| Uc Davis Medical Group | |
|
1535 River Park Dr Ste 2000 Sacramento CA 95815-4601 | |
| (916) 734-9200 | |
| Not Available |
| Full Name | Uc Davis Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1535 River Park Dr Ste 2000, Sacramento, California |
| Authorized Official Name and Position | Allen D Hall (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9167348203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Davis Medical Group 10850 White Rock Rd Rancho Cordova CA 95670-6044 Ph: (916) 734-9255 | Uc Davis Medical Group 1535 River Park Dr Ste 2000 Sacramento CA 95815-4601 Ph: (916) 734-9200 |
| NPI Number | 1952998973 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 8022922475 |
|---|---|
| Medicare Enrollment ID | O20031118001149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952998973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Huey C Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366428021 PECOS PAC ID: 9638074941 Enrollment ID: I20031201000305 |
| Provider Name | Tamas J Vidovszky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568444214 PECOS PAC ID: 4789580424 Enrollment ID: I20031211000859 |
| Provider Name | Dipesh K Gandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265402150 PECOS PAC ID: 1658272174 Enrollment ID: I20040121000990 |
| Provider Name | Debra R Kahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992779060 PECOS PAC ID: 5799687075 Enrollment ID: I20040126000898 |
| Provider Name | Nasim Fazel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376592105 PECOS PAC ID: 5698678191 Enrollment ID: I20040130001103 |
| Provider Name | Stephanie A Yoshimura |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356435697 PECOS PAC ID: 4183518483 Enrollment ID: I20040209000881 |
| Provider Name | Kathleen M Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588643217 PECOS PAC ID: 0547159121 Enrollment ID: I20040311001439 |
| Provider Name | Victor Orlando Bonilla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144245895 PECOS PAC ID: 7618867615 Enrollment ID: I20040315001609 |
| Provider Name | Pauline R Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427034883 PECOS PAC ID: 3173413986 Enrollment ID: I20040316001407 |
| Provider Name | Jason K Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992787485 PECOS PAC ID: 5890685457 Enrollment ID: I20040317000950 |
| Provider Name | Heidi M Henchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598860959 PECOS PAC ID: 2163314816 Enrollment ID: I20040326001027 |
| Provider Name | Margaret M Penkala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922174085 PECOS PAC ID: 4981598406 Enrollment ID: I20040330001557 |
| Provider Name | Melissa B Erickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730163601 PECOS PAC ID: 6305839416 Enrollment ID: I20040405001727 |
| Provider Name | Emily R Andrada-brown |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1639153562 PECOS PAC ID: 1052309564 Enrollment ID: I20040504000578 |
| Provider Name | June Y Paltzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962598284 PECOS PAC ID: 4284623349 Enrollment ID: I20040512000622 |
| Provider Name | Thomas B Alan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235115635 PECOS PAC ID: 9739179813 Enrollment ID: I20040512001536 |
| Provider Name | Jose Alfredo Morfin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376528877 PECOS PAC ID: 5991780728 Enrollment ID: I20040623001663 |
| Provider Name | Kuldeep S Tagore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326002700 PECOS PAC ID: 0143206680 Enrollment ID: I20040625000844 |
| Provider Name | Karin Kordas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043236292 PECOS PAC ID: 0941287437 Enrollment ID: I20040701001648 |
| Provider Name | Jack J Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649383381 PECOS PAC ID: 6507844313 Enrollment ID: I20040708001432 |
| Provider Name | Peter L O'malley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821073537 PECOS PAC ID: 5496733743 Enrollment ID: I20040712001564 |
| Provider Name | Gurmeet Talwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053392761 PECOS PAC ID: 4385624592 Enrollment ID: I20040720001055 |
| Provider Name | Aman K Parikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225019698 PECOS PAC ID: 7719958180 Enrollment ID: I20040802000565 |
| Provider Name | Katren R Tyler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831170216 PECOS PAC ID: 6709858871 Enrollment ID: I20040809001484 |
| Provider Name | Javier E Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710098074 PECOS PAC ID: 2567435951 Enrollment ID: I20040813001204 |
| Provider Name | Shadi Aminololama-shakeri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073599254 PECOS PAC ID: 5597738708 Enrollment ID: I20040816001485 |
| Provider Name | Tareq Mustafa El Qousy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841273752 PECOS PAC ID: 3870566516 Enrollment ID: I20040819000546 |
| Provider Name | Lisa Anne Swensson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235268251 PECOS PAC ID: 9830163286 Enrollment ID: I20040823000668 |
| Provider Name | Anita Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962508713 PECOS PAC ID: 9032184759 Enrollment ID: I20040826001404 |
| Provider Name | Radhika N Bukkapatnam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043293079 PECOS PAC ID: 8921073982 Enrollment ID: I20040901000850 |
| Provider Name | Philina M Lamb |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386693125 PECOS PAC ID: 4486629326 Enrollment ID: I20040901001409 |
| Provider Name | Jennifer L Ozeir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164599536 PECOS PAC ID: 5597733295 Enrollment ID: I20040921000450 |
| Provider Name | Nancy L West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083638332 PECOS PAC ID: 7911975180 Enrollment ID: I20040924000439 |
| Provider Name | Joseph M Carinci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508282328 PECOS PAC ID: 6901867431 Enrollment ID: I20041019000822 |
| Provider Name | Barbara A Burrall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578512307 PECOS PAC ID: 0648231027 Enrollment ID: I20041019001317 |
| Provider Name | Lisa Y Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932184108 PECOS PAC ID: 3072576602 Enrollment ID: I20041104001212 |
| Provider Name | Kathryn M Caucci Gates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902311780 PECOS PAC ID: 6901860667 Enrollment ID: I20041112001170 |
| Provider Name | Gina Michele Lokna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629057096 PECOS PAC ID: 0446216410 Enrollment ID: I20041202000256 |
| Provider Name | Marion S Johnson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1952523086 PECOS PAC ID: 3375509003 Enrollment ID: I20041204000296 |
| Provider Name | Sarah J Oven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487618740 PECOS PAC ID: 4880664630 Enrollment ID: I20050125000455 |
| Provider Name | Patricia Jm Applegate |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801900998 PECOS PAC ID: 1658322177 Enrollment ID: I20050202000315 |
| Provider Name | Karen M Panek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275680654 PECOS PAC ID: 2567413099 Enrollment ID: I20050202000384 |
| Provider Name | John A Youngblood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285714782 PECOS PAC ID: 6901857440 Enrollment ID: I20050202000465 |
| Provider Name | Kathleen M Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528707148 PECOS PAC ID: 1759334907 Enrollment ID: I20050228000629 |
| Provider Name | Janice R Timm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225062771 PECOS PAC ID: 9133175235 Enrollment ID: I20050322000825 |
| Provider Name | David D Mach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821070202 PECOS PAC ID: 9931156874 Enrollment ID: I20050404000488 |
| Provider Name | Lilian C Duru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396720215 PECOS PAC ID: 6305884743 Enrollment ID: I20050418000642 |
| Provider Name | Lamia Kadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942366638 PECOS PAC ID: 7517905664 Enrollment ID: I20050420000387 |
| Provider Name | Nida Nora Edrada Miniano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174570931 PECOS PAC ID: 0345281820 Enrollment ID: I20050513000837 |
| Provider Name | Paula J Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760467948 PECOS PAC ID: 7719920297 Enrollment ID: I20050606000801 |
| Provider Name | Lily K Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306908108 PECOS PAC ID: 4486699774 Enrollment ID: I20050627001281 |
| Provider Name | Narges Shariati Varnosfaderani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649256140 PECOS PAC ID: 0840226049 Enrollment ID: I20050711000360 |
| Provider Name | Denise A Rettenmaier |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861468373 PECOS PAC ID: 5496781437 Enrollment ID: I20050712000367 |
| Provider Name | Jill R Saberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134219876 PECOS PAC ID: 4789612706 Enrollment ID: I20050801000687 |
| Provider Name | Ann F Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831173871 PECOS PAC ID: 9234168311 Enrollment ID: I20050809000642 |
| Provider Name | Uma N Srivatsa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598747800 PECOS PAC ID: 9739118555 Enrollment ID: I20050811000363 |
| Provider Name | Afshine Ghaemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720080815 PECOS PAC ID: 5294766838 Enrollment ID: I20050824000222 |
| Provider Name | Amar Al Juburi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821041229 PECOS PAC ID: 0446283998 Enrollment ID: I20050914001279 |
| Provider Name | Shirin M Ahmad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932182318 PECOS PAC ID: 6608842372 Enrollment ID: I20050922000642 |
| Provider Name | Ethelwoldo P Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235155318 PECOS PAC ID: 2163457821 Enrollment ID: I20050930000426 |
| Provider Name | Brooke Sea Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821073461 PECOS PAC ID: 4486671815 Enrollment ID: I20051025000993 |
| Provider Name | Pauline N Hutton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982745139 PECOS PAC ID: 6002837028 Enrollment ID: I20051216000725 |
| Provider Name | Shao-zheng Ding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205917887 PECOS PAC ID: 9335161033 Enrollment ID: I20051221001097 |
| Provider Name | Daniel T Merck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750300067 PECOS PAC ID: 4385667435 Enrollment ID: I20060104000654 |
| Provider Name | Brandee L Waite |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144208885 PECOS PAC ID: 8820057110 Enrollment ID: I20060209000210 |
| Provider Name | Tan V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093705485 PECOS PAC ID: 3678580248 Enrollment ID: I20060307000875 |
| Provider Name | Kathrin M Troppmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386629715 PECOS PAC ID: 4183633647 Enrollment ID: I20060411000384 |
| Provider Name | Michael Schivo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164407318 PECOS PAC ID: 2466465554 Enrollment ID: I20060712000249 |
| Provider Name | David K Barnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275576993 PECOS PAC ID: 9234142936 Enrollment ID: I20060725000326 |
| Provider Name | Hoa P Nguyen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528083664 PECOS PAC ID: 9234132358 Enrollment ID: I20060810000329 |
| Provider Name | Glen L Xiong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114945102 PECOS PAC ID: 6103829007 Enrollment ID: I20060815000181 |
| Provider Name | Nancy L Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518957992 PECOS PAC ID: 6507869096 Enrollment ID: I20060823000406 |
| Provider Name | Sandhya Venugopal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013921253 PECOS PAC ID: 5193720902 Enrollment ID: I20060929000527 |
| Provider Name | Joseph I Sison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487639001 PECOS PAC ID: 8820095003 Enrollment ID: I20061031000550 |
| Provider Name | John M Olichney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689699969 PECOS PAC ID: 5193722155 Enrollment ID: I20061103000512 |
| Provider Name | Daryl D Munzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497847032 PECOS PAC ID: 0244298008 Enrollment ID: I20061204000244 |
| Provider Name | Anca E Knoepfler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912961426 PECOS PAC ID: 2163421793 Enrollment ID: I20061208000552 |
| Provider Name | Munish Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184798498 PECOS PAC ID: 3072513886 Enrollment ID: I20061229000293 |
| Provider Name | Abigail W Inkster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104809474 PECOS PAC ID: 4688675663 Enrollment ID: I20070117000304 |
| Provider Name | Christian E Sandrock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013997030 PECOS PAC ID: 8628173069 Enrollment ID: I20070413000392 |
| Provider Name | Paolo V Troia-cancio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538141619 PECOS PAC ID: 5890890156 Enrollment ID: I20070413000589 |
| Provider Name | Sarah K Angel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366451692 PECOS PAC ID: 5698871606 Enrollment ID: I20070508000750 |
| Provider Name | Suma Prakash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619004926 PECOS PAC ID: 7810095510 Enrollment ID: I20070604000475 |
| Provider Name | Susan S Tseng |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356403182 PECOS PAC ID: 7719086263 Enrollment ID: I20070623000091 |
| Provider Name | Patrick D Gamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548245582 PECOS PAC ID: 4789783002 Enrollment ID: I20070626000848 |
| Provider Name | Andres F Sciolla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770667594 PECOS PAC ID: 8325148083 Enrollment ID: I20070710000668 |
