| Southwest Medical | |
|
2704 N Tenaya Way Las Vegas NV 89128-0424 | |
| (702) 877-5199 | |
| Not Available |
| Full Name | Southwest Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 2704 N Tenaya Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Emily Castillo (MEDICAL STAFF SUPERVISOR) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Po Box 35380 Las Vegas NV 89133-5380 Ph: (702) 579-3253 | Southwest Medical 2704 N Tenaya Way Las Vegas NV 89128-0424 Ph: (702) 877-5199 |
| NPI Number | 1790329407 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 4981687779 |
|---|---|
| Medicare Enrollment ID | O20040611000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790329407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Maureen K Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245260132 PECOS PAC ID: 1951215334 Enrollment ID: I20031119000098 |
| Provider Name | Hosny L Habashy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326044462 PECOS PAC ID: 8224932504 Enrollment ID: I20031121000369 |
| Provider Name | Ziad a Sawi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194725127 PECOS PAC ID: 9032013313 Enrollment ID: I20031121000415 |
| Provider Name | David J Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124002803 PECOS PAC ID: 0547153108 Enrollment ID: I20040206000133 |
| Provider Name | Keir Hales |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508896689 PECOS PAC ID: 8426942848 Enrollment ID: I20040210000289 |
| Provider Name | Michael a Carducci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902830045 PECOS PAC ID: 9638063753 Enrollment ID: I20040210000938 |
| Provider Name | Robert P Korcal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558329839 PECOS PAC ID: 6800781154 Enrollment ID: I20040217000352 |
| Provider Name | David M Ross |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417954926 PECOS PAC ID: 8022912302 Enrollment ID: I20040301000199 |
| Provider Name | Thomas P Garetto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245237346 PECOS PAC ID: 1850295825 Enrollment ID: I20040302000276 |
| Provider Name | Susan K Browne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275519209 PECOS PAC ID: 1052304979 Enrollment ID: I20040406001518 |
| Provider Name | Gretchen J Pohaski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306817598 PECOS PAC ID: 2163415613 Enrollment ID: I20040408000433 |
| Provider Name | Richard C Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114990694 PECOS PAC ID: 8729073812 Enrollment ID: I20040419000078 |
| Provider Name | Michael W Schunk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154347276 PECOS PAC ID: 9830094838 Enrollment ID: I20040507000526 |
| Provider Name | Michelle D Conger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730152703 PECOS PAC ID: 3779572557 Enrollment ID: I20040507001059 |
| Provider Name | Lo Fu Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314835 PECOS PAC ID: 9830188309 Enrollment ID: I20040510000913 |
| Provider Name | Cornell Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700990421 PECOS PAC ID: 7719977503 Enrollment ID: I20040514000026 |
| Provider Name | Zheng Kun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144280256 PECOS PAC ID: 7719977404 Enrollment ID: I20040514000612 |
| Provider Name | Frank Willard Cornett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548247281 PECOS PAC ID: 3779574629 Enrollment ID: I20040520000364 |
| Provider Name | Dean Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629041041 PECOS PAC ID: 8729061122 Enrollment ID: I20040608000664 |
| Provider Name | Brian K Callier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033189170 PECOS PAC ID: 0840273249 Enrollment ID: I20040608000713 |
| Provider Name | Peter H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952372492 PECOS PAC ID: 6800879214 Enrollment ID: I20040608000748 |
| Provider Name | Subha Vott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558334029 PECOS PAC ID: 5799769840 Enrollment ID: I20040616000168 |
| Provider Name | Robert H Odell |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1013957026 PECOS PAC ID: 8022902626 Enrollment ID: I20040622001472 |
| Provider Name | Ricardo Mogollon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114993425 PECOS PAC ID: 8921084013 Enrollment ID: I20040629000247 |
| Provider Name | Andra L Prum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326026824 PECOS PAC ID: 6901885318 Enrollment ID: I20040719000976 |
| Provider Name | Ross Edward Seibel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1710958699 PECOS PAC ID: 9436139615 Enrollment ID: I20040720001493 |
| Provider Name | Mary Anne Kidwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649365289 PECOS PAC ID: 9234119074 Enrollment ID: I20040722000824 |
| Provider Name | Daniel D Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831168517 PECOS PAC ID: 0749250629 Enrollment ID: I20040728000879 |
| Provider Name | Jeffrey P Marcovitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801898465 PECOS PAC ID: 0446222384 Enrollment ID: I20040810001493 |
| Provider Name | Johnathan J Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740258300 PECOS PAC ID: 0042283657 Enrollment ID: I20040812001346 |
| Provider Name | Blair K Duddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063414761 PECOS PAC ID: 5799758744 Enrollment ID: I20040817001132 |
| Provider Name | Kevin Anthony Kapov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932192614 PECOS PAC ID: 6709850811 Enrollment ID: I20040824001154 |
| Provider Name | Michelle L Bischoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750368502 PECOS PAC ID: 2466411434 Enrollment ID: I20041006000026 |
| Provider Name | Jonathan O Neuhardt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932270154 PECOS PAC ID: 2961462536 Enrollment ID: I20041018000874 |
| Provider Name | Quan Haduong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710963210 PECOS PAC ID: 7517929003 Enrollment ID: I20041027000892 |
| Provider Name | Guillermo H Fraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104809433 PECOS PAC ID: 0547224271 Enrollment ID: I20041112000901 |
| Provider Name | Jim Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962614388 PECOS PAC ID: 6709850407 Enrollment ID: I20041112001179 |
| Provider Name | Svetlana L Barbarash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417927500 PECOS PAC ID: 7113981200 Enrollment ID: I20041118000130 |
| Provider Name | Dmitriy Kosyagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427020759 PECOS PAC ID: 5597746578 Enrollment ID: I20041118000155 |
| Provider Name | Linda R Churchwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447221221 PECOS PAC ID: 0345132999 Enrollment ID: I20041208001001 |
| Provider Name | Young K Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275503914 PECOS PAC ID: 4183680325 Enrollment ID: I20041208001024 |
| Provider Name | Samuel R Bauzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417929464 PECOS PAC ID: 5395703391 Enrollment ID: I20041222000228 |
| Provider Name | Paul a Diedrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841260742 PECOS PAC ID: 1557319225 Enrollment ID: I20050110000420 |
| Provider Name | Shahrokh Assemi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962434381 PECOS PAC ID: 4486603479 Enrollment ID: I20050117000492 |
| Provider Name | Jason C Jackson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063484152 PECOS PAC ID: 1658341284 Enrollment ID: I20050218000365 |
| Provider Name | Cyclopea Anakwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407941016 PECOS PAC ID: 8123072501 Enrollment ID: I20050309000140 |
| Provider Name | Richard L Gomez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538155759 PECOS PAC ID: 7214984129 Enrollment ID: I20050405000084 |
| Provider Name | Feza N Gunalp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558325837 PECOS PAC ID: 2466409297 Enrollment ID: I20050405000196 |
| Provider Name | Leslie M Remedi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750329959 PECOS PAC ID: 2961449269 Enrollment ID: I20050408000188 |
| Provider Name | Ty Weller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942282447 PECOS PAC ID: 1850332909 Enrollment ID: I20050518001079 |
| Provider Name | Adam a Arita |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790756617 PECOS PAC ID: 4486696671 Enrollment ID: I20050527000173 |
| Provider Name | Samson O Otuwa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750356846 PECOS PAC ID: 9537103841 Enrollment ID: I20050617000229 |
| Provider Name | Howard a Tischler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144274614 PECOS PAC ID: 9830003318 Enrollment ID: I20050629000840 |
| Provider Name | Yu Tian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922007913 PECOS PAC ID: 9739125675 Enrollment ID: I20050630001059 |
| Provider Name | Joshua Macon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053313742 PECOS PAC ID: 4587557103 Enrollment ID: I20050709000017 |
| Provider Name | Maria Laarni R Maligaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649241225 PECOS PAC ID: 4981638715 Enrollment ID: I20050921000891 |
| Provider Name | Rehan Amir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588607220 PECOS PAC ID: 4183658743 Enrollment ID: I20050922000764 |
| Provider Name | Yung C Ho |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841265790 PECOS PAC ID: 6002841897 Enrollment ID: I20050929001108 |
| Provider Name | Anthony M Stephens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801868179 PECOS PAC ID: 3779518576 Enrollment ID: I20050929001250 |
| Provider Name | Roderick a Gex |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497725618 PECOS PAC ID: 4486689296 Enrollment ID: I20050929001274 |
| Provider Name | Arthur C Ho |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952375958 PECOS PAC ID: 6002841814 Enrollment ID: I20050929001293 |
| Provider Name | Dino J Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821115833 PECOS PAC ID: 7911932728 Enrollment ID: I20050929001294 |
| Provider Name | Robert K Elson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144293416 PECOS PAC ID: 3870528698 Enrollment ID: I20050929001344 |
| Provider Name | Rashid Jahangir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558460063 PECOS PAC ID: 6002841749 Enrollment ID: I20050930000287 |
| Provider Name | Bernardo Tisminezky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952357717 PECOS PAC ID: 0042235335 Enrollment ID: I20051005001081 |
| Provider Name | Victor Muro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801969381 PECOS PAC ID: 7911922919 Enrollment ID: I20051010000169 |
| Provider Name | Alan F Weissman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194767012 PECOS PAC ID: 9931013414 Enrollment ID: I20051011001208 |
| Provider Name | Randall G Shelin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447287719 PECOS PAC ID: 3274558820 Enrollment ID: I20051012000667 |
| Provider Name | Gyorgy Varsanyi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134193675 PECOS PAC ID: 9638194608 Enrollment ID: I20051013000484 |
| Provider Name | Redentor Bacani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487725693 PECOS PAC ID: 2466478730 Enrollment ID: I20051017000915 |
| Provider Name | Rommel U Rosario |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972577955 PECOS PAC ID: 8022034149 Enrollment ID: I20051018001084 |
| Provider Name | Christopher T Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447248711 PECOS PAC ID: 7315966983 Enrollment ID: I20051114000722 |
| Provider Name | Mario F Tarquino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669472643 PECOS PAC ID: 1355368499 Enrollment ID: I20051117000069 |
| Provider Name | Josiah Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235100991 PECOS PAC ID: 3577554666 Enrollment ID: I20051117000522 |
| Provider Name | Nicholas Anthon Tibaldi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760478564 PECOS PAC ID: 1355382235 Enrollment ID: I20051212000683 |
| Provider Name | Barry Yves Bornstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598735599 PECOS PAC ID: 7911929823 Enrollment ID: I20051220000493 |
| Provider Name | Vivek Srinarayana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194796771 PECOS PAC ID: 8224050711 Enrollment ID: I20051227000647 |
| Provider Name | Robert S Musni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518969187 PECOS PAC ID: 4486677739 Enrollment ID: I20060112000434 |
| Provider Name | Ishtiaq a Chowdhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467423822 PECOS PAC ID: 4284649468 Enrollment ID: I20060208000812 |
| Provider Name | Lisa K Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578588588 PECOS PAC ID: 7810902822 Enrollment ID: I20060213000543 |
| Provider Name | C Sinclair Cottingham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083690184 PECOS PAC ID: 2062319569 Enrollment ID: I20060317000224 |
| Provider Name | Paul Schanbacher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114979630 PECOS PAC ID: 1658367305 Enrollment ID: I20060405000515 |
| Provider Name | Maria Manalo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730121096 PECOS PAC ID: 7618946005 Enrollment ID: I20060424000045 |
| Provider Name | Sheryl M Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972568657 PECOS PAC ID: 0749292886 Enrollment ID: I20060608000083 |
| Provider Name | James Syme |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841242039 PECOS PAC ID: 2163435306 Enrollment ID: I20060711000193 |
| Provider Name | Edward Van Vooren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770512477 PECOS PAC ID: 5890799431 Enrollment ID: I20060913000055 |
