| Perlman Clinic | |
|
9850 Genesee Ave Ste 320 La Jolla CA 92037-1208 | |
| (858) 864-9800 | |
| Not Available |
| Full Name | Perlman Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9850 Genesee Ave Ste 320, La Jolla, California |
| Authorized Official Name and Position | Mitchell Perlman (CEO) |
| Authorized Official Contact | 8585541212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perlman Clinic 9850 Genesee Ave Ste 320 La Jolla CA 92037-1208 Ph: (858) 554-1212 | Perlman Clinic 9850 Genesee Ave Ste 320 La Jolla CA 92037-1208 Ph: (858) 864-9800 |
| NPI Number | 1134309305 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 09/30/2019 |
| Medicare PECOS PAC ID | 8820035884 |
|---|---|
| Medicare Enrollment ID | O20050411001333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134309305 | NPI | - | NPPES |
| Provider Name | Teresa Dudarewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679634406 PECOS PAC ID: 6901799527 Enrollment ID: I20040209001233 |
| Provider Name | Jamie L Switzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972513000 PECOS PAC ID: 3870576432 Enrollment ID: I20040612000611 |
| Provider Name | Ilan Kuperman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336178169 PECOS PAC ID: 0840279279 Enrollment ID: I20040910000779 |
| Provider Name | Monica Perlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780796235 PECOS PAC ID: 2466499421 Enrollment ID: I20050412000664 |
| Provider Name | Charles Michael Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861459 PECOS PAC ID: 5799723342 Enrollment ID: I20050422000999 |
| Provider Name | Anna E Stern |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184728834 PECOS PAC ID: 8729087853 Enrollment ID: I20061218000505 |
| Provider Name | Paula S Grayson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003955303 PECOS PAC ID: 1850498551 Enrollment ID: I20070514000629 |
| Provider Name | Jennifer M Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194763326 PECOS PAC ID: 6305735739 Enrollment ID: I20071005000813 |
| Provider Name | Midori Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821243478 PECOS PAC ID: 2062576960 Enrollment ID: I20090121000301 |
| Provider Name | Elisabeth R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194858589 PECOS PAC ID: 6406911569 Enrollment ID: I20090224000621 |
| Provider Name | Mark E Kalina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275638801 PECOS PAC ID: 9830247311 Enrollment ID: I20090512000111 |
| Provider Name | Pam Ferolie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184788648 PECOS PAC ID: 2163571241 Enrollment ID: I20090520000144 |
| Provider Name | Angela R Acfalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013983857 PECOS PAC ID: 0648316133 Enrollment ID: I20091014000531 |
| Provider Name | Sharon Strong Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144210725 PECOS PAC ID: 4183765837 Enrollment ID: I20100104000411 |
| Provider Name | Stuart L Bursten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164494696 PECOS PAC ID: 6204969132 Enrollment ID: I20100729000394 |
| Provider Name | Robert Yuhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700897642 PECOS PAC ID: 5698765352 Enrollment ID: I20101020000057 |
| Provider Name | Morris Wisniewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639112246 PECOS PAC ID: 8325233257 Enrollment ID: I20101117000477 |
| Provider Name | Daisy Cube Damasco-gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700841582 PECOS PAC ID: 4082881941 Enrollment ID: I20120117000344 |
| Provider Name | William A Pitt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861544850 PECOS PAC ID: 6608043005 Enrollment ID: I20120223000779 |
| Provider Name | Bahar Rahnamayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255561122 PECOS PAC ID: 8426211970 Enrollment ID: I20120518000530 |
| Provider Name | Kate A Haggerty |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1083928337 PECOS PAC ID: 6901062264 Enrollment ID: I20120801000096 |
| Provider Name | Emily R Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396098562 PECOS PAC ID: 3971755778 Enrollment ID: I20121130000040 |
| Provider Name | Judith Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710202734 PECOS PAC ID: 8224282272 Enrollment ID: I20130129000341 |
| Provider Name | Alan L Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639110869 PECOS PAC ID: 1153563853 Enrollment ID: I20130808000701 |
| Provider Name | Shaunak V Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205046182 PECOS PAC ID: 5294992525 Enrollment ID: I20131028001862 |