| Provider Name | Veronique Tache |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720055478 PECOS PAC ID: 6507967064 Enrollment ID: I20070727000330 |
| Provider Name | Manpreet K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093888208 PECOS PAC ID: 3577664044 Enrollment ID: I20070727000366 |
| Provider Name | Emanual M Maverakis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942274592 PECOS PAC ID: 3375636053 Enrollment ID: I20070911000864 |
| Provider Name | Kimberly A Hardin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235116732 PECOS PAC ID: 8527154186 Enrollment ID: I20071012000543 |
| Provider Name | Aimee K Moulin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689865677 PECOS PAC ID: 7416047972 Enrollment ID: I20071220000349 |
| Provider Name | John C Luke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265593701 PECOS PAC ID: 2860591039 Enrollment ID: I20080116000844 |
| Provider Name | Allison H Steinmetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245242411 PECOS PAC ID: 6800978396 Enrollment ID: I20080123000233 |
| Provider Name | Jenny K Mccormick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538359690 PECOS PAC ID: 5991887069 Enrollment ID: I20080128000765 |
| Provider Name | Alison Bevan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740218064 PECOS PAC ID: 5890878722 Enrollment ID: I20080214000475 |
| Provider Name | Prasanth N Surampudi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538367438 PECOS PAC ID: 9638254659 Enrollment ID: I20080313000733 |
| Provider Name | Tonya Michelle Tocchini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275718652 PECOS PAC ID: 7315022282 Enrollment ID: I20080317000621 |
| Provider Name | Ilya L Khamishon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275517062 PECOS PAC ID: 5799861597 Enrollment ID: I20080319000305 |
| Provider Name | Tobias A Paiva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669456174 PECOS PAC ID: 4385720655 Enrollment ID: I20080326000873 |
| Provider Name | Trevor Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669518130 PECOS PAC ID: 4880771526 Enrollment ID: I20080404000820 |
| Provider Name | James F Holmes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427033091 PECOS PAC ID: 1153408554 Enrollment ID: I20080409000716 |
| Provider Name | Caroline Giroux |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639203680 PECOS PAC ID: 9931286010 Enrollment ID: I20080414000702 |
| Provider Name | Narinder S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639175581 PECOS PAC ID: 9133207269 Enrollment ID: I20080415000491 |
| Provider Name | Lisa D Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972535003 PECOS PAC ID: 5092738542 Enrollment ID: I20080421000330 |
| Provider Name | Norika O Malhado-chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184813479 PECOS PAC ID: 3779652060 Enrollment ID: I20080512000781 |
| Provider Name | Cameron S Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609851989 PECOS PAC ID: 2466521778 Enrollment ID: I20080513000162 |
| Provider Name | Lee M Stenzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124096177 PECOS PAC ID: 8628964160 Enrollment ID: I20080626000677 |
| Provider Name | Daniel J Brink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013967215 PECOS PAC ID: 4587558234 Enrollment ID: I20080630000411 |
| Provider Name | Marc Silverstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104869155 PECOS PAC ID: 0244302958 Enrollment ID: I20080711000269 |
| Provider Name | Cheryl W Vance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205811171 PECOS PAC ID: 5799858775 Enrollment ID: I20080724000217 |
| Provider Name | Carroll E Cross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639155930 PECOS PAC ID: 8123191053 Enrollment ID: I20080724000773 |
| Provider Name | Richart W Harper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659355980 PECOS PAC ID: 5294808135 Enrollment ID: I20080724000796 |
| Provider Name | Stanley M Naguwa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447231873 PECOS PAC ID: 6103990676 Enrollment ID: I20080731000519 |
| Provider Name | Herman L Hedriana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235174822 PECOS PAC ID: 1658445036 Enrollment ID: I20080801000631 |
| Provider Name | Eric A Kurzrock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821073727 PECOS PAC ID: 8729152145 Enrollment ID: I20080804000277 |
| Provider Name | Brian Adam Davis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760463830 PECOS PAC ID: 2567536642 Enrollment ID: I20080807000369 |
| Provider Name | Hung S Ho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417930785 PECOS PAC ID: 9436223542 Enrollment ID: I20080807000569 |
| Provider Name | Arthur B Dublin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669458477 PECOS PAC ID: 5597757880 Enrollment ID: I20080808000644 |
| Provider Name | Pamela T Prescott |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205808334 PECOS PAC ID: 8022182005 Enrollment ID: I20080808000676 |
| Provider Name | Mark M Moriwaki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295716090 PECOS PAC ID: 9739253717 Enrollment ID: I20080808000703 |
| Provider Name | Tennyson G Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407831381 PECOS PAC ID: 1557436094 Enrollment ID: I20080819000458 |
| Provider Name | Marc E Lenaerts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780652586 PECOS PAC ID: 2668495540 Enrollment ID: I20080924000311 |
| Provider Name | Jennifer E Draper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609926526 PECOS PAC ID: 8527136340 Enrollment ID: I20081007000542 |
| Provider Name | Mary L Foltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477654457 PECOS PAC ID: 1850469123 Enrollment ID: I20081014000485 |
| Provider Name | Benjamin R Leavy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710960307 PECOS PAC ID: 3870651003 Enrollment ID: I20081016000532 |
| Provider Name | Christine V De Belen-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770538720 PECOS PAC ID: 1951469949 Enrollment ID: I20081020000555 |
| Provider Name | Debbie A Aizenberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962486720 PECOS PAC ID: 1557429420 Enrollment ID: I20081021000634 |
| Provider Name | Deborah Altemus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821180993 PECOS PAC ID: 8628002847 Enrollment ID: I20081022000620 |
| Provider Name | Daniel Nishijima |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700084613 PECOS PAC ID: 4880753615 Enrollment ID: I20081107000214 |
| Provider Name | Bernadette A Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407831530 PECOS PAC ID: 0244399053 Enrollment ID: I20081110000027 |
| Provider Name | Luzviminda D Saidro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750364386 PECOS PAC ID: 0244291599 Enrollment ID: I20081112000017 |
| Provider Name | Murat Pakyurek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174507735 PECOS PAC ID: 3173683422 Enrollment ID: I20081117000815 |
| Provider Name | Heather Bevan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235111329 PECOS PAC ID: 2365502531 Enrollment ID: I20081118000149 |
| Provider Name | Kelly P Owen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982891982 PECOS PAC ID: 2769542802 Enrollment ID: I20081119000889 |
| Provider Name | Apeet K Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134158926 PECOS PAC ID: 6406851757 Enrollment ID: I20081122000002 |
| Provider Name | Erik G Laurin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912180050 PECOS PAC ID: 0143381723 Enrollment ID: I20081202000454 |
| Provider Name | Charles S Decarli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497728083 PECOS PAC ID: 3173684651 Enrollment ID: I20081202000507 |
| Provider Name | Esther S Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740265073 PECOS PAC ID: 8123189651 Enrollment ID: I20081203000012 |
| Provider Name | Daniel B Eisen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295784023 PECOS PAC ID: 9133280605 Enrollment ID: I20081203000440 |
| Provider Name | Jeffrey J Caspar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609850452 PECOS PAC ID: 7315008786 Enrollment ID: I20081203000541 |
| Provider Name | Guadalupe Avila-kirwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306821566 PECOS PAC ID: 5294896668 Enrollment ID: I20081203000569 |
| Provider Name | James A Bourgeois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982686374 PECOS PAC ID: 7416018890 Enrollment ID: I20081203000618 |
| Provider Name | John R Richards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033190657 PECOS PAC ID: 8426119850 Enrollment ID: I20081204000186 |
| Provider Name | Victor H Baquero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740265909 PECOS PAC ID: 7618038076 Enrollment ID: I20081204000381 |
| Provider Name | Frank E Scott |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295877207 PECOS PAC ID: 1456412816 Enrollment ID: I20081204000465 |
| Provider Name | Brigette L Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477741973 PECOS PAC ID: 8729149042 Enrollment ID: I20081205000046 |
| Provider Name | Scott T Macdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518940006 PECOS PAC ID: 4688735897 Enrollment ID: I20081205000747 |
| Provider Name | Gertrudes P Montemayor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659357234 PECOS PAC ID: 4486715505 Enrollment ID: I20081209000023 |
| Provider Name | Denyse Nishio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093790743 PECOS PAC ID: 0547321572 Enrollment ID: I20081209000228 |
| Provider Name | Gregory S Redmond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790766087 PECOS PAC ID: 5597826537 Enrollment ID: I20081209000268 |
| Provider Name | Paul C Riggle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538144290 PECOS PAC ID: 1951462902 Enrollment ID: I20081209000376 |
| Provider Name | Kurt J Slapnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922083187 PECOS PAC ID: 9739240797 Enrollment ID: I20081209000423 |
| Provider Name | Timothy N Beamesderfer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649298704 PECOS PAC ID: 2466513437 Enrollment ID: I20081209000507 |
| Provider Name | Kelly Siemens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760467435 PECOS PAC ID: 4486715463 Enrollment ID: I20081209000569 |
| Provider Name | Karen Mo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326023086 PECOS PAC ID: 6103987193 Enrollment ID: I20081209000651 |
| Provider Name | Eleanore L Wolpaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982686432 PECOS PAC ID: 3971664996 Enrollment ID: I20081210000038 |
| Provider Name | Linda J Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518949965 PECOS PAC ID: 2961563986 Enrollment ID: I20081210000053 |
| Provider Name | Raymond Dougherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699751487 PECOS PAC ID: 2264593193 Enrollment ID: I20081210000208 |
| Provider Name | Walter L Hinton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427033042 PECOS PAC ID: 5890856611 Enrollment ID: I20081211000197 |
| Provider Name | Scott M Fishman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1194704569 PECOS PAC ID: 8224199047 Enrollment ID: I20081211000232 |
| Provider Name | Jye Ping Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518940303 PECOS PAC ID: 2466513213 Enrollment ID: I20081211000450 |
| Provider Name | Annie K Baik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295913481 PECOS PAC ID: 4880755529 Enrollment ID: I20081212000437 |
| Provider Name | James W Nichol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114924966 PECOS PAC ID: 7810965589 Enrollment ID: I20081213000216 |
| Provider Name | Patricia M Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568447621 PECOS PAC ID: 3971665647 Enrollment ID: I20081215000648 |
| Provider Name | Yunli Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245215839 PECOS PAC ID: 2163584756 Enrollment ID: I20081216000122 |
| Provider Name | Jeffrey L Tanji |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376529396 PECOS PAC ID: 9739241209 Enrollment ID: I20081217000185 |
| Provider Name | Lawrence Werboff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801990841 PECOS PAC ID: 3072507250 Enrollment ID: I20081219000178 |
| Provider Name | Allen D Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760466924 PECOS PAC ID: 9931261385 Enrollment ID: I20081219000218 |
| Provider Name | John S Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093799264 PECOS PAC ID: 3274695564 Enrollment ID: I20081220000023 |
| Provider Name | Tyron P Arnott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639153513 PECOS PAC ID: 5890857098 Enrollment ID: I20081223000160 |
| Provider Name | Huy L Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720063936 PECOS PAC ID: 0345302113 Enrollment ID: I20090105000207 |
| Provider Name | Bahareh M Nejad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811901176 PECOS PAC ID: 6800894007 Enrollment ID: I20090107000394 |
| Provider Name | Paul G Kreis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255317715 PECOS PAC ID: 8628057957 Enrollment ID: I20090108000615 |
| Provider Name | Gagan Mahajan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144205063 PECOS PAC ID: 0345303814 Enrollment ID: I20090108000785 |
| Provider Name | Kaaryn Pederson Vanbuskirk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760466775 PECOS PAC ID: 5799848156 Enrollment ID: I20090112000023 |
| Provider Name | Clifford T Pereira |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730373366 PECOS PAC ID: 4385707793 Enrollment ID: I20090112000445 |
| Provider Name | Marc Dall'era |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326134859 PECOS PAC ID: 8325101561 Enrollment ID: I20090114000064 |
| Provider Name | Hai H Tong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447356878 PECOS PAC ID: 9335146067 Enrollment ID: I20090209000652 |
| Provider Name | Larisa Johnson-tong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033215488 PECOS PAC ID: 3375608235 Enrollment ID: I20090210000602 |