| Provider Name | Neil a Braunstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265434716 PECOS PAC ID: 7214932581 Enrollment ID: I20060919000483 |
| Provider Name | Chris a Caraang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700891470 PECOS PAC ID: 2264476241 Enrollment ID: I20060922000500 |
| Provider Name | Lisa Rosenberg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326013764 PECOS PAC ID: 3870497795 Enrollment ID: I20061019000531 |
| Provider Name | Nancy S Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184658841 PECOS PAC ID: 0648270595 Enrollment ID: I20061228000165 |
| Provider Name | Savita M Chander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447255773 PECOS PAC ID: 9739133125 Enrollment ID: I20061229000329 |
| Provider Name | Pio Clavecilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659349140 PECOS PAC ID: 2769402957 Enrollment ID: I20070102000370 |
| Provider Name | Eddie Gene G Mathis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740292598 PECOS PAC ID: 2466429428 Enrollment ID: I20070110000194 |
| Provider Name | Kenneth J Grigsby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417983792 PECOS PAC ID: 6800896010 Enrollment ID: I20070111000229 |
| Provider Name | Kevin D Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912953597 PECOS PAC ID: 1456351527 Enrollment ID: I20070115000155 |
| Provider Name | Kristen Brosig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528126471 PECOS PAC ID: 5092716985 Enrollment ID: I20070119000123 |
| Provider Name | Patrick G Ticman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306935473 PECOS PAC ID: 3779584602 Enrollment ID: I20070119000426 |
| Provider Name | Elizabeth Posoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851403166 PECOS PAC ID: 7315968351 Enrollment ID: I20070119000481 |
| Provider Name | Kyra T Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932204443 PECOS PAC ID: 2062413743 Enrollment ID: I20070124000028 |
| Provider Name | Roberto M Martinez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346245362 PECOS PAC ID: 1456257872 Enrollment ID: I20070206000688 |
| Provider Name | Jesus P Hernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982618476 PECOS PAC ID: 1951303809 Enrollment ID: I20070207000032 |
| Provider Name | Howard D Ehrenfeld |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477647170 PECOS PAC ID: 9830126275 Enrollment ID: I20070214000057 |
| Provider Name | Ashok Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447249495 PECOS PAC ID: 0547250474 Enrollment ID: I20070216000319 |
| Provider Name | Shana M Holman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881745081 PECOS PAC ID: 4789787920 Enrollment ID: I20070308000568 |
| Provider Name | Nam Hoon Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134170533 PECOS PAC ID: 9537158332 Enrollment ID: I20070308000624 |
| Provider Name | Vickie M Stark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740385913 PECOS PAC ID: 6406959568 Enrollment ID: I20070309000150 |
| Provider Name | Michelle L Stacey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982627303 PECOS PAC ID: 2264411040 Enrollment ID: I20070323000301 |
| Provider Name | Kwang C Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871547968 PECOS PAC ID: 1052415668 Enrollment ID: I20070409000157 |
| Provider Name | Lisa Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083682504 PECOS PAC ID: 9133220874 Enrollment ID: I20070724000702 |
| Provider Name | Caprice Marie Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528280666 PECOS PAC ID: 4981663895 Enrollment ID: I20070803000419 |
| Provider Name | Stuart a Weichers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285714170 PECOS PAC ID: 5597794644 Enrollment ID: I20070827000630 |
| Provider Name | Chinenye O Ezeanolue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316154701 PECOS PAC ID: 0143312660 Enrollment ID: I20070828000697 |
| Provider Name | Chang-hoon Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558350827 PECOS PAC ID: 7810946944 Enrollment ID: I20070906000514 |
| Provider Name | Joy L Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750374260 PECOS PAC ID: 8921191974 Enrollment ID: I20070906000632 |
| Provider Name | Robert Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073599072 PECOS PAC ID: 9133174105 Enrollment ID: I20070907000413 |
| Provider Name | Nick Zarkos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811974645 PECOS PAC ID: 9234222985 Enrollment ID: I20070911000597 |
| Provider Name | Michael F Kooyman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487645370 PECOS PAC ID: 8123120722 Enrollment ID: I20070918000540 |
| Provider Name | Daniel J Link |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447236427 PECOS PAC ID: 0648364893 Enrollment ID: I20070919000002 |
| Provider Name | Hans Allen Berndes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881679546 PECOS PAC ID: 2466546619 Enrollment ID: I20070919000004 |
| Provider Name | Bahbak Adrangi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811972565 PECOS PAC ID: 5890880488 Enrollment ID: I20070927000233 |
| Provider Name | Christopher J Phillips |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770569642 PECOS PAC ID: 8820183213 Enrollment ID: I20071001000051 |
| Provider Name | Barry a Ewell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932135977 PECOS PAC ID: 0143224832 Enrollment ID: I20071015000528 |
| Provider Name | Majonel L Ontanillas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235105313 PECOS PAC ID: 6406832674 Enrollment ID: I20071018000583 |
| Provider Name | Henry Osei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235102716 PECOS PAC ID: 2062509813 Enrollment ID: I20071026000267 |
| Provider Name | Huma Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477626273 PECOS PAC ID: 0749282507 Enrollment ID: I20071103000100 |
| Provider Name | Michael J Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780878751 PECOS PAC ID: 7810085784 Enrollment ID: I20071112000305 |
| Provider Name | Rozanne Bentt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841374816 PECOS PAC ID: 4587554811 Enrollment ID: I20071218000176 |
| Provider Name | Aleksandr Krivonovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386686566 PECOS PAC ID: 6800891565 Enrollment ID: I20080109000465 |
| Provider Name | Phillip B Whittenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053385054 PECOS PAC ID: 3577651686 Enrollment ID: I20080121000326 |
| Provider Name | Rajneesh Agrawal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659319614 PECOS PAC ID: 7315851888 Enrollment ID: I20080131000475 |
| Provider Name | Steven Topham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568404812 PECOS PAC ID: 8022922442 Enrollment ID: I20080131000519 |
| Provider Name | Kevin Hyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376580373 PECOS PAC ID: 7113831603 Enrollment ID: I20080204000154 |
| Provider Name | Armen a Hovanessian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801826086 PECOS PAC ID: 0547342214 Enrollment ID: I20080204000165 |
| Provider Name | Morris W Schaner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407886682 PECOS PAC ID: 5991713745 Enrollment ID: I20080204000187 |
| Provider Name | Dianne Mazzu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124066113 PECOS PAC ID: 7214841634 Enrollment ID: I20080204000198 |
| Provider Name | Van T Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396779831 PECOS PAC ID: 0244246874 Enrollment ID: I20080204000212 |
| Provider Name | Robert Poliner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972540961 PECOS PAC ID: 0143134635 Enrollment ID: I20080204000225 |
| Provider Name | Christopher M Ahn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316138126 PECOS PAC ID: 6305930025 Enrollment ID: I20080306000629 |
| Provider Name | Ian Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919046 PECOS PAC ID: 7012956493 Enrollment ID: I20080311000066 |
| Provider Name | Pavel Gatynya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922097203 PECOS PAC ID: 5395774939 Enrollment ID: I20080319000580 |
| Provider Name | Corinna T Saldanha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083802466 PECOS PAC ID: 2264502012 Enrollment ID: I20080605000066 |
| Provider Name | Stacy L Leifried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265490585 PECOS PAC ID: 6305917345 Enrollment ID: I20080618000328 |
| Provider Name | Howard Francois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285831172 PECOS PAC ID: 3274622899 Enrollment ID: I20080709000291 |
| Provider Name | Keith a Winder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912988775 PECOS PAC ID: 7113994989 Enrollment ID: I20080723000806 |
| Provider Name | Terence M Scipione |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225249303 PECOS PAC ID: 1759482987 Enrollment ID: I20080819000360 |
| Provider Name | Alexander P Delaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487824579 PECOS PAC ID: 1153494133 Enrollment ID: I20080911000135 |
| Provider Name | Frank K Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639133200 PECOS PAC ID: 6800782608 Enrollment ID: I20080916000218 |
| Provider Name | Matthew T Raddue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053504159 PECOS PAC ID: 0244390672 Enrollment ID: I20081114000746 |
| Provider Name | Renchell J. A. Andres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386815199 PECOS PAC ID: 4486714789 Enrollment ID: I20081117000415 |
| Provider Name | Hasan Khawaja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215099379 PECOS PAC ID: 2264433234 Enrollment ID: I20081125000204 |
| Provider Name | Raafat Khani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487706180 PECOS PAC ID: 3779644620 Enrollment ID: I20081210000417 |
| Provider Name | Ekaterina Pletinskaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245267202 PECOS PAC ID: 0840223491 Enrollment ID: I20090109000139 |
| Provider Name | Phuong L Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245487693 PECOS PAC ID: 9931262391 Enrollment ID: I20090112000074 |
| Provider Name | Caroline S Banfro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417179227 PECOS PAC ID: 6305900093 Enrollment ID: I20090123000582 |
| Provider Name | Jimmy John Novero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376502880 PECOS PAC ID: 4385792928 Enrollment ID: I20090508000082 |
| Provider Name | Thomas C Yee |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013980580 PECOS PAC ID: 7113077785 Enrollment ID: I20090603000208 |
| Provider Name | Joseph D Soderberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720056633 PECOS PAC ID: 1850462607 Enrollment ID: I20090717000107 |
| Provider Name | Valeria Asimenios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821195413 PECOS PAC ID: 3072562768 Enrollment ID: I20090722000270 |
| Provider Name | Maria R Barlaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316174006 PECOS PAC ID: 1557415890 Enrollment ID: I20090820000360 |
| Provider Name | Chirag Vyas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144392903 PECOS PAC ID: 5092746917 Enrollment ID: I20090827000732 |
| Provider Name | Alejandro S Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528203643 PECOS PAC ID: 9931255817 Enrollment ID: I20090917000360 |
| Provider Name | Justin P Colarco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952531378 PECOS PAC ID: 1153468244 Enrollment ID: I20091021000860 |
| Provider Name | Rajashree Vyas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063456564 PECOS PAC ID: 2860591518 Enrollment ID: I20091022000226 |
| Provider Name | Alice H Fang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730371816 PECOS PAC ID: 4284771007 Enrollment ID: I20091028000321 |
| Provider Name | Charles Zahalka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215107347 PECOS PAC ID: 8628115243 Enrollment ID: I20091029000611 |
| Provider Name | Alexander Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508058058 PECOS PAC ID: 7911044425 Enrollment ID: I20091102000161 |
| Provider Name | Lopa H Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447238100 PECOS PAC ID: 4284773730 Enrollment ID: I20091123000579 |
| Provider Name | Niel S Schurig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417283110 PECOS PAC ID: 6608917133 Enrollment ID: I20100106000569 |
| Provider Name | Janelle Agosto-marquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508068933 PECOS PAC ID: 0749351161 Enrollment ID: I20100107000480 |
| Provider Name | Grail L Brookshire |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669454427 PECOS PAC ID: 5395647101 Enrollment ID: I20100304000136 |
| Provider Name | Albert Khavkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871534578 PECOS PAC ID: 2567422330 Enrollment ID: I20100514000853 |
| Provider Name | Jon James |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013988997 PECOS PAC ID: 4385772185 Enrollment ID: I20100517000078 |
| Provider Name | Scott Hambrecht |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730151002 PECOS PAC ID: 8921137472 Enrollment ID: I20100521000708 |
| Provider Name | John R Kvist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871699447 PECOS PAC ID: 0042349508 Enrollment ID: I20100521000823 |
| Provider Name | Benjamin Muir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497956635 PECOS PAC ID: 5890828255 Enrollment ID: I20100805000378 |
| Provider Name | Esmeralda a Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265751085 PECOS PAC ID: 5799800017 Enrollment ID: I20100909001219 |
| Provider Name | Sheldon Mike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685061 PECOS PAC ID: 0749305332 Enrollment ID: I20100920000933 |
