| Centro De Salud De La Comunidad De San Ysidro, Inc. | |
|
1666 Precision Park Ln San Diego CA 92173-1346 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1666 Precision Park Ln, San Diego, California |
| Authorized Official Name and Position | William Brian Wallace (VP/CFO) |
| Authorized Official Contact | 6192056339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud De La Comunidad De San Ysidro, Inc. 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | Centro De Salud De La Comunidad De San Ysidro, Inc. 1666 Precision Park Ln San Diego CA 92173-1346 Ph: (619) 662-4100 |
| NPI Number | 1124782685 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 11/18/2022 |
| Medicare PECOS PAC ID | 6901709435 |
|---|---|
| Medicare Enrollment ID | O20040130000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124782685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Diego Mendez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437181922 PECOS PAC ID: 7911803804 Enrollment ID: I20031212000580 |
| Provider Name | Mehran Moussavian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689788234 PECOS PAC ID: 8022916782 Enrollment ID: I20031219000582 |
| Provider Name | Tasha K Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528144433 PECOS PAC ID: 3274435920 Enrollment ID: I20040122001104 |
| Provider Name | Raul F Trejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174534184 PECOS PAC ID: 0941103212 Enrollment ID: I20040202000793 |
| Provider Name | Martha A Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114957289 PECOS PAC ID: 2961395868 Enrollment ID: I20040204000967 |
| Provider Name | John Kasawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134230329 PECOS PAC ID: 3678468386 Enrollment ID: I20040219001017 |
| Provider Name | Maria T Carriedo-ceniceros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295746618 PECOS PAC ID: 8022906676 Enrollment ID: I20040305001162 |
| Provider Name | Jesus A Bucardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861581993 PECOS PAC ID: 0042102469 Enrollment ID: I20040329001068 |
| Provider Name | Arash Shamsinejad Babaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750498119 PECOS PAC ID: 0446244438 Enrollment ID: I20040413000372 |
| Provider Name | Athena Philis-tsimikas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922105964 PECOS PAC ID: 5890780258 Enrollment ID: I20040416000246 |
| Provider Name | John R Pedrotty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992861629 PECOS PAC ID: 3779570635 Enrollment ID: I20040430000659 |
| Provider Name | Sretenka Dokich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154409035 PECOS PAC ID: 2769463892 Enrollment ID: I20040525001752 |
| Provider Name | David C Medway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689609687 PECOS PAC ID: 2264413731 Enrollment ID: I20040601001367 |
| Provider Name | Tonianne French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770578411 PECOS PAC ID: 6507840360 Enrollment ID: I20040617001030 |
| Provider Name | Yashwant S Chaudhri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043258429 PECOS PAC ID: 0042295685 Enrollment ID: I20040622001347 |
| Provider Name | Yvonne S Mcclamroch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477603694 PECOS PAC ID: 5193703411 Enrollment ID: I20040712001364 |
| Provider Name | Peter F Jost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518992668 PECOS PAC ID: 9436121506 Enrollment ID: I20040809001487 |
| Provider Name | Beverly G Harrell-brude |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619907581 PECOS PAC ID: 2668444654 Enrollment ID: I20040810001041 |
| Provider Name | Juan M Tovar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508896333 PECOS PAC ID: 3476525403 Enrollment ID: I20040810001351 |
| Provider Name | Matthew O'banion Kelchner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174656755 PECOS PAC ID: 1658344833 Enrollment ID: I20040816001230 |
| Provider Name | Mauricio E Pons |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376723759 PECOS PAC ID: 7911972237 Enrollment ID: I20040831000548 |
| Provider Name | Maria Geraldina Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811070261 PECOS PAC ID: 4183692536 Enrollment ID: I20040922001176 |
| Provider Name | Majid M Naficy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265564553 PECOS PAC ID: 4183692486 Enrollment ID: I20040923001156 |
| Provider Name | Francisco Tejeda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407940075 PECOS PAC ID: 1759343080 Enrollment ID: I20041029000420 |
| Provider Name | Susana Acevedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801971569 PECOS PAC ID: 4385606631 Enrollment ID: I20041029000603 |
| Provider Name | Patricia Pisinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861428302 PECOS PAC ID: 1658336151 Enrollment ID: I20041123001247 |
| Provider Name | Daniel J Trueba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396773990 PECOS PAC ID: 0345206322 Enrollment ID: I20041202000269 |
| Provider Name | Gregory Talavera |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1740337161 PECOS PAC ID: 6800854613 Enrollment ID: I20041227000740 |
| Provider Name | John R Swartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396754131 PECOS PAC ID: 2769430834 Enrollment ID: I20050105000497 |
| Provider Name | Eric J Leute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720171507 PECOS PAC ID: 7719935766 Enrollment ID: I20050106000820 |
| Provider Name | Man-hung J Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225149115 PECOS PAC ID: 3678525045 Enrollment ID: I20050214000599 |
| Provider Name | James E Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811906654 PECOS PAC ID: 3476507229 Enrollment ID: I20050304000450 |
| Provider Name | Scott Musinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447223326 PECOS PAC ID: 3779538483 Enrollment ID: I20050315001205 |
| Provider Name | Eugene M Rosenblatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427123991 PECOS PAC ID: 8022064666 Enrollment ID: I20050325000615 |
| Provider Name | Jonathan L Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184954455 PECOS PAC ID: 6800833526 Enrollment ID: I20050414000423 |