| Provider Name | Anastasia C Waechter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992841688 PECOS PAC ID: 8628135605 Enrollment ID: I20090318000278 |
| Provider Name | Thomas A Bullen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851374565 PECOS PAC ID: 1456418359 Enrollment ID: I20090320000074 |
| Provider Name | Niti Madan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376655068 PECOS PAC ID: 8527027481 Enrollment ID: I20090528000527 |
| Provider Name | Kent K Ishihara |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679658280 PECOS PAC ID: 7911971874 Enrollment ID: I20090602000294 |
| Provider Name | Martin H Leamon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629053145 PECOS PAC ID: 8224189055 Enrollment ID: I20090707000663 |
| Provider Name | Victor M Gellineau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184794331 PECOS PAC ID: 3072665751 Enrollment ID: I20090709000551 |
| Provider Name | Lora A Decristoforo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558344762 PECOS PAC ID: 7618021114 Enrollment ID: I20090818000729 |
| Provider Name | Kenneth M Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366608945 PECOS PAC ID: 4183778616 Enrollment ID: I20090819000190 |
| Provider Name | John G Carson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871507228 PECOS PAC ID: 7517012388 Enrollment ID: I20090831000194 |
| Provider Name | Terri Felix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942225693 PECOS PAC ID: 0941356117 Enrollment ID: I20090914000581 |
| Provider Name | Andrew L Holz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982745444 PECOS PAC ID: 8123174091 Enrollment ID: I20090917000284 |
| Provider Name | Cassandra A Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760689525 PECOS PAC ID: 6901942549 Enrollment ID: I20091012000442 |
| Provider Name | Shivani Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609033901 PECOS PAC ID: 1658418488 Enrollment ID: I20091027000360 |
| Provider Name | Sanyukta S Pawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366550253 PECOS PAC ID: 8527012319 Enrollment ID: I20091216000222 |
| Provider Name | Rosemary L Hallett |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376527804 PECOS PAC ID: 3476680844 Enrollment ID: I20100416000682 |
| Provider Name | Tara A Niendam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215180427 PECOS PAC ID: 6800923517 Enrollment ID: I20100428000341 |
| Provider Name | Kay M Nelsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457336463 PECOS PAC ID: 8123156460 Enrollment ID: I20100507000199 |
| Provider Name | John D Ragland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023033032 PECOS PAC ID: 7810055886 Enrollment ID: I20100507000564 |
| Provider Name | Samuel O Clarke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306045224 PECOS PAC ID: 5991833881 Enrollment ID: I20100513000948 |
| Provider Name | Bryn E Mumma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497945273 PECOS PAC ID: 7113073172 Enrollment ID: I20100706000794 |
| Provider Name | Kaicheng L Yen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972824555 PECOS PAC ID: 4385777085 Enrollment ID: I20100802000637 |
| Provider Name | Julia N Magana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255538450 PECOS PAC ID: 3274666912 Enrollment ID: I20100803000088 |
| Provider Name | Jo Ann Seibles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972588903 PECOS PAC ID: 1850424342 Enrollment ID: I20100804000747 |
| Provider Name | Lorin M Scher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114184363 PECOS PAC ID: 2466585971 Enrollment ID: I20100804001033 |
| Provider Name | Alia T Tuqan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831377860 PECOS PAC ID: 8729103304 Enrollment ID: I20100920000802 |
| Provider Name | Philip Yen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023284809 PECOS PAC ID: 1557487717 Enrollment ID: I20100924000417 |
| Provider Name | Elaine Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003126376 PECOS PAC ID: 2769508571 Enrollment ID: I20100929001438 |
| Provider Name | Sonia K Ghei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457498339 PECOS PAC ID: 0345432357 Enrollment ID: I20101008000935 |
| Provider Name | Naileshni S Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669630901 PECOS PAC ID: 2365635893 Enrollment ID: I20101018000125 |
| Provider Name | Hazem N Shamseddeen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346570454 PECOS PAC ID: 0648463489 Enrollment ID: I20101025000725 |
| Provider Name | Belinda S Bandstra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538378997 PECOS PAC ID: 8325232093 Enrollment ID: I20101027000730 |
| Provider Name | Jennifer Ann Conwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508044280 PECOS PAC ID: 2567656598 Enrollment ID: I20101103000579 |
| Provider Name | David J Copenhaver |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1154575462 PECOS PAC ID: 7113112186 Enrollment ID: I20101116000812 |
| Provider Name | Samir J Sheth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720245830 PECOS PAC ID: 3678769528 Enrollment ID: I20101118000354 |
| Provider Name | Rochelle I Frank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669550323 PECOS PAC ID: 3476742495 Enrollment ID: I20110106000537 |
| Provider Name | Kimberly D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376517656 PECOS PAC ID: 5698964567 Enrollment ID: I20110107000025 |
| Provider Name | Hendry Ton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649253477 PECOS PAC ID: 5193914539 Enrollment ID: I20110114000981 |
| Provider Name | Misty D Humphries |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528040870 PECOS PAC ID: 5799965745 Enrollment ID: I20110208000354 |
| Provider Name | Shubha Ananthakrishnan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275633869 PECOS PAC ID: 2466453022 Enrollment ID: I20110217000114 |
| Provider Name | Willy Yung-wei Chi |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1740212125 PECOS PAC ID: 4880738236 Enrollment ID: I20110324000212 |
| Provider Name | Richard A Marder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477543742 PECOS PAC ID: 0446433668 Enrollment ID: I20110325000554 |
| Provider Name | Sarah E Tomaszewski Farias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922053271 PECOS PAC ID: 0143405985 Enrollment ID: I20110421000296 |
| Provider Name | Cecilia R Terrado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740232875 PECOS PAC ID: 0941486823 Enrollment ID: I20110510000390 |
| Provider Name | Christopher L Bowlus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942252085 PECOS PAC ID: 8729264601 Enrollment ID: I20110510000434 |
| Provider Name | Dana M Sheely |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902036957 PECOS PAC ID: 4789860628 Enrollment ID: I20110511000148 |
| Provider Name | Juan C Garcia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407809288 PECOS PAC ID: 2062699291 Enrollment ID: I20110615000477 |
| Provider Name | Gayatari Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811163645 PECOS PAC ID: 1254519358 Enrollment ID: I20110620000336 |
| Provider Name | Mitchell Creinin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801868484 PECOS PAC ID: 0446387484 Enrollment ID: I20110620000516 |
| Provider Name | Mary L Bing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215186374 PECOS PAC ID: 4284812306 Enrollment ID: I20110620000567 |
| Provider Name | Jonathan B Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063675601 PECOS PAC ID: 9032397922 Enrollment ID: I20110623000549 |
| Provider Name | Andrew Cheng-wei Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487857116 PECOS PAC ID: 7810165172 Enrollment ID: I20110713000200 |
| Provider Name | Ripul Rajen Panchal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245400167 PECOS PAC ID: 9931377447 Enrollment ID: I20110727000208 |
| Provider Name | Rokhsara Rafii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760669022 PECOS PAC ID: 3678743077 Enrollment ID: I20110822000487 |
| Provider Name | Lois E Waetjen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356324974 PECOS PAC ID: 4284804600 Enrollment ID: I20110823000188 |
| Provider Name | Nancy Ekeke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093988800 PECOS PAC ID: 8224203302 Enrollment ID: I20111219000949 |
| Provider Name | Eric W Chak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225271331 PECOS PAC ID: 8820264518 Enrollment ID: I20111230000057 |
| Provider Name | Christopher D Kreulen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568660165 PECOS PAC ID: 9234305418 Enrollment ID: I20120110000754 |
| Provider Name | Jason Y Adams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134367568 PECOS PAC ID: 1254594930 Enrollment ID: I20120516000176 |
| Provider Name | Cyrus Paul Bateni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235305947 PECOS PAC ID: 3678741295 Enrollment ID: I20120523000203 |
| Provider Name | Albert T Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407840705 PECOS PAC ID: 9638116106 Enrollment ID: I20120604000150 |
| Provider Name | Christian M Sebat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821203852 PECOS PAC ID: 9830260942 Enrollment ID: I20120605000792 |
| Provider Name | Michael J Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093919474 PECOS PAC ID: 4183888373 Enrollment ID: I20120620000340 |
| Provider Name | Michael D Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053632349 PECOS PAC ID: 8325201437 Enrollment ID: I20120627000764 |
| Provider Name | Amr A Badawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740445857 PECOS PAC ID: 6800076001 Enrollment ID: I20120703000288 |
| Provider Name | Hiba Am Hamdan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487856142 PECOS PAC ID: 9830354166 Enrollment ID: I20120711000384 |
| Provider Name | Paul S Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336382472 PECOS PAC ID: 4183889421 Enrollment ID: I20120711000420 |
| Provider Name | Maria P Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427216720 PECOS PAC ID: 6406012996 Enrollment ID: I20120727000529 |
| Provider Name | Russell F Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225155484 PECOS PAC ID: 9032250220 Enrollment ID: I20120816000444 |
| Provider Name | Puja L Chadha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326248501 PECOS PAC ID: 1052568334 Enrollment ID: I20120821000563 |
| Provider Name | David Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861655474 PECOS PAC ID: 5799932901 Enrollment ID: I20120823000169 |
| Provider Name | Kendra L Grether-jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083731228 PECOS PAC ID: 4183871270 Enrollment ID: I20120824000140 |
| Provider Name | Chrishanthie J Karalakulasingam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386796050 PECOS PAC ID: 7214005586 Enrollment ID: I20120910000421 |
| Provider Name | Ala Moshiri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063619674 PECOS PAC ID: 1153518147 Enrollment ID: I20120914000679 |
| Provider Name | Frank F Ing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528153756 PECOS PAC ID: 5496756827 Enrollment ID: I20121003000301 |
| Provider Name | Prathima Prodduturi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356505473 PECOS PAC ID: 4880844406 Enrollment ID: I20121017000217 |
| Provider Name | Soe S Maw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215984364 PECOS PAC ID: 1355591843 Enrollment ID: I20121018000064 |
| Provider Name | Sonal V Phatak |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932291119 PECOS PAC ID: 6608026695 Enrollment ID: I20121029000632 |
| Provider Name | Helen Chow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326324575 PECOS PAC ID: 1254581259 Enrollment ID: I20121029000727 |
| Provider Name | Robert Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396905725 PECOS PAC ID: 7618127465 Enrollment ID: I20121101000350 |
| Provider Name | Cydney M Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639199730 PECOS PAC ID: 2567453731 Enrollment ID: I20121115000331 |
| Provider Name | Catherine D Cansino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720039936 PECOS PAC ID: 2567474943 Enrollment ID: I20130107000071 |
| Provider Name | Mushfeka Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699931584 PECOS PAC ID: 4587834585 Enrollment ID: I20130108000186 |
| Provider Name | Elilta M Hagos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679706386 PECOS PAC ID: 8224281753 Enrollment ID: I20130114000230 |
| Provider Name | Don Huu Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356311427 PECOS PAC ID: 3072595156 Enrollment ID: I20130517000039 |
| Provider Name | Kristen E Pellegrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639337074 PECOS PAC ID: 4183811268 Enrollment ID: I20130530000429 |
| Provider Name | Michael Trifiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396979688 PECOS PAC ID: 1658510284 Enrollment ID: I20130612000008 |
| Provider Name | Sarah L Louie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982929535 PECOS PAC ID: 1052550522 Enrollment ID: I20130612000540 |
| Provider Name | Ian M Julie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548498397 PECOS PAC ID: 6305085861 Enrollment ID: I20130614000018 |
| Provider Name | Alison S Breen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942434238 PECOS PAC ID: 9739320151 Enrollment ID: I20130729000246 |
| Provider Name | Guinea Singh Fan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356504716 PECOS PAC ID: 3375784457 Enrollment ID: I20130801000465 |
| Provider Name | Jay Yeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467614685 PECOS PAC ID: 2163670902 Enrollment ID: I20130801000865 |
| Provider Name | Navjot K Deol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174887897 PECOS PAC ID: 3173764115 Enrollment ID: I20130802000304 |
