| Planned Parenthood Mar Monte, Inc | |
|
678 N Wilson Way Suite G Stockton CA 95205-4272 | |
| (209) 466-2081 | |
| (209) 466-2083 |
| Full Name | Planned Parenthood Mar Monte, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 678 N Wilson Way, Stockton, California |
| Authorized Official Name and Position | Tom Motsiff (CFO) |
| Authorized Official Contact | 4087953707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Mar Monte, Inc 1691 The Alameda San Jose CA 95126-2203 Ph: (408) 795-3600 | Planned Parenthood Mar Monte, Inc 678 N Wilson Way Suite G Stockton CA 95205-4272 Ph: (209) 466-2081 |
| NPI Number | 1174579957 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 07/25/2019 |
| Medicare PECOS PAC ID | 1456248954 |
|---|---|
| Medicare Enrollment ID | O20040301000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174579957 | NPI | - | NPPES |
| ZZR11607G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 030000075 (California) | Primary |
| Provider Name | Jessica R Dieseldorff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285722942 PECOS PAC ID: 6305830381 Enrollment ID: I20040413000319 |
| Provider Name | Marcella Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730299629 PECOS PAC ID: 8426092230 Enrollment ID: I20050613001182 |
| Provider Name | Rebecca Lyn Mcentee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528105707 PECOS PAC ID: 7113095209 Enrollment ID: I20081002000196 |
| Provider Name | Isabel D Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326176405 PECOS PAC ID: 2567521131 Enrollment ID: I20081111000786 |
| Provider Name | Amritpaul K Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639329683 PECOS PAC ID: 3971666587 Enrollment ID: I20090108000197 |
| Provider Name | Michele A Hugin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316900038 PECOS PAC ID: 8426112418 Enrollment ID: I20090206000150 |
| Provider Name | Abraham Cabebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528171501 PECOS PAC ID: 7315966637 Enrollment ID: I20090210000313 |
| Provider Name | Michelle Gdalla Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720191315 PECOS PAC ID: 2860539111 Enrollment ID: I20091020000157 |
| Provider Name | Cheryl Anne Balaoing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932336377 PECOS PAC ID: 1254478241 Enrollment ID: I20091023000306 |
| Provider Name | Rachel M Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154623601 PECOS PAC ID: 5890969083 Enrollment ID: I20111128000733 |
| Provider Name | Nicole Lynn Waitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952655177 PECOS PAC ID: 9931345402 Enrollment ID: I20130429000641 |
| Provider Name | Melissa Virginia Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164700084 PECOS PAC ID: 5395984389 Enrollment ID: I20130624000595 |
| Provider Name | Mariah R Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639361231 PECOS PAC ID: 5193951176 Enrollment ID: I20131121000954 |
| Provider Name | Juliana R Melo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376709998 PECOS PAC ID: 9537316856 Enrollment ID: I20140917002015 |
| Provider Name | Michelle Davida Derman-berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962828244 PECOS PAC ID: 3577866615 Enrollment ID: I20160122000928 |
| Provider Name | Kelly Denise Zwiers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972913952 PECOS PAC ID: 7719284892 Enrollment ID: I20160405001517 |
| Provider Name | Brittany Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649659624 PECOS PAC ID: 3577862499 Enrollment ID: I20160427002177 |
| Provider Name | Laura E. Dalton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598085888 PECOS PAC ID: 7113218397 Enrollment ID: I20160617001443 |
| Provider Name | Gauri Vats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548646185 PECOS PAC ID: 2769773654 Enrollment ID: I20160623001967 |
| Provider Name | Melinda Rebecca Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033583067 PECOS PAC ID: 5496046120 Enrollment ID: I20160627002450 |
| Provider Name | Margaux Lazarin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952628422 PECOS PAC ID: 5799912937 Enrollment ID: I20160707001740 |
| Provider Name | Morgan Theis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124361258 PECOS PAC ID: 8628357415 Enrollment ID: I20161118001017 |
| Provider Name | Deborah Lenore Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194135988 PECOS PAC ID: 8527342252 Enrollment ID: I20170224001444 |
| Provider Name | Megan M Ash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326483603 PECOS PAC ID: 4385940519 Enrollment ID: I20170926000003 |