| Provider Name | Stanley M Wilbur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942311378 PECOS PAC ID: 5092754945 Enrollment ID: I20050429000122 |
| Provider Name | Jorge A Calderon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407800881 PECOS PAC ID: 7113963117 Enrollment ID: I20050629001204 |
| Provider Name | Martin L Kabongo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033168810 PECOS PAC ID: 0941237721 Enrollment ID: I20050722000835 |
| Provider Name | James E Cevallos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720181829 PECOS PAC ID: 3779511100 Enrollment ID: I20050727001140 |
| Provider Name | Jairo A Romero |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841258886 PECOS PAC ID: 3971532524 Enrollment ID: I20050804000640 |
| Provider Name | Simin M Ghahremani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508904657 PECOS PAC ID: 8628002771 Enrollment ID: I20050919001041 |
| Provider Name | Lucian Oprea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033329792 PECOS PAC ID: 2466477013 Enrollment ID: I20051012000666 |
| Provider Name | Michael D Hurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205893104 PECOS PAC ID: 1052397742 Enrollment ID: I20051014000212 |
| Provider Name | Monica Mcmillan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730117979 PECOS PAC ID: 1052337011 Enrollment ID: I20051019000197 |
| Provider Name | Jennifer Colleen Trujillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053407593 PECOS PAC ID: 7618994708 Enrollment ID: I20051027001106 |
| Provider Name | Christopher L Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
| Provider Name | Shaun Carstairs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255301602 PECOS PAC ID: 3375565054 Enrollment ID: I20051221000862 |
| Provider Name | Anne D Kaufhold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164508073 PECOS PAC ID: 9638185390 Enrollment ID: I20060303000706 |
| Provider Name | Mark Shaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255436804 PECOS PAC ID: 4587635073 Enrollment ID: I20060403000227 |
| Provider Name | Steven F Ritter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356556021 PECOS PAC ID: 2668481607 Enrollment ID: I20060419000389 |
| Provider Name | Ahmed K El-ghoneimy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942257852 PECOS PAC ID: 1153318811 Enrollment ID: I20060427000160 |
| Provider Name | Sepideh Chegini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871547075 PECOS PAC ID: 1052322591 Enrollment ID: I20060511000236 |
| Provider Name | Robert C Searles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891807764 PECOS PAC ID: 0547269110 Enrollment ID: I20061207000488 |
| Provider Name | Shaila Serpas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124039136 PECOS PAC ID: 6709885205 Enrollment ID: I20061211000509 |
| Provider Name | Shahram S Daneshmand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891867412 PECOS PAC ID: 3870593643 Enrollment ID: I20061228000377 |
| Provider Name | Caroll Toledo Nader |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427126648 PECOS PAC ID: 5294735502 Enrollment ID: I20070111000184 |
| Provider Name | Jehrib M Cabarlo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770661340 PECOS PAC ID: 3072514504 Enrollment ID: I20070125000127 |
| Provider Name | Jennifer L Poast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164435681 PECOS PAC ID: 0345233532 Enrollment ID: I20070131000649 |
| Provider Name | Susan D Quilalang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841200482 PECOS PAC ID: 8527163393 Enrollment ID: I20070424000230 |
| Provider Name | Theodora J Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326130584 PECOS PAC ID: 8527095132 Enrollment ID: I20070427000539 |
| Provider Name | Kofi D Sefa-boakye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902993660 PECOS PAC ID: 5698872224 Enrollment ID: I20070516000375 |
| Provider Name | Gloria M Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679653380 PECOS PAC ID: 0143320200 Enrollment ID: I20070703000332 |
| Provider Name | Mary Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093844417 PECOS PAC ID: 4688774953 Enrollment ID: I20070716000509 |
| Provider Name | Akanke J Celestin Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447450275 PECOS PAC ID: 5597850123 Enrollment ID: I20070927000626 |
| Provider Name | Dennis O Dominguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225063811 PECOS PAC ID: 9335237999 Enrollment ID: I20071114000535 |
| Provider Name | Hassan Kafri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730258401 PECOS PAC ID: 0648368258 Enrollment ID: I20071115000338 |
| Provider Name | Jose B De La Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689646572 PECOS PAC ID: 8729177738 Enrollment ID: I20071128000703 |
| Provider Name | Jay F Downey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073610960 PECOS PAC ID: 9537249545 Enrollment ID: I20080103000385 |
| Provider Name | James R Malinak |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497867501 PECOS PAC ID: 4183706518 Enrollment ID: I20080207000679 |
| Provider Name | Timothy D Sahms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780697276 PECOS PAC ID: 2365527793 Enrollment ID: I20080310000687 |
| Provider Name | Marinel Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871786558 PECOS PAC ID: 8022197953 Enrollment ID: I20080505000234 |
| Provider Name | Griselda E Tiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619088440 PECOS PAC ID: 3072692722 Enrollment ID: I20080506000501 |
| Provider Name | My T Dinh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316146996 PECOS PAC ID: 5991874216 Enrollment ID: I20080513000271 |
| Provider Name | Julie Marmon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154538957 PECOS PAC ID: 7911078027 Enrollment ID: I20080617000784 |
| Provider Name | Jacqueline Reardon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417928557 PECOS PAC ID: 6305917113 Enrollment ID: I20080623000467 |
| Provider Name | Marianne Mckennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376639666 PECOS PAC ID: 6002987690 Enrollment ID: I20080625000772 |
