| Quantum Bay Area Hospitalist Medical Group Inc | |
|
2500 Grant Rd Mountain View CA 94040-4302 | |
| (650) 940-7000 | |
| Not Available |
| Full Name | Quantum Bay Area Hospitalist Medical Group Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 2500 Grant Rd, Mountain View, California |
| Authorized Official Name and Position | Bruce T. Gipe (PRESIDENT) |
| Authorized Official Contact | 8004243672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Bay Area Hospitalist Medical Group Inc 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Quantum Bay Area Hospitalist Medical Group Inc 2500 Grant Rd Mountain View CA 94040-4302 Ph: (650) 940-7000 |
| NPI Number | 1902279656 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 0648573378 |
|---|---|
| Medicare Enrollment ID | O20160129000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902279656 | NPI | - | NPPES |
| Provider Name | Clarence Premra Allegakoen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205909637 PECOS PAC ID: 3971493768 Enrollment ID: I20040316001305 |
| Provider Name | Alvin Zachariah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932178613 PECOS PAC ID: 4385631084 Enrollment ID: I20040426001684 |
| Provider Name | Aria Anvar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104856327 PECOS PAC ID: 5294702114 Enrollment ID: I20040910001129 |
| Provider Name | Adour Adrouny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447298955 PECOS PAC ID: 0941264329 Enrollment ID: I20041116000292 |
| Provider Name | Khoi A Lam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891740940 PECOS PAC ID: 2264483304 Enrollment ID: I20050204000804 |
| Provider Name | Kuljit Hundal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902815350 PECOS PAC ID: 2163476953 Enrollment ID: I20050303001087 |
| Provider Name | Sidney Todd Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518027630 PECOS PAC ID: 2466407614 Enrollment ID: I20050321000626 |
| Provider Name | Swaroopa R Bussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003994856 PECOS PAC ID: 3173579315 Enrollment ID: I20050330000744 |
| Provider Name | Hemalatha Vangala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374029 PECOS PAC ID: 0749229151 Enrollment ID: I20050426000590 |
| Provider Name | Nancy C Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255364055 PECOS PAC ID: 6204852817 Enrollment ID: I20051021000580 |
| Provider Name | Jacqueline Denkabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194883520 PECOS PAC ID: 6800838103 Enrollment ID: I20060209000436 |
| Provider Name | Mofiz Haque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811967375 PECOS PAC ID: 9739103771 Enrollment ID: I20060502000853 |
| Provider Name | Punam K Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184659245 PECOS PAC ID: 5496758500 Enrollment ID: I20060810000245 |
| Provider Name | James S Guetzkow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801906995 PECOS PAC ID: 8921004631 Enrollment ID: I20061019000381 |
| Provider Name | Neelima Komatineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225064108 PECOS PAC ID: 2062515315 Enrollment ID: I20070307000444 |
| Provider Name | Adil A Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548261316 PECOS PAC ID: 0749383214 Enrollment ID: I20070321000607 |
| Provider Name | Natasa Popovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831225713 PECOS PAC ID: 4587760962 Enrollment ID: I20070501000427 |
| Provider Name | Brian Edward Kluess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593970 PECOS PAC ID: 3375583388 Enrollment ID: I20070712000852 |
| Provider Name | Padmaja Vemula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700084175 PECOS PAC ID: 5890887608 Enrollment ID: I20070824000491 |
| Provider Name | Irina G Kaminsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629269014 PECOS PAC ID: 8527156553 Enrollment ID: I20071108000533 |
| Provider Name | Jasmine Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134257678 PECOS PAC ID: 6305819921 Enrollment ID: I20080118000172 |
| Provider Name | Simi Davu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528242583 PECOS PAC ID: 9234214511 Enrollment ID: I20080311000467 |
| Provider Name | Thanhmy N Bui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396842498 PECOS PAC ID: 5193824985 Enrollment ID: I20080325000245 |
| Provider Name | Michelle Elizabeth Pezzani |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205922440 PECOS PAC ID: 5799850608 Enrollment ID: I20080812000361 |
| Provider Name | Katarina Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598737645 PECOS PAC ID: 2062404635 Enrollment ID: I20081010000158 |