| Provider Name | Emily Guh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124439955 PECOS PAC ID: 1456634617 Enrollment ID: I20171006001493 |
| Provider Name | Erica Pasciullo Cahill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871936351 PECOS PAC ID: 2163788274 Enrollment ID: I20171106002534 |
| Provider Name | Melissa B Nothnagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023092806 PECOS PAC ID: 6002973252 Enrollment ID: I20171222000819 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114478104 PECOS PAC ID: 2769741313 Enrollment ID: I20180105001120 |
| Provider Name | Sarah Maureen Peyton-guardado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834117 PECOS PAC ID: 6507125846 Enrollment ID: I20180112002305 |
| Provider Name | Madison Jay Beal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821506866 PECOS PAC ID: 9830450782 Enrollment ID: I20180309001778 |
| Provider Name | Agustina Candelaria Garzon Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184914202 PECOS PAC ID: 6305080680 Enrollment ID: I20180314002109 |
| Provider Name | Rane Nathan Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770091621 PECOS PAC ID: 7810252194 Enrollment ID: I20180607003189 |
| Provider Name | Sara T Terashima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649768086 PECOS PAC ID: 3577818046 Enrollment ID: I20181115001618 |
| Provider Name | Miles Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538545272 PECOS PAC ID: 5890002034 Enrollment ID: I20181116000464 |
| Provider Name | Alexis Silao Van Sickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336700 PECOS PAC ID: 9234478314 Enrollment ID: I20190307001568 |
| Provider Name | Jessica Irene Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346764479 PECOS PAC ID: 3870834773 Enrollment ID: I20190402001876 |
| Provider Name | Elizabeth Bennett Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760913263 PECOS PAC ID: 2264774199 Enrollment ID: I20190425000779 |
| Provider Name | Nicole Marie Rose S Araneta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558775908 PECOS PAC ID: 2567780968 Enrollment ID: I20190509000519 |
| Provider Name | Corin Emmanuelle Massoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861818320 PECOS PAC ID: 0143547562 Enrollment ID: I20190708000699 |
| Provider Name | Sarah Elizabeth Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821651175 PECOS PAC ID: 9234465865 Enrollment ID: I20190719001481 |
| Provider Name | Nicole Economou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922558220 PECOS PAC ID: 7517296932 Enrollment ID: I20190911000191 |
| Provider Name | Namrata Mastey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720475411 PECOS PAC ID: 1850621822 Enrollment ID: I20190918002047 |
| Provider Name | Sarah Gayle Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650649 PECOS PAC ID: 9234469636 Enrollment ID: I20190927001484 |
| Provider Name | Kimberly Ratelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407248 PECOS PAC ID: 1850618968 Enrollment ID: I20200420002120 |
| Provider Name | Andrea Grace Henkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003279209 PECOS PAC ID: 5991135212 Enrollment ID: I20200428000737 |
| Provider Name | Christine So |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831729854 PECOS PAC ID: 3274955935 Enrollment ID: I20200625001315 |
| Provider Name | Nora Elderkin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205310794 PECOS PAC ID: 2961755731 Enrollment ID: I20200626002025 |
| Provider Name | Victoria R Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477969913 PECOS PAC ID: 0244458362 Enrollment ID: I20200707001520 |
| Provider Name | Kendall Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568933885 PECOS PAC ID: 4486079712 Enrollment ID: I20200804002343 |
| Provider Name | Jade Michelle Shorter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164761227 PECOS PAC ID: 3173742202 Enrollment ID: I20200806003000 |
| Provider Name | Mariela Jimenez Alcala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720552722 PECOS PAC ID: 1759707672 Enrollment ID: I20200821001543 |
| Provider Name | Emmanuel Oliva Aglubat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750904751 PECOS PAC ID: 9436576279 Enrollment ID: I20200825003432 |
| Provider Name | Lauren N Salmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952914095 PECOS PAC ID: 4486073269 Enrollment ID: I20200928002575 |
| Provider Name | Trisha Cabantac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760014831 PECOS PAC ID: 6103245949 Enrollment ID: I20200929001460 |