| Provider Name | Mianda Cheree Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083815823 PECOS PAC ID: 4486722378 Enrollment ID: I20081006000174 |
| Provider Name | Deborah Thorpe Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033191457 PECOS PAC ID: 2769568286 Enrollment ID: I20081104000211 |
| Provider Name | Michelle Lamantia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124176102 PECOS PAC ID: 5294897880 Enrollment ID: I20081216000168 |
| Provider Name | Margarita P Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821299520 PECOS PAC ID: 7911060504 Enrollment ID: I20090107000694 |
| Provider Name | Steve H Koh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467650473 PECOS PAC ID: 4385707827 Enrollment ID: I20090109000644 |
| Provider Name | Andrea Polesky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063517365 PECOS PAC ID: 0840355434 Enrollment ID: I20090213000508 |
| Provider Name | Jeffrey S Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508924689 PECOS PAC ID: 2860408069 Enrollment ID: I20090330000055 |
| Provider Name | Jorge A Carrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184728586 PECOS PAC ID: 9638226475 Enrollment ID: I20090413000391 |
| Provider Name | Jorge C Naranjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992838684 PECOS PAC ID: 7719034149 Enrollment ID: I20090422000021 |
| Provider Name | Jennifer Hirsch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891752069 PECOS PAC ID: 9537216999 Enrollment ID: I20090422000283 |
| Provider Name | Natalie Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720270457 PECOS PAC ID: 0042368649 Enrollment ID: I20090509000000 |
| Provider Name | Bhavesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881778165 PECOS PAC ID: 8426048745 Enrollment ID: I20090605000293 |
| Provider Name | Luis F Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841301330 PECOS PAC ID: 7517018757 Enrollment ID: I20090629000068 |
| Provider Name | Jorge Arce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245344514 PECOS PAC ID: 2365593597 Enrollment ID: I20090630000333 |
| Provider Name | Ralph C Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285782151 PECOS PAC ID: 2466504402 Enrollment ID: I20090722000222 |
| Provider Name | Beti Nissan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396705299 PECOS PAC ID: 8921153560 Enrollment ID: I20090902000514 |
| Provider Name | Tina Shahidyazdani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891924858 PECOS PAC ID: 2668527920 Enrollment ID: I20090910000155 |
| Provider Name | Sharon F Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972732584 PECOS PAC ID: 1759437429 Enrollment ID: I20090922000243 |
| Provider Name | Pomai Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023278314 PECOS PAC ID: 2961548185 Enrollment ID: I20091001000374 |
| Provider Name | Ramon Sy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982617403 PECOS PAC ID: 1153463427 Enrollment ID: I20100125000559 |
| Provider Name | Michael A Nace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912929936 PECOS PAC ID: 4981747797 Enrollment ID: I20100202000680 |
| Provider Name | Bruce A Manchel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790890788 PECOS PAC ID: 5799820734 Enrollment ID: I20100302000902 |
| Provider Name | Daniel William Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245311216 PECOS PAC ID: 0446386551 Enrollment ID: I20100329000319 |
| Provider Name | Nasrin Mani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023061314 PECOS PAC ID: 5890821789 Enrollment ID: I20100330001117 |
| Provider Name | Hamid D Mani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700838141 PECOS PAC ID: 4082740972 Enrollment ID: I20100330001183 |
| Provider Name | Dana A Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780609990 PECOS PAC ID: 3678604089 Enrollment ID: I20100629000640 |
| Provider Name | Tevy Tith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588816086 PECOS PAC ID: 6901938091 Enrollment ID: I20100726000564 |
| Provider Name | Daniel Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538371844 PECOS PAC ID: 3678606720 Enrollment ID: I20100727000382 |
| Provider Name | Edward M Goldstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982617494 PECOS PAC ID: 5597899724 Enrollment ID: I20100810000695 |
| Provider Name | Jefferson C Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235142738 PECOS PAC ID: 0042344947 Enrollment ID: I20100813000812 |
| Provider Name | Marilyn Calderon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144486713 PECOS PAC ID: 1254465016 Enrollment ID: I20100816000253 |
| Provider Name | Joseph Tyler Lonergan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962427310 PECOS PAC ID: 7719001536 Enrollment ID: I20100901000065 |
| Provider Name | David I Kaufer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710082789 PECOS PAC ID: 3072682244 Enrollment ID: I20100916000982 |
| Provider Name | James J Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033267935 PECOS PAC ID: 8628194164 Enrollment ID: I20100922000273 |
| Provider Name | Carie C Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174781132 PECOS PAC ID: 9638295777 Enrollment ID: I20100927001063 |
| Provider Name | Berenice B Ibanez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740394386 PECOS PAC ID: 3870651185 Enrollment ID: I20101012000750 |
| Provider Name | Ivy C Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891796165 PECOS PAC ID: 0648248096 Enrollment ID: I20101109001473 |
| Provider Name | Cindy M Fujii |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871664821 PECOS PAC ID: 4284821273 Enrollment ID: I20101202000973 |
| Provider Name | Hasmukh L Sheth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396812236 PECOS PAC ID: 0143419044 Enrollment ID: I20110107000412 |
| Provider Name | Carmen Velazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518965714 PECOS PAC ID: 9436108404 Enrollment ID: I20110215000604 |
| Provider Name | Sofia G Tomina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568538502 PECOS PAC ID: 8921289364 Enrollment ID: I20110218000180 |
| Provider Name | Rodney Grant Hood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033102959 PECOS PAC ID: 2062301658 Enrollment ID: I20110303000665 |