| Provider Name | Catherine V Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952627937 PECOS PAC ID: 3577799204 Enrollment ID: I20131202000532 |
| Provider Name | Resham Batra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265401327 PECOS PAC ID: 6709801459 Enrollment ID: I20141108000196 |
| Provider Name | Thomas Dabrowski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295148658 PECOS PAC ID: 0941521264 Enrollment ID: I20150624000500 |
| Provider Name | Marina Udowenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831328616 PECOS PAC ID: 1254559123 Enrollment ID: I20150806011482 |
| Provider Name | Uri Guefen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275646333 PECOS PAC ID: 2668373747 Enrollment ID: I20160629000934 |
| Provider Name | Jaya Maewal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134564982 PECOS PAC ID: 8426345729 Enrollment ID: I20160930000771 |
| Provider Name | Madalasa Bista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174966444 PECOS PAC ID: 7214164516 Enrollment ID: I20161209000825 |
| Provider Name | Jessica B Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922551324 PECOS PAC ID: 2769763200 Enrollment ID: I20161221001495 |
| Provider Name | Manuel A Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275991929 PECOS PAC ID: 3375824774 Enrollment ID: I20161222001420 |
| Provider Name | Alice Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184769341 PECOS PAC ID: 2668618208 Enrollment ID: I20170126002572 |
| Provider Name | Erin P Vierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235677881 PECOS PAC ID: 1759658719 Enrollment ID: I20170522002573 |
| Provider Name | Jessica Namur Chrisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700201258 PECOS PAC ID: 5092083600 Enrollment ID: I20170622000627 |
| Provider Name | Diane Solic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548708605 PECOS PAC ID: 7719256932 Enrollment ID: I20170703000849 |
| Provider Name | Nicholas Kahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821306598 PECOS PAC ID: 5890980544 Enrollment ID: I20171010002174 |
| Provider Name | Aimee M Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053582734 PECOS PAC ID: 3577839448 Enrollment ID: I20171019002938 |
| Provider Name | Eugenie Lei Setiawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871032870 PECOS PAC ID: 6709144538 Enrollment ID: I20171227000962 |
| Provider Name | Elizabeth A Symanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538471222 PECOS PAC ID: 4183982812 Enrollment ID: I20171229000185 |
| Provider Name | Alex Joseph Crotteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063925386 PECOS PAC ID: 6608137385 Enrollment ID: I20180220001247 |
| Provider Name | Meagan Petrek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376925974 PECOS PAC ID: 8022323195 Enrollment ID: I20180309002328 |
| Provider Name | Yuliya Yartseva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750881843 PECOS PAC ID: 8628330321 Enrollment ID: I20180316000648 |
| Provider Name | Mirza Raheem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609886647 PECOS PAC ID: 3173559135 Enrollment ID: I20180516001156 |
| Provider Name | Vania Zuniga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508371998 PECOS PAC ID: 3971868274 Enrollment ID: I20180606002832 |
| Provider Name | Courtney Lynne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669735262 PECOS PAC ID: 0042565947 Enrollment ID: I20180618002163 |
| Provider Name | Jennifer L Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854034 PECOS PAC ID: 2961757315 Enrollment ID: I20180626002419 |
| Provider Name | Susan J Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205872827 PECOS PAC ID: 7315072840 Enrollment ID: I20181011002119 |
| Provider Name | Erinn Alexandra Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477802833 PECOS PAC ID: 5799936258 Enrollment ID: I20181024002605 |
| Provider Name | Sheri Ann Borbon Cameron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568859411 PECOS PAC ID: 9537403811 Enrollment ID: I20181128001752 |
| Provider Name | Ali Al-saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194110163 PECOS PAC ID: 2567709611 Enrollment ID: I20190128001114 |
| Provider Name | Nichola Clemens Linamen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265916944 PECOS PAC ID: 7315285251 Enrollment ID: I20190219000914 |
| Provider Name | Sadaf Farasat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255696407 PECOS PAC ID: 5092095190 Enrollment ID: I20190304000696 |