| Provider Name | Allison Ngoc Ngo-garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417559196 PECOS PAC ID: 0244640696 Enrollment ID: I20201113001354 |
| Provider Name | Danielle E Harik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902225816 PECOS PAC ID: 0446521454 Enrollment ID: I20201214001239 |
| Provider Name | Maryam Guiahi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386805521 PECOS PAC ID: 0143374561 Enrollment ID: I20201216000371 |
| Provider Name | Charlotte Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799059 PECOS PAC ID: 3375871676 Enrollment ID: I20210208001457 |
| Provider Name | Ariel E Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285016634 PECOS PAC ID: 7416238613 Enrollment ID: I20210415001421 |
| Provider Name | Sheenali Naik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487234803 PECOS PAC ID: 2961811054 Enrollment ID: I20210430000990 |
| Provider Name | Rajvir K Sohal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285252254 PECOS PAC ID: 5193134559 Enrollment ID: I20210514001578 |
| Provider Name | Jessica W Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407116007 PECOS PAC ID: 7517181894 Enrollment ID: I20210520002431 |
| Provider Name | Lily Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700452299 PECOS PAC ID: 1456751791 Enrollment ID: I20210608003481 |
| Provider Name | Karen Ashley Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033792353 PECOS PAC ID: 5597165407 Enrollment ID: I20210615001575 |
| Provider Name | Sorren Lindstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316392657 PECOS PAC ID: 8628309887 Enrollment ID: I20210722001083 |
| Provider Name | Jacinth Alano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548808264 PECOS PAC ID: 4385048925 Enrollment ID: I20210804002738 |
| Provider Name | Anh Thu Dinh Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356015721 PECOS PAC ID: 4880098730 Enrollment ID: I20210813002780 |
| Provider Name | Tammy Voong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851960280 PECOS PAC ID: 2163827890 Enrollment ID: I20210818003805 |
| Provider Name | Nhi Hoai Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699440511 PECOS PAC ID: 5193120855 Enrollment ID: I20210819000627 |
| Provider Name | Jewel Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346773892 PECOS PAC ID: 1951706100 Enrollment ID: I20210825004021 |
| Provider Name | Maria Tuite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093481350 PECOS PAC ID: 4587061221 Enrollment ID: I20210923001456 |
| Provider Name | Esther Kiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740893858 PECOS PAC ID: 9638576200 Enrollment ID: I20210923003004 |
| Provider Name | Hannah R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265104293 PECOS PAC ID: 2466840707 Enrollment ID: I20211019002502 |
| Provider Name | La'shonda Mechel Sharble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043898851 PECOS PAC ID: 7911305115 Enrollment ID: I20211029001951 |
| Provider Name | Stephanie Ngan Kim Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093461675 PECOS PAC ID: 2163816414 Enrollment ID: I20220302000996 |
| Provider Name | Andrea Seantrice Bagsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649939935 PECOS PAC ID: 5698162568 Enrollment ID: I20220422001316 |
| Provider Name | Martha Louise Letchinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689199598 PECOS PAC ID: 6305220336 Enrollment ID: I20220825000772 |
| Provider Name | Katherine M Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447986401 PECOS PAC ID: 0143605261 Enrollment ID: I20220909002155 |
| Provider Name | Alexis Dominique Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629747969 PECOS PAC ID: 5597154104 Enrollment ID: I20220923000523 |
| Provider Name | Sheeva Yazdani-sabouni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104323831 PECOS PAC ID: 1759767189 Enrollment ID: I20221007001635 |
| Provider Name | Allison Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902559107 PECOS PAC ID: 9739565045 Enrollment ID: I20221010001825 |
| Provider Name | Roshni Kakaiya |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1073179529 PECOS PAC ID: 1658747977 Enrollment ID: I20221011002566 |
| Provider Name | Elizabeth B Mayberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285359638 PECOS PAC ID: 8729454343 Enrollment ID: I20221021001276 |
| Provider Name | Stephanie Amaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720570682 PECOS PAC ID: 0840548442 Enrollment ID: I20221115001663 |
| Provider Name | Aliya Mohre Caler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063920502 PECOS PAC ID: 0840669982 Enrollment ID: I20221212001123 |