| Provider Name | Debra J Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790757623 PECOS PAC ID: 4789866245 Enrollment ID: I20110304000803 |
| Provider Name | Sir Cedric Ibanez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841496452 PECOS PAC ID: 6002960747 Enrollment ID: I20110321000136 |
| Provider Name | Myrna Luzette Coronado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710147566 PECOS PAC ID: 5991988099 Enrollment ID: I20110328000563 |
| Provider Name | Denise M Reppenhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760703136 PECOS PAC ID: 5597949230 Enrollment ID: I20110405000346 |
| Provider Name | Jeannette L Aldous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073650339 PECOS PAC ID: 8426232513 Enrollment ID: I20110414000445 |
| Provider Name | Naghmeh Rowhani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992876759 PECOS PAC ID: 8729114426 Enrollment ID: I20110428000286 |
| Provider Name | Dana Ann Copeland Reddy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144538778 PECOS PAC ID: 0143407031 Enrollment ID: I20110601000551 |
| Provider Name | Maribel C Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124104815 PECOS PAC ID: 1052598414 Enrollment ID: I20110613000105 |
| Provider Name | Mayra M Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629232715 PECOS PAC ID: 0042488876 Enrollment ID: I20110722000213 |
| Provider Name | Vanessa M Navarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952563421 PECOS PAC ID: 5395913701 Enrollment ID: I20110729000032 |
| Provider Name | Irene M Zink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215959549 PECOS PAC ID: 3971581125 Enrollment ID: I20110729000633 |
| Provider Name | Brendan James Kidder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275793929 PECOS PAC ID: 1052582418 Enrollment ID: I20110915000789 |
| Provider Name | Julie R Sierra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881672798 PECOS PAC ID: 4981632890 Enrollment ID: I20110923000488 |
| Provider Name | Noemi Arrieta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912223496 PECOS PAC ID: 4082885942 Enrollment ID: I20110926000450 |
| Provider Name | Jennifer K Fritz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013071497 PECOS PAC ID: 0840463709 Enrollment ID: I20111109000619 |
| Provider Name | Kwi Yb Bulow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073608576 PECOS PAC ID: 6608042080 Enrollment ID: I20120106000218 |
| Provider Name | Sid S Korsand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588634513 PECOS PAC ID: 5799952354 Enrollment ID: I20120123000265 |
| Provider Name | Oscar Manuel De La Mora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982703898 PECOS PAC ID: 4688704562 Enrollment ID: I20120319000429 |
| Provider Name | Kelly L Neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780803254 PECOS PAC ID: 4981866506 Enrollment ID: I20120427000101 |
| Provider Name | Charles F Plante |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760464960 PECOS PAC ID: 7810171683 Enrollment ID: I20120511000236 |
| Provider Name | Blake A Wylie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922314145 PECOS PAC ID: 5092978551 Enrollment ID: I20120519000001 |
| Provider Name | Sandra Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962421651 PECOS PAC ID: 6608039714 Enrollment ID: I20120529000218 |
| Provider Name | Jolene I Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649552621 PECOS PAC ID: 1153586912 Enrollment ID: I20120628000116 |
| Provider Name | Carl Heard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447262316 PECOS PAC ID: 9537077284 Enrollment ID: I20120628000280 |
| Provider Name | Melanie J Langford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902112477 PECOS PAC ID: 3173789229 Enrollment ID: I20120718000499 |
| Provider Name | Mary Ann Palomino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770718975 PECOS PAC ID: 2264698869 Enrollment ID: I20120726000313 |
| Provider Name | Ali R Dia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912031030 PECOS PAC ID: 0547416802 Enrollment ID: I20120802000331 |
| Provider Name | Ricardo A Indacochea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033375563 PECOS PAC ID: 4688820657 Enrollment ID: I20120807000290 |
| Provider Name | Ryan R Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942435144 PECOS PAC ID: 7911153903 Enrollment ID: I20120807000471 |
| Provider Name | Brian P Snook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295977353 PECOS PAC ID: 3173779972 Enrollment ID: I20120810000157 |
| Provider Name | Andrew Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396815775 PECOS PAC ID: 3971759580 Enrollment ID: I20120815000240 |
| Provider Name | Azita Aslian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851667661 PECOS PAC ID: 1951559053 Enrollment ID: I20120914000411 |
| Provider Name | Esther Dalugdugan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962662718 PECOS PAC ID: 3870741572 Enrollment ID: I20120921000738 |
| Provider Name | Maggie M Sickles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821346826 PECOS PAC ID: 3870741499 Enrollment ID: I20120924000277 |
| Provider Name | Sumana Reddy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053300251 PECOS PAC ID: 9234388414 Enrollment ID: I20121008000165 |
| Provider Name | Alan P. Shahtaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972751089 PECOS PAC ID: 7517118623 Enrollment ID: I20121120000357 |
| Provider Name | Ariana N Dillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497067862 PECOS PAC ID: 3779735386 Enrollment ID: I20121206000056 |
| Provider Name | Jennifer J. Winesburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811162456 PECOS PAC ID: 8123270618 Enrollment ID: I20121207000407 |
| Provider Name | Darin Arsenault |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528243821 PECOS PAC ID: 9638321771 Enrollment ID: I20121218000290 |
| Provider Name | Tsuh Yin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093803520 PECOS PAC ID: 4284657727 Enrollment ID: I20130107000144 |
| Provider Name | Marchita R Masters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043330467 PECOS PAC ID: 9133372352 Enrollment ID: I20130118000376 |
