| Pathway Medical Group, Inc | |
|
12555 Garden Grove Blvd #507 Garden Grove CA 92843-1902 | |
| (714) 534-2222 | |
| (714) 534-0818 |
| Full Name | Pathway Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12555 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Hassan M. Alkhouli (C.E.O.) |
| Authorized Official Contact | 7143793221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Medical Group, Inc Po Box 2989 Seal Beach CA 90740-1989 Ph: (714) 379-3221 | Pathway Medical Group, Inc 12555 Garden Grove Blvd #507 Garden Grove CA 92843-1902 Ph: (714) 534-2222 |
| NPI Number | 1902853302 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 05/06/2008 |
| Medicare PECOS PAC ID | 5092776690 |
|---|---|
| Medicare Enrollment ID | O20041026000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902853302 | NPI | - | NPPES |
| GR0100560 | Medicaid | CA |
| Provider Name | Khaled Chan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255376414 PECOS PAC ID: 9335041615 Enrollment ID: I20040126000900 |
| Provider Name | Aruna Krishnaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548479140 PECOS PAC ID: 5799671335 Enrollment ID: I20040223000422 |
| Provider Name | Asaad Hakim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477504082 PECOS PAC ID: 6305807918 Enrollment ID: I20041029000374 |
| Provider Name | Victoria Greblya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790720969 PECOS PAC ID: 2466414644 Enrollment ID: I20041029000904 |
| Provider Name | Said L Elzayat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215042866 PECOS PAC ID: 5496707168 Enrollment ID: I20050210000959 |
| Provider Name | Omar O Fadeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922060086 PECOS PAC ID: 4486750692 Enrollment ID: I20070504000315 |
| Provider Name | Yousef W Ireifej |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962693598 PECOS PAC ID: 2567556624 Enrollment ID: I20070919000997 |
| Provider Name | Theodore G Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629088281 PECOS PAC ID: 0143392472 Enrollment ID: I20080702000200 |
| Provider Name | Su-yong Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861569436 PECOS PAC ID: 6002944253 Enrollment ID: I20100507000515 |
| Provider Name | Magdi Messiha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346269370 PECOS PAC ID: 0749313583 Enrollment ID: I20100730000867 |
| Provider Name | Allen C Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215919915 PECOS PAC ID: 5294759411 Enrollment ID: I20101104001016 |
| Provider Name | Nazanin Parsaei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417104282 PECOS PAC ID: 7315121670 Enrollment ID: I20110411000579 |
| Provider Name | Roger H Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982602579 PECOS PAC ID: 2769659580 Enrollment ID: I20120119000476 |
| Provider Name | Hiroko Moriguchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033509708 PECOS PAC ID: 4587979760 Enrollment ID: I20150817003014 |
| 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 | Negin Behazin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497076301 PECOS PAC ID: 2961796503 Enrollment ID: I20160804002195 |
| Provider Name | Curtis D Converse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013385061 PECOS PAC ID: 5193094050 Enrollment ID: I20170707002758 |
| Provider Name | Joshua P Peloquin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831636083 PECOS PAC ID: 0749536381 Enrollment ID: I20180711003334 |
| Provider Name | Jonathan S Warnelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467980854 PECOS PAC ID: 3476881251 Enrollment ID: I20190819002484 |
| Provider Name | Dzung M Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285108944 PECOS PAC ID: 3577895663 Enrollment ID: I20191022002476 |
| Provider Name | Winnie Nhu-quynh T Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417597600 PECOS PAC ID: 1355778820 Enrollment ID: I20200428000877 |
| Provider Name | Shireen Z Khalife |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962922393 PECOS PAC ID: 4789006164 Enrollment ID: I20200612002544 |
| Provider Name | Jessica Erene B Paz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600289 PECOS PAC ID: 2567874258 Enrollment ID: I20201222002673 |
| Provider Name | Mahmoud Abdallah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871014027 PECOS PAC ID: 7214399302 Enrollment ID: I20231004004144 |
Aaa Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13071 Brookhurst St Ste 110, Garden Grove, CA 92843 Phone: 714-360-5714 | |
Lee & Kim, Dds, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13031 Kerry St, Garden Grove, CA 92844 Phone: 714-638-2141 | |
Grace Geriatric Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8883 Westminster Ave, Garden Grove, CA 92844 Phone: 657-208-2221 Fax: 657-400-9174 | |
Sterling Hospitalist Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12566 Valley View St, Garden Grove, CA 92845 Phone: 714-897-1071 Fax: 714-373-4696 | |
Huong Pham Optometry Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14251 Euclid St Ste F101, Garden Grove, CA 92843 Phone: 714-265-2197 Fax: 714-265-2411 | |
Reform24 Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9535 Garden Grove Blvd, 102, Garden Grove, CA 92844 Phone: 714-534-1112 Fax: 714-534-1116 | |
Thuy Thanh Nguyen, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12302 Garden Grove Blvd Ste 27, Garden Grove, CA 92843 Phone: 714-530-2772 Fax: 714-530-7424 |