| Provider Name | Katherine T Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760702633 PECOS PAC ID: 3072755081 Enrollment ID: I20130803000134 |
| Provider Name | Bin Guan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750642013 PECOS PAC ID: 8628210515 Enrollment ID: I20130805000896 |
| Provider Name | Noe Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669792537 PECOS PAC ID: 7618119546 Enrollment ID: I20130806000437 |
| Provider Name | Alla O Blinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629383344 PECOS PAC ID: 6608018486 Enrollment ID: I20130807000141 |
| Provider Name | Kao Y Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871823237 PECOS PAC ID: 2264563899 Enrollment ID: I20130807000793 |
| Provider Name | Jonathan Tin Lum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073722971 PECOS PAC ID: 8426290008 Enrollment ID: I20130810000054 |
| Provider Name | Sean P Sumner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952523847 PECOS PAC ID: 2264674340 Enrollment ID: I20130820000872 |
| Provider Name | Molly B Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417277385 PECOS PAC ID: 1052558939 Enrollment ID: I20130820001068 |
| Provider Name | Jennifer G Rothschild |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225142490 PECOS PAC ID: 7618040973 Enrollment ID: I20130821000508 |
| Provider Name | Laura J Sifuentes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306279344 PECOS PAC ID: 8123261633 Enrollment ID: I20130903000383 |
| Provider Name | Jacob J Dima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205152295 PECOS PAC ID: 3173766557 Enrollment ID: I20130904000564 |
| Provider Name | Gina C Rossetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679856827 PECOS PAC ID: 1254574536 Enrollment ID: I20130905000903 |
| Provider Name | Julie L Ingwerson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073772844 PECOS PAC ID: 0648405696 Enrollment ID: I20131028001628 |
| Provider Name | Venkat Tirumala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659491298 PECOS PAC ID: 3274630835 Enrollment ID: I20131121001310 |
| Provider Name | Marcia Y Nearing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063496024 PECOS PAC ID: 4880745520 Enrollment ID: I20131219001723 |
| Provider Name | James F Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588984918 PECOS PAC ID: 6709014251 Enrollment ID: I20140109000064 |
| Provider Name | Kingsley J Manoharan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750718789 PECOS PAC ID: 8628206042 Enrollment ID: I20140110000671 |
| Provider Name | Michelle J Jaromay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447681432 PECOS PAC ID: 0840428181 Enrollment ID: I20140114000914 |
| Provider Name | Christine S Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235367236 PECOS PAC ID: 7517117294 Enrollment ID: I20140123000917 |
| Provider Name | Peter D Rinaldi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083997449 PECOS PAC ID: 6406088079 Enrollment ID: I20140414000841 |
| Provider Name | Julie Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376819433 PECOS PAC ID: 8628213592 Enrollment ID: I20140522000617 |
| Provider Name | Jesse L Stondell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437325271 PECOS PAC ID: 5496978314 Enrollment ID: I20140522000631 |
| Provider Name | Eric A Gross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699719153 PECOS PAC ID: 5799773131 Enrollment ID: I20140610000043 |
| Provider Name | Sarah E Medeiros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831415884 PECOS PAC ID: 2062636954 Enrollment ID: I20140616001836 |
| Provider Name | Albert Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679893226 PECOS PAC ID: 4082839402 Enrollment ID: I20140627000206 |
| Provider Name | Florence V Chau-etchepare |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558650721 PECOS PAC ID: 8325263155 Enrollment ID: I20140710000784 |
| Provider Name | Jocylen E Glassberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902067325 PECOS PAC ID: 7810041365 Enrollment ID: I20140718001733 |
| Provider Name | Asha G Cogdill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437325289 PECOS PAC ID: 8224254776 Enrollment ID: I20140718001825 |
| Provider Name | Dale W Woolley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639440357 PECOS PAC ID: 1052537719 Enrollment ID: I20140801001409 |
| Provider Name | Michael A Schick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326369802 PECOS PAC ID: 0749407260 Enrollment ID: I20140807000005 |
| Provider Name | Glenn C Yiu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730348921 PECOS PAC ID: 8527216886 Enrollment ID: I20140807001865 |
| Provider Name | Paula M Wadell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629204599 PECOS PAC ID: 9830316058 Enrollment ID: I20140812002499 |
| Provider Name | Maija H Kiuru |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417117417 PECOS PAC ID: 8628295615 Enrollment ID: I20140815000221 |
| Provider Name | Daniel K Colby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467740548 PECOS PAC ID: 4082831904 Enrollment ID: I20140815001524 |
| Provider Name | Ron B Ordona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050171 PECOS PAC ID: 0042438707 Enrollment ID: I20140821002881 |
| Provider Name | Smita Awasthi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912107970 PECOS PAC ID: 5092933515 Enrollment ID: I20140826000367 |
| Provider Name | Sima Sitaula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962770230 PECOS PAC ID: 5991972507 Enrollment ID: I20140828000024 |
| Provider Name | Yan Zhao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588976534 PECOS PAC ID: 9032362850 Enrollment ID: I20140829001838 |
| Provider Name | Heidi G Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831506682 PECOS PAC ID: 6800014952 Enrollment ID: I20140902001769 |
| Provider Name | Manh D Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275854507 PECOS PAC ID: 2567698798 Enrollment ID: I20140906000027 |
| Provider Name | Elizabeth M Magnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194951400 PECOS PAC ID: 5193903623 Enrollment ID: I20141110002289 |
| Provider Name | Sharon E Mc Intyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104892645 PECOS PAC ID: 3173623303 Enrollment ID: I20141114000494 |
| Provider Name | Lily A Chaput |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790182020 PECOS PAC ID: 3173847837 Enrollment ID: I20150129000173 |
| Provider Name | Kurtis K Hallam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285023341 PECOS PAC ID: 5698092328 Enrollment ID: I20150318000356 |
| Provider Name | Steven J Sylvester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902210156 PECOS PAC ID: 8426375890 Enrollment ID: I20150323002708 |
| Provider Name | Josephine J Coffey Sandoval |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316259609 PECOS PAC ID: 9638305923 Enrollment ID: I20150512000278 |
| Provider Name | Souvik Sarkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194985168 PECOS PAC ID: 3072702604 Enrollment ID: I20150518002141 |
| Provider Name | Andrew N Pelech |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1811949597 PECOS PAC ID: 1355248592 Enrollment ID: I20150602002747 |
| Provider Name | Daniel A Okamoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073803979 PECOS PAC ID: 4688890973 Enrollment ID: I20150701002541 |
| Provider Name | Nasim Wiegley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992090815 PECOS PAC ID: 5991923328 Enrollment ID: I20150706002449 |
| Provider Name | Anne B Mcbride |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558597393 PECOS PAC ID: 1759694979 Enrollment ID: I20150716003363 |
| Provider Name | Larissa S May |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083624282 PECOS PAC ID: 0345342861 Enrollment ID: I20150720002365 |
| Provider Name | Gagandeep K Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558522466 PECOS PAC ID: 8123260452 Enrollment ID: I20150723009740 |
| Provider Name | Thomas William Loehfelm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386960714 PECOS PAC ID: 6709190937 Enrollment ID: I20150803000116 |
| Provider Name | Jonathan G Dayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205068392 PECOS PAC ID: 2961716618 Enrollment ID: I20150808015866 |
| Provider Name | Lakshmi Nagaraju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316179336 PECOS PAC ID: 0446565188 Enrollment ID: I20150810003215 |
| Provider Name | Lien B Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992071658 PECOS PAC ID: 2365758000 Enrollment ID: I20150826001531 |
| Provider Name | Scott G Pritzlaff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912061805 PECOS PAC ID: 2365600947 Enrollment ID: I20150826002709 |
| Provider Name | Jenise K Phelps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750677662 PECOS PAC ID: 9133435779 Enrollment ID: I20150827002462 |
| Provider Name | Marcia Faustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013354190 PECOS PAC ID: 9133435258 Enrollment ID: I20150903000480 |
| Provider Name | Oma N Agbai |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114246154 PECOS PAC ID: 0648586586 Enrollment ID: I20150908002616 |
| Provider Name | Christopher Lillis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699773127 PECOS PAC ID: 0749267870 Enrollment ID: I20150912000297 |
| Provider Name | Nicolas T Sawyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033470760 PECOS PAC ID: 4284941535 Enrollment ID: I20150918000015 |
| Provider Name | Heidi A Mcnulty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770672859 PECOS PAC ID: 8123098423 Enrollment ID: I20150926000301 |
| Provider Name | Charles J De Mesa |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1396064408 PECOS PAC ID: 5799093506 Enrollment ID: I20150928002850 |
| Provider Name | Jayne S Joo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942468962 PECOS PAC ID: 3072821263 Enrollment ID: I20151008001233 |
| Provider Name | Kelly A Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659637403 PECOS PAC ID: 7012225147 Enrollment ID: I20151008002590 |
| Provider Name | Madeleine P Irby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689042558 PECOS PAC ID: 0042528135 Enrollment ID: I20151009002171 |
| Provider Name | Arthur J Delorimier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649238254 PECOS PAC ID: 5698084556 Enrollment ID: I20151016000889 |
| Provider Name | Balvinder K Rehal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477847531 PECOS PAC ID: 3577872316 Enrollment ID: I20151019001790 |
| Provider Name | Ashok J Dayananthan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902182512 PECOS PAC ID: 7719296086 Enrollment ID: I20151028000307 |
| Provider Name | Jennifer C Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265708556 PECOS PAC ID: 1355651506 Enrollment ID: I20151030001476 |
| Provider Name | Manfred Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720217235 PECOS PAC ID: 2163600263 Enrollment ID: I20151030002164 |
| Provider Name | Mackay O'keefe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851761969 PECOS PAC ID: 8123338548 Enrollment ID: I20151113001369 |
| Provider Name | Laura M Tully |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912332107 PECOS PAC ID: 2668772278 Enrollment ID: I20151204000317 |
| Provider Name | Kara A Toles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154624187 PECOS PAC ID: 1658672399 Enrollment ID: I20151222001241 |
| Provider Name | Jean M Muller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952305823 PECOS PAC ID: 9234218561 Enrollment ID: I20160106002930 |
| Provider Name | Cynthia Chambers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518278357 PECOS PAC ID: 6406159367 Enrollment ID: I20160127000549 |
| Provider Name | Vicki R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881613396 PECOS PAC ID: 2365458718 Enrollment ID: I20160321002259 |
| Provider Name | Sam T Hwang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760500813 PECOS PAC ID: 5890852453 Enrollment ID: I20160413002423 |
| Provider Name | Arzu Ozturk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962641522 PECOS PAC ID: 0941423255 Enrollment ID: I20160504001081 |
| Provider Name | Kelly B Haas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851616056 PECOS PAC ID: 3476842147 Enrollment ID: I20160519000567 |
| Provider Name | Jennifer Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669602850 PECOS PAC ID: 0244455442 Enrollment ID: I20160520001334 |
| Provider Name | Michael A Gibson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1881920882 PECOS PAC ID: 7315238870 Enrollment ID: I20160614001483 |
| Provider Name | Katerina N Christiansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699018499 PECOS PAC ID: 3577860428 Enrollment ID: I20160621001810 |
| Provider Name | Samuel J Tate |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396018537 PECOS PAC ID: 2668763632 Enrollment ID: I20160622001033 |
| Provider Name | Nesser Q Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588894331 PECOS PAC ID: 9830354323 Enrollment ID: I20160629001812 |
| Provider Name | Jennifer L Kristjansson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881035897 PECOS PAC ID: 6103118740 Enrollment ID: I20160630000614 |
| Provider Name | Martin Dufour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578792800 PECOS PAC ID: 3274662887 Enrollment ID: I20160701001062 |
| Provider Name | Lane D Squires |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669754701 PECOS PAC ID: 5092007344 Enrollment ID: I20160707001793 |
| Provider Name | Susan P Gorman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841240504 PECOS PAC ID: 9537122064 Enrollment ID: I20160708000727 |
| Provider Name | Sabrina J Silva-mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134414600 PECOS PAC ID: 0840599759 Enrollment ID: I20160715001343 |