| Provider Name | Benedict S. Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710142708 PECOS PAC ID: 1153576350 Enrollment ID: I20130219000057 |
| Provider Name | Abiade C Short |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750559589 PECOS PAC ID: 7416102488 Enrollment ID: I20130222000191 |
| Provider Name | Oliver M Solis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669708962 PECOS PAC ID: 5698813871 Enrollment ID: I20130322000202 |
| Provider Name | Bassam K Nassir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386848166 PECOS PAC ID: 3577700525 Enrollment ID: I20130510000154 |
| Provider Name | Agnela T Isaias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790772572 PECOS PAC ID: 4789640186 Enrollment ID: I20130718000158 |
| Provider Name | Seth M Asser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205049038 PECOS PAC ID: 7911148556 Enrollment ID: I20130724000958 |
| Provider Name | Fazela Wasimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780024588 PECOS PAC ID: 9436390432 Enrollment ID: I20130801000734 |
| Provider Name | Nicholas R Whitley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629394721 PECOS PAC ID: 8426290487 Enrollment ID: I20130805000494 |
| Provider Name | Katherine N White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801112925 PECOS PAC ID: 3577705300 Enrollment ID: I20130807000781 |
| Provider Name | Jessica R Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760765333 PECOS PAC ID: 4587838123 Enrollment ID: I20130814000749 |
| Provider Name | Seth Camhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467770826 PECOS PAC ID: 3779725999 Enrollment ID: I20130816000530 |
| Provider Name | Lawrence T Malak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467773028 PECOS PAC ID: 2860635950 Enrollment ID: I20130820001075 |
| Provider Name | Karla J Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154647410 PECOS PAC ID: 4183858822 Enrollment ID: I20131010002089 |
| Provider Name | Maria Corazon Matias Piansay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669680351 PECOS PAC ID: 4284804303 Enrollment ID: I20131029001377 |
| Provider Name | Louis A Fontana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780734343 PECOS PAC ID: 2365401866 Enrollment ID: I20131111000828 |
| Provider Name | Imanie S Wijayaratne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932358355 PECOS PAC ID: 7517195035 Enrollment ID: I20140108000908 |
| Provider Name | Sarah Dalhoumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033435383 PECOS PAC ID: 8921238742 Enrollment ID: I20140223000001 |
| Provider Name | Adam L Braddock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013163542 PECOS PAC ID: 6305078411 Enrollment ID: I20140403001616 |
| Provider Name | Bema K Bonsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932106986 PECOS PAC ID: 3476637570 Enrollment ID: I20140514000726 |
| Provider Name | Jill M Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528059276 PECOS PAC ID: 8921033747 Enrollment ID: I20140603002116 |
| Provider Name | Georgios Papastergiou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790054393 PECOS PAC ID: 2860652849 Enrollment ID: I20140610000241 |
| Provider Name | Gaurav Mishra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689804866 PECOS PAC ID: 3072739267 Enrollment ID: I20140724000501 |
| Provider Name | Aleka Delafield Heinrici |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780979120 PECOS PAC ID: 2769613140 Enrollment ID: I20140807000471 |
| Provider Name | Jessica L Thackaberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134478910 PECOS PAC ID: 4082831110 Enrollment ID: I20140813000175 |
| Provider Name | Jason Matthew Moss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386961423 PECOS PAC ID: 3072731520 Enrollment ID: I20140826001157 |
| Provider Name | Pooja S Menon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053600064 PECOS PAC ID: 1557586559 Enrollment ID: I20140908002146 |
| Provider Name | Samathha R Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659620854 PECOS PAC ID: 1557580032 Enrollment ID: I20140915002701 |
| Provider Name | Janelle J Pieros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386935914 PECOS PAC ID: 5597984021 Enrollment ID: I20140916001733 |
| Provider Name | Kelley J De Leeuw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720395361 PECOS PAC ID: 8820217086 Enrollment ID: I20140919002088 |
| Provider Name | Carol L Lieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487889846 PECOS PAC ID: 6709938269 Enrollment ID: I20140927000285 |
| Provider Name | Mateo A Alaniz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700175577 PECOS PAC ID: 2769602689 Enrollment ID: I20140927000309 |
| Provider Name | Aki Y Wen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205126505 PECOS PAC ID: 3375763121 Enrollment ID: I20140930001807 |
| Provider Name | Wegdan Hanna-haddad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457769333 PECOS PAC ID: 3476773896 Enrollment ID: I20141007002942 |
| Provider Name | Meenu Sood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841588928 PECOS PAC ID: 1456572700 Enrollment ID: I20141029002817 |
| Provider Name | Sarah E Merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225399512 PECOS PAC ID: 6406078815 Enrollment ID: I20141119000045 |
| Provider Name | James Cortes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376757732 PECOS PAC ID: 3870715170 Enrollment ID: I20141120000994 |
| Provider Name | Hsin-yee Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730500810 PECOS PAC ID: 8325361025 Enrollment ID: I20150105001785 |
| Provider Name | Stephen John Croughan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043323629 PECOS PAC ID: 8729302856 Enrollment ID: I20150121001079 |
| Provider Name | Tobe M Propst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194814277 PECOS PAC ID: 8729303367 Enrollment ID: I20150203000009 |
| Provider Name | Jason Nikzad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508121674 PECOS PAC ID: 7012167554 Enrollment ID: I20150204001787 |
| Provider Name | Nicole B Carr-lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316270481 PECOS PAC ID: 4981929858 Enrollment ID: I20150217002037 |