| Provider Name | Nicholas Peter Canelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104209048 PECOS PAC ID: 0446535108 Enrollment ID: I20190313001674 |
| Provider Name | Brenda Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578827663 PECOS PAC ID: 3173864741 Enrollment ID: I20190408002710 |
| Provider Name | Nicole Noel Silvestri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013482363 PECOS PAC ID: 0840532578 Enrollment ID: I20190430001066 |
| Provider Name | Puneet Bhalrhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174962898 PECOS PAC ID: 5799078507 Enrollment ID: I20190520000793 |
| Provider Name | Rhodaline Tootell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063547867 PECOS PAC ID: 2860564424 Enrollment ID: I20190521001203 |
| Provider Name | Carrie Michelle Garrigus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497115596 PECOS PAC ID: 0345533667 Enrollment ID: I20190711002544 |
| Provider Name | Jenaya M Calderilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407200306 PECOS PAC ID: 0042548075 Enrollment ID: I20190828002837 |
| Provider Name | Priya Jagasia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679641971 PECOS PAC ID: 4385749654 Enrollment ID: I20191015003333 |
| Provider Name | Melissa Alice Mang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174168553 PECOS PAC ID: 4284068693 Enrollment ID: I20200128000450 |
| Provider Name | Lorilea Paige Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336790963 PECOS PAC ID: 7517395155 Enrollment ID: I20200314000236 |
| Provider Name | Arzoo Sadiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114417581 PECOS PAC ID: 6608204243 Enrollment ID: I20200314000304 |
| Provider Name | Audrey Joan Realeza Cano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154987634 PECOS PAC ID: 2365871050 Enrollment ID: I20200331003633 |
| Provider Name | Stacy Nicole Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679123418 PECOS PAC ID: 4789014796 Enrollment ID: I20200415000672 |
| Provider Name | Nicole Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831759315 PECOS PAC ID: 7719308568 Enrollment ID: I20200602002500 |
| Provider Name | David Leib Halpern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326553710 PECOS PAC ID: 7618398009 Enrollment ID: I20200611001199 |
| Provider Name | Jeffrey D Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336401702 PECOS PAC ID: 4284867573 Enrollment ID: I20200615003331 |
| Provider Name | Jordan Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699121749 PECOS PAC ID: 4587087168 Enrollment ID: I20200721002538 |
| Provider Name | Tyler David Brobst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598290645 PECOS PAC ID: 9739506205 Enrollment ID: I20200828000923 |
| Provider Name | Sandra Rego Alexander |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609815091 PECOS PAC ID: 6800958281 Enrollment ID: I20200915003470 |
| Provider Name | Maisa Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497794655 PECOS PAC ID: 8022912252 Enrollment ID: I20201014001858 |
| Provider Name | Joanne Beecher-van Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457665424 PECOS PAC ID: 4688853740 Enrollment ID: I20201110002184 |
| Provider Name | Andrea G Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685795 PECOS PAC ID: 7719399773 Enrollment ID: I20201215003021 |
| Provider Name | Anne Marie Weidner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538644380 PECOS PAC ID: 2466865506 Enrollment ID: I20210108000947 |
| Provider Name | Tracy Canonizado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447858139 PECOS PAC ID: 7517370372 Enrollment ID: I20210115001523 |
| Provider Name | Lindsay Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558868281 PECOS PAC ID: 8527473776 Enrollment ID: I20210219002056 |
| Provider Name | Valerie Rose Drivick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609413863 PECOS PAC ID: 8325454226 Enrollment ID: I20210301001097 |
| Provider Name | Julie Joanne Heuring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396333878 PECOS PAC ID: 8729497888 Enrollment ID: I20210503001341 |
| Provider Name | Samantha Jo Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457918583 PECOS PAC ID: 9830500768 Enrollment ID: I20210527001627 |
| Provider Name | Monica Czypull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831784842 PECOS PAC ID: 5395146344 Enrollment ID: I20210628002432 |
| Provider Name | Ilana Robbins Renfroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801485545 PECOS PAC ID: 0749683084 Enrollment ID: I20210726000542 |