| Provider Name | William S Cragun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063709939 PECOS PAC ID: 3173775939 Enrollment ID: I20160721001156 |
| Provider Name | Sherzana Sunderji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730491887 PECOS PAC ID: 9032402219 Enrollment ID: I20160726001310 |
| Provider Name | Rose C Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922324789 PECOS PAC ID: 9830324813 Enrollment ID: I20160728002769 |
| Provider Name | Amy M Yip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346503505 PECOS PAC ID: 3375856321 Enrollment ID: I20160729001158 |
| Provider Name | Parisa Emami Naeini |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689921363 PECOS PAC ID: 5890089361 Enrollment ID: I20160805000611 |
| Provider Name | Christopher R Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245670009 PECOS PAC ID: 2466670179 Enrollment ID: I20160811000890 |
| Provider Name | Lindsey H Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932424835 PECOS PAC ID: 2264735299 Enrollment ID: I20160811001214 |
| Provider Name | Melissa C Lao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750720223 PECOS PAC ID: 5698078889 Enrollment ID: I20160816000478 |
| Provider Name | Lisa M Williams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982995676 PECOS PAC ID: 3476848730 Enrollment ID: I20160825000734 |
| Provider Name | Barbara A Hull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699134676 PECOS PAC ID: 8022304963 Enrollment ID: I20160901001338 |
| Provider Name | Rory Patrick Stuart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053595231 PECOS PAC ID: 4688802861 Enrollment ID: I20160902001658 |
| Provider Name | Avita Pahwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255636825 PECOS PAC ID: 0749576452 Enrollment ID: I20160907000308 |
| Provider Name | Ali R Akram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194168450 PECOS PAC ID: 4082901038 Enrollment ID: I20160920000884 |
| Provider Name | Karen K Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699100560 PECOS PAC ID: 1153618970 Enrollment ID: I20160922000993 |
| Provider Name | Katherine G Denny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730633587 PECOS PAC ID: 6305133059 Enrollment ID: I20160922002206 |
| Provider Name | Kaumakaokalani M Shimatsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194014357 PECOS PAC ID: 7810117231 Enrollment ID: I20161111001108 |
| Provider Name | Jorge R Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043581085 PECOS PAC ID: 7618256694 Enrollment ID: I20161115000946 |
| Provider Name | Jensine Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770864779 PECOS PAC ID: 0345545901 Enrollment ID: I20161128001697 |
| Provider Name | Alejandro Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265879076 PECOS PAC ID: 8527349182 Enrollment ID: I20161220001184 |
| Provider Name | Sushma Pant |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083668248 PECOS PAC ID: 7810965696 Enrollment ID: I20161223000242 |
| Provider Name | Ishtleen K Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851649396 PECOS PAC ID: 2264746627 Enrollment ID: I20170113002276 |
| Provider Name | Anmol Chohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386917177 PECOS PAC ID: 6608094891 Enrollment ID: I20170213001443 |
| Provider Name | Ruth S Shim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417981838 PECOS PAC ID: 9032290861 Enrollment ID: I20170221002162 |
| Provider Name | Cynthia N Carbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376609008 PECOS PAC ID: 8527159110 Enrollment ID: I20170327002433 |
| Provider Name | Emmanuel A Zamora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366628836 PECOS PAC ID: 6709162035 Enrollment ID: I20170420001737 |
| Provider Name | Shanna L Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891184941 PECOS PAC ID: 0648556803 Enrollment ID: I20170425000115 |
| Provider Name | Dan-vinh P Nguyen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932425261 PECOS PAC ID: 4789826389 Enrollment ID: I20170502000421 |
| Provider Name | Amber L Ramage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508172172 PECOS PAC ID: 8426243122 Enrollment ID: I20170505000407 |
| Provider Name | Joshua W Elder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053678086 PECOS PAC ID: 9537488853 Enrollment ID: I20170525000994 |
| Provider Name | Jeremiah W Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164747853 PECOS PAC ID: 8921255159 Enrollment ID: I20170606000022 |
| Provider Name | Christine Mcbeth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558772798 PECOS PAC ID: 8224305644 Enrollment ID: I20170606001149 |
| Provider Name | Verena Schandera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679987978 PECOS PAC ID: 5294003513 Enrollment ID: I20170609000813 |
| Provider Name | Kimberly A Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528486479 PECOS PAC ID: 3577854553 Enrollment ID: I20170615002534 |
| Provider Name | Noah E Canvasser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578882072 PECOS PAC ID: 0840510541 Enrollment ID: I20170703000109 |
| Provider Name | Eric J Mao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043503295 PECOS PAC ID: 8527286079 Enrollment ID: I20170720002555 |
| Provider Name | Danielle M Tartar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063850840 PECOS PAC ID: 6800167461 Enrollment ID: I20170801001972 |
| Provider Name | Zachary Christopher Lum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962778597 PECOS PAC ID: 4688945132 Enrollment ID: I20170802002148 |
| Provider Name | Linxi Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164973392 PECOS PAC ID: 3779855127 Enrollment ID: I20170818001669 |
| Provider Name | Nicole G Gomez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548716020 PECOS PAC ID: 1052683257 Enrollment ID: I20170823001912 |
| Provider Name | Huma Y Attari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760740286 PECOS PAC ID: 6103198122 Enrollment ID: I20170824003468 |
| Provider Name | Wissam J Halabi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255505053 PECOS PAC ID: 5799058004 Enrollment ID: I20170908000991 |
| Provider Name | Amelia S Mclennan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447571799 PECOS PAC ID: 3779733282 Enrollment ID: I20170908001853 |
| Provider Name | Angela I Drake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336112663 PECOS PAC ID: 0648544718 Enrollment ID: I20170928001198 |
| Provider Name | Harpreya Kaur Chumbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979312 PECOS PAC ID: 9436424801 Enrollment ID: I20171011001240 |
| Provider Name | Carolyn Reyes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801912928 PECOS PAC ID: 4284802471 Enrollment ID: I20171018003084 |
| Provider Name | Stacy Frawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942511506 PECOS PAC ID: 8224220975 Enrollment ID: I20171106003067 |
| Provider Name | Lindsay E Cassey |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1457762619 PECOS PAC ID: 6204192297 Enrollment ID: I20171107003413 |
| Provider Name | Keerthi Atluri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891960563 PECOS PAC ID: 8921255142 Enrollment ID: I20171121002340 |
| Provider Name | Elizabeth S Loyola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174999171 PECOS PAC ID: 8729345442 Enrollment ID: I20171205000175 |
| Provider Name | Lauren Renee Guajardo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245682178 PECOS PAC ID: 8921366246 Enrollment ID: I20171214001555 |
| Provider Name | Eduard Drannikov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407241524 PECOS PAC ID: 7214295336 Enrollment ID: I20171219002531 |
| Provider Name | Alain Brassard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942711486 PECOS PAC ID: 8426317892 Enrollment ID: I20180109003211 |
| Provider Name | Aaron C Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164939161 PECOS PAC ID: 0547520983 Enrollment ID: I20180205001123 |
| Provider Name | Manoj K Dhariwal |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457544629 PECOS PAC ID: 3375782444 Enrollment ID: I20180206001706 |
| Provider Name | Aili Guo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598822645 PECOS PAC ID: 3870625254 Enrollment ID: I20180417002547 |
| Provider Name | Harbrinder Sandhu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902080625 PECOS PAC ID: 3072683507 Enrollment ID: I20180420000563 |
| Provider Name | Rosalie B Beverly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457388944 PECOS PAC ID: 3375556798 Enrollment ID: I20180529002876 |
| Provider Name | Majid Ghorbanpour Saravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497036255 PECOS PAC ID: 5496072829 Enrollment ID: I20180611001961 |
| Provider Name | Joseph G Marsano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235432527 PECOS PAC ID: 6002110004 Enrollment ID: I20180613001289 |
| Provider Name | Angela F Jarman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306188412 PECOS PAC ID: 0749401131 Enrollment ID: I20180620000058 |
| Provider Name | Zenaida A Magtibay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841660206 PECOS PAC ID: 5294036489 Enrollment ID: I20180620002517 |
| Provider Name | Khine Z Win |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447525530 PECOS PAC ID: 8224268529 Enrollment ID: I20180622000503 |
| Provider Name | Ge Xiong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619261450 PECOS PAC ID: 5698916955 Enrollment ID: I20180627002212 |
| Provider Name | Jennifer T Karlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285029256 PECOS PAC ID: 9638450026 Enrollment ID: I20180629002094 |
| Provider Name | Jeffrey Z Ko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104203405 PECOS PAC ID: 7517213481 Enrollment ID: I20180706001575 |
| Provider Name | Daniel Neudorf |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073924650 PECOS PAC ID: 8820344708 Enrollment ID: I20180706001798 |
| Provider Name | Angela Cortez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790123370 PECOS PAC ID: 0042566937 Enrollment ID: I20180706002636 |
| Provider Name | Suraj Timilsina |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477867869 PECOS PAC ID: 9335382050 Enrollment ID: I20180709000597 |
| Provider Name | Janet Eunah Sim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639660467 PECOS PAC ID: 2860749363 Enrollment ID: I20180714000066 |
| Provider Name | Benjamin R Stripe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609165851 PECOS PAC ID: 6608171475 Enrollment ID: I20180720003055 |
| Provider Name | Kylie Marie Mclaughlin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013421841 PECOS PAC ID: 7012264880 Enrollment ID: I20180725000902 |
| Provider Name | Victor Huang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083877393 PECOS PAC ID: 1951553684 Enrollment ID: I20180726001090 |
| Provider Name | Julie A Weckstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518180801 PECOS PAC ID: 3971850553 Enrollment ID: I20180727002583 |
| Provider Name | Peggy A Wu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932308681 PECOS PAC ID: 5597950832 Enrollment ID: I20180807002384 |
| Provider Name | Regina R Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306974126 PECOS PAC ID: 2163771080 Enrollment ID: I20180824002326 |
| Provider Name | Kimberly Tersilla Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023509734 PECOS PAC ID: 3274882089 Enrollment ID: I20180827002841 |
| Provider Name | My Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639550122 PECOS PAC ID: 5890060768 Enrollment ID: I20180829003338 |
| Provider Name | Daniel I Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699142851 PECOS PAC ID: 8921358359 Enrollment ID: I20180906000862 |
| Provider Name | Sara A Baumann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629497110 PECOS PAC ID: 6305138736 Enrollment ID: I20180906002621 |
| Provider Name | Khalima A Bolden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609136597 PECOS PAC ID: 5698026508 Enrollment ID: I20180914002221 |
| Provider Name | Reena M Nanjireddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164657094 PECOS PAC ID: 0345563912 Enrollment ID: I20180920002796 |
| Provider Name | Kiah R Semion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942485073 PECOS PAC ID: 1850643073 Enrollment ID: I20181016001788 |
| Provider Name | Michelle L Chan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114405784 PECOS PAC ID: 2668726738 Enrollment ID: I20181109000095 |
| Provider Name | Nida Ali |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881075646 PECOS PAC ID: 5496058448 Enrollment ID: I20181119003406 |
| Provider Name | Ammara Tariq Gill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447482096 PECOS PAC ID: 1557511862 Enrollment ID: I20181127001899 |
| Provider Name | Danielle E D Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740624196 PECOS PAC ID: 3870890874 Enrollment ID: I20181204002287 |
| Provider Name | Parvaneh Gerami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306352349 PECOS PAC ID: 1759625676 Enrollment ID: I20181204002360 |
| Provider Name | Anita Abraham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558380337 PECOS PAC ID: 0345256087 Enrollment ID: I20181205001889 |
| Provider Name | Amy Blia Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366806473 PECOS PAC ID: 5395089106 Enrollment ID: I20181205002413 |
| Provider Name | Coleman A Humbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487146213 PECOS PAC ID: 1850635566 Enrollment ID: I20181206003419 |
| Provider Name | Susana Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295112480 PECOS PAC ID: 8628312238 Enrollment ID: I20181210001427 |
| Provider Name | Katherine Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376886606 PECOS PAC ID: 6103160619 Enrollment ID: I20181210001749 |
| Provider Name | Harrison Hasanuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790165785 PECOS PAC ID: 8729376405 Enrollment ID: I20190102002289 |