| Provider Name | Mark Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164436994 PECOS PAC ID: 0547386807 Enrollment ID: I20100924000328 |
| Provider Name | Nader N Helmi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932376407 PECOS PAC ID: 0749472074 Enrollment ID: I20101005001088 |
| Provider Name | Daniel Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538132022 PECOS PAC ID: 3375735475 Enrollment ID: I20101007000853 |
| Provider Name | Marguerite Brathwaite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609846518 PECOS PAC ID: 9234323825 Enrollment ID: I20101027001115 |
| Provider Name | Yolanda Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215907969 PECOS PAC ID: 4183818438 Enrollment ID: I20101030000225 |
| Provider Name | Randy Flores |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023258969 PECOS PAC ID: 7416000187 Enrollment ID: I20101105001223 |
| Provider Name | Neeta Soni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841261203 PECOS PAC ID: 5395930366 Enrollment ID: I20101116000822 |
| Provider Name | Heather Tadayon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780854398 PECOS PAC ID: 2163610114 Enrollment ID: I20101217000600 |
| Provider Name | Steven E Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649248360 PECOS PAC ID: 6901095660 Enrollment ID: I20110111000530 |
| Provider Name | Christopher G. Millson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790753697 PECOS PAC ID: 8325227242 Enrollment ID: I20110125000458 |
| Provider Name | Farheen Rasool |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538346374 PECOS PAC ID: 4486833951 Enrollment ID: I20110131000134 |
| Provider Name | Thomas E Costello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477590560 PECOS PAC ID: 1850205345 Enrollment ID: I20110204000239 |
| Provider Name | Randal H Colquitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144298076 PECOS PAC ID: 3375723117 Enrollment ID: I20110210000653 |
| Provider Name | Carl Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043284995 PECOS PAC ID: 9638253917 Enrollment ID: I20110215000276 |
| Provider Name | Kimberly D Kakita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528213840 PECOS PAC ID: 8527125947 Enrollment ID: I20110224000051 |
| Provider Name | Gary Lynn Chambers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538139621 PECOS PAC ID: 7416138300 Enrollment ID: I20110225000179 |
| Provider Name | April D Neumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919343 PECOS PAC ID: 4284816307 Enrollment ID: I20110310000977 |
| Provider Name | Jerry a Nesbit |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366419707 PECOS PAC ID: 6800947276 Enrollment ID: I20110321000308 |
| Provider Name | Henry H Liang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083810089 PECOS PAC ID: 9335224468 Enrollment ID: I20110328000050 |
| Provider Name | Ian J Fero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184737330 PECOS PAC ID: 4789685231 Enrollment ID: I20110330000536 |
| Provider Name | Kweku Hutchful |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093782583 PECOS PAC ID: 9133303985 Enrollment ID: I20110404000105 |
| Provider Name | Margaret M Hwang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720261597 PECOS PAC ID: 7012191539 Enrollment ID: I20110407000536 |
| Provider Name | Paula M Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992963219 PECOS PAC ID: 2062697022 Enrollment ID: I20110506000501 |
| Provider Name | Bennett E Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639140205 PECOS PAC ID: 9436063872 Enrollment ID: I20110513000635 |
| Provider Name | Anita Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144292129 PECOS PAC ID: 3577749001 Enrollment ID: I20110518000663 |
| Provider Name | Randy Hitt Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609969492 PECOS PAC ID: 6901082494 Enrollment ID: I20110617000173 |
| Provider Name | Stephen Lawrence Hoye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467620005 PECOS PAC ID: 2567586829 Enrollment ID: I20110620000150 |
| Provider Name | Cuong T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881668143 PECOS PAC ID: 6103004692 Enrollment ID: I20110705000444 |
| Provider Name | Albert Or |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376834002 PECOS PAC ID: 5991973174 Enrollment ID: I20110713000462 |
| Provider Name | Raul Romero Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336247246 PECOS PAC ID: 0345349742 Enrollment ID: I20110713000850 |
| Provider Name | Trey Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659559334 PECOS PAC ID: 4880745330 Enrollment ID: I20110801000590 |
| Provider Name | Glenn J Hime |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407824311 PECOS PAC ID: 2668641903 Enrollment ID: I20110803000300 |
| Provider Name | Jade Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427351337 PECOS PAC ID: 9739358896 Enrollment ID: I20110805000208 |
| Provider Name | James Oliver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467425785 PECOS PAC ID: 9931378049 Enrollment ID: I20110805000749 |
| Provider Name | Brian a Wyn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467646950 PECOS PAC ID: 2365611001 Enrollment ID: I20110812000675 |
| Provider Name | Eric D Sorensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326246323 PECOS PAC ID: 8224207865 Enrollment ID: I20110816000405 |
| Provider Name | Kaveh Kardooni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558492124 PECOS PAC ID: 7315087079 Enrollment ID: I20110830000183 |
| Provider Name | Nikki V Macalalad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922209071 PECOS PAC ID: 8022180397 Enrollment ID: I20111011000514 |
| Provider Name | Karen E Laux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497034300 PECOS PAC ID: 6103099882 Enrollment ID: I20111025000070 |
| Provider Name | Charalee Basaldua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609036086 PECOS PAC ID: 6305019860 Enrollment ID: I20111027000635 |
| Provider Name | Danny D Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235102500 PECOS PAC ID: 5395919765 Enrollment ID: I20111121000644 |
| Provider Name | Warren Walker Guinn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104896281 PECOS PAC ID: 3971778507 Enrollment ID: I20120105000394 |
| Provider Name | John Charles Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316258171 PECOS PAC ID: 5092974659 Enrollment ID: I20120319000019 |
| Provider Name | Balazs Makai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316957616 PECOS PAC ID: 6901870021 Enrollment ID: I20120503000530 |
| Provider Name | Virgilio I Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255438347 PECOS PAC ID: 9931362456 Enrollment ID: I20120521000476 |
| Provider Name | Diana M Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306817069 PECOS PAC ID: 3870756299 Enrollment ID: I20120523000169 |
| Provider Name | Eric Moldestad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104018951 PECOS PAC ID: 2062582174 Enrollment ID: I20120626000401 |
| Provider Name | Paul Q Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437323169 PECOS PAC ID: 1951567668 Enrollment ID: I20120725000234 |
| Provider Name | Stefanie D Remson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083981955 PECOS PAC ID: 8325295561 Enrollment ID: I20120823000418 |
| Provider Name | Mara J Posner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477765634 PECOS PAC ID: 2961433453 Enrollment ID: I20120917000535 |
| Provider Name | Ivan a Arce-munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750518908 PECOS PAC ID: 4880843267 Enrollment ID: I20120928000049 |
| Provider Name | Savneet Gill Shroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891042974 PECOS PAC ID: 0941459333 Enrollment ID: I20120928000204 |
| Provider Name | Kortney Taria Mortimer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467638809 PECOS PAC ID: 9234291808 Enrollment ID: I20121004000708 |
| Provider Name | Jonathan Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780667709 PECOS PAC ID: 5092964999 Enrollment ID: I20121010000167 |
| Provider Name | Nilesh Neil Gokal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164653432 PECOS PAC ID: 9436309671 Enrollment ID: I20121023000789 |
| Provider Name | Josef Z Abbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104016872 PECOS PAC ID: 8426209263 Enrollment ID: I20121105000039 |
| Provider Name | Gail a Rattigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104045178 PECOS PAC ID: 7618128752 Enrollment ID: I20121119000199 |
| Provider Name | Robert D Tolentino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487746350 PECOS PAC ID: 1456256775 Enrollment ID: I20130403000453 |
| Provider Name | Stephanie Ashman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417279423 PECOS PAC ID: 2769629666 Enrollment ID: I20130514000187 |
| Provider Name | Dina R Gabaeff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538127568 PECOS PAC ID: 3072410851 Enrollment ID: I20130523000514 |
| Provider Name | Sudipkumar Bhanderi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841497757 PECOS PAC ID: 8921246232 Enrollment ID: I20130528000636 |
| Provider Name | Chad Poopat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538178561 PECOS PAC ID: 1355374620 Enrollment ID: I20130608000028 |
| Provider Name | Mark J Vandenbosch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871686733 PECOS PAC ID: 0143210807 Enrollment ID: I20130717000057 |
| Provider Name | Rowena G Hibler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841253630 PECOS PAC ID: 0244471043 Enrollment ID: I20130719000684 |
| Provider Name | Laura L Gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871564351 PECOS PAC ID: 5698917896 Enrollment ID: I20130819000557 |
| Provider Name | Scott P Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841568425 PECOS PAC ID: 4082849120 Enrollment ID: I20131028001027 |
| Provider Name | Olivia O Yuson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841487618 PECOS PAC ID: 0143455980 Enrollment ID: I20131101000356 |
| Provider Name | Alina Maria Grigore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659371102 PECOS PAC ID: 2961422696 Enrollment ID: I20131114000345 |
| Provider Name | Jason Burke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427150986 PECOS PAC ID: 9931199403 Enrollment ID: I20131119001230 |
| Provider Name | Nasibo H Kadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137546 PECOS PAC ID: 9739315649 Enrollment ID: I20131205001627 |
| Provider Name | Wayne E Boulton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528277134 PECOS PAC ID: 8921098922 Enrollment ID: I20131211002086 |
| Provider Name | Melinda Y Kwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639483746 PECOS PAC ID: 7618104308 Enrollment ID: I20131231000265 |
| Provider Name | Wong Y Khaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366762684 PECOS PAC ID: 2163650433 Enrollment ID: I20140113000482 |
| Provider Name | Jean M Adamski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134226426 PECOS PAC ID: 5890923122 Enrollment ID: I20140114000735 |
| Provider Name | Agata J Vollers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073603544 PECOS PAC ID: 6002806007 Enrollment ID: I20140129000732 |
| Provider Name | Robert Blackwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154423648 PECOS PAC ID: 8729057245 Enrollment ID: I20140221000301 |
| Provider Name | Andres Sepulveda Estrada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235306770 PECOS PAC ID: 3870750151 Enrollment ID: I20140221000694 |
| Provider Name | Tiffany J Frasure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750702288 PECOS PAC ID: 9537399357 Enrollment ID: I20140224000080 |
| Provider Name | Marie Stevens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134542343 PECOS PAC ID: 8921239468 Enrollment ID: I20140326000001 |
| Provider Name | Todd Alan Steinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548218464 PECOS PAC ID: 3476535048 Enrollment ID: I20140326001745 |
| Provider Name | Candy Y Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427489913 PECOS PAC ID: 0345472296 Enrollment ID: I20140409000176 |
| Provider Name | Michael Mecca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992729727 PECOS PAC ID: 5698786341 Enrollment ID: I20140415000088 |
| Provider Name | Todd S Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720419385 PECOS PAC ID: 0143452318 Enrollment ID: I20140422002401 |
| Provider Name | Richard Penfil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063571164 PECOS PAC ID: 3971585621 Enrollment ID: I20140611001657 |
| Provider Name | Kirk Yamato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598862914 PECOS PAC ID: 0547225799 Enrollment ID: I20140619001310 |
| Provider Name | Brittany Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538599378 PECOS PAC ID: 8921222589 Enrollment ID: I20140623000222 |
| Provider Name | Robert Develle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598709248 PECOS PAC ID: 1951581636 Enrollment ID: I20140625002662 |
| Provider Name | Elena a Zalan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285057562 PECOS PAC ID: 6002031069 Enrollment ID: I20140707001129 |
| Provider Name | Tiffiny Boyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558523118 PECOS PAC ID: 9335364033 Enrollment ID: I20140714002464 |
| Provider Name | Charles H Weintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629021795 PECOS PAC ID: 8022908599 Enrollment ID: I20140716002018 |
| Provider Name | Elan Bomsztyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477714525 PECOS PAC ID: 6406072669 Enrollment ID: I20140723002289 |