| Provider Name | Laila Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609323070 PECOS PAC ID: 9830487750 Enrollment ID: I20210803002340 |
| Provider Name | Loraine Iune Ysibido Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346843281 PECOS PAC ID: 7315341971 Enrollment ID: I20210804003505 |
| Provider Name | Al Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174700678 PECOS PAC ID: 9133290760 Enrollment ID: I20210816002289 |
| Provider Name | Stuart J Andersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205270956 PECOS PAC ID: 3476794777 Enrollment ID: I20210820001792 |
| Provider Name | Abigail Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023659463 PECOS PAC ID: 7113351289 Enrollment ID: I20210921003664 |
| Provider Name | Monica Monica Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659912384 PECOS PAC ID: 2567896186 Enrollment ID: I20211005001103 |
| Provider Name | Bridget L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891274346 PECOS PAC ID: 6709139884 Enrollment ID: I20211029001892 |
| Provider Name | Armando Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700042561 PECOS PAC ID: 8123431475 Enrollment ID: I20211101002801 |
| Provider Name | Kimberly Frances Brinckerhoff-hakim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730774944 PECOS PAC ID: 5193124394 Enrollment ID: I20211102002198 |
| Provider Name | Madison Alexandra Pachoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790354330 PECOS PAC ID: 1850789231 Enrollment ID: I20211104001379 |
| Provider Name | Brittany Polizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821692336 PECOS PAC ID: 2466866116 Enrollment ID: I20211117001676 |
| Provider Name | Cody Ronald Jackson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1770715146 PECOS PAC ID: 0345506978 Enrollment ID: I20211216002632 |
| Provider Name | Suzanne Calcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467077610 PECOS PAC ID: 2466843503 Enrollment ID: I20211227001084 |
| Provider Name | Kelly Shakya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083386486 PECOS PAC ID: 1850782939 Enrollment ID: I20211228001157 |
| Provider Name | Alina Vick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083116321 PECOS PAC ID: 6305238288 Enrollment ID: I20220126003290 |
| Provider Name | Ketevan Jorjadze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336737840 PECOS PAC ID: 5193118537 Enrollment ID: I20220208002382 |
| Provider Name | David Warren Hirshfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538127402 PECOS PAC ID: 8527183276 Enrollment ID: I20220216000392 |
| Provider Name | Emily L. Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447918628 PECOS PAC ID: 4587058086 Enrollment ID: I20220227000040 |
| Provider Name | Carina Lizeth Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336519321 PECOS PAC ID: 5496141129 Enrollment ID: I20220406001629 |
| Provider Name | Raymond K Herr |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1750425542 PECOS PAC ID: 4486782505 Enrollment ID: I20220411001707 |
| Provider Name | Marisa J Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698970 PECOS PAC ID: 4183002751 Enrollment ID: I20220610000109 |
| Provider Name | Monika M Drzymalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790262210 PECOS PAC ID: 0840533782 Enrollment ID: I20220628003671 |
| Provider Name | Kathryn Elizabeth Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528586062 PECOS PAC ID: 6103206081 Enrollment ID: I20220708003603 |
| Provider Name | Phoebe Claire Tabaranza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295474468 PECOS PAC ID: 4880076694 Enrollment ID: I20220726002655 |
| Provider Name | Yadani Julia Al-saleh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083077283 PECOS PAC ID: 1759715121 Enrollment ID: I20220804003483 |
| Provider Name | Alejandra Vazquez-bojorquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447817671 PECOS PAC ID: 3476936915 Enrollment ID: I20220817000954 |
| Provider Name | Michael Fangerow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697740 PECOS PAC ID: 7113147232 Enrollment ID: I20220907002819 |
| Provider Name | Chloe Braamse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790413367 PECOS PAC ID: 6204212517 Enrollment ID: I20221010001769 |
| Provider Name | Stephanie Reittinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013160308 PECOS PAC ID: 5294898813 Enrollment ID: I20221017002859 |