| Provider Name | Senthilraj Nadarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164437935 PECOS PAC ID: 9537198296 Enrollment ID: I20081031000381 |
| Provider Name | Thevalojini Thayaparan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235291758 PECOS PAC ID: 1951302082 Enrollment ID: I20081124000647 |
| Provider Name | Loveleena Virk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245356948 PECOS PAC ID: 4284794876 Enrollment ID: I20081201000324 |
| Provider Name | Muhammad Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851554372 PECOS PAC ID: 0941362636 Enrollment ID: I20081213000220 |
| Provider Name | Mark R Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427055102 PECOS PAC ID: 8729163233 Enrollment ID: I20090601000299 |
| Provider Name | Daljeet Samra |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1720229693 PECOS PAC ID: 8729130844 Enrollment ID: I20090720000576 |
| Provider Name | Sumon Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437261005 PECOS PAC ID: 0143328690 Enrollment ID: I20090917000160 |
| Provider Name | Komal J Bhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003824699 PECOS PAC ID: 9739129552 Enrollment ID: I20091103000105 |
| Provider Name | Deepa K Rathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730381799 PECOS PAC ID: 9436297736 Enrollment ID: I20091106000125 |
| Provider Name | Sushma V Pai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619188596 PECOS PAC ID: 3274673553 Enrollment ID: I20091217000159 |
| Provider Name | Madhumati K Rampure |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972739571 PECOS PAC ID: 0345382958 Enrollment ID: I20100120000557 |
| Provider Name | Nadine Tanenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558383695 PECOS PAC ID: 2769489822 Enrollment ID: I20100215000417 |
| Provider Name | Neelima Gondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104026970 PECOS PAC ID: 6608934534 Enrollment ID: I20100521000379 |
| Provider Name | Padmashri Srinivasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528245123 PECOS PAC ID: 4880772821 Enrollment ID: I20101011000280 |
| Provider Name | Susan M Wilturner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467531277 PECOS PAC ID: 4183816085 Enrollment ID: I20101011000843 |
| Provider Name | Tony Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487832234 PECOS PAC ID: 6608069562 Enrollment ID: I20101023000059 |
| Provider Name | Kalpana Narapasetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548465149 PECOS PAC ID: 2163599168 Enrollment ID: I20101101001232 |
| Provider Name | Taimur Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083671861 PECOS PAC ID: 3375624505 Enrollment ID: I20101118001074 |
| Provider Name | Prakash Shantilal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104043801 PECOS PAC ID: 6800997206 Enrollment ID: I20101220001051 |
| Provider Name | Janhavi R Gudal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669781282 PECOS PAC ID: 5597944173 Enrollment ID: I20110128000092 |
| Provider Name | Aifra Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407183130 PECOS PAC ID: 6709067887 Enrollment ID: I20110222001130 |
| Provider Name | Kimberly A Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262767 PECOS PAC ID: 8426157579 Enrollment ID: I20110329000670 |
| Provider Name | Falgun S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164678843 PECOS PAC ID: 0446381909 Enrollment ID: I20110329000909 |
| Provider Name | Smitha R Anam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093033276 PECOS PAC ID: 4688852510 Enrollment ID: I20110624000135 |
| Provider Name | Kyaw K Maung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154612604 PECOS PAC ID: 3274702154 Enrollment ID: I20110810000291 |
| Provider Name | Hind S Yassin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518177948 PECOS PAC ID: 6204022270 Enrollment ID: I20111115000398 |
| Provider Name | Joanabel Padaca Sta Maria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487755682 PECOS PAC ID: 6406874387 Enrollment ID: I20120227000467 |
| Provider Name | Mandana Abollhassani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588826242 PECOS PAC ID: 2264695105 Enrollment ID: I20120514000078 |
| Provider Name | Suneetha Maddineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962774679 PECOS PAC ID: 8426211988 Enrollment ID: I20120519000027 |
| Provider Name | Anuj Mittal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720178841 PECOS PAC ID: 1254308968 Enrollment ID: I20120627000431 |
| Provider Name | Yusha Ikhtabar Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265662340 PECOS PAC ID: 2860648722 Enrollment ID: I20120808000430 |