| Provider Name | Padma M Ariyawansa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629051826 PECOS PAC ID: 6204052988 Enrollment ID: I20140801001955 |
| Provider Name | Ahmed a Jaradat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780994426 PECOS PAC ID: 3274760814 Enrollment ID: I20140805001280 |
| Provider Name | Chad D Goffstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740501006 PECOS PAC ID: 5890912398 Enrollment ID: I20140806002249 |
| Provider Name | Kranthi Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093923526 PECOS PAC ID: 5597982942 Enrollment ID: I20140808001505 |
| Provider Name | Javier Ismael Garduno |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720141120 PECOS PAC ID: 9638396856 Enrollment ID: I20140812002557 |
| Provider Name | Kelly Y Twells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710395496 PECOS PAC ID: 6305063298 Enrollment ID: I20140818001046 |
| Provider Name | Darla G Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689086860 PECOS PAC ID: 6103044722 Enrollment ID: I20140822002660 |
| Provider Name | Christina S Reynoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174939250 PECOS PAC ID: 0941428908 Enrollment ID: I20140904001338 |
| Provider Name | Christian I Garaycochea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104942887 PECOS PAC ID: 7810916996 Enrollment ID: I20140905000002 |
| Provider Name | Lemonte a Wood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114973344 PECOS PAC ID: 5698710895 Enrollment ID: I20140910000709 |
| Provider Name | Ricardo Manuel Garateix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902122872 PECOS PAC ID: 2466671946 Enrollment ID: I20140915002703 |
| Provider Name | Lauren E Maxham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326347154 PECOS PAC ID: 1951521582 Enrollment ID: I20141002002458 |
| Provider Name | James Joslin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164713400 PECOS PAC ID: 6406076751 Enrollment ID: I20141008001648 |
| Provider Name | Jacki M Deguzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013206614 PECOS PAC ID: 6800016171 Enrollment ID: I20141008002284 |
| Provider Name | Lindsey L Reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992042758 PECOS PAC ID: 8527288893 Enrollment ID: I20141008002291 |
| Provider Name | Joseph P Hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942386776 PECOS PAC ID: 7214929579 Enrollment ID: I20141031000436 |
| Provider Name | Rosa M Hayek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093042939 PECOS PAC ID: 7113141409 Enrollment ID: I20141209000374 |
| Provider Name | Saad Hussain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801062062 PECOS PAC ID: 9537316781 Enrollment ID: I20141223001894 |
| Provider Name | Timothy M Gallagher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700953452 PECOS PAC ID: 3072796036 Enrollment ID: I20141229002264 |
| Provider Name | Elena N Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588751556 PECOS PAC ID: 8527167188 Enrollment ID: I20150218001035 |
| Provider Name | Robert a Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629476114 PECOS PAC ID: 9133445752 Enrollment ID: I20150226000032 |
| Provider Name | Wendi Tsukada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861899809 PECOS PAC ID: 1951628114 Enrollment ID: I20150326002263 |
| Provider Name | Chelsea Lynn Sandusky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962716266 PECOS PAC ID: 8820316367 Enrollment ID: I20150414001650 |
| Provider Name | Mukesh N Wadhwa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184819203 PECOS PAC ID: 9537319421 Enrollment ID: I20150430002667 |
| Provider Name | Lyndsie Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588962773 PECOS PAC ID: 9931384526 Enrollment ID: I20150506000527 |
| Provider Name | Olumide Olagunju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285958884 PECOS PAC ID: 2365685757 Enrollment ID: I20150506001683 |
| Provider Name | Juwaun E Hinkle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013300714 PECOS PAC ID: 7517286883 Enrollment ID: I20150507002623 |
| Provider Name | Kandarp Yogesh Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215165147 PECOS PAC ID: 7012132889 Enrollment ID: I20150508001271 |
| Provider Name | Chaorui Tian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801057625 PECOS PAC ID: 1052632734 Enrollment ID: I20150605002371 |
| Provider Name | Marcy Holloway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114180122 PECOS PAC ID: 6800028739 Enrollment ID: I20150608000265 |
| Provider Name | Casey C Burchill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922437821 PECOS PAC ID: 9739400052 Enrollment ID: I20150611000856 |
| Provider Name | Bryan Wert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417243163 PECOS PAC ID: 9032341748 Enrollment ID: I20150703000012 |
| Provider Name | Candance M Leaphart-st Cloud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700836905 PECOS PAC ID: 0345253829 Enrollment ID: I20150706002109 |
| Provider Name | Khursheeda Pathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225106131 PECOS PAC ID: 3870805377 Enrollment ID: I20150710001555 |
| Provider Name | Jeana R Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548649379 PECOS PAC ID: 9537472873 Enrollment ID: I20150716000531 |
| Provider Name | Joshua Adam Rosenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023078987 PECOS PAC ID: 1254360738 Enrollment ID: I20150721001817 |
| Provider Name | Jeffrey Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407856503 PECOS PAC ID: 5294927885 Enrollment ID: I20150806010804 |
| Provider Name | Cori L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518132216 PECOS PAC ID: 5597921163 Enrollment ID: I20150810000695 |
| Provider Name | Charles Arthur Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487943072 PECOS PAC ID: 4981848496 Enrollment ID: I20150810002081 |
| Provider Name | Gabriel Rice |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184935991 PECOS PAC ID: 7517185226 Enrollment ID: I20150811005262 |
| Provider Name | Girisha Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619238748 PECOS PAC ID: 5092949545 Enrollment ID: I20150817002824 |
| Provider Name | Bibi W Omar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275755001 PECOS PAC ID: 1153471370 Enrollment ID: I20150818004719 |
| Provider Name | Clark K Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548585409 PECOS PAC ID: 2961628037 Enrollment ID: I20150818005346 |
| Provider Name | Daniel Joseph Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417211624 PECOS PAC ID: 2264671106 Enrollment ID: I20150821012593 |
| Provider Name | Wai K Leung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710927272 PECOS PAC ID: 4082771027 Enrollment ID: I20150826001612 |
| Provider Name | Pauline M Heuser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134548456 PECOS PAC ID: 1153641907 Enrollment ID: I20150827001341 |
| Provider Name | Stanley Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922392679 PECOS PAC ID: 1456667971 Enrollment ID: I20150828002060 |
| Provider Name | Aaron Bellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205931656 PECOS PAC ID: 3375527344 Enrollment ID: I20150929001616 |
| Provider Name | Stacy Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992030928 PECOS PAC ID: 3870632235 Enrollment ID: I20151002002034 |
| Provider Name | Anthony T Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184736308 PECOS PAC ID: 3678747318 Enrollment ID: I20151002002572 |
| Provider Name | Darlicia D Alexander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104806355 PECOS PAC ID: 9234183393 Enrollment ID: I20151005003078 |
| Provider Name | Teresa Marie Praus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932579711 PECOS PAC ID: 5294044814 Enrollment ID: I20151022001038 |
| Provider Name | Tammy L Collander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952779449 PECOS PAC ID: 5597074120 Enrollment ID: I20151022001365 |
| Provider Name | Johnette Maria Seecof |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043285661 PECOS PAC ID: 2860464047 Enrollment ID: I20151125001262 |
| Provider Name | Wendy L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356727754 PECOS PAC ID: 4486954120 Enrollment ID: I20151201003145 |
| Provider Name | Perry J Horwich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053498147 PECOS PAC ID: 0941272058 Enrollment ID: I20151207002755 |
| Provider Name | Jacquelyn Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124181722 PECOS PAC ID: 8921008509 Enrollment ID: I20160120001327 |
| Provider Name | Ariana Monin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033450127 PECOS PAC ID: 8426280850 Enrollment ID: I20160127001416 |
| Provider Name | Aileen Serrano Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720166234 PECOS PAC ID: 7618955618 Enrollment ID: I20160201002995 |
| Provider Name | Milena Dhana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245570944 PECOS PAC ID: 0345485470 Enrollment ID: I20160211000437 |
| Provider Name | Benjamin Q Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205920675 PECOS PAC ID: 2466462858 Enrollment ID: I20160308001224 |
| Provider Name | Princess Emilily El |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790011922 PECOS PAC ID: 2163694969 Enrollment ID: I20160308001675 |
| Provider Name | Deanna R St Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279629 PECOS PAC ID: 3577869619 Enrollment ID: I20160315002885 |
| Provider Name | Sydnee K Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730457292 PECOS PAC ID: 7315190063 Enrollment ID: I20160504001515 |
| Provider Name | Carl Lobato |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528366085 PECOS PAC ID: 4486961190 Enrollment ID: I20160610000976 |
| Provider Name | Anderson Hu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902170673 PECOS PAC ID: 4082905930 Enrollment ID: I20160623000722 |
| Provider Name | Annie Lynn Penaco Duong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437447877 PECOS PAC ID: 2860784816 Enrollment ID: I20160712001141 |
| Provider Name | Leelanand Rachakonda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104105626 PECOS PAC ID: 8527200658 Enrollment ID: I20160804000522 |
| Provider Name | Mitzilene Tuazon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528402351 PECOS PAC ID: 3779701198 Enrollment ID: I20160816002929 |
| Provider Name | Natalia Ermakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194173732 PECOS PAC ID: 7214222694 Enrollment ID: I20160824001670 |
| Provider Name | Yasmin Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194041665 PECOS PAC ID: 8325289283 Enrollment ID: I20160825002473 |
| Provider Name | Richard Curren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891133005 PECOS PAC ID: 1850686825 Enrollment ID: I20160830001353 |
| Provider Name | Johnson C Kay |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184688061 PECOS PAC ID: 4183938475 Enrollment ID: I20160906002389 |
| Provider Name | David Jonathan Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427361534 PECOS PAC ID: 2769706522 Enrollment ID: I20160920002626 |
| Provider Name | Jennifer a Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612526 PECOS PAC ID: 6608163555 Enrollment ID: I20160921001327 |
| Provider Name | Edward C Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330842 PECOS PAC ID: 3577850346 Enrollment ID: I20160921002415 |
| Provider Name | Anna Harutyunyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972930493 PECOS PAC ID: 3072800507 Enrollment ID: I20160927000288 |
| Provider Name | Linda Sue Van Roeyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427089614 PECOS PAC ID: 0244387306 Enrollment ID: I20160928002337 |
| Provider Name | Jerifaye B Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588024822 PECOS PAC ID: 5395037857 Enrollment ID: I20161004001550 |
| Provider Name | John Arthur Seibel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730182148 PECOS PAC ID: 8426245317 Enrollment ID: I20161005000954 |
| Provider Name | Damaris Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518412642 PECOS PAC ID: 2365730165 Enrollment ID: I20161011001968 |
| Provider Name | Zandra Kay Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710223995 PECOS PAC ID: 2769619493 Enrollment ID: I20161020000245 |
| Provider Name | Jennifer a Leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902119050 PECOS PAC ID: 1153609243 Enrollment ID: I20161024002826 |
| Provider Name | Carlo Buena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770857484 PECOS PAC ID: 8123325032 Enrollment ID: I20161121002700 |
| Provider Name | Chin Hui Oh-ciernick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548719818 PECOS PAC ID: 6305125949 Enrollment ID: I20161122001581 |
| Provider Name | Jenna L Muri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760818983 PECOS PAC ID: 8426286089 Enrollment ID: I20161123001849 |
| Provider Name | Armando Corbilla Sarmiento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072250 PECOS PAC ID: 8527348721 Enrollment ID: I20161205002128 |
| Provider Name | Royal Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043769185 PECOS PAC ID: 6002197571 Enrollment ID: I20161222000398 |
| Provider Name | Jesse J Dadson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295786010 PECOS PAC ID: 0749469161 Enrollment ID: I20161222001699 |
| Provider Name | Jamie Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811357627 PECOS PAC ID: 4587956693 Enrollment ID: I20161230000825 |
| Provider Name | Trisha Sibayan Tantorres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316498520 PECOS PAC ID: 5799067179 Enrollment ID: I20170119001063 |