| Provider Name | Aja Basu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598472409 PECOS PAC ID: 3476922428 Enrollment ID: I20221213003173 |
| Provider Name | Amy Cutino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730699729 PECOS PAC ID: 4587034194 Enrollment ID: I20221222002149 |
| Provider Name | Yen H Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780055657 PECOS PAC ID: 3577934546 Enrollment ID: I20230130002737 |
| Provider Name | Alyssa Joy Connors |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306552146 PECOS PAC ID: 7719359314 Enrollment ID: I20230208000759 |
| Provider Name | Elizabeth Sanderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174269344 PECOS PAC ID: 4981078169 Enrollment ID: I20230330001521 |
| Provider Name | Gabriella Mendez Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184357188 PECOS PAC ID: 8628434024 Enrollment ID: I20230509001888 |
| Provider Name | Clarissa Mae Domingo-javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696883 PECOS PAC ID: 6204296551 Enrollment ID: I20230718002144 |
| Provider Name | Araceli Huerta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235545609 PECOS PAC ID: 8628430816 Enrollment ID: I20230821001905 |
| Provider Name | Vanessa Lopez Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811679970 PECOS PAC ID: 8921461914 Enrollment ID: I20230823003325 |
| Provider Name | Felix Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346924172 PECOS PAC ID: 7517321052 Enrollment ID: I20230915002574 |
| Provider Name | Denise Na Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831879709 PECOS PAC ID: 3971967225 Enrollment ID: I20230919003968 |
| Provider Name | Simranvir Kaur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851852164 PECOS PAC ID: 2466816756 Enrollment ID: I20230920001023 |
| Provider Name | Holly A Rankin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326508508 PECOS PAC ID: 2365776242 Enrollment ID: I20230925000941 |
| Provider Name | Blake Zwerling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992237978 PECOS PAC ID: 4981937067 Enrollment ID: I20231009001270 |
| Provider Name | Teaghe J Yalon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760038665 PECOS PAC ID: 1557717469 Enrollment ID: I20231030001840 |
| Provider Name | Jacqueline Barragan-lomeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063292522 PECOS PAC ID: 5395191118 Enrollment ID: I20231030002632 |
| Provider Name | Lina Nazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619137478 PECOS PAC ID: 7517314461 Enrollment ID: I20231114002541 |
| Provider Name | Kathyanne Monica Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114641271 PECOS PAC ID: 2961859657 Enrollment ID: I20231117001594 |
| Provider Name | Mey Saephanh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154101749 PECOS PAC ID: 3678922903 Enrollment ID: I20231212003985 |
| Provider Name | Anisha Melanie Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245006287 PECOS PAC ID: 9931558186 Enrollment ID: I20231213000982 |
| Provider Name | Ann Zedginidze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861908261 PECOS PAC ID: 7719338300 Enrollment ID: I20240108005488 |
| Provider Name | Melissa Thi Thik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538677877 PECOS PAC ID: 0143673822 Enrollment ID: I20240130000349 |
| Provider Name | Kelly Jean Garrison Garmur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700195260 PECOS PAC ID: 1456794817 Enrollment ID: I20240213002333 |
| Provider Name | Shreen Dubey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275395741 PECOS PAC ID: 6204270150 Enrollment ID: I20240219002291 |
| Provider Name | Kathy Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083475313 PECOS PAC ID: 0840634440 Enrollment ID: I20240222002392 |
| Provider Name | Walena Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689455255 PECOS PAC ID: 7810333937 Enrollment ID: I20240312002216 |
| Provider Name | Kuljeet Kaur Kaberwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114794682 PECOS PAC ID: 7517303555 Enrollment ID: I20240312003308 |
| Provider Name | Gita Mehra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467216721 PECOS PAC ID: 7113367921 Enrollment ID: I20240426001902 |
| Provider Name | Alison Lutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568825255 PECOS PAC ID: 7012202674 Enrollment ID: I20240621002367 |
| Provider Name | Megan Rose Frank |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023851995 PECOS PAC ID: 5698219558 Enrollment ID: I20240702002730 |