| Provider Name | David K Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669955837 PECOS PAC ID: 3072859800 Enrollment ID: I20190115001882 |
| Provider Name | Victoria L Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518435437 PECOS PAC ID: 6901143494 Enrollment ID: I20190122001765 |
| Provider Name | Daniel E Rieders |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114927449 PECOS PAC ID: 0042243214 Enrollment ID: I20190122002497 |
| Provider Name | Eleasa T Unold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205078276 PECOS PAC ID: 7012202385 Enrollment ID: I20190201001332 |
| Provider Name | Christopher Sonnier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598732513 PECOS PAC ID: 6608877634 Enrollment ID: I20190204001357 |
| Provider Name | Alicia M Terwilliger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043728116 PECOS PAC ID: 5991043630 Enrollment ID: I20190205002019 |
| Provider Name | Michelle C Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881679520 PECOS PAC ID: 5698013191 Enrollment ID: I20190207002040 |
| Provider Name | Susan Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386088599 PECOS PAC ID: 9638474125 Enrollment ID: I20190215002822 |
| Provider Name | Lauren Kristina Mahakian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306218862 PECOS PAC ID: 8921347493 Enrollment ID: I20190227001769 |
| Provider Name | Gagandeep K Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528541836 PECOS PAC ID: 3678813268 Enrollment ID: I20190318002565 |
| Provider Name | Zachary D Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265819445 PECOS PAC ID: 4486996154 Enrollment ID: I20190429001866 |
| Provider Name | Kelly A Devine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740790427 PECOS PAC ID: 0345573408 Enrollment ID: I20190605001980 |
| Provider Name | Matthew Grantham Settle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172930 PECOS PAC ID: 3173856002 Enrollment ID: I20190610000734 |
| Provider Name | Neasha D Mcmeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306085436 PECOS PAC ID: 9436295821 Enrollment ID: I20190613000875 |
| Provider Name | Johanna Rengifo Nevarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033628144 PECOS PAC ID: 0042544371 Enrollment ID: I20190620001486 |
| Provider Name | Doris Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013301969 PECOS PAC ID: 8426382763 Enrollment ID: I20190620001887 |
| Provider Name | Maneesh Dave |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790926632 PECOS PAC ID: 7810182805 Enrollment ID: I20190621002016 |
| Provider Name | Liliana P Garcia-vargas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972709079 PECOS PAC ID: 1355588906 Enrollment ID: I20190708000075 |
| Provider Name | Lindsay M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700240827 PECOS PAC ID: 5991084683 Enrollment ID: I20190719002991 |
| Provider Name | Zack E Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770945370 PECOS PAC ID: 4082986773 Enrollment ID: I20190723001229 |
| Provider Name | Hatem Hamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841434404 PECOS PAC ID: 7911145032 Enrollment ID: I20190728000006 |
| Provider Name | Kareem A Moussa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396088605 PECOS PAC ID: 0143513960 Enrollment ID: I20190806001563 |
| Provider Name | Jonathan Paul Chiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497117071 PECOS PAC ID: 2163716390 Enrollment ID: I20190807001096 |
| Provider Name | Justin L Curole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700248747 PECOS PAC ID: 6204165178 Enrollment ID: I20190903001957 |
| Provider Name | Yazmin Andresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912447939 PECOS PAC ID: 9830428200 Enrollment ID: I20190910002166 |
| Provider Name | Jaymin J Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508268723 PECOS PAC ID: 6406186246 Enrollment ID: I20190923000298 |
| Provider Name | Ryan Scott Woodman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184988644 PECOS PAC ID: 1658508122 Enrollment ID: I20190925002068 |
| Provider Name | Ellen Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164809364 PECOS PAC ID: 0941558019 Enrollment ID: I20191002001377 |
| Provider Name | Ernest B Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235786898 PECOS PAC ID: 9436480597 Enrollment ID: I20191004000490 |
| Provider Name | James Q Delgadillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982099263 PECOS PAC ID: 7214274083 Enrollment ID: I20191009003419 |
| Provider Name | Olivia V Hoang-kelada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023551751 PECOS PAC ID: 7517298052 Enrollment ID: I20191014002521 |
| Provider Name | Lou Rose M Malamug |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417152851 PECOS PAC ID: 5496994410 Enrollment ID: I20191014003104 |
| Provider Name | Jenny Thu Truong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700362571 PECOS PAC ID: 1951639475 Enrollment ID: I20191021002141 |
| Provider Name | Ben G Rasmussen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235593245 PECOS PAC ID: 5799017786 Enrollment ID: I20191023003640 |
| Provider Name | Norkamari S Bandolin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821400227 PECOS PAC ID: 7810266020 Enrollment ID: I20191111000713 |
| Provider Name | Alexandra S Takanikos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285196998 PECOS PAC ID: 5496098295 Enrollment ID: I20191114000698 |
| Provider Name | Candace M Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063060812 PECOS PAC ID: 4587096367 Enrollment ID: I20191115002509 |
| Provider Name | David Trabazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053779777 PECOS PAC ID: 1951733518 Enrollment ID: I20191120000642 |
| Provider Name | Jasmeen K Randhawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114377140 PECOS PAC ID: 3476985045 Enrollment ID: I20191120000750 |
| Provider Name | Jason E Hawkes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356631873 PECOS PAC ID: 4587896592 Enrollment ID: I20191121000590 |
| Provider Name | Alan A Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679936264 PECOS PAC ID: 8224373998 Enrollment ID: I20191121000858 |
| Provider Name | Andrew I Li |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356573570 PECOS PAC ID: 8921357591 Enrollment ID: I20191125000713 |
| Provider Name | Renata Segal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700240587 PECOS PAC ID: 2961749361 Enrollment ID: I20191126003083 |
| Provider Name | Melissa A Hopkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942543566 PECOS PAC ID: 1951689611 Enrollment ID: I20191202000429 |
| Provider Name | Michelle L Dossett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750556007 PECOS PAC ID: 1557539970 Enrollment ID: I20191227001101 |
| Provider Name | Jameson J Azul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699192930 PECOS PAC ID: 9638474448 Enrollment ID: I20191227002041 |
| Provider Name | Andrew Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033506175 PECOS PAC ID: 1052625126 Enrollment ID: I20200103002456 |
| Provider Name | Hanine N Inaty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881972586 PECOS PAC ID: 6800220401 Enrollment ID: I20200106003089 |
| Provider Name | Katharine G Marder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407250020 PECOS PAC ID: 4688927346 Enrollment ID: I20200204003070 |
| Provider Name | Helen C Kales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538245550 PECOS PAC ID: 4789713066 Enrollment ID: I20200205000971 |
| Provider Name | Jeffrey H Ma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750709648 PECOS PAC ID: 0446556286 Enrollment ID: I20200206002457 |
| Provider Name | Kayla M Treanor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851932321 PECOS PAC ID: 0648607796 Enrollment ID: I20200302000610 |
| Provider Name | Katherine N Moultrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659604395 PECOS PAC ID: 1456786342 Enrollment ID: I20200305002120 |
| Provider Name | Freshta M Sahak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629432620 PECOS PAC ID: 3274961362 Enrollment ID: I20200324002500 |
| Provider Name | Hiba T Basheer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063761815 PECOS PAC ID: 3779897137 Enrollment ID: I20200518002064 |
| Provider Name | Alexander Kuo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992122196 PECOS PAC ID: 3678863222 Enrollment ID: I20200520003135 |
| Provider Name | Elicia T Fernandez-nedved |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053817908 PECOS PAC ID: 2860813938 Enrollment ID: I20200527001545 |
| Provider Name | Vinu Ninan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689106486 PECOS PAC ID: 5799106522 Enrollment ID: I20200603003051 |
| Provider Name | Jeremy Eric Feldman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467075937 PECOS PAC ID: 7214358654 Enrollment ID: I20200610002811 |
| Provider Name | David Philip Bissig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144648338 PECOS PAC ID: 7315202009 Enrollment ID: I20200616002746 |
| Provider Name | Matthew James Maynard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366978199 PECOS PAC ID: 6608297080 Enrollment ID: I20200617000656 |
| Provider Name | Alyssa M Speciale |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396126249 PECOS PAC ID: 2466766654 Enrollment ID: I20200617000942 |
| Provider Name | Hunter M Pattison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851820112 PECOS PAC ID: 7416379383 Enrollment ID: I20200623000577 |
| Provider Name | Ming Z Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689170920 PECOS PAC ID: 3173945086 Enrollment ID: I20200623002145 |
| Provider Name | Lilyanne G Jewett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225403785 PECOS PAC ID: 5698197325 Enrollment ID: I20200701002261 |
| Provider Name | Lena Claire Van Der List |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003265596 PECOS PAC ID: 5991128399 Enrollment ID: I20200701002427 |
| Provider Name | Anu Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255727459 PECOS PAC ID: 0446673057 Enrollment ID: I20200708000633 |
| Provider Name | Bradley C Sanville |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063855013 PECOS PAC ID: 0547498412 Enrollment ID: I20200714003552 |
| Provider Name | Natalie Anne Homer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609295583 PECOS PAC ID: 9830404458 Enrollment ID: I20200722001217 |
| Provider Name | Erin C Slattery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124103346 PECOS PAC ID: 3072944735 Enrollment ID: I20200727003309 |
| Provider Name | Martha L Kohler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861407728 PECOS PAC ID: 2466876164 Enrollment ID: I20200728000748 |
| Provider Name | Krishna R Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538368899 PECOS PAC ID: 2668696840 Enrollment ID: I20200731000949 |
| Provider Name | Kevin M Mullins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487077293 PECOS PAC ID: 5799100129 Enrollment ID: I20200806003124 |
| Provider Name | Meghann J Keehner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295383719 PECOS PAC ID: 1850717083 Enrollment ID: I20200818002178 |
| Provider Name | Sadia M Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598276446 PECOS PAC ID: 4880010131 Enrollment ID: I20200819002224 |
| Provider Name | Hema P Bhargava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578572590 PECOS PAC ID: 7719016641 Enrollment ID: I20200820002872 |
| Provider Name | Vikrant Rachakonda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851597926 PECOS PAC ID: 1052622933 Enrollment ID: I20200820003328 |
| Provider Name | Janet Meda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235571167 PECOS PAC ID: 3577980036 Enrollment ID: I20200828000839 |
| Provider Name | Jennifer E Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992259709 PECOS PAC ID: 3274811880 Enrollment ID: I20200828001815 |
| Provider Name | Rochelle Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093014888 PECOS PAC ID: 2567880156 Enrollment ID: I20200914002289 |
| Provider Name | Olivia B Contreras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427323609 PECOS PAC ID: 9739506833 Enrollment ID: I20200915003017 |
| Provider Name | Paul M Hoesly |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376954529 PECOS PAC ID: 2668698705 Enrollment ID: I20200925002075 |
| Provider Name | Vinh Q Luu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174936116 PECOS PAC ID: 0648699124 Enrollment ID: I20201001003467 |
| Provider Name | Anpreet K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932552437 PECOS PAC ID: 8729408752 Enrollment ID: I20201013002931 |
| Provider Name | Marcela Maria Estrada |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376930065 PECOS PAC ID: 5294027900 Enrollment ID: I20201019002111 |
| Provider Name | Daniel A Herrador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710418280 PECOS PAC ID: 7012289358 Enrollment ID: I20201019002764 |
| Provider Name | Alyssa M Weakley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922618917 PECOS PAC ID: 3870913445 Enrollment ID: I20201020002711 |
| Provider Name | Vanessa N Sabado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346852092 PECOS PAC ID: 2466872825 Enrollment ID: I20201023001371 |
| Provider Name | Steven J Zurawski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568017234 PECOS PAC ID: 8921418328 Enrollment ID: I20201119000261 |
| Provider Name | Hannah R Spero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740686187 PECOS PAC ID: 7214348317 Enrollment ID: I20201120002044 |
| Provider Name | Ky Nam B Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285011254 PECOS PAC ID: 4082025556 Enrollment ID: I20201204002421 |
| Provider Name | Aminaa Eram Siddiqi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619363314 PECOS PAC ID: 3678873981 Enrollment ID: I20201215000570 |