| Provider Name | Aung K Moe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568696862 PECOS PAC ID: 0143476747 Enrollment ID: I20120815000138 |
| Provider Name | Satya S Toram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225175029 PECOS PAC ID: 8224194857 Enrollment ID: I20121012000745 |
| Provider Name | Anuradha Nagarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902071780 PECOS PAC ID: 4789743121 Enrollment ID: I20121221000340 |
| Provider Name | Henry M Selke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730272535 PECOS PAC ID: 5193899649 Enrollment ID: I20130104000325 |
| Provider Name | Royce M Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407814486 PECOS PAC ID: 3577452762 Enrollment ID: I20130107000188 |
| Provider Name | Pradeep Kaur Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326292400 PECOS PAC ID: 1759550627 Enrollment ID: I20130118000146 |
| Provider Name | Elliot L Wade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487810321 PECOS PAC ID: 7416025135 Enrollment ID: I20130320000199 |
| Provider Name | Tuhin Chaudhury |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376779454 PECOS PAC ID: 5092953711 Enrollment ID: I20130607000162 |
| Provider Name | Ashish A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932413200 PECOS PAC ID: 7911147509 Enrollment ID: I20130702000277 |
| Provider Name | Abren Belay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194030593 PECOS PAC ID: 8628218500 Enrollment ID: I20130717000877 |
| Provider Name | Huma Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861622334 PECOS PAC ID: 6406082726 Enrollment ID: I20131115000196 |
| Provider Name | Leah M Grabenauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760740385 PECOS PAC ID: 7810124070 Enrollment ID: I20131213000199 |
| Provider Name | Fang-yu Chao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417116641 PECOS PAC ID: 7719102300 Enrollment ID: I20140716001156 |
| Provider Name | Veejay N Geria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821193467 PECOS PAC ID: 3476555186 Enrollment ID: I20140724001456 |
| Provider Name | Janice J Suh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598043770 PECOS PAC ID: 8527287002 Enrollment ID: I20140916000055 |
| Provider Name | Quynh Q Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487949343 PECOS PAC ID: 0446479752 Enrollment ID: I20140919000004 |
| Provider Name | Brett J Halloran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235280470 PECOS PAC ID: 0244304715 Enrollment ID: I20140930002357 |
| Provider Name | Sri S Viswanathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982919379 PECOS PAC ID: 0749401156 Enrollment ID: I20141029000891 |
| Provider Name | Shaiquel A Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306139035 PECOS PAC ID: 1850513730 Enrollment ID: I20141108000027 |
| Provider Name | Sanjay Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346200391 PECOS PAC ID: 5698711158 Enrollment ID: I20141125001952 |
| Provider Name | Nivedita Lakhera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730399387 PECOS PAC ID: 3173691847 Enrollment ID: I20150113000029 |
| Provider Name | Tabish Jalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275844375 PECOS PAC ID: 6305098864 Enrollment ID: I20150307000011 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20150313001140 |
| Provider Name | Chih-yi Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700147527 PECOS PAC ID: 5092031864 Enrollment ID: I20150617002656 |
| Provider Name | Wilbur Daroya Peralta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538207782 PECOS PAC ID: 9234379199 Enrollment ID: I20150618002631 |
| Provider Name | Satish Kabra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588826192 PECOS PAC ID: 4385817097 Enrollment ID: I20150619001559 |
| Provider Name | Rakhee R Makhija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336403369 PECOS PAC ID: 9830402437 Enrollment ID: I20150724010557 |
| Provider Name | Anita Kumari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518128222 PECOS PAC ID: 0345475794 Enrollment ID: I20151103002916 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20151109001197 |
| Provider Name | Waheed S Ibrahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174716583 PECOS PAC ID: 1254487010 Enrollment ID: I20151210002055 |
| Provider Name | Olga V Anikina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619110954 PECOS PAC ID: 9638321656 Enrollment ID: I20160127000546 |
| Provider Name | Simone Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386999167 PECOS PAC ID: 6507166923 Enrollment ID: I20160212001921 |
| Provider Name | Ganesh Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376807990 PECOS PAC ID: 0345544177 Enrollment ID: I20160215001554 |