| Provider Name | Sanaya Hormozdyaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750887634 PECOS PAC ID: 8729316179 Enrollment ID: I20221019002521 |
| Provider Name | Lauren Abram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467187310 PECOS PAC ID: 9335517606 Enrollment ID: I20221116003082 |
| Provider Name | Tyler Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508575374 PECOS PAC ID: 1850760331 Enrollment ID: I20221205001808 |
| Provider Name | Linda Marie Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528777042 PECOS PAC ID: 7214306679 Enrollment ID: I20221207002514 |
| Provider Name | Marcelle Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497291009 PECOS PAC ID: 5496124687 Enrollment ID: I20221209002313 |
| Provider Name | Rachel Dillon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871207936 PECOS PAC ID: 5092186353 Enrollment ID: I20230124001494 |
| Provider Name | Jennifer Dziura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134278005 PECOS PAC ID: 5799156840 Enrollment ID: I20230127000799 |
| Provider Name | Natalia Guiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164148722 PECOS PAC ID: 7416329248 Enrollment ID: I20230203002609 |
| Provider Name | Heba Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568969327 PECOS PAC ID: 4183979685 Enrollment ID: I20230222002034 |
| Provider Name | Jennifer Baybayan Abreu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417656547 PECOS PAC ID: 3779957774 Enrollment ID: I20230314002056 |
| Provider Name | Julia Wiscombe Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972656031 PECOS PAC ID: 3577928258 Enrollment ID: I20230502002368 |
| Provider Name | Michelle Deveza Gully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557947 PECOS PAC ID: 9638535966 Enrollment ID: I20230511002427 |
| Provider Name | Sally Anne Gomes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396206082 PECOS PAC ID: 3577929173 Enrollment ID: I20230524003088 |
| Provider Name | Samantha Breckon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518651959 PECOS PAC ID: 8628436961 Enrollment ID: I20230620001284 |
| Provider Name | Christa Steffensmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696065 PECOS PAC ID: 4880029008 Enrollment ID: I20230622002997 |
| Provider Name | Marlyn Cristina Molina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578996732 PECOS PAC ID: 0941660500 Enrollment ID: I20230714002182 |
| Provider Name | Tarina Porchia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710453709 PECOS PAC ID: 0244616167 Enrollment ID: I20230801002580 |
| Provider Name | Eladio Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033734520 PECOS PAC ID: 3476914458 Enrollment ID: I20230808000156 |
| Provider Name | Margaret Natalie-haslett Bischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679253041 PECOS PAC ID: 4082076435 Enrollment ID: I20230816002748 |
| Provider Name | Jessica Lynn Raimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245991488 PECOS PAC ID: 5294198131 Enrollment ID: I20230825000878 |
| Provider Name | Rebecca Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750948717 PECOS PAC ID: 9234592916 Enrollment ID: I20230829000341 |
| Provider Name | Caitlin Brooks Piteck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528749124 PECOS PAC ID: 6002279296 Enrollment ID: I20230906001953 |
| Provider Name | Almira Agosto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255689253 PECOS PAC ID: 7416311022 Enrollment ID: I20230915000684 |
| Provider Name | Lauren Povoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689388241 PECOS PAC ID: 9931563483 Enrollment ID: I20230915003171 |
| Provider Name | Natalie Ann Spang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508527847 PECOS PAC ID: 1456705482 Enrollment ID: I20230926000561 |
| Provider Name | Kara Leinhos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932600814 PECOS PAC ID: 2961857966 Enrollment ID: I20231011002448 |
| Provider Name | Aneel Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639661564 PECOS PAC ID: 7911395009 Enrollment ID: I20231012002901 |
| Provider Name | Evelyn Salaices Serna-balderas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215557657 PECOS PAC ID: 3870949258 Enrollment ID: I20231020000942 |
| Provider Name | Stephanie Hounnou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710451638 PECOS PAC ID: 1254789027 Enrollment ID: I20231205001181 |
| Provider Name | Brenda Lee Quiroz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003091836 PECOS PAC ID: 2264881291 Enrollment ID: I20231215000337 |
