| Pc Medical Clinic Inc | |
|
27141 Hidaway Ave Ste 204 Santa Clarita CA 91351-4147 | |
| (661) 397-1177 | |
| (661) 397-6175 |
| Full Name | Pc Medical Clinic Inc |
|---|---|
| Speciality | General Practice |
| Location | 27141 Hidaway Ave Ste 204, Santa Clarita, California |
| Authorized Official Name and Position | Marina Gold (OWNER) |
| Authorized Official Contact | 6612931177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pc Medical Clinic Inc 27141 Hidaway Ave Ste 204 Santa Clarita CA 91351-4147 Ph: (661) 397-1177 | Pc Medical Clinic Inc 27141 Hidaway Ave Ste 204 Santa Clarita CA 91351-4147 Ph: (661) 397-1177 |
| NPI Number | 1093814113 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 6305839101 |
|---|---|
| Medicare Enrollment ID | O20040407000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093814113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Allan C Elarmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659705689 PECOS PAC ID: 9638326259 Enrollment ID: I20140709001492 |
| Provider Name | Rosalyn R Elarmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922432954 PECOS PAC ID: 7517281066 Enrollment ID: I20150112000540 |
| Provider Name | Timur Ruslanovich Pogodin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972994853 PECOS PAC ID: 1951618958 Enrollment ID: I20151229002613 |
| Provider Name | Jagmohan Ghotra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689032815 PECOS PAC ID: 8325334741 Enrollment ID: I20160912001816 |
| Provider Name | Eusebio Dan P Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962858704 PECOS PAC ID: 1153695663 Enrollment ID: I20181210001783 |
| Provider Name | Bishoy G Kamel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992169643 PECOS PAC ID: 4981949211 Enrollment ID: I20181214001280 |
| Provider Name | Melanie D Suljada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986743 PECOS PAC ID: 4385977826 Enrollment ID: I20190614001291 |
| Provider Name | Nicole T Semana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245881804 PECOS PAC ID: 4385066653 Enrollment ID: I20200616001251 |
| Provider Name | Alexandria Therese Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710599345 PECOS PAC ID: 8325468911 Enrollment ID: I20201021000188 |
| Provider Name | Sheilamarie Escopete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912544586 PECOS PAC ID: 4284042797 Enrollment ID: I20210422001514 |
| Provider Name | Fehintolu Gbemisola Olade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538748520 PECOS PAC ID: 7315342276 Enrollment ID: I20210816003776 |
| Provider Name | Muzzamal Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558942953 PECOS PAC ID: 8729486113 Enrollment ID: I20211015001658 |
| Provider Name | Kathleen Angela Baldo Bunag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588255053 PECOS PAC ID: 4183010481 Enrollment ID: I20220414001037 |
| Provider Name | Kaitlyn D Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871271569 PECOS PAC ID: 5991159220 Enrollment ID: I20230920003091 |
| Provider Name | Victoria Isiev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306628623 PECOS PAC ID: 9335599281 Enrollment ID: I20231219002056 |
Doa Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24335 Magic Mountain Pkwy, Santa Clarita, CA 91355 Phone: 818-624-1290 | |
Healthcare At Reach Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23942 Lyons Ave Ste 205, Santa Clarita, CA 91321 Phone: 310-300-7606 Fax: 949-502-8887 | |
Healthcare Alliance Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23942 Lyons Ave Ste 214, Santa Clarita, CA 91321 Phone: 401-663-1135 Fax: 949-502-8887 | |
Patricia L Wells A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23206 Lyons Ave, Suite 104, Santa Clarita, CA 91321 Phone: 661-284-7642 | |
Unruh Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23043 Lyons Ave, Santa Clarita, CA 91321 Phone: 661-288-0022 Fax: 661-288-2030 | |
Docs At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23928 Lyons Ave Ste 202, Santa Clarita, CA 91321 Phone: 818-830-1155 |