| Provider Name | Mistie April Loggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316335888 PECOS PAC ID: 7810212990 Enrollment ID: I20170126001534 |
| Provider Name | Katherine Hinton Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114475357 PECOS PAC ID: 0941583538 Enrollment ID: I20170206000675 |
| Provider Name | Nicholas M Bryant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033656863 PECOS PAC ID: 1759664766 Enrollment ID: I20170216000944 |
| Provider Name | Michelle Marie Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528510419 PECOS PAC ID: 2769766799 Enrollment ID: I20170310001529 |
| Provider Name | Jeffrey C Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770794216 PECOS PAC ID: 4082808951 Enrollment ID: I20170316001690 |
| Provider Name | Shane a Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194264689 PECOS PAC ID: 2365727047 Enrollment ID: I20170320001605 |
| Provider Name | Jason E Jeitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104287143 PECOS PAC ID: 0042519217 Enrollment ID: I20170331001241 |
| Provider Name | Babylyn Buena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386188993 PECOS PAC ID: 4688609506 Enrollment ID: I20170411001188 |
| Provider Name | Caroline Emily R Romualdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094316 PECOS PAC ID: 4688950074 Enrollment ID: I20170419002848 |
| Provider Name | Sheeba Kureekattil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144769035 PECOS PAC ID: 1951686088 Enrollment ID: I20170425001147 |
| Provider Name | Cedric M Ojeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336685353 PECOS PAC ID: 9234416082 Enrollment ID: I20170503001129 |
| Provider Name | Dustin Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336587641 PECOS PAC ID: 3577882984 Enrollment ID: I20170512001207 |
| Provider Name | Kathy Rabago |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629017090 PECOS PAC ID: 4789770769 Enrollment ID: I20170609001901 |
| Provider Name | Ann De Jong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871700823 PECOS PAC ID: 8527141316 Enrollment ID: I20170614001496 |
| Provider Name | Anna Gotardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457644932 PECOS PAC ID: 2062639990 Enrollment ID: I20170622000998 |
| Provider Name | Devin Kearns |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972866937 PECOS PAC ID: 8527281484 Enrollment ID: I20170622001877 |
| Provider Name | Marie Kota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861931636 PECOS PAC ID: 5092083576 Enrollment ID: I20170626001706 |
| Provider Name | Mullissa Michelle Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104827492 PECOS PAC ID: 4981642576 Enrollment ID: I20170628002247 |
| Provider Name | Steven Y Chinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902154305 PECOS PAC ID: 8921378142 Enrollment ID: I20170720003123 |
| Provider Name | Faegh V Aderangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942644760 PECOS PAC ID: 7214158666 Enrollment ID: I20170726002208 |
| Provider Name | Kenneth G Brandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073925467 PECOS PAC ID: 3476879412 Enrollment ID: I20170727001230 |
| Provider Name | Jessica L Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417480310 PECOS PAC ID: 9638449358 Enrollment ID: I20170727002846 |
| Provider Name | Jacob Esquenazi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700274743 PECOS PAC ID: 1153691829 Enrollment ID: I20170728000883 |
| Provider Name | Sean V Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255741914 PECOS PAC ID: 7113298688 Enrollment ID: I20170801002819 |
| Provider Name | Douglas Filipov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992855175 PECOS PAC ID: 3577452994 Enrollment ID: I20170801003788 |
| Provider Name | Ryan D Hafen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851659213 PECOS PAC ID: 2062783319 Enrollment ID: I20170803003292 |
| Provider Name | Travis Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508255068 PECOS PAC ID: 8921379124 Enrollment ID: I20170807001791 |
| Provider Name | Jay V Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780001867 PECOS PAC ID: 4880813948 Enrollment ID: I20170807002144 |
| Provider Name | Ricardo Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104236215 PECOS PAC ID: 2466779434 Enrollment ID: I20170810003673 |
| Provider Name | David Renton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629488739 PECOS PAC ID: 7315263225 Enrollment ID: I20170817001878 |
| Provider Name | John Martin Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437558111 PECOS PAC ID: 6800181223 Enrollment ID: I20170817004184 |
| Provider Name | Cristy Dawn Oconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972047629 PECOS PAC ID: 4183996127 Enrollment ID: I20170825000218 |
| Provider Name | Michelle L Trapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053637108 PECOS PAC ID: 1658695812 Enrollment ID: I20170825001193 |
| Provider Name | Rosaly Diaz Torruellas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114340858 PECOS PAC ID: 7012237878 Enrollment ID: I20170901001749 |
| Provider Name | Sean M Tierney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578593232 PECOS PAC ID: 3870483787 Enrollment ID: I20170927001416 |
| Provider Name | Cameron Jeffrey Hunter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619418472 PECOS PAC ID: 3173898947 Enrollment ID: I20171004000720 |
| Provider Name | Silvia Ada Bevilacqua Mcbride |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558411207 PECOS PAC ID: 6507015427 Enrollment ID: I20171013001467 |
| Provider Name | Bhavani Naginani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669702155 PECOS PAC ID: 4587709571 Enrollment ID: I20171019000816 |
| Provider Name | Glenda Grino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770553893 PECOS PAC ID: 9638445299 Enrollment ID: I20171026000065 |
| Provider Name | Dennis Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720508658 PECOS PAC ID: 8820368954 Enrollment ID: I20171106001007 |
| Provider Name | Maria Carina Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124554472 PECOS PAC ID: 2860758802 Enrollment ID: I20171108001418 |
| Provider Name | Charles Minh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003174368 PECOS PAC ID: 4183853682 Enrollment ID: I20171114002925 |
| Provider Name | Lissette Rodriguez De Armas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487940383 PECOS PAC ID: 8527325034 Enrollment ID: I20171207001972 |
| Provider Name | Taylor Raymond Spriggel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275049868 PECOS PAC ID: 0042578072 Enrollment ID: I20171221001501 |
| Provider Name | Kimberly J Warth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497263438 PECOS PAC ID: 2567721756 Enrollment ID: I20180116000931 |
| Provider Name | Nyla Salina Abbey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609384734 PECOS PAC ID: 7517226749 Enrollment ID: I20180116002877 |
| Provider Name | Elizabeth Hanks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427564806 PECOS PAC ID: 5294094330 Enrollment ID: I20180117001128 |
| Provider Name | Celina Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750898219 PECOS PAC ID: 1850650987 Enrollment ID: I20180118002003 |
| Provider Name | John O Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639276942 PECOS PAC ID: 7517933427 Enrollment ID: I20180123003311 |
| Provider Name | Rebecca V Lockwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376041145 PECOS PAC ID: 0648530535 Enrollment ID: I20180214003039 |
| Provider Name | Wael Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649458431 PECOS PAC ID: 8022295146 Enrollment ID: I20180215001386 |
| Provider Name | Heather J Werth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508156407 PECOS PAC ID: 8527374305 Enrollment ID: I20180219001692 |
| Provider Name | Brendon Bicol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194147314 PECOS PAC ID: 4789945932 Enrollment ID: I20180302001495 |
| Provider Name | Christopher K Heideman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659796274 PECOS PAC ID: 0648532069 Enrollment ID: I20180323001460 |
| Provider Name | Bryan a Croft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871095612 PECOS PAC ID: 4587927496 Enrollment ID: I20180405002686 |
| Provider Name | Eleanor Karanne Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780822866 PECOS PAC ID: 9234296567 Enrollment ID: I20180410001108 |
| Provider Name | Daniel Hainley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043718950 PECOS PAC ID: 7810250552 Enrollment ID: I20180411002330 |
| Provider Name | Mark Ogilvie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043579873 PECOS PAC ID: 3971866559 Enrollment ID: I20180412001358 |
| Provider Name | Julienne Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972006476 PECOS PAC ID: 6709149297 Enrollment ID: I20180416001403 |
| Provider Name | Rizza Marie Cruz Tawatao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679075519 PECOS PAC ID: 4385908490 Enrollment ID: I20180425002253 |
| Provider Name | Kevin Refahiyat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386145159 PECOS PAC ID: 0446514467 Enrollment ID: I20180427001407 |
| Provider Name | Carol G Reddick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639566383 PECOS PAC ID: 6103113766 Enrollment ID: I20180510001525 |
| Provider Name | Jackie L Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134618531 PECOS PAC ID: 4587928791 Enrollment ID: I20180515002224 |
| Provider Name | Leila R. Olivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619049426 PECOS PAC ID: 6204996747 Enrollment ID: I20180522001681 |
| Provider Name | Michele M K Shimizu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750395273 PECOS PAC ID: 3072537273 Enrollment ID: I20180522002258 |
| Provider Name | Socorro Cabato Townes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356309165 PECOS PAC ID: 0143391375 Enrollment ID: I20180522003132 |
| Provider Name | Joseph T Coulson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588154561 PECOS PAC ID: 8123383791 Enrollment ID: I20180531002632 |
| Provider Name | Susan Carol Zwiaska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851586713 PECOS PAC ID: 1153419692 Enrollment ID: I20180620002423 |
| Provider Name | Jennifer H Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538650619 PECOS PAC ID: 6901151356 Enrollment ID: I20180626002252 |
| Provider Name | Ori Edmond Devera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326425984 PECOS PAC ID: 3274831052 Enrollment ID: I20180628002973 |
| Provider Name | Adrienne Marie Pan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790123925 PECOS PAC ID: 8729305313 Enrollment ID: I20180629002416 |
| Provider Name | Lisa a Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295918076 PECOS PAC ID: 7315198678 Enrollment ID: I20180710003580 |
| Provider Name | Carol Ann Krisan Omandac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033613203 PECOS PAC ID: 9335496413 Enrollment ID: I20180719003888 |
| Provider Name | Justine Suba-cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346629896 PECOS PAC ID: 6103173703 Enrollment ID: I20180726002900 |
| Provider Name | Christopher Michael Webster Fox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073008207 PECOS PAC ID: 3274881602 Enrollment ID: I20180801002558 |
| Provider Name | Shihshiang Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154511756 PECOS PAC ID: 6608928502 Enrollment ID: I20180803000112 |
| Provider Name | Shanna Marie Baltar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205251840 PECOS PAC ID: 8123311404 Enrollment ID: I20180810002892 |
| Provider Name | Allison Fain Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144579806 PECOS PAC ID: 0345499372 Enrollment ID: I20180820001149 |
| Provider Name | John Barend William Hulshoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841480928 PECOS PAC ID: 6901977743 Enrollment ID: I20180829002841 |
| Provider Name | Hilary Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770963001 PECOS PAC ID: 9234420738 Enrollment ID: I20180906003391 |
| Provider Name | Theresa Hilton-berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326292624 PECOS PAC ID: 7012071772 Enrollment ID: I20180912001165 |
| Provider Name | Gurinderpal Singh Khaira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547828 PECOS PAC ID: 5698911469 Enrollment ID: I20180913003185 |
| Provider Name | Valeria Avendano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225436991 PECOS PAC ID: 0446577373 Enrollment ID: I20180926001431 |
| Provider Name | Michael J Albring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225424203 PECOS PAC ID: 7113223579 Enrollment ID: I20181011002217 |
| Provider Name | Tamara L Crawford-fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720568702 PECOS PAC ID: 2264785856 Enrollment ID: I20181029002447 |
| Provider Name | Brian Francis Mcquillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538458732 PECOS PAC ID: 8123315009 Enrollment ID: I20181030002956 |
| Provider Name | Carlie Jane Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871076588 PECOS PAC ID: 3375896723 Enrollment ID: I20181031003284 |
| Provider Name | Amanda L Fagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245617802 PECOS PAC ID: 7810295698 Enrollment ID: I20181108002812 |
| Provider Name | Melissa S Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639681265 PECOS PAC ID: 2062775836 Enrollment ID: I20181114002816 |
| Provider Name | Amanda L Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396031464 PECOS PAC ID: 9133397763 Enrollment ID: I20181128001455 |