| Provider Name | Syed Salman Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740621671 PECOS PAC ID: 4688966294 Enrollment ID: I20160629003039 |
| Provider Name | Priti A Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932517968 PECOS PAC ID: 1456644665 Enrollment ID: I20160726002004 |
| Provider Name | Nima Soltanzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073805198 PECOS PAC ID: 4789986324 Enrollment ID: I20160901002153 |
| Provider Name | Sahana Ramanujam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881923704 PECOS PAC ID: 7113229402 Enrollment ID: I20161021001098 |
| Provider Name | Candy Burkenbine-yamaguchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154567857 PECOS PAC ID: 2668520206 Enrollment ID: I20161025003076 |
| Provider Name | Lakshmi P Manchineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104123017 PECOS PAC ID: 4789853219 Enrollment ID: I20161213001957 |
| Provider Name | Anand Oroskar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538587340 PECOS PAC ID: 0547544041 Enrollment ID: I20170301000589 |
| Provider Name | Rajeev R Malireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467884775 PECOS PAC ID: 5597042556 Enrollment ID: I20170501001963 |
| Provider Name | James Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326452087 PECOS PAC ID: 2062704380 Enrollment ID: I20170627002635 |
| Provider Name | Daniel H Jo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508150590 PECOS PAC ID: 8729398722 Enrollment ID: I20170628002703 |
| Provider Name | Shilpi Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467864363 PECOS PAC ID: 5395014369 Enrollment ID: I20170706002701 |
| Provider Name | Jonathan Tse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346650637 PECOS PAC ID: 5395015861 Enrollment ID: I20170717003430 |
| Provider Name | Priya Jayachandran |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962768671 PECOS PAC ID: 6103196548 Enrollment ID: I20170718003079 |
| Provider Name | Marilynn Tedja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013335108 PECOS PAC ID: 7810267879 Enrollment ID: I20170724003307 |
| Provider Name | Aryan Alireza Nezamabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225449333 PECOS PAC ID: 0446521132 Enrollment ID: I20170728001729 |
| Provider Name | Nadia Juanita Orosz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316367329 PECOS PAC ID: 1456642065 Enrollment ID: I20170823001488 |
| Provider Name | Fadi Arodaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720499023 PECOS PAC ID: 5092084723 Enrollment ID: I20170828002001 |
| Provider Name | Bahareh B Binesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508284316 PECOS PAC ID: 5991094658 Enrollment ID: I20170831000195 |
| Provider Name | Martin M Binesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659799450 PECOS PAC ID: 6305135120 Enrollment ID: I20170901000670 |
| Provider Name | Charumathi Raghu Subramanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851700850 PECOS PAC ID: 7315246089 Enrollment ID: I20170927000760 |
| Provider Name | Jamshid Mirzaei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649306523 PECOS PAC ID: 6002964178 Enrollment ID: I20171013002471 |
| Provider Name | Noenoe M Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073924346 PECOS PAC ID: 4688940489 Enrollment ID: I20171023002943 |
| Provider Name | Khushleen Jaggi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262643 PECOS PAC ID: 2668622663 Enrollment ID: I20171221001904 |
| Provider Name | Arvind Bhat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861434763 PECOS PAC ID: 4183628399 Enrollment ID: I20180419000244 |
| Provider Name | Jyothi Adsumilli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245508159 PECOS PAC ID: 9739301896 Enrollment ID: I20180502001222 |
| Provider Name | Zehra Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679805402 PECOS PAC ID: 1557616349 Enrollment ID: I20180619002712 |
| Provider Name | Sarah Abuseif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281795 PECOS PAC ID: 3577818210 Enrollment ID: I20180620001593 |
| Provider Name | Mandana Shamsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770628638 PECOS PAC ID: 6507962321 Enrollment ID: I20180702002243 |
| Provider Name | Vinaykumar R Panchal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548643489 PECOS PAC ID: 4284980343 Enrollment ID: I20180702003090 |
| Provider Name | Richard Hidalgo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427053115 PECOS PAC ID: 1759359441 Enrollment ID: I20180706001669 |