| Provider Name | Ahmad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982983557 PECOS PAC ID: 0648443440 Enrollment ID: I20210104002145 |
| Provider Name | Thomas A Holly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497784813 PECOS PAC ID: 4385776913 Enrollment ID: I20210127001907 |
| Provider Name | Armin Barekatain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982950572 PECOS PAC ID: 8325353352 Enrollment ID: I20210128000189 |
| Provider Name | Eileen W Partridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053961268 PECOS PAC ID: 9830503887 Enrollment ID: I20210202002461 |
| Provider Name | Nisha S Nijjar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871041970 PECOS PAC ID: 4385907872 Enrollment ID: I20210210002080 |
| Provider Name | Carlo A Trinidad |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659356376 PECOS PAC ID: 6002221777 Enrollment ID: I20210211001251 |
| Provider Name | Meredith L Stawicki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386167906 PECOS PAC ID: 9234544800 Enrollment ID: I20210211001590 |
| Provider Name | Jean K Kotal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154306892 PECOS PAC ID: 7113332792 Enrollment ID: I20210211002204 |
| Provider Name | Sarah E Leary |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033636261 PECOS PAC ID: 4284049883 Enrollment ID: I20210211002850 |
| Provider Name | Michael C Maynard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669539813 PECOS PAC ID: 1254746852 Enrollment ID: I20210211002974 |
| Provider Name | Maesperanza S Herrera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144573692 PECOS PAC ID: 2860807468 Enrollment ID: I20210211003191 |
| Provider Name | Joseph P Ryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639159197 PECOS PAC ID: 9931514544 Enrollment ID: I20210211003422 |
| Provider Name | Jennifer A Camisa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083652523 PECOS PAC ID: 8426463035 Enrollment ID: I20210212000142 |
| Provider Name | Nicole M Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780733626 PECOS PAC ID: 4789099318 Enrollment ID: I20210212001178 |
| Provider Name | Sophie X Teng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114389616 PECOS PAC ID: 9638584022 Enrollment ID: I20210217000877 |
| Provider Name | Jesse Koskey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730566134 PECOS PAC ID: 4183993215 Enrollment ID: I20210219000031 |
| Provider Name | Elizabeth A Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598745697 PECOS PAC ID: 3476631151 Enrollment ID: I20210222002023 |
| Provider Name | Kim A Groninger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851376982 PECOS PAC ID: 7214344027 Enrollment ID: I20210323001841 |
| Provider Name | Theresa C Hayward |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285954370 PECOS PAC ID: 0244647063 Enrollment ID: I20210323002187 |
| Provider Name | Ashley Nichole Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700488921 PECOS PAC ID: 0749697290 Enrollment ID: I20210329001849 |
| Provider Name | Carlos A Delgado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578021325 PECOS PAC ID: 1355758400 Enrollment ID: I20210407002748 |
| Provider Name | Gloria Petruzzelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558518571 PECOS PAC ID: 9436567211 Enrollment ID: I20210415000985 |
| Provider Name | Carolyn A Newman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225013030 PECOS PAC ID: 5395153142 Enrollment ID: I20210416001069 |
| Provider Name | Jagdeep Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467682260 PECOS PAC ID: 2264672138 Enrollment ID: I20210426002168 |
| Provider Name | Austin Grant Childers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356984512 PECOS PAC ID: 3375951544 Enrollment ID: I20210428001433 |
| Provider Name | Anna Zhdamirov |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063067197 PECOS PAC ID: 8123427945 Enrollment ID: I20210527002933 |
| Provider Name | Surabhi A Atreja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528233418 PECOS PAC ID: 6002036787 Enrollment ID: I20210528001294 |
| Provider Name | Andrew J Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174027692 PECOS PAC ID: 9335549559 Enrollment ID: I20210609003232 |
| Provider Name | Erik R Noren |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1245776434 PECOS PAC ID: 4587936950 Enrollment ID: I20210611002706 |
| Provider Name | Elise S Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174903918 PECOS PAC ID: 5092143339 Enrollment ID: I20210708002033 |
| Provider Name | Samantha M Kerns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275037467 PECOS PAC ID: 4385046556 Enrollment ID: I20210709002292 |
| Provider Name | Elizabeth J Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013412162 PECOS PAC ID: 4183026230 Enrollment ID: I20210712002305 |
| Provider Name | Steven Gregory Hoshal |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518329341 PECOS PAC ID: 6204243264 Enrollment ID: I20210715002325 |
| Provider Name | Kyle L Bickel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477081974 PECOS PAC ID: 9234532920 Enrollment ID: I20210719001438 |
| Provider Name | Jeffrey K Usui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699279802 PECOS PAC ID: 9234532946 Enrollment ID: I20210719002178 |
| Provider Name | Alexandra E Warrick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992120034 PECOS PAC ID: 1052715836 Enrollment ID: I20210802003396 |
| Provider Name | Elizabeth R.h. Rizza |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467831388 PECOS PAC ID: 7113237975 Enrollment ID: I20210819001872 |
| Provider Name | Karina Muro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750715520 PECOS PAC ID: 4082019674 Enrollment ID: I20210819002102 |
| Provider Name | Paul Copperman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205329117 PECOS PAC ID: 3375890635 Enrollment ID: I20210820002887 |
| Provider Name | Anthony L Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245499078 PECOS PAC ID: 6406097567 Enrollment ID: I20210824002984 |
| Provider Name | Jewel A Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346773892 PECOS PAC ID: 1951706100 Enrollment ID: I20210825004021 |
| Provider Name | Neil N Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992817613 PECOS PAC ID: 8527069269 Enrollment ID: I20210914001305 |
| Provider Name | Shaina P Kaye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114415494 PECOS PAC ID: 7416353602 Enrollment ID: I20210914001820 |
| Provider Name | Amy J Watson-clancy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912670639 PECOS PAC ID: 3678970357 Enrollment ID: I20210922002972 |
| Provider Name | Joanna J Buchanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669976825 PECOS PAC ID: 7012314388 Enrollment ID: I20210929001758 |
| Provider Name | Daniel C Herman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245499060 PECOS PAC ID: 7911149109 Enrollment ID: I20211004001793 |
| Provider Name | Daniel C Linfesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710325402 PECOS PAC ID: 5193967123 Enrollment ID: I20211012002907 |
| Provider Name | Bhumika Pandya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063182822 PECOS PAC ID: 6002214699 Enrollment ID: I20211012003160 |
| Provider Name | Justin C Mclees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538663182 PECOS PAC ID: 1254729023 Enrollment ID: I20211027002167 |
| Provider Name | Rachel N Sather |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346912383 PECOS PAC ID: 3173911757 Enrollment ID: I20211101002514 |
| Provider Name | Caitlin M Peterman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215428610 PECOS PAC ID: 0244587756 Enrollment ID: I20211130002038 |
| Provider Name | Tina Zeng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659924801 PECOS PAC ID: 0042548893 Enrollment ID: I20211201003156 |
| Provider Name | Matthew E Gerolamo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871847913 PECOS PAC ID: 7416341383 Enrollment ID: I20220218002390 |
| Provider Name | Claudia M Martell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720758360 PECOS PAC ID: 8123414943 Enrollment ID: I20220404002625 |
| Provider Name | Anna L Yap |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265935092 PECOS PAC ID: 4688081235 Enrollment ID: I20220411000690 |
| Provider Name | Jonathan D Snider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477864056 PECOS PAC ID: 3375769961 Enrollment ID: I20220413001711 |
| Provider Name | Madison Rhodes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295290724 PECOS PAC ID: 6901293125 Enrollment ID: I20220418001726 |
| Provider Name | Karen E Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467828723 PECOS PAC ID: 1052708120 Enrollment ID: I20220420002474 |
| Provider Name | Jose Joaquin Lado-abeal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699910562 PECOS PAC ID: 2264598655 Enrollment ID: I20220506001910 |
| Provider Name | Averyl M Shindruk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477012367 PECOS PAC ID: 2163809633 Enrollment ID: I20220523001637 |
| Provider Name | Daniel O Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730634619 PECOS PAC ID: 8921485335 Enrollment ID: I20220524001008 |
| Provider Name | Sundip K Jagpal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831558261 PECOS PAC ID: 7012264476 Enrollment ID: I20220601002242 |
| Provider Name | Benjamin D Pirotte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962965525 PECOS PAC ID: 8123406220 Enrollment ID: I20220601002908 |
| Provider Name | Philip F. Hsiao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841712502 PECOS PAC ID: 4284012774 Enrollment ID: I20220613002084 |
| Provider Name | Jonathan Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578126975 PECOS PAC ID: 0446639926 Enrollment ID: I20220614002996 |
| Provider Name | Sean F Heavey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720582018 PECOS PAC ID: 6608255997 Enrollment ID: I20220616000743 |
| Provider Name | Cosby G Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538514245 PECOS PAC ID: 6608111968 Enrollment ID: I20220616002647 |
| Provider Name | William J Workman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598956021 PECOS PAC ID: 6901286137 Enrollment ID: I20220706002782 |
| Provider Name | Vanessa Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053051813 PECOS PAC ID: 0042691644 Enrollment ID: I20220713003088 |
| Provider Name | Ashley D Valenzuela Takeoka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780003400 PECOS PAC ID: 0547641003 Enrollment ID: I20220715001043 |
| Provider Name | Maisa M Siddique |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639660889 PECOS PAC ID: 1355686205 Enrollment ID: I20220715002098 |
| Provider Name | Michael C Daly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972943520 PECOS PAC ID: 8123256229 Enrollment ID: I20220715002478 |
| Provider Name | Emily M Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598224388 PECOS PAC ID: 9234510033 Enrollment ID: I20220725001530 |
| Provider Name | Jeffrey M Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487116208 PECOS PAC ID: 7719389030 Enrollment ID: I20220725002752 |
| Provider Name | Nandakishor Kapa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437680261 PECOS PAC ID: 6709130388 Enrollment ID: I20220802002129 |
| Provider Name | Samantha K Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770042889 PECOS PAC ID: 3375925662 Enrollment ID: I20220803001306 |
| Provider Name | Hoanvu N Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427584200 PECOS PAC ID: 5799168076 Enrollment ID: I20220818003601 |
| Provider Name | Natalie Beck |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881082519 PECOS PAC ID: 4082986930 Enrollment ID: I20220819000236 |
| Provider Name | Mark L Moubarek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063973535 PECOS PAC ID: 2769865997 Enrollment ID: I20220819002039 |
| Provider Name | Annie Thao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366841116 PECOS PAC ID: 1658755400 Enrollment ID: I20220829002466 |
| Provider Name | Lawrence S Chan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912916263 PECOS PAC ID: 5597895789 Enrollment ID: I20220831000943 |
| Provider Name | Naren Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437671070 PECOS PAC ID: 7911381538 Enrollment ID: I20220831002288 |
| Provider Name | Ravi F Sood |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1548559222 PECOS PAC ID: 3375832520 Enrollment ID: I20220922002103 |
| Provider Name | Mackenzie Quinn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164159810 PECOS PAC ID: 1254716541 Enrollment ID: I20220922003427 |
| Provider Name | Shehzein Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558920132 PECOS PAC ID: 1052797909 Enrollment ID: I20220930000753 |
| Provider Name | Anna G Wertz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609118736 PECOS PAC ID: 6709018583 Enrollment ID: I20221007000944 |
| Provider Name | Ian A Powelson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053739185 PECOS PAC ID: 0446542724 Enrollment ID: I20221010002668 |
| Provider Name | Andrea M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649730680 PECOS PAC ID: 8729454012 Enrollment ID: I20221011001728 |
| Provider Name | Lori Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437886215 PECOS PAC ID: 9234505553 Enrollment ID: I20221011002852 |
| Provider Name | Robert J Kucejko |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1366787053 PECOS PAC ID: 3678827466 Enrollment ID: I20221012001433 |
| Provider Name | Jerry Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528701299 PECOS PAC ID: 1850767120 Enrollment ID: I20221012001855 |
| Provider Name | Gaurav Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487800108 PECOS PAC ID: 6103096607 Enrollment ID: I20221012001862 |