| Provider Name | Sabreen H Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881827814 PECOS PAC ID: 2466602859 Enrollment ID: I20181220001130 |
| Provider Name | Peihong Huo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770899833 PECOS PAC ID: 6901077635 Enrollment ID: I20190214001212 |
| Provider Name | Michael Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356736631 PECOS PAC ID: 4082935705 Enrollment ID: I20190219000505 |
| Provider Name | Erum Karafa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437645736 PECOS PAC ID: 4789923582 Enrollment ID: I20190221002151 |
| Provider Name | Maria Jumalon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336618339 PECOS PAC ID: 5991044414 Enrollment ID: I20190228000581 |
| Provider Name | Teresa M Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487121067 PECOS PAC ID: 5294074647 Enrollment ID: I20190228002262 |
| Provider Name | Randi E Lampert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003133711 PECOS PAC ID: 5193064558 Enrollment ID: I20190228002837 |
| Provider Name | Mohammad H Sheikhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972584274 PECOS PAC ID: 6800889114 Enrollment ID: I20190305002631 |
| Provider Name | Kayanna M. Matlock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831666338 PECOS PAC ID: 6204175367 Enrollment ID: I20190307000389 |
| Provider Name | Ainin a Kasdi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366919870 PECOS PAC ID: 3870832959 Enrollment ID: I20190307001588 |
| Provider Name | Sabita Moktan Sheikhai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720031255 PECOS PAC ID: 5193747616 Enrollment ID: I20190312002593 |
| Provider Name | Nicholas M Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992096614 PECOS PAC ID: 5799924940 Enrollment ID: I20190313002215 |
| Provider Name | Dominic Mason Etli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962934885 PECOS PAC ID: 9335419522 Enrollment ID: I20190315000768 |
| Provider Name | Samin Mehrabi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417424243 PECOS PAC ID: 7810237518 Enrollment ID: I20190315001059 |
| Provider Name | Jade Weeks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376010082 PECOS PAC ID: 1850631383 Enrollment ID: I20190320002092 |
| Provider Name | Monique Cherie Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720556780 PECOS PAC ID: 2860732112 Enrollment ID: I20190322001371 |
| Provider Name | Dulce Novakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396214375 PECOS PAC ID: 3678813987 Enrollment ID: I20190325001122 |
| Provider Name | Natoya N Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013301498 PECOS PAC ID: 7113247388 Enrollment ID: I20190327001577 |
| Provider Name | Vickie Renee Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954818 PECOS PAC ID: 2365782356 Enrollment ID: I20190329001861 |
| Provider Name | Mona Baidwan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487830709 PECOS PAC ID: 0547501306 Enrollment ID: I20190405000094 |
| Provider Name | Ronnie Malalay Bordador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659840270 PECOS PAC ID: 8224379813 Enrollment ID: I20190409000704 |
| Provider Name | Brian K Hansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689145427 PECOS PAC ID: 7315289030 Enrollment ID: I20190430000541 |
| Provider Name | Carla E Baizas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942771811 PECOS PAC ID: 7911249529 Enrollment ID: I20190501001667 |
| Provider Name | Julie J Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780143164 PECOS PAC ID: 0749522373 Enrollment ID: I20190501002835 |
| Provider Name | Marko Esteves Marbella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164764395 PECOS PAC ID: 9931401114 Enrollment ID: I20190502001437 |
| Provider Name | Amanda Lynette Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376000349 PECOS PAC ID: 9133461585 Enrollment ID: I20190503002132 |
| Provider Name | Genica F Gelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811456486 PECOS PAC ID: 3375886468 Enrollment ID: I20190513000645 |
| Provider Name | John a Moorhead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245289057 PECOS PAC ID: 9032245907 Enrollment ID: I20190513002572 |
| Provider Name | Reyleth Joy Basa Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730641531 PECOS PAC ID: 7911240809 Enrollment ID: I20190516000690 |
| Provider Name | Dominique R Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487053716 PECOS PAC ID: 4880951714 Enrollment ID: I20190522002561 |
| Provider Name | Dolores Lebron-gallagher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831134527 PECOS PAC ID: 9032387535 Enrollment ID: I20190523002112 |
| Provider Name | Darneen Antoinette Pang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215490453 PECOS PAC ID: 7416280607 Enrollment ID: I20190603001075 |
| Provider Name | Tyler Alan Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467800243 PECOS PAC ID: 9638464597 Enrollment ID: I20190603002037 |
| Provider Name | Harold Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215377817 PECOS PAC ID: 8123383874 Enrollment ID: I20190607002342 |
| Provider Name | Robin Suzanne Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396201414 PECOS PAC ID: 9436482239 Enrollment ID: I20190611000891 |
| Provider Name | Herman V Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578503041 PECOS PAC ID: 5496723116 Enrollment ID: I20190613001524 |
| Provider Name | William Won Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386201341 PECOS PAC ID: 8224362538 Enrollment ID: I20190620000407 |
| Provider Name | Evelyn Mcclinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700144409 PECOS PAC ID: 0042476681 Enrollment ID: I20190624001088 |
| Provider Name | Apeksha Dilip Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386801769 PECOS PAC ID: 1254403991 Enrollment ID: I20190627001563 |
| Provider Name | Anthony G Arslan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619132800 PECOS PAC ID: 4486872975 Enrollment ID: I20190628003019 |
| Provider Name | Gregory Desimone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851785687 PECOS PAC ID: 4688966328 Enrollment ID: I20190708002335 |
| Provider Name | Denisha Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043659352 PECOS PAC ID: 0547565848 Enrollment ID: I20190711002950 |
| Provider Name | Arshia Rassi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306225750 PECOS PAC ID: 9537463021 Enrollment ID: I20190717000414 |
| Provider Name | Kelli Ann Biggans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154363802 PECOS PAC ID: 4385685742 Enrollment ID: I20190717002226 |
| Provider Name | Jake a Armbrust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235585522 PECOS PAC ID: 1850682345 Enrollment ID: I20190723002931 |
| Provider Name | Andrew Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427405869 PECOS PAC ID: 8729371224 Enrollment ID: I20190725003929 |
| Provider Name | Jennifer Trang Marbella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073928651 PECOS PAC ID: 6305062787 Enrollment ID: I20190726000185 |
| Provider Name | Moayad Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104273218 PECOS PAC ID: 9436485513 Enrollment ID: I20190726001858 |
| Provider Name | Christopher Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699195420 PECOS PAC ID: 2961707021 Enrollment ID: I20190726002102 |
| Provider Name | Joobin Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588028807 PECOS PAC ID: 8022353135 Enrollment ID: I20190729002364 |
| Provider Name | Gaurav Zirath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205281292 PECOS PAC ID: 1951648492 Enrollment ID: I20190730000097 |
| Provider Name | John Everardo Villasenor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811271 PECOS PAC ID: 1658666706 Enrollment ID: I20190730004076 |
| Provider Name | Mohammed Hoque |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336482702 PECOS PAC ID: 5092064204 Enrollment ID: I20190731000926 |
| Provider Name | Emeka J Madu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275003824 PECOS PAC ID: 8325374085 Enrollment ID: I20190801003307 |
| Provider Name | Jing Qian Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710340179 PECOS PAC ID: 2062749781 Enrollment ID: I20190802002527 |
| Provider Name | David M Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265896880 PECOS PAC ID: 3678858768 Enrollment ID: I20190805001141 |
| Provider Name | Cassandra R Orosz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225693526 PECOS PAC ID: 9234467226 Enrollment ID: I20190829001096 |
| Provider Name | Heather Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730745217 PECOS PAC ID: 9234468984 Enrollment ID: I20190905003549 |
| Provider Name | Mauricio Joel Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821445032 PECOS PAC ID: 9234468299 Enrollment ID: I20190917001914 |
| Provider Name | Christian Alvarado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134788714 PECOS PAC ID: 4486984168 Enrollment ID: I20190923002527 |
| Provider Name | Laura Lynn Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992257885 PECOS PAC ID: 8527399518 Enrollment ID: I20191004001851 |
| Provider Name | Carl Anthony L Plaza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790242543 PECOS PAC ID: 1850622374 Enrollment ID: I20191015002562 |
| Provider Name | Haamid Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720368186 PECOS PAC ID: 0547493835 Enrollment ID: I20191016003341 |
| Provider Name | Daniel J Boylan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508316449 PECOS PAC ID: 1658650288 Enrollment ID: I20191104002902 |
| Provider Name | Donghyun Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548614563 PECOS PAC ID: 6305130592 Enrollment ID: I20191121001546 |
| Provider Name | Jill Antell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720104649 PECOS PAC ID: 6901067578 Enrollment ID: I20191121002017 |
| Provider Name | Elvira Prifti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942848429 PECOS PAC ID: 6305271461 Enrollment ID: I20200117000911 |
| Provider Name | Allison Anne Cogar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952394710 PECOS PAC ID: 4789806761 Enrollment ID: I20200120000624 |
| Provider Name | Courtney Rae Mcdermott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235771197 PECOS PAC ID: 6305271438 Enrollment ID: I20200120001114 |
| Provider Name | James H Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902448855 PECOS PAC ID: 4981039799 Enrollment ID: I20200123002068 |
| Provider Name | Meagan Elizabeth Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497397830 PECOS PAC ID: 7618302332 Enrollment ID: I20200127000594 |
| Provider Name | Toni Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881237287 PECOS PAC ID: 0941635692 Enrollment ID: I20200127001724 |
| Provider Name | James Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811539679 PECOS PAC ID: 0749615490 Enrollment ID: I20200127001807 |
| Provider Name | Tina Jean Palone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780109710 PECOS PAC ID: 1759638521 Enrollment ID: I20200128000741 |
| Provider Name | Kirstey Langston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255973285 PECOS PAC ID: 0840626552 Enrollment ID: I20200128002273 |
| Provider Name | Sarah Kolmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659913580 PECOS PAC ID: 8628404357 Enrollment ID: I20200128002978 |
| Provider Name | Michael Chartrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851317192 PECOS PAC ID: 2163501677 Enrollment ID: I20200129000650 |
| Provider Name | Madelyn F Waychoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477862589 PECOS PAC ID: 5698014298 Enrollment ID: I20200129001882 |
| Provider Name | Jae Hun Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063055481 PECOS PAC ID: 8123454691 Enrollment ID: I20200130003153 |
| Provider Name | Natasha Leah Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720543903 PECOS PAC ID: 8325474646 Enrollment ID: I20200205001583 |
| Provider Name | Alisha V Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945784 PECOS PAC ID: 4385070556 Enrollment ID: I20200206001042 |
| Provider Name | Shayne Preyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962048520 PECOS PAC ID: 2860828951 Enrollment ID: I20200210000583 |
| Provider Name | Rebekah Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124327382 PECOS PAC ID: 8123296712 Enrollment ID: I20200212002299 |
| Provider Name | Adrienne Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184092272 PECOS PAC ID: 9739498262 Enrollment ID: I20200217004254 |
| Provider Name | Lisa Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104122647 PECOS PAC ID: 8426209149 Enrollment ID: I20200219000042 |
| Provider Name | Anna Zabek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609408855 PECOS PAC ID: 9638506520 Enrollment ID: I20200306000364 |
| Provider Name | Daisy Pasilaban Mackie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659873529 PECOS PAC ID: 7012345689 Enrollment ID: I20200313000015 |
| Provider Name | Jessica Lynn Gorgoglione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679071617 PECOS PAC ID: 0042648016 Enrollment ID: I20200325002478 |
| Provider Name | Michelle Romashko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730681099 PECOS PAC ID: 8628324837 Enrollment ID: I20200408001441 |
| Provider Name | Rebecca I Campalans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750921920 PECOS PAC ID: 5991134298 Enrollment ID: I20200408001912 |
| Provider Name | Kendra Evelyn Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831329754 PECOS PAC ID: 7618191818 Enrollment ID: I20200422002941 |