| Provider Name | Priyanka Hemant Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275945230 PECOS PAC ID: 0749530434 Enrollment ID: I20180829004166 |
| Provider Name | Zohreh Saadabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013343045 PECOS PAC ID: 6305196015 Enrollment ID: I20180830000299 |
| Provider Name | Syeda Simra Khusro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912389396 PECOS PAC ID: 4587971270 Enrollment ID: I20180926001482 |
| Provider Name | Edward P Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376920231 PECOS PAC ID: 9436403615 Enrollment ID: I20181107002241 |
| Provider Name | Yu-xuan Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225415631 PECOS PAC ID: 4385998053 Enrollment ID: I20181115000973 |
| Provider Name | Boon P Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255447959 PECOS PAC ID: 1850308693 Enrollment ID: I20181117000356 |
| Provider Name | Bilegsaikhan Balkhaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982098885 PECOS PAC ID: 4183932163 Enrollment ID: I20181129000050 |
| Provider Name | Ashwin Swami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588679005 PECOS PAC ID: 4284607409 Enrollment ID: I20181214002776 |
| Provider Name | Edward Anafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841429461 PECOS PAC ID: 8729235866 Enrollment ID: I20190214001583 |
| Provider Name | Parul Sakshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346699873 PECOS PAC ID: 7214278415 Enrollment ID: I20190417001052 |
| Provider Name | Ejaz Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205099553 PECOS PAC ID: 1355526500 Enrollment ID: I20190604002558 |
| Provider Name | Bich-ha Le Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962865683 PECOS PAC ID: 3072808963 Enrollment ID: I20190625002872 |
| Provider Name | Pydi Akella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417305624 PECOS PAC ID: 0840586475 Enrollment ID: I20190919003070 |
| Provider Name | Rodrigo N Cordero-pangrazio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033571161 PECOS PAC ID: 1355673955 Enrollment ID: I20191031002078 |
| Provider Name | Keren Shahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003228651 PECOS PAC ID: 0446596969 Enrollment ID: I20191107000664 |
| Provider Name | Andrew Tachung Lu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164884318 PECOS PAC ID: 0941633127 Enrollment ID: I20191202000572 |
| Provider Name | Suarna Mehulic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023248762 PECOS PAC ID: 6608195219 Enrollment ID: I20191202000939 |
| Provider Name | Sindhu N Gundapuneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023469384 PECOS PAC ID: 8022303643 Enrollment ID: I20191203000441 |
| Provider Name | Zhanna Bates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275982860 PECOS PAC ID: 9335573666 Enrollment ID: I20191219002228 |
| Provider Name | Satyam Lakshmanbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023364593 PECOS PAC ID: 9032423454 Enrollment ID: I20191226001921 |
| Provider Name | Subrina M Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184074841 PECOS PAC ID: 2062789530 Enrollment ID: I20200103002210 |
| Provider Name | Janhavi A Athavale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197317 PECOS PAC ID: 9830524487 Enrollment ID: I20200109000208 |
| Provider Name | Freda O Boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386832848 PECOS PAC ID: 5193893659 Enrollment ID: I20200123002861 |
| Provider Name | Yixi Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457709800 PECOS PAC ID: 4284929852 Enrollment ID: I20200219001372 |
| Provider Name | Jennifer Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619338720 PECOS PAC ID: 8325478258 Enrollment ID: I20200416004000 |
| Provider Name | Monica Anne Ribeiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881941870 PECOS PAC ID: 9638486376 Enrollment ID: I20200527002622 |
| Provider Name | Homayoun C Farahani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447439682 PECOS PAC ID: 3173691946 Enrollment ID: I20200602002060 |
| Provider Name | Aneeqa A Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336590926 PECOS PAC ID: 2163767518 Enrollment ID: I20200604003239 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20200825001897 |
| Provider Name | Pawan D. Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518114594 PECOS PAC ID: 5991974503 Enrollment ID: I20200901001798 |
| Provider Name | Nishita Nigam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093244774 PECOS PAC ID: 6709203748 Enrollment ID: I20200904000989 |
| Provider Name | Bhagya Laxmi Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255862710 PECOS PAC ID: 0042596470 Enrollment ID: I20200910002244 |