| Provider Name | Cristina Deis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639478811 PECOS PAC ID: 0840415451 Enrollment ID: I20150521001286 |
| Provider Name | Wahida Hamid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164812293 PECOS PAC ID: 5496076697 Enrollment ID: I20150529002249 |
| Provider Name | Peter Csapoczi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841357118 PECOS PAC ID: 5496992786 Enrollment ID: I20150729008125 |
| Provider Name | David Lepez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205196029 PECOS PAC ID: 0042524431 Enrollment ID: I20150729008539 |
| Provider Name | Alexander Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467714436 PECOS PAC ID: 7810201829 Enrollment ID: I20150805006605 |
| Provider Name | Margaret Anna Jolley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689019853 PECOS PAC ID: 5294040549 Enrollment ID: I20150814013578 |
| Provider Name | Afsaneh Amini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790099943 PECOS PAC ID: 2961688684 Enrollment ID: I20150814014719 |
| Provider Name | Danielle M Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609142892 PECOS PAC ID: 4385950146 Enrollment ID: I20150825004374 |
| Provider Name | Tawny R Sauriol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164780219 PECOS PAC ID: 0244546430 Enrollment ID: I20150902002708 |
| Provider Name | Gilberto Zayas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508174970 PECOS PAC ID: 4587971403 Enrollment ID: I20150909002843 |
| Provider Name | Eric Reid Einstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154683787 PECOS PAC ID: 4183856925 Enrollment ID: I20150929002638 |
| Provider Name | Massanu A Sirleaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962725382 PECOS PAC ID: 8325177850 Enrollment ID: I20151006003287 |
| Provider Name | Jessica Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326470634 PECOS PAC ID: 1355650144 Enrollment ID: I20151019000014 |
| Provider Name | Ahmad Naweed Kazem |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003296096 PECOS PAC ID: 7719296466 Enrollment ID: I20151019002419 |
| Provider Name | Nicholas Joseph Burgert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346617289 PECOS PAC ID: 6204145758 Enrollment ID: I20151022002690 |
| Provider Name | Haron Hashmat Kazem |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306221262 PECOS PAC ID: 0244540391 Enrollment ID: I20151103000018 |
| Provider Name | Mariana V Salerno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598921645 PECOS PAC ID: 3678622875 Enrollment ID: I20151231001961 |
| Provider Name | Johanna A Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255698155 PECOS PAC ID: 8224253380 Enrollment ID: I20160120002715 |
| Provider Name | Frank Mac |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740277193 PECOS PAC ID: 7618279266 Enrollment ID: I20160121000062 |
| Provider Name | Arij Faksh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912166737 PECOS PAC ID: 8224284823 Enrollment ID: I20160217002421 |
| Provider Name | Tedayshia P Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659730778 PECOS PAC ID: 5698073799 Enrollment ID: I20160405002297 |
| Provider Name | Nihal Desilva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003834789 PECOS PAC ID: 9436330560 Enrollment ID: I20160408001079 |
| Provider Name | Tania M Portillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124435896 PECOS PAC ID: 3375833346 Enrollment ID: I20160602002120 |
| Provider Name | Martha Vazquez-erlbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669865960 PECOS PAC ID: 4587954326 Enrollment ID: I20160607000453 |
| Provider Name | John A Avery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457694796 PECOS PAC ID: 3577855162 Enrollment ID: I20160629002403 |
| Provider Name | Melissa L Westermann |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1760730758 PECOS PAC ID: 3173831187 Enrollment ID: I20160706002034 |
| Provider Name | Hamidreza Khessali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740682194 PECOS PAC ID: 4385941046 Enrollment ID: I20160706002148 |
| Provider Name | Louis M May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720497514 PECOS PAC ID: 6305146366 Enrollment ID: I20160706002357 |
| Provider Name | Patricia A Gomez-naranjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053324541 PECOS PAC ID: 5496047169 Enrollment ID: I20160718000551 |
| Provider Name | Joyce Z Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225393101 PECOS PAC ID: 7214220615 Enrollment ID: I20160722000832 |
| Provider Name | Priti Ojha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760897284 PECOS PAC ID: 2769776376 Enrollment ID: I20160816002219 |
| Provider Name | Steven M Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801230297 PECOS PAC ID: 3375839889 Enrollment ID: I20160909001169 |
| Provider Name | Aldo E Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508209651 PECOS PAC ID: 3072800101 Enrollment ID: I20160916002281 |
| Provider Name | Ryan W Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164776555 PECOS PAC ID: 8325335078 Enrollment ID: I20160922002093 |
| Provider Name | Christine James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679834022 PECOS PAC ID: 8921232638 Enrollment ID: I20160923002209 |
| Provider Name | Amanda Lynn Jainchill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720426901 PECOS PAC ID: 2264755255 Enrollment ID: I20160929000717 |
| Provider Name | Carmen Gabriela Liera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275895443 PECOS PAC ID: 2365730504 Enrollment ID: I20161004001453 |
| Provider Name | Fady S Boules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639541022 PECOS PAC ID: 8527356773 Enrollment ID: I20161004002021 |
| Provider Name | Jordan Rae Blankenship |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578874251 PECOS PAC ID: 6305124645 Enrollment ID: I20161020001983 |
| Provider Name | Erin K Hammett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467884098 PECOS PAC ID: 8224316708 Enrollment ID: I20161103002131 |
| Provider Name | Richard S Lebano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649512310 PECOS PAC ID: 8527298975 Enrollment ID: I20161108000403 |