| Provider Name | Justin Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902563935 PECOS PAC ID: 9234505280 Enrollment ID: I20221017002975 |
| Provider Name | Mona Rezaei Mirghaed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619402955 PECOS PAC ID: 4183994379 Enrollment ID: I20221109002955 |
| Provider Name | Pamela M Imperiale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114421948 PECOS PAC ID: 5092182618 Enrollment ID: I20221110000517 |
| Provider Name | Eric P Manbossia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215396494 PECOS PAC ID: 0244644102 Enrollment ID: I20221110001299 |
| Provider Name | Christina L Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932588365 PECOS PAC ID: 6709286297 Enrollment ID: I20221110001397 |
| Provider Name | Rouminder P Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811359516 PECOS PAC ID: 3476847732 Enrollment ID: I20221116003098 |
| Provider Name | Joseph S Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194389809 PECOS PAC ID: 1951779222 Enrollment ID: I20221116003237 |
| Provider Name | Sean M Flynn |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1972923217 PECOS PAC ID: 7517335813 Enrollment ID: I20221117000949 |
| Provider Name | Rebecca I Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144754623 PECOS PAC ID: 5294004826 Enrollment ID: I20221117001440 |
| Provider Name | Mia C Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639639008 PECOS PAC ID: 8022486356 Enrollment ID: I20221117002204 |
| Provider Name | Ann C Terry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720314560 PECOS PAC ID: 1052540366 Enrollment ID: I20221128000545 |
| Provider Name | Vinay P Goswamy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1356792022 PECOS PAC ID: 5991105702 Enrollment ID: I20221202001125 |
| Provider Name | Hisham Hussan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801044789 PECOS PAC ID: 9133347685 Enrollment ID: I20221202001584 |
| Provider Name | Chen Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827885 PECOS PAC ID: 3577890094 Enrollment ID: I20221202001734 |
| Provider Name | Jaclyn M Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548716962 PECOS PAC ID: 7810366432 Enrollment ID: I20221202002340 |
| Provider Name | Kathleda Tangonan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376106336 PECOS PAC ID: 9032588470 Enrollment ID: I20221207001646 |
| Provider Name | Joanna Servin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578025995 PECOS PAC ID: 1153791520 Enrollment ID: I20221228003050 |
| Provider Name | Chethana Eswarappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326507435 PECOS PAC ID: 0840686630 Enrollment ID: I20221229000558 |
| Provider Name | Lesley N Desmond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487113726 PECOS PAC ID: 1456721851 Enrollment ID: I20221229001159 |
| Provider Name | Arthur I Mash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669835930 PECOS PAC ID: 9234476649 Enrollment ID: I20221229001795 |
| Provider Name | Beatrice S Akers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730685983 PECOS PAC ID: 1355711482 Enrollment ID: I20230105000966 |
| Provider Name | Zolboo Gemgui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285344788 PECOS PAC ID: 2567832629 Enrollment ID: I20230105002204 |
| Provider Name | Fabihola Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215596028 PECOS PAC ID: 0547631137 Enrollment ID: I20230118001133 |
| Provider Name | Aditi A Bhuskute |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629332796 PECOS PAC ID: 1153608948 Enrollment ID: I20230209001118 |
| Provider Name | Kristen N Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144352568 PECOS PAC ID: 5395117873 Enrollment ID: I20230209001385 |
| Provider Name | Jenny Raphael |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730243676 PECOS PAC ID: 9931101557 Enrollment ID: I20230308001511 |
| Provider Name | Esteban A Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790247831 PECOS PAC ID: 6406221571 Enrollment ID: I20230404001499 |
| Provider Name | Rizzle Anne Marie T Querida |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831834449 PECOS PAC ID: 6709251796 Enrollment ID: I20230404002862 |
| Provider Name | Nicole R Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649530981 PECOS PAC ID: 8527433192 Enrollment ID: I20230412003080 |
| Provider Name | Alvin Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720316672 PECOS PAC ID: 5799150363 Enrollment ID: I20230412003162 |
| Provider Name | Christine Oeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932847852 PECOS PAC ID: 4082089693 Enrollment ID: I20230413001512 |
| Provider Name | Faith A Stevens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801255518 PECOS PAC ID: 5294190211 Enrollment ID: I20230426002973 |
| Provider Name | Natalie L Macneill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922708791 PECOS PAC ID: 3173989530 Enrollment ID: I20230510001858 |
| Provider Name | Benjamin G Jastrzembski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811307325 PECOS PAC ID: 6608093778 Enrollment ID: I20230518003368 |
| Provider Name | Babak Ghavami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942706676 PECOS PAC ID: 7012373517 Enrollment ID: I20230524003697 |
| Provider Name | Yue Yu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194452441 PECOS PAC ID: 0143687327 Enrollment ID: I20230602000401 |
| Provider Name | Linda Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912999558 PECOS PAC ID: 2264452796 Enrollment ID: I20230605002800 |
| Provider Name | Anterpreet S Neki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407893555 PECOS PAC ID: 9739182171 Enrollment ID: I20230607001715 |
| Provider Name | Sharada Kamalanatha Chaitra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629165899 PECOS PAC ID: 9133289051 Enrollment ID: I20230607001784 |
| Provider Name | Eric A Flounders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104454529 PECOS PAC ID: 2668837550 Enrollment ID: I20230616003111 |
| Provider Name | Sebastian A Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164059465 PECOS PAC ID: 8224493069 Enrollment ID: I20230619001053 |
| Provider Name | Cara S Eberhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174151450 PECOS PAC ID: 3476911538 Enrollment ID: I20230621003122 |
| Provider Name | Shari Y Yamamoto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518655414 PECOS PAC ID: 7113385113 Enrollment ID: I20230623001115 |
| Provider Name | Daniel Shocket |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225471832 PECOS PAC ID: 6002101805 Enrollment ID: I20230627001106 |
| Provider Name | Marissa R Jong-delgado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922578814 PECOS PAC ID: 3274992177 Enrollment ID: I20230711001131 |
| Provider Name | Alyssa K Feist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801160858 PECOS PAC ID: 2163882424 Enrollment ID: I20230718002378 |
| Provider Name | Nima Kourang-beheshti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003378548 PECOS PAC ID: 5890168272 Enrollment ID: I20230719004094 |
| Provider Name | Rebecca S Boxer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659304830 PECOS PAC ID: 2860419959 Enrollment ID: I20230720001476 |
| Provider Name | William R Mcdonald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568099315 PECOS PAC ID: 4486019312 Enrollment ID: I20230724002566 |
| Provider Name | Dale A Till |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720553456 PECOS PAC ID: 7012339948 Enrollment ID: I20230808001268 |
| Provider Name | Robert Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881253813 PECOS PAC ID: 1658606892 Enrollment ID: I20230808002228 |
| Provider Name | Ryan Bw Sumpter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487282141 PECOS PAC ID: 5698130482 Enrollment ID: I20230808003273 |
| Provider Name | Brandon E Gavett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952766073 PECOS PAC ID: 2466814066 Enrollment ID: I20230814003648 |
| Provider Name | Autumn L Muckenhirn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932888476 PECOS PAC ID: 1951764067 Enrollment ID: I20230822003709 |
| Provider Name | Emma S O'brien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679252894 PECOS PAC ID: 5799148789 Enrollment ID: I20230823003151 |
| Provider Name | Emily I Tseng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871999573 PECOS PAC ID: 2567726649 Enrollment ID: I20230823003927 |
| Provider Name | Kristen E Krueger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184155269 PECOS PAC ID: 3577926583 Enrollment ID: I20230823004152 |
| Provider Name | Sharon E Demeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720005648 PECOS PAC ID: 2062461619 Enrollment ID: I20230823004168 |
| Provider Name | Won Seok Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174903140 PECOS PAC ID: 6901184373 Enrollment ID: I20230823004423 |
| Provider Name | Alex M Aberin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992717854 PECOS PAC ID: 1456340520 Enrollment ID: I20230824003981 |
| Provider Name | Michael J Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326454828 PECOS PAC ID: 7517321458 Enrollment ID: I20230912000909 |
| Provider Name | Juliette A Gerardo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023646361 PECOS PAC ID: 6204258270 Enrollment ID: I20230912002808 |
| Provider Name | Brentwood M Oftedal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205459971 PECOS PAC ID: 8921420738 Enrollment ID: I20230912003441 |
| Provider Name | Yeoshina Pillay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780203943 PECOS PAC ID: 7416371620 Enrollment ID: I20230925001282 |
| Provider Name | Melody Chu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821405630 PECOS PAC ID: 7315391166 Enrollment ID: I20230927001783 |
| Provider Name | Jeffrey Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205018496 PECOS PAC ID: 2668827916 Enrollment ID: I20231006001589 |
| Provider Name | Sophie Tagliamonte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306002951 PECOS PAC ID: 4789039959 Enrollment ID: I20231006002951 |
| Provider Name | Alicia M Ranucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679981237 PECOS PAC ID: 2567818024 Enrollment ID: I20231019003592 |
| Provider Name | Lucy Sung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952758021 PECOS PAC ID: 5799131116 Enrollment ID: I20231020002693 |
| Provider Name | Rachel E Wemhoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003376153 PECOS PAC ID: 7810343670 Enrollment ID: I20231031000241 |
| Provider Name | Caroline Lenaerts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881040970 PECOS PAC ID: 4789952144 Enrollment ID: I20231108004024 |
| Provider Name | Genise Mcaskill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588126924 PECOS PAC ID: 2466809298 Enrollment ID: I20231115002431 |
| Provider Name | Leni Tran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639697758 PECOS PAC ID: 2062869829 Enrollment ID: I20231115003865 |
| Provider Name | Jason R Locke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649201914 PECOS PAC ID: 9234586025 Enrollment ID: I20231116000838 |
| Provider Name | Dylan R Blankendaal-kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740806678 PECOS PAC ID: 5092127530 Enrollment ID: I20231116002030 |
| Provider Name | Lydie Dahlia Francillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720647381 PECOS PAC ID: 6608224399 Enrollment ID: I20231117002059 |
| Provider Name | Cheng Lun Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306473087 PECOS PAC ID: 5193198562 Enrollment ID: I20231121003776 |
| Provider Name | Michelle Vy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801390513 PECOS PAC ID: 1254704166 Enrollment ID: I20231127000990 |
| Provider Name | Landon E Lavene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073003943 PECOS PAC ID: 2860748282 Enrollment ID: I20231212003693 |
| Provider Name | John X Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235665589 PECOS PAC ID: 3577831130 Enrollment ID: I20231227001423 |
| Provider Name | Anokh S Sohal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114480605 PECOS PAC ID: 8123478393 Enrollment ID: I20231229002141 |
| Provider Name | Mohini Pathria |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609296268 PECOS PAC ID: 4981919933 Enrollment ID: I20240117004459 |
| Provider Name | Xuan-loc V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477949519 PECOS PAC ID: 1951615806 Enrollment ID: I20240125003353 |
| Provider Name | Stacy K Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275969081 PECOS PAC ID: 0042436966 Enrollment ID: I20240205001456 |
| Provider Name | Omar Viramontes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801356126 PECOS PAC ID: 4688073588 Enrollment ID: I20240205003448 |
| Provider Name | Chelsea Sumida Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659833473 PECOS PAC ID: 5193180222 Enrollment ID: I20240209002878 |
Sutter Pacific Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816 Phone: 916-732-4380 Fax: 916-739-0893 | |
Mercyclinic Norwood Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Norwood Ave, Sacramento, CA 95838 Phone: 916-929-8575 Fax: 916-929-3548 | |
Valley Care Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7248 S Land Park Dr, Suite 105, Sacramento, CA 95831 Phone: 916-395-0826 Fax: 916-395-8364 | |
Clara's House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3319 J St, Sacramento, CA 95816 Phone: 916-448-3976 Fax: 916-448-3984 | |
Judith Kue Dental Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7260 East Southgate Drive, Suite B, Sacramento, CA 95823 Phone: 916-429-1325 Fax: 916-429-1326 | |
Fast Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Main Ave, Sacramento, CA 95838 Phone: 916-299-9896 Fax: 916-299-9941 | |
Pure Healthcare Of California, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2108 N St Ste N, Sacramento, CA 95816 Phone: 801-590-9267 |