| Provider Name | Richard J Bennett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699112185 PECOS PAC ID: 7618108408 Enrollment ID: I20200507000973 |
| Provider Name | Florentina Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962897306 PECOS PAC ID: 3577869577 Enrollment ID: I20200508001201 |
| Provider Name | Lubna J. Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306027024 PECOS PAC ID: 3375604283 Enrollment ID: I20200511001108 |
| Provider Name | Jocybel Itorralba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184274037 PECOS PAC ID: 9830511815 Enrollment ID: I20200619001685 |
| Provider Name | Sabrina M Akhtar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720215460 PECOS PAC ID: 2365865748 Enrollment ID: I20200701001975 |
| Provider Name | Dana Sean Vitale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164450524 PECOS PAC ID: 5092731547 Enrollment ID: I20200701003390 |
| Provider Name | Sarah Nicole Javier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598111304 PECOS PAC ID: 2961797212 Enrollment ID: I20200714001740 |
| Provider Name | Teinesha Irvey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912361791 PECOS PAC ID: 9931532553 Enrollment ID: I20200721002630 |
| Provider Name | Jessica Annekathleen Malachek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346887809 PECOS PAC ID: 6709201403 Enrollment ID: I20200729000112 |
| Provider Name | Mellissa Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508210105 PECOS PAC ID: 7113212283 Enrollment ID: I20200803001138 |
| Provider Name | Irishanne Venditto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437787728 PECOS PAC ID: 1456776749 Enrollment ID: I20200804000567 |
| Provider Name | Fu Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457705543 PECOS PAC ID: 3375835135 Enrollment ID: I20200813001859 |
| Provider Name | Angela M Mike |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770038929 PECOS PAC ID: 1254605678 Enrollment ID: I20200821001458 |
| Provider Name | Hewan Adamu Belete |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912360132 PECOS PAC ID: 5991089757 Enrollment ID: I20200821002371 |
| Provider Name | Ryan B Whitney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841520277 PECOS PAC ID: 7214072834 Enrollment ID: I20200827003693 |
| Provider Name | Charina Mae C Picornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972115772 PECOS PAC ID: 9830516343 Enrollment ID: I20200828002377 |
| Provider Name | Ryan Mccomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669813952 PECOS PAC ID: 9234429192 Enrollment ID: I20200831003106 |
| Provider Name | Jane Chie Trevorah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326280959 PECOS PAC ID: 8527486687 Enrollment ID: I20200922002016 |
| Provider Name | Brandi Alexander Jeffries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265896922 PECOS PAC ID: 5395038509 Enrollment ID: I20201012001859 |
| Provider Name | Kimberly Alison-maribbay Badiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917833 PECOS PAC ID: 7618397381 Enrollment ID: I20201019001344 |
| Provider Name | Kristyn Cisilino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275143711 PECOS PAC ID: 9739590175 Enrollment ID: I20201116002357 |
| Provider Name | Karla Cristina Borromeo Detoya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710320171 PECOS PAC ID: 6002045358 Enrollment ID: I20201221000484 |
| Provider Name | Aaron James Hales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164933560 PECOS PAC ID: 2567875164 Enrollment ID: I20201228001290 |
| Provider Name | Ela Kristel Olan Bolisay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629685219 PECOS PAC ID: 8820401045 Enrollment ID: I20210107002452 |
| Provider Name | Justin Madriaga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508467770 PECOS PAC ID: 5890108930 Enrollment ID: I20210108000639 |
| Provider Name | Barbara Ann Zimmerman Minnich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275511925 PECOS PAC ID: 1850421777 Enrollment ID: I20210112001704 |
| Provider Name | Charlie Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659314763 PECOS PAC ID: 3476456682 Enrollment ID: I20210114001678 |
| Provider Name | Vivian Gomez Villiatora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851903108 PECOS PAC ID: 1355754144 Enrollment ID: I20210118000157 |
| Provider Name | Lauren Belove |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245831338 PECOS PAC ID: 8123432952 Enrollment ID: I20210205001591 |
| Provider Name | Spencer Fleek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649871567 PECOS PAC ID: 9638584436 Enrollment ID: I20210208002222 |
| Provider Name | Jacob Andrew Parks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073114906 PECOS PAC ID: 6608281415 Enrollment ID: I20210208002879 |
| Provider Name | Vivek Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770011710 PECOS PAC ID: 0446665731 Enrollment ID: I20210218002355 |
| Provider Name | Laveena Sullhan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316548431 PECOS PAC ID: 3577979343 Enrollment ID: I20210303001762 |
| Provider Name | Allison R Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972026219 PECOS PAC ID: 2264705078 Enrollment ID: I20210308001287 |
| Provider Name | Anna Marie Gonzales Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760073746 PECOS PAC ID: 5092122846 Enrollment ID: I20210324000673 |
| Provider Name | Sherri Yagoubi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457721722 PECOS PAC ID: 9638586043 Enrollment ID: I20210401000381 |
| Provider Name | Diana C Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841663408 PECOS PAC ID: 3971911868 Enrollment ID: I20210416002022 |
| Provider Name | Brittany Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497345177 PECOS PAC ID: 5395153027 Enrollment ID: I20210419002600 |
| Provider Name | Jean Karen Montenegro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053902239 PECOS PAC ID: 1254749724 Enrollment ID: I20210421002790 |
| Provider Name | Grant Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487107355 PECOS PAC ID: 8426332487 Enrollment ID: I20210428001921 |
| Provider Name | Kitty Lee Sabatino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821460759 PECOS PAC ID: 9032419932 Enrollment ID: I20210518002409 |
| Provider Name | Danielle R Pringle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063092849 PECOS PAC ID: 5597164194 Enrollment ID: I20210602001723 |
| Provider Name | Michele Wijangco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245833151 PECOS PAC ID: 7517366016 Enrollment ID: I20210603002406 |
| Provider Name | Kevin M Bogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124410303 PECOS PAC ID: 0547574311 Enrollment ID: I20210609002783 |
| Provider Name | Linda Tylka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497732655 PECOS PAC ID: 2466466362 Enrollment ID: I20210610000759 |
| Provider Name | Erin Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285813592 PECOS PAC ID: 0648531723 Enrollment ID: I20210622002267 |
| Provider Name | Matthew H Stamm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437539889 PECOS PAC ID: 1153627138 Enrollment ID: I20210624001891 |
| Provider Name | Yuling Qu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972083533 PECOS PAC ID: 0143560540 Enrollment ID: I20210701001477 |
| Provider Name | Stephanie Hollister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245810324 PECOS PAC ID: 1052712627 Enrollment ID: I20210702001480 |
| Provider Name | Adrienne Yoo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538754965 PECOS PAC ID: 8628478187 Enrollment ID: I20210706001279 |
| Provider Name | Luanna Durden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487923231 PECOS PAC ID: 0547427205 Enrollment ID: I20210712002553 |
| Provider Name | Paula Denise Castro Guimond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376110874 PECOS PAC ID: 2860894979 Enrollment ID: I20210713000450 |
| Provider Name | Chihiro Hirai-adachi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568993517 PECOS PAC ID: 5597169268 Enrollment ID: I20210803003467 |
| Provider Name | Ling Yi Obrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295225399 PECOS PAC ID: 5395096994 Enrollment ID: I20210818001064 |
| Provider Name | Tatiana Tsvetkova |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295840353 PECOS PAC ID: 9436117082 Enrollment ID: I20210901004119 |
| Provider Name | Lisa Darrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851830418 PECOS PAC ID: 3779868633 Enrollment ID: I20210907000758 |
| Provider Name | Sibimol Sabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417539 PECOS PAC ID: 8426447681 Enrollment ID: I20211110001356 |
| Provider Name | Jean Monica Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992327241 PECOS PAC ID: 5890185524 Enrollment ID: I20211210002056 |
| Provider Name | Patrick Adib Tawil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841797685 PECOS PAC ID: 8325439524 Enrollment ID: I20211223000644 |
| Provider Name | Tony Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487321253 PECOS PAC ID: 0648661678 Enrollment ID: I20211229001138 |
| Provider Name | Sylvie Gaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588176028 PECOS PAC ID: 7315205275 Enrollment ID: I20220112002251 |
| Provider Name | Raghavendra Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982858742 PECOS PAC ID: 5890819338 Enrollment ID: I20220114000898 |
| Provider Name | Colton Dale Marshall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346811429 PECOS PAC ID: 4385036714 Enrollment ID: I20220117000353 |
| Provider Name | Rosemarie Sabijon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659705671 PECOS PAC ID: 6103051461 Enrollment ID: I20220118001777 |
| Provider Name | Shannon Noel Rice Treasure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649931007 PECOS PAC ID: 1850783846 Enrollment ID: I20220125002070 |
| Provider Name | Amy Constable |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578223392 PECOS PAC ID: 3072906775 Enrollment ID: I20220201001758 |
| Provider Name | Gerica Alvarado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124549464 PECOS PAC ID: 0749602696 Enrollment ID: I20220207002133 |
| Provider Name | Craig Clifford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962909978 PECOS PAC ID: 4587098405 Enrollment ID: I20220210001928 |
| Provider Name | Shanna Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174280242 PECOS PAC ID: 5193110088 Enrollment ID: I20220310002487 |
| Provider Name | Stephanie Quitevis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215584172 PECOS PAC ID: 0749676708 Enrollment ID: I20220331001449 |
| Provider Name | Natasha Roselyn Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548901028 PECOS PAC ID: 4385031475 Enrollment ID: I20220419002598 |
| Provider Name | Janice Bautista |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326699372 PECOS PAC ID: 5395178636 Enrollment ID: I20220420000308 |
| Provider Name | Cristy Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760753081 PECOS PAC ID: 0042472227 Enrollment ID: I20220420001556 |
| Provider Name | Russell Mcleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912653759 PECOS PAC ID: 3870980436 Enrollment ID: I20220428002159 |
| Provider Name | Richard Schubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487213203 PECOS PAC ID: 5597091686 Enrollment ID: I20220527000744 |
| Provider Name | Amanda Grange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891445698 PECOS PAC ID: 9638557499 Enrollment ID: I20220607001115 |
| Provider Name | Sandy Peng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962178616 PECOS PAC ID: 1153700612 Enrollment ID: I20220614002092 |
| Provider Name | Shirley Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144868522 PECOS PAC ID: 8224418645 Enrollment ID: I20220701001549 |
| Provider Name | Zhiqi Chen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245726413 PECOS PAC ID: 9931580412 Enrollment ID: I20220714002008 |
| Provider Name | Timothy J Brookes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811558968 PECOS PAC ID: 3476934951 Enrollment ID: I20220714002072 |
| Provider Name | Alexandra Kathleen Acosta Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841850120 PECOS PAC ID: 1850773912 Enrollment ID: I20220805001473 |
| Provider Name | Alexander Abesamis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164902185 PECOS PAC ID: 9739507328 Enrollment ID: I20220805002345 |
| Provider Name | Maria Roma Paula Penuela Delarrazabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932874195 PECOS PAC ID: 5597148494 Enrollment ID: I20220810000332 |
| Provider Name | John Caraway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710546304 PECOS PAC ID: 9234464819 Enrollment ID: I20220815001681 |
| Provider Name | Brant Hafen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407828 PECOS PAC ID: 5294065025 Enrollment ID: I20220816000786 |
| Provider Name | Adam Purviance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619534914 PECOS PAC ID: 4082097332 Enrollment ID: I20220818002011 |
| Provider Name | Katherine Leah Ashwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295460376 PECOS PAC ID: 0941683015 Enrollment ID: I20220823001081 |
| Provider Name | Dacia Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891442539 PECOS PAC ID: 0345624193 Enrollment ID: I20220829002604 |
| Provider Name | David Niumatalolo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1598298267 PECOS PAC ID: 7416203732 Enrollment ID: I20220831004061 |
| Provider Name | Rennette Bulatao Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364877 PECOS PAC ID: 4880078294 Enrollment ID: I20220902002510 |