| Provider Name | Mrunal R Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609301373 PECOS PAC ID: 4385906684 Enrollment ID: I20200924003344 |
| Provider Name | Vladimir V Dzhashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063643542 PECOS PAC ID: 1456508126 Enrollment ID: I20200928001075 |
| Provider Name | Afsaneh Sharsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992158125 PECOS PAC ID: 1658603360 Enrollment ID: I20200929001733 |
| Provider Name | Hamza Gohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215464037 PECOS PAC ID: 4789954702 Enrollment ID: I20201008002204 |
| Provider Name | Nour M Tlimat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972033785 PECOS PAC ID: 6800216367 Enrollment ID: I20201021003446 |
| Provider Name | Mehran Jamali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356874143 PECOS PAC ID: 3476891037 Enrollment ID: I20201030001274 |
| Provider Name | Bushra Komal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063928422 PECOS PAC ID: 9638400575 Enrollment ID: I20210106002477 |
| Provider Name | Tiffany Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932632338 PECOS PAC ID: 7810300852 Enrollment ID: I20210111002887 |
| Provider Name | Christopher Sungmin Choo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063946267 PECOS PAC ID: 9931526274 Enrollment ID: I20210201001322 |
| Provider Name | Harmanjot K Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154855229 PECOS PAC ID: 2668743071 Enrollment ID: I20210204000909 |
| Provider Name | Komal Piryani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134495542 PECOS PAC ID: 3971817008 Enrollment ID: I20210419002633 |
| Provider Name | Harmanjot K Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855229 PECOS PAC ID: 2668743071 Enrollment ID: I20210506002843 |
| Provider Name | Prachi Toni Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003254202 PECOS PAC ID: 3971820036 Enrollment ID: I20210621003501 |
| Provider Name | Yuehua Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265960108 PECOS PAC ID: 9537584842 Enrollment ID: I20210714003271 |
| Provider Name | Pranu R Neelam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245720978 PECOS PAC ID: 6901295302 Enrollment ID: I20211104002411 |
| Provider Name | Kirubel Z Gebreselassie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689037756 PECOS PAC ID: 2860737178 Enrollment ID: I20211105001255 |
| Provider Name | Onaopemipo Ajiboye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801155593 PECOS PAC ID: 9436468188 Enrollment ID: I20220215001345 |
| Provider Name | Sameeh Ahmad Fakhro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245718865 PECOS PAC ID: 1951794940 Enrollment ID: I20220216000569 |
| Provider Name | Jayasree Kizhakkepat Pisharam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700381191 PECOS PAC ID: 8123412061 Enrollment ID: I20220218001179 |
| Provider Name | Manan A Jhaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306285739 PECOS PAC ID: 0941590152 Enrollment ID: I20220404002528 |
| Provider Name | Hardeep Kour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477059491 PECOS PAC ID: 1052661808 Enrollment ID: I20220408001235 |
| Provider Name | Nimish G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184901001 PECOS PAC ID: 6901124478 Enrollment ID: I20220601002481 |
| Provider Name | Kasim Kasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780846873 PECOS PAC ID: 0941377972 Enrollment ID: I20220704000116 |
| Provider Name | Omar Faisal Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053844183 PECOS PAC ID: 8325387087 Enrollment ID: I20220726000677 |
| Provider Name | Anthony Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780093658 PECOS PAC ID: 7214319938 Enrollment ID: I20220727003903 |
| Provider Name | Carolyn Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225693344 PECOS PAC ID: 0749699189 Enrollment ID: I20220809002005 |
| Provider Name | Anthony Joseph Puthumana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164955266 PECOS PAC ID: 1850784232 Enrollment ID: I20220812000760 |
| Provider Name | Natalia Nemkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629574934 PECOS PAC ID: 3870969231 Enrollment ID: I20221026002538 |
| Provider Name | Douglas Dung Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265732622 PECOS PAC ID: 0244400679 Enrollment ID: I20221109002855 |
| Provider Name | Sadaf Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396052254 PECOS PAC ID: 7012187214 Enrollment ID: I20221215002906 |
| Provider Name | Indervir Singh Mundh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730422726 PECOS PAC ID: 2163714056 Enrollment ID: I20221219000990 |
