 Enrollment ID: I20220303001648 |
| Provider Name | Brianna Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801542071 PECOS PAC ID: 6204216195 Enrollment ID: I20220709000197 |
| Provider Name | Sunil Ramaswamy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376906347 PECOS PAC ID: 3577857598 Enrollment ID: I20220805000557 |
| Provider Name | Hanna Choi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811471949 PECOS PAC ID: 3072857994 Enrollment ID: I20230110002381 |
| Provider Name | Elaine Ann Cristan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477812089 PECOS PAC ID: 3072826965 Enrollment ID: I20230118002287 |
| Provider Name | Lien-khuong Tran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972843415 PECOS PAC ID: 6608104484 Enrollment ID: I20230328002305 |
| Provider Name | Kerem Riza Yilmaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699475962 PECOS PAC ID: 0648645390 Enrollment ID: I20230411000944 |
| Provider Name | Josue Guzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457856031 PECOS PAC ID: 8820491236 Enrollment ID: I20230420002256 |
| Provider Name | Christopher Michael Grable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255914511 PECOS PAC ID: 2860857984 Enrollment ID: I20230425001584 |
| Provider Name | Erin Dorothy Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194440818 PECOS PAC ID: 9436514874 Enrollment ID: I20230508001854 |
| Provider Name | Vanessa Jacqueline St Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528775392 PECOS PAC ID: 4789041013 Enrollment ID: I20230601001379 |
| Provider Name | Scott J Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902338585 PECOS PAC ID: 0941571384 Enrollment ID: I20230811001919 |
| Provider Name | Edward Sung Cho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265964712 PECOS PAC ID: 3476915000 Enrollment ID: I20230815000955 |
| Provider Name | Conrad Mc Manning |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891144853 PECOS PAC ID: 8820442049 Enrollment ID: I20230921002742 |
| Provider Name | Maryam Banan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912780925 PECOS PAC ID: 4082068200 Enrollment ID: I20230921002831 |
| Provider Name | Sonja Franziska Knittel-hliddal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356846109 PECOS PAC ID: 6608220827 Enrollment ID: I20230921002959 |
| Provider Name | Tzu Wei Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568243848 PECOS PAC ID: 4880040781 Enrollment ID: I20231030001511 |
| Provider Name | Aubree Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447032842 PECOS PAC ID: 0042660946 Enrollment ID: I20231219000153 |
| Provider Name | Jiraphat Sumner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366229189 PECOS PAC ID: 8022462803 Enrollment ID: I20240119001267 |
| Provider Name | Masood Ahmad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073069332 PECOS PAC ID: 9830486174 Enrollment ID: I20240403000090 |
| Provider Name | Anita D Mehta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396277539 PECOS PAC ID: 1052667466 Enrollment ID: I20240520000712 |
| Provider Name | Jaskiran Kaur Khosa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063915825 PECOS PAC ID: 6901348093 Enrollment ID: I20240604003139 |
| Provider Name | Ali Abdulraheem Mahdi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285262204 PECOS PAC ID: 2466995410 Enrollment ID: I20240618002859 |
| Provider Name | Trieu Viet Do |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427300839 PECOS PAC ID: 6204183312 Enrollment ID: I20240821001195 |
| Provider Name | Damian Michelle Montenegro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710759592 PECOS PAC ID: 4486194438 Enrollment ID: I20240905002412 |
| Provider Name | Brian Manahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134982085 PECOS PAC ID: 9234662321 Enrollment ID: I20241028003647 |
| Provider Name | Rose Mary B Rodrigues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457176554 PECOS PAC ID: 4587186689 Enrollment ID: I20250318003092 |
| Provider Name | Valerie Taft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992509913 PECOS PAC ID: 3072028117 Enrollment ID: I20250716003084 |
| Provider Name | Antonious Anis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356979348 PECOS PAC ID: 9436665379 Enrollment ID: I20250718001534 |
| Provider Name | Christopher K Co |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558990119 PECOS PAC ID: 2668988262 Enrollment ID: I20250721003421 |
| Provider Name | Anthony Michael Strada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205491867 PECOS PAC ID: 9638675036 Enrollment ID: I20251003002852 |
| Provider Name | Claudio Modillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972306660 PECOS PAC ID: 4385131812 Enrollment ID: I20251016004340 |
| Provider Name | Aman Sunil Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962373209 PECOS PAC ID: 0143718718 Enrollment ID: I20251024001266 |
| Provider Name | Diana Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184511461 PECOS PAC ID: 6002308707 Enrollment ID: I20251120001906 |
| Provider Name | Benito Rumbo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487485447 PECOS PAC ID: 4587146998 Enrollment ID: I20260304003841 |
| Provider Name | Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700376548 PECOS PAC ID: 2163998113 Enrollment ID: I20260416003069 |
| Provider Name | Gloria Uchechukwu Olekanma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053028068 PECOS PAC ID: 1557831526 Enrollment ID: I20260601000273 |
Riverside Neighborhood Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000 Fax: 951-358-6044 | |
Pulmonary Partners Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5790 Magnolia Ave, Suite 201, Riverside, CA 92506 Phone: 951-368-0427 Fax: 951-368-0429 | |
Inland Empire Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1764 Columbia Ave Ste B, Riverside, CA 92507 Phone: 951-300-6589 | |
The Smooth Skin Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 205, Riverside, CA 92506 Phone: 909-717-6069 | |
Lyn M Pintelon D.o. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8990 Garfield St, Ste.6, Riverside, CA 92503 Phone: 951-358-0784 Fax: 951-354-7583 | |
Alliant Surgical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6958 Brockton Ave Ste 203, Riverside, CA 92506 Phone: 714-835-5100 Fax: 714-835-5567 | |
Marlon Minera, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6376 Greyson Way, Riverside, CA 92506 Phone: 951-476-3239 Fax: 951-584-3080 |