| Provider Name | Carol Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194010553 PECOS PAC ID: 0941473748 Enrollment ID: I20220903000406 |
| Provider Name | Stephanie Tanaphone Insixiengmai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740749688 PECOS PAC ID: 2365776440 Enrollment ID: I20221004003558 |
| Provider Name | Savannah Rose Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740903954 PECOS PAC ID: 5890161020 Enrollment ID: I20221013000737 |
| Provider Name | Brady Michael Syphus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467018192 PECOS PAC ID: 4486020641 Enrollment ID: I20221013001836 |
| Provider Name | Kimberly Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710303276 PECOS PAC ID: 1759508401 Enrollment ID: I20221025003353 |
| Provider Name | Eric Sanghoo Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558802850 PECOS PAC ID: 3577830041 Enrollment ID: I20221031002247 |
| Provider Name | Domonique Katona |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255797528 PECOS PAC ID: 4981998655 Enrollment ID: I20221107001788 |
| Provider Name | Vy Mai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356801047 PECOS PAC ID: 8022345636 Enrollment ID: I20221109001154 |
| Provider Name | Gina Michelle Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629354519 PECOS PAC ID: 1951557701 Enrollment ID: I20221116002773 |
| Provider Name | Chiamaka Faith Ibeabuchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942922406 PECOS PAC ID: 3971972902 Enrollment ID: I20221213002032 |
| Provider Name | Shamaica Veronica Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912629544 PECOS PAC ID: 4385014877 Enrollment ID: I20221227001532 |
| Provider Name | Malay Him |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538520655 PECOS PAC ID: 9931483575 Enrollment ID: I20230109001846 |
| Provider Name | Julie Marie Lide |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588315444 PECOS PAC ID: 5092187823 Enrollment ID: I20230203002438 |
| Provider Name | Paige Cejka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205586104 PECOS PAC ID: 4486026598 Enrollment ID: I20230217000555 |
| Provider Name | Marissa Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306556949 PECOS PAC ID: 0749652774 Enrollment ID: I20230220002543 |
| Provider Name | Maria Landero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790118115 PECOS PAC ID: 5698062438 Enrollment ID: I20230221001320 |
| Provider Name | Dustin Samuel Randy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558071811 PECOS PAC ID: 1658744693 Enrollment ID: I20230222001927 |
| Provider Name | Alicia Henrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831603950 PECOS PAC ID: 5092075515 Enrollment ID: I20230227001102 |
| Provider Name | Randolph Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306258207 PECOS PAC ID: 9830484864 Enrollment ID: I20230228000699 |
| Provider Name | Patricia May Lacsina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003170614 PECOS PAC ID: 7214240134 Enrollment ID: I20230412000632 |
| Provider Name | Melissa J Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285242925 PECOS PAC ID: 7214302868 Enrollment ID: I20230412002023 |
| Provider Name | Karen Naguiat Cozelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912655523 PECOS PAC ID: 8325413990 Enrollment ID: I20230412003228 |
| Provider Name | Chelsea Musci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336888288 PECOS PAC ID: 7416322904 Enrollment ID: I20230414001697 |
| Provider Name | Marvi Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760840565 PECOS PAC ID: 5698072536 Enrollment ID: I20230421001844 |
| Provider Name | Henry Chiu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487820965 PECOS PAC ID: 2668661067 Enrollment ID: I20230428002042 |
| Provider Name | Kelly SIU |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104541499 PECOS PAC ID: 3577928043 Enrollment ID: I20230505001245 |
| Provider Name | Ashley Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659085363 PECOS PAC ID: 9931564358 Enrollment ID: I20230508001145 |
| Provider Name | Nicole Zieba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730876947 PECOS PAC ID: 9032575006 Enrollment ID: I20230517000922 |
| Provider Name | Katrina Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669009742 PECOS PAC ID: 2365866639 Enrollment ID: I20230526001484 |
| Provider Name | Peter Airel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538222047 PECOS PAC ID: 5092867937 Enrollment ID: I20230601001104 |
| Provider Name | Areeba Siddiqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750879474 PECOS PAC ID: 6709133424 Enrollment ID: I20230614001581 |
| Provider Name | Loc Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427684364 PECOS PAC ID: 7416370085 Enrollment ID: I20230717001654 |
| Provider Name | Lori Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619445459 PECOS PAC ID: 2466786751 Enrollment ID: I20230724004074 |
| Provider Name | Tuong Van Thi Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578190880 PECOS PAC ID: 6709284276 Enrollment ID: I20230726003809 |
| Provider Name | Kevin Joseph Uson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396372967 PECOS PAC ID: 4880082874 Enrollment ID: I20230727004129 |
| Provider Name | Dino Lorenzo Apostol Dy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427672765 PECOS PAC ID: 1153782628 Enrollment ID: I20230731002872 |
| Provider Name | Christian Beau Hicken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588293872 PECOS PAC ID: 3971927807 Enrollment ID: I20230804002358 |
| Provider Name | Kimberly J. Marsters |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295855583 PECOS PAC ID: 9830092261 Enrollment ID: I20230808003522 |
| Provider Name | Kelsey Mcpheeters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639758501 PECOS PAC ID: 8325435639 Enrollment ID: I20230815001131 |
| Provider Name | Tony Ramogi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548898711 PECOS PAC ID: 5890183800 Enrollment ID: I20230816001336 |
| Provider Name | Mohamed Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164928248 PECOS PAC ID: 0941555726 Enrollment ID: I20230821003311 |
| Provider Name | Ian Weng Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144857459 PECOS PAC ID: 8820412638 Enrollment ID: I20230825002649 |
| Provider Name | Benjamin Nolasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568049997 PECOS PAC ID: 4688062250 Enrollment ID: I20230914002373 |
| Provider Name | Chee Wai Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548899842 PECOS PAC ID: 7719301654 Enrollment ID: I20230920000883 |
| Provider Name | Xiaoyin Qiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689202442 PECOS PAC ID: 7315363546 Enrollment ID: I20230926000769 |
| Provider Name | Josiah J Tour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891323614 PECOS PAC ID: 8527460674 Enrollment ID: I20231004004043 |
| Provider Name | Amaka Onyiagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386263283 PECOS PAC ID: 4486009206 Enrollment ID: I20231016000441 |
| Provider Name | Mazia Shafi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649773458 PECOS PAC ID: 6406289818 Enrollment ID: I20231024001827 |
| Provider Name | Jonathan Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497121545 PECOS PAC ID: 5991005688 Enrollment ID: I20231106001612 |
| Provider Name | Brenda Jayne Swaim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255862785 PECOS PAC ID: 8921451956 Enrollment ID: I20240125004769 |
| Provider Name | Yeo Young Yoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821513177 PECOS PAC ID: 8628330032 Enrollment ID: I20240126001121 |
| Provider Name | Meagan Leavitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407620149 PECOS PAC ID: 7012350440 Enrollment ID: I20240213001033 |
| Provider Name | Shaqayeq Rudd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790475564 PECOS PAC ID: 3375987126 Enrollment ID: I20240220002187 |
| Provider Name | Amber Rayburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477322089 PECOS PAC ID: 4486091675 Enrollment ID: I20240322004326 |
| Provider Name | Arianne Carisse Reyes Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821852054 PECOS PAC ID: 9032557806 Enrollment ID: I20240329002385 |
| Provider Name | Greta Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174393524 PECOS PAC ID: 8921446949 Enrollment ID: I20240409004067 |
| Provider Name | Nghi-binh Ha Le |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053082644 PECOS PAC ID: 9335588862 Enrollment ID: I20240417001676 |
| Provider Name | Austin Troy Leavitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164294534 PECOS PAC ID: 0941642441 Enrollment ID: I20240529004119 |
| Provider Name | Sammy Feng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629843503 PECOS PAC ID: 4183060700 Enrollment ID: I20240617001129 |
| Provider Name | Timothy Sugimoto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033744305 PECOS PAC ID: 3577962646 Enrollment ID: I20240619001477 |
| Provider Name | Miranda Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225666423 PECOS PAC ID: 1355880642 Enrollment ID: I20240830001055 |
| Provider Name | Brandon Granil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154174936 PECOS PAC ID: 3476084716 Enrollment ID: I20240927000476 |
| Provider Name | Michelle Vandenbosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023205051 PECOS PAC ID: 7517862279 Enrollment ID: I20241016000405 |
| Provider Name | Julie Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831792753 PECOS PAC ID: 5799170973 Enrollment ID: I20241016001793 |
| Provider Name | Blessing Nnenna Enudu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154810323 PECOS PAC ID: 3476082348 Enrollment ID: I20250122000426 |
| Provider Name | Yesenia Solorio Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346990553 PECOS PAC ID: 0244769958 Enrollment ID: I20250124002856 |
| Provider Name | Edenlita Pangilinan Antolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609681659 PECOS PAC ID: 7214459866 Enrollment ID: I20250324001916 |
| Provider Name | John William Cegielski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922267939 PECOS PAC ID: 6507035789 Enrollment ID: I20250414001771 |
| Provider Name | Caasi Christiana Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265243091 PECOS PAC ID: 5496273351 Enrollment ID: I20250515000825 |
| Provider Name | Miquala Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073308383 PECOS PAC ID: 9739699752 Enrollment ID: I20250610000184 |
| Provider Name | Caitlin Nicole Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275157109 PECOS PAC ID: 0648671008 Enrollment ID: I20250701003657 |
| Provider Name | Nicole Insel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750059143 PECOS PAC ID: 3476946054 Enrollment ID: I20250711002619 |
| Provider Name | Maria Parseghian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295546679 PECOS PAC ID: 4385159334 Enrollment ID: I20250717001203 |
| Provider Name | Zain U Wahla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366191645 PECOS PAC ID: 7719362995 Enrollment ID: I20250730003682 |
| Provider Name | Karen K Chow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114770302 PECOS PAC ID: 4486162112 Enrollment ID: I20250804003850 |
| Provider Name | Sarine G Shahmirian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922758598 PECOS PAC ID: 7315329711 Enrollment ID: I20250820001797 |
| Provider Name | Julia Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891161865 PECOS PAC ID: 5890095228 Enrollment ID: I20250902001010 |
| Provider Name | Juan Trivella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407122443 PECOS PAC ID: 8729304985 Enrollment ID: I20250906000734 |
| Provider Name | Michael Saiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316388051 PECOS PAC ID: 5799929246 Enrollment ID: I20250922001186 |
| Provider Name | Jeffrey Ben Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982344990 PECOS PAC ID: 9638674153 Enrollment ID: I20250925002610 |
| Provider Name | So Chang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831826791 PECOS PAC ID: 5597138065 Enrollment ID: I20251209002238 |
| Provider Name | Skyler Alvarado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932062759 PECOS PAC ID: 5890275655 Enrollment ID: I20260219001600 |
| Provider Name | Linda Kim Ly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891651626 PECOS PAC ID: 6103307897 Enrollment ID: I20260220001524 |
| Provider Name | Elizabeth Shin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811859366 PECOS PAC ID: 7113400771 Enrollment ID: I20260311003250 |
| Provider Name | Sabrina Campa Close |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316802739 PECOS PAC ID: 4688157282 Enrollment ID: I20260311004562 |
Medical Group at Sun City, LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-240-8155 Fax: 702-240-8161 |
Viren B Patel DO a Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Smoke Ranch Rd, Suite 120, Las Vegas, NV 89128 Phone: 702-477-7044 Fax: 702-259-4843 |
Shari Klein DO a Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8571 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128 Phone: 702-545-0283 Fax: 702-545-0285 |
Ardeshir Rohani MD Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3824 S Jones Blvd Ste A, Las Vegas, NV 89103 Phone: 702-463-3000 Fax: 702-463-3000 |
Mai Health and Beauty Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 W Charleston Blvd, Ste. B, Las Vegas, NV 89146 Phone: 702-480-2044 |
Rebecca Garcia Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 435-896-7944 |