| Provider Name | Sunil Ayyagari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841211851 PECOS PAC ID: 8325067895 Enrollment ID: I20221223000678 |
| Provider Name | Nazia Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598128415 PECOS PAC ID: 1052683653 Enrollment ID: I20230105002381 |
| Provider Name | Shawn Mathew Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013478528 PECOS PAC ID: 7517365463 Enrollment ID: I20230110001605 |
| Provider Name | Marirose Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063837680 PECOS PAC ID: 2466718663 Enrollment ID: I20230124001104 |
| Provider Name | Michelle Yen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669934683 PECOS PAC ID: 7517332349 Enrollment ID: I20230410001983 |
| Provider Name | Ogechukwu Egini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770967754 PECOS PAC ID: 7517206147 Enrollment ID: I20230413002337 |
| Provider Name | Sierra Suzon Elsken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912467978 PECOS PAC ID: 1850757212 Enrollment ID: I20230510001562 |
| Provider Name | Navaneel Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215089180 PECOS PAC ID: 1850569344 Enrollment ID: I20230809004072 |
| Provider Name | Andrew Mitchell Fiore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205327897 PECOS PAC ID: 2860749058 Enrollment ID: I20230815002295 |
| Provider Name | Assees S Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528687555 PECOS PAC ID: 0244694313 Enrollment ID: I20230908001028 |
| Provider Name | Sameh Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235615006 PECOS PAC ID: 8325381569 Enrollment ID: I20230914000883 |
| Provider Name | Trisha Parab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639739279 PECOS PAC ID: 9032443676 Enrollment ID: I20230921002664 |
| Provider Name | Jigar Rajesh Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366063562 PECOS PAC ID: 8325466329 Enrollment ID: I20230928004250 |
| Provider Name | Peter Yizhi Lai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346878501 PECOS PAC ID: 6204258189 Enrollment ID: I20231006002368 |
| Provider Name | Tinu Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194354399 PECOS PAC ID: 1052766045 Enrollment ID: I20231011001902 |
| Provider Name | Nina Karni Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508494337 PECOS PAC ID: 3072933001 Enrollment ID: I20231013002075 |
| Provider Name | Kevin Ky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790312437 PECOS PAC ID: 1052767605 Enrollment ID: I20231102001286 |
| Provider Name | Rachana Ketan Purohit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053933440 PECOS PAC ID: 1658796313 Enrollment ID: I20231107003294 |
| Provider Name | Faiz Fairooz Kabbinavar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801425301 PECOS PAC ID: 2062869852 Enrollment ID: I20231116000799 |
| Provider Name | Alekhya Gorti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285261040 PECOS PAC ID: 0244688489 Enrollment ID: I20231128002093 |
| Provider Name | Joon Seok Suh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023644929 PECOS PAC ID: 2466801725 Enrollment ID: I20231212001265 |
| Provider Name | Susie Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528685997 PECOS PAC ID: 8325407497 Enrollment ID: I20231213001450 |
| Provider Name | Moriah Schwarz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295397966 PECOS PAC ID: 6305218272 Enrollment ID: I20240111001717 |
| Provider Name | Vagelis Theodoros Douros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558989673 PECOS PAC ID: 6709231616 Enrollment ID: I20240307004365 |
Alfred Butner, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 Grant Rd, Suite 203, Mountain View, CA 94040 Phone: 650-960-1100 Fax: 650-964-0991 | |
Joyce Tatelman Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Grant Rd, Suite 104, Mountain View, CA 94040 Phone: 650-528-5110 Fax: 650-528-5115 | |
Samuel N Marcus Md Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Hospital Dr, Suite 211, Mountain View, CA 94040 Phone: 650-988-7488 Fax: 650-988-7486 | |
Premise Health Of California Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Shorebird Way, Mountain View, CA 94043 Phone: 650-386-0088 Fax: 650-651-1562 | |
George Triadafilopoulos Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2490 Hospital Dr, Ste. 211, Mountain View, CA 94040 Phone: 650-988-7488 Fax: 650-396-5566 | |
Richardson Bay Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Castro St, 120-426, Mountain View, CA 94041 Phone: 800-417-1157 Fax: 206-623-7674 | |
Google Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Amphitheatre Pkwy, Bldg 40, Mountain View, CA 94043 Phone: 650-214-6369 |