| Provider Name | Shana Portnoy Sisti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225198542 PECOS PAC ID: 6305381237 Enrollment ID: I20240715003696 |
| Provider Name | Parminder Kaur Dheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710731666 PECOS PAC ID: 7911443296 Enrollment ID: I20240723001653 |
| Provider Name | Natalie M Dicenzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174148027 PECOS PAC ID: 2264978386 Enrollment ID: I20240725002146 |
| Provider Name | Emma Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952751992 PECOS PAC ID: 2769866094 Enrollment ID: I20240806000333 |
| Provider Name | Sarah G Kirshner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083242689 PECOS PAC ID: 7810318789 Enrollment ID: I20240823003056 |
| Provider Name | Andrew Gerenraich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811571045 PECOS PAC ID: 3072916378 Enrollment ID: I20240904004880 |
| Provider Name | Veronica Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184349896 PECOS PAC ID: 2769856129 Enrollment ID: I20240905000578 |
| Provider Name | Jacob Paul Arellano-anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073191102 PECOS PAC ID: 1355799149 Enrollment ID: I20240914000369 |
| Provider Name | Amythis Soltani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982223954 PECOS PAC ID: 8022559905 Enrollment ID: I20240918004003 |
| Provider Name | Jennifer Marie Killebrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114755196 PECOS PAC ID: 3870034515 Enrollment ID: I20240920001518 |
| Provider Name | Courtney Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508610155 PECOS PAC ID: 2567995525 Enrollment ID: I20241029002965 |
| Provider Name | Esmeralda Diaz Avalos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518642305 PECOS PAC ID: 3375077977 Enrollment ID: I20241105001624 |
| Provider Name | Kim Eggerud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649097973 PECOS PAC ID: 4587198064 Enrollment ID: I20241106001173 |
| Provider Name | Lia Xiong Ratley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629803580 PECOS PAC ID: 7214461748 Enrollment ID: I20241106003138 |
| Provider Name | Ching Man Chee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063258036 PECOS PAC ID: 7416481825 Enrollment ID: I20241107002604 |
| Provider Name | Lindsay Gentry Stegeman Levesque |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891520896 PECOS PAC ID: 5890222426 Enrollment ID: I20241220002182 |
| Provider Name | Vanessa Christina Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417767484 PECOS PAC ID: 6709315773 Enrollment ID: I20250121003521 |
| Provider Name | Emily Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942000286 PECOS PAC ID: 8527581446 Enrollment ID: I20250401000772 |
| Provider Name | Ekaterina Aileen Yudin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447025051 PECOS PAC ID: 5698299188 Enrollment ID: I20250407000354 |
| Provider Name | Anny Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891594818 PECOS PAC ID: 0648794081 Enrollment ID: I20250408000918 |
| Provider Name | Alaya Marie Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356986574 PECOS PAC ID: 4688198773 Enrollment ID: I20250410001101 |
| Provider Name | Milo Lior Ehrenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356140172 PECOS PAC ID: 9537685300 Enrollment ID: I20250424003426 |
| Provider Name | Raya Levana Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194526863 PECOS PAC ID: 9638698939 Enrollment ID: I20250529001465 |
James H. Holmes, Jr., M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 St. Mark's Plaza, Suite 5, Stockton, CA 95207 Phone: 209-466-8683 Fax: 209-466-8309 | |
Aziz Kamali Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1947 N California St Ste A, Stockton, CA 95204 Phone: 209-478-5533 Fax: 209-475-0187 | |
Dameron Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 W Acacia St, Stockton, CA 95203 Phone: 209-461-3196 Fax: 209-461-7593 | |
Kulendu G Vasavda Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Tuxedo Court, Suite B, Stockton, CA 95204 Phone: 209-941-0149 Fax: 209-941-2550 | |
Ht Family Physicians, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 W March Ln, Suite A, Stockton, CA 95207 Phone: 209-477-5552 Fax: 209-477-5553 | |
County Of San Joaquin Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 N California St Suite A, Stockton, CA 95202 Phone: 209-953-6400 Fax: 209-468-2321 | |
American Current Care Of California, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 W Hammer Ln, Stockton, CA 95210 Phone: 209-546-7767 Fax: 209-546-7785 |