| Provider Name | William R Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568542462 PECOS PAC ID: 0547395782 Enrollment ID: I20161109001606 |
| Provider Name | Richard Novotny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588002877 PECOS PAC ID: 5092094326 Enrollment ID: I20161109001625 |
| Provider Name | Paris J Kantas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114329612 PECOS PAC ID: 8628362795 Enrollment ID: I20161123001009 |
| Provider Name | Enchanta Lachelle Murphy Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285604702 PECOS PAC ID: 0840580551 Enrollment ID: I20161123001483 |
| Provider Name | Adriana Meza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225453244 PECOS PAC ID: 6103110002 Enrollment ID: I20161205002222 |
| Provider Name | Rebecca Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760722342 PECOS PAC ID: 6305143926 Enrollment ID: I20161206000727 |
| Provider Name | Mehrak S Assadian |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295278281 PECOS PAC ID: 0749560464 Enrollment ID: I20161214002026 |
| Provider Name | Manuel A Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275991929 PECOS PAC ID: 3375824774 Enrollment ID: I20161222001420 |
| Provider Name | Negin Rajaipour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508286709 PECOS PAC ID: 1052692357 Enrollment ID: I20161228001543 |
| Provider Name | Levon Tchakmakjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790744795 PECOS PAC ID: 8729000351 Enrollment ID: I20170210000871 |
| Provider Name | Steven T Riccoboni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154765196 PECOS PAC ID: 8426345547 Enrollment ID: I20170215001729 |
| Provider Name | Raul O Ochoa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518401827 PECOS PAC ID: 7618250614 Enrollment ID: I20170217001479 |
| Provider Name | Shruti Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902003734 PECOS PAC ID: 7113116377 Enrollment ID: I20170303001700 |
| Provider Name | Lwbba Grissell Chait Llamas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134567530 PECOS PAC ID: 0345525671 Enrollment ID: I20170328001897 |
| Provider Name | Adriana G Celiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972956514 PECOS PAC ID: 6608153713 Enrollment ID: I20170427000872 |
| Provider Name | Gisela Ayub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932548633 PECOS PAC ID: 3870870702 Enrollment ID: I20170502002763 |
| Provider Name | Alfonso Reynoso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285921627 PECOS PAC ID: 7113204553 Enrollment ID: I20170511002594 |
| Provider Name | Justin M Bennink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083033146 PECOS PAC ID: 5092008276 Enrollment ID: I20170712002940 |
| Provider Name | Melissa Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427475318 PECOS PAC ID: 3577857267 Enrollment ID: I20170712003414 |
| Provider Name | Uziel Sauceda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164837191 PECOS PAC ID: 3870873532 Enrollment ID: I20170726003564 |
| Provider Name | Michael Low |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477991859 PECOS PAC ID: 8820238355 Enrollment ID: I20170731001630 |
| Provider Name | Joanna Lizette Nolasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154749315 PECOS PAC ID: 2860785045 Enrollment ID: I20170816003254 |
| Provider Name | Queen L Thach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053841478 PECOS PAC ID: 2466724380 Enrollment ID: I20170828000006 |
| Provider Name | Sean J Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780909903 PECOS PAC ID: 3072757277 Enrollment ID: I20170829003217 |
| Provider Name | Karen Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205253150 PECOS PAC ID: 7810281920 Enrollment ID: I20170914001002 |
| Provider Name | Kristina Paal Mouradian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891234464 PECOS PAC ID: 6305110644 Enrollment ID: I20170925003006 |
| Provider Name | Rami Y Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467871673 PECOS PAC ID: 6204115835 Enrollment ID: I20171003004958 |
| Provider Name | Sarah A Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245645076 PECOS PAC ID: 8426323072 Enrollment ID: I20171006001202 |
| Provider Name | Cristiana Golu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083684997 PECOS PAC ID: 6608013990 Enrollment ID: I20171011001094 |
| Provider Name | Barbara R Whiteside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194942300 PECOS PAC ID: 1153697271 Enrollment ID: I20171017003468 |
| Provider Name | Sonia Gabriela Ponce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164659033 PECOS PAC ID: 0244462992 Enrollment ID: I20171120000382 |
| Provider Name | Jacqueline Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649685074 PECOS PAC ID: 6204194673 Enrollment ID: I20171213002508 |
| Provider Name | Miguel Angel Martinez-sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467964254 PECOS PAC ID: 9537428305 Enrollment ID: I20180124002023 |
| Provider Name | Mohamed Abdelazim Baiou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447542659 PECOS PAC ID: 4981917432 Enrollment ID: I20180205001361 |
| Provider Name | Karen N Kobayashi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497929517 PECOS PAC ID: 6709146525 Enrollment ID: I20180215001863 |
| Provider Name | Clayton S Fuller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891821765 PECOS PAC ID: 3870854581 Enrollment ID: I20180220002817 |
| Provider Name | Rene M Arlinghaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568973964 PECOS PAC ID: 1759642614 Enrollment ID: I20180309002223 |
| Provider Name | Tiffany Mccullum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528306206 PECOS PAC ID: 4880956275 Enrollment ID: I20180323000290 |
| Provider Name | Aldo Baylon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649429150 PECOS PAC ID: 0345502373 Enrollment ID: I20180402001954 |
| Provider Name | Mandy M Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982812392 PECOS PAC ID: 0446542351 Enrollment ID: I20180405000746 |
| Provider Name | Neal P Ridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053381004 PECOS PAC ID: 1456615574 Enrollment ID: I20180425002335 |