| Provider Name | Amy Susan Caporello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154198620 PECOS PAC ID: 3678923463 Enrollment ID: I20231219004059 |
| Provider Name | Stephanie Lu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134994460 PECOS PAC ID: 2668822909 Enrollment ID: I20231228001413 |
| Provider Name | Tiffany Goodsite |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063754067 PECOS PAC ID: 8820448897 Enrollment ID: I20240103002386 |
| Provider Name | Angelica Garcia Stuart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356963326 PECOS PAC ID: 6507217288 Enrollment ID: I20240106000497 |
| Provider Name | Dionysia Anthi Caviris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215716881 PECOS PAC ID: 2365893724 Enrollment ID: I20240110001282 |
| Provider Name | Natily Sirri |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134685936 PECOS PAC ID: 0547612673 Enrollment ID: I20240114000215 |
| Provider Name | Elizabeth Anne Gerbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730415274 PECOS PAC ID: 3274985353 Enrollment ID: I20240115001618 |
| Provider Name | Riyan Buller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033814017 PECOS PAC ID: 1355793340 Enrollment ID: I20240115001915 |
| Provider Name | Jo Jo Yan Ki Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194144725 PECOS PAC ID: 1658723655 Enrollment ID: I20240116000532 |
| Provider Name | Haley Marie Adams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689200081 PECOS PAC ID: 3678925690 Enrollment ID: I20240116001118 |
| Provider Name | Ashley Svendsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750995866 PECOS PAC ID: 2860844552 Enrollment ID: I20240118001282 |
| Provider Name | Varinka Monica Muldawer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386767366 PECOS PAC ID: 5890147300 Enrollment ID: I20240121000116 |
| Provider Name | Merna Eissa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073163416 PECOS PAC ID: 8224480447 Enrollment ID: I20240123003246 |
| Provider Name | Abigail Portnoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881357556 PECOS PAC ID: 2264884493 Enrollment ID: I20240123003502 |
| Provider Name | Kimberly Anne Ayres |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194387084 PECOS PAC ID: 5597118901 Enrollment ID: I20240201000087 |
| Provider Name | Alexis Tellis Nseya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235880295 PECOS PAC ID: 4688018773 Enrollment ID: I20240216001322 |
| Provider Name | Kim Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083152839 PECOS PAC ID: 4587008057 Enrollment ID: I20240223000693 |
| Provider Name | Jocelyn Mcgriff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730516618 PECOS PAC ID: 7810332228 Enrollment ID: I20240226000954 |
| Provider Name | Jennifer Lynne Toomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487347597 PECOS PAC ID: 3476998345 Enrollment ID: I20240301000447 |
| Provider Name | Julia Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366219867 PECOS PAC ID: 1557707965 Enrollment ID: I20240307003001 |
| Provider Name | Ashley Louise Albinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083484356 PECOS PAC ID: 1557707742 Enrollment ID: I20240311001145 |
| Provider Name | Alicia Louise De Santi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295359412 PECOS PAC ID: 0749626950 Enrollment ID: I20240311001969 |
| Provider Name | Luna Nouri Toma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770363632 PECOS PAC ID: 7416393574 Enrollment ID: I20240311004160 |
Prima Primary Medical Association, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9850 Genesee Ave, Suite 355, La Jolla, CA 92037 Phone: 858-202-0011 Fax: 858-202-0055 | |
Scripps Clinic Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, 201 N, La Jolla, CA 92037 Phone: 858-554-6158 | |
La Jolla Personal Physicians Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9834 Genesee Ave Ste 400, La Jolla, CA 92037 Phone: 858-587-4773 Fax: 858-587-4785 | |
Essential Healthcare Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Avenue, Suite 820, La Jolla, CA 92037 Phone: 858-453-5200 Fax: 858-453-5160 | |
Rhona H. Fink, Md & Julie A. Papatheofanis, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Suite 370, La Jolla, CA 92037 Phone: 858-362-0616 | |
Robert I Fox, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, #910, La Jolla, CA 92037 Phone: 858-457-2023 Fax: 858-457-2721 | |
Uc San Diego Student Health Service Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Drive, La Jolla, CA 92093 Phone: 858-534-2135 Fax: 858-534-0814 |