| Provider Name | Robert Jay Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356343040 PECOS PAC ID: 7416120381 Enrollment ID: I20180608000671 |
| Provider Name | Roger G Hodge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306096714 PECOS PAC ID: 0244585594 Enrollment ID: I20180611000834 |
| Provider Name | Laura E Arce Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053532986 PECOS PAC ID: 6709922917 Enrollment ID: I20180622001676 |
| Provider Name | Stephanie Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699126367 PECOS PAC ID: 1759637457 Enrollment ID: I20180711001668 |
| Provider Name | Peter M Baum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174919971 PECOS PAC ID: 3678820354 Enrollment ID: I20180726001442 |
| Provider Name | Melissa Robyn Sachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649760356 PECOS PAC ID: 0345597910 Enrollment ID: I20180727002454 |
| Provider Name | Brian Steiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917282 PECOS PAC ID: 7719119676 Enrollment ID: I20180820001984 |
| Provider Name | Samuel John Galloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770966988 PECOS PAC ID: 3476804162 Enrollment ID: I20180919001637 |
| Provider Name | Sheryl Elaine Harpel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780177147 PECOS PAC ID: 1951652056 Enrollment ID: I20181001000356 |
| Provider Name | Dalia M Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104151372 PECOS PAC ID: 6608129655 Enrollment ID: I20181022002709 |
| Provider Name | Diana A Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194065813 PECOS PAC ID: 0840544904 Enrollment ID: I20181108002588 |
| Provider Name | Nadia A Mohamedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477947364 PECOS PAC ID: 3678817434 Enrollment ID: I20181205000565 |
| Provider Name | Roula El-moghrabi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326491770 PECOS PAC ID: 2860785862 Enrollment ID: I20181206003535 |
| Provider Name | Nancy El-moghrabi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144767211 PECOS PAC ID: 4587947221 Enrollment ID: I20181210002872 |
| Provider Name | Joyce Elaine A Ellingwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730667049 PECOS PAC ID: 2062759228 Enrollment ID: I20190125000286 |
| Provider Name | Michael Ginn Griesinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336556604 PECOS PAC ID: 0547507378 Enrollment ID: I20190131002129 |
| Provider Name | Karla B Escamilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134613946 PECOS PAC ID: 6103164561 Enrollment ID: I20190208002386 |
| Provider Name | Alexis J Maya Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659842615 PECOS PAC ID: 9537407952 Enrollment ID: I20190211001451 |
| Provider Name | Roberto David Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710316450 PECOS PAC ID: 5395084669 Enrollment ID: I20190304002125 |
| Provider Name | Jason Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295145951 PECOS PAC ID: 7416298344 Enrollment ID: I20190403000270 |
| Provider Name | Priscilla J Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508217399 PECOS PAC ID: 6507108560 Enrollment ID: I20190424000279 |
| Provider Name | Alvie C Richardson |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1154305977 PECOS PAC ID: 2769439181 Enrollment ID: I20190430002039 |
| Provider Name | Hala Abdullahi Sheikh-mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972946770 PECOS PAC ID: 7315289964 Enrollment ID: I20190430002339 |
| Provider Name | Ngoc X Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184668105 PECOS PAC ID: 6709879141 Enrollment ID: I20190506002581 |
| Provider Name | Deirdre M Mccullough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639153018 PECOS PAC ID: 0648278663 Enrollment ID: I20190514002635 |
| Provider Name | Lauren Cullen Vincent |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053757997 PECOS PAC ID: 5799028270 Enrollment ID: I20190524001526 |
| Provider Name | Karen D Banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421839 PECOS PAC ID: 9032464524 Enrollment ID: I20190620001356 |
| Provider Name | Kenneth Kaleoaloha Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356761571 PECOS PAC ID: 3971878810 Enrollment ID: I20190703001987 |
| Provider Name | Ramsey Abdul Salem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245401298 PECOS PAC ID: 0446599419 Enrollment ID: I20190710000955 |
| Provider Name | Lars M Stensman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659638062 PECOS PAC ID: 4486956950 Enrollment ID: I20190711003449 |
| Provider Name | Amanda K Dappen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689037111 PECOS PAC ID: 8123354008 Enrollment ID: I20190730003791 |
| Provider Name | Teah O Caine Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972966679 PECOS PAC ID: 4183950967 Enrollment ID: I20190731004079 |
| Provider Name | Kristin T Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053775015 PECOS PAC ID: 5890021513 Enrollment ID: I20190801001573 |
| Provider Name | Allison Kornblatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471224 PECOS PAC ID: 3072858927 Enrollment ID: I20190807003904 |
| Provider Name | Danika M Brodak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619326774 PECOS PAC ID: 9739469313 Enrollment ID: I20190815000526 |
| Provider Name | Maria Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497980775 PECOS PAC ID: 6406184282 Enrollment ID: I20190819002368 |
| Provider Name | Soroosh Amanat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003279621 PECOS PAC ID: 8426387952 Enrollment ID: I20190909004185 |
| Provider Name | Stephanie L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346700325 PECOS PAC ID: 1557694841 Enrollment ID: I20190910000330 |
| Provider Name | Alejandria Ch Najera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790255529 PECOS PAC ID: 3274862248 Enrollment ID: I20190917002324 |
| Provider Name | Faith Quenzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295112670 PECOS PAC ID: 8820328461 Enrollment ID: I20190925001930 |
| Provider Name | Heriberto Rivera Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558855734 PECOS PAC ID: 1254661515 Enrollment ID: I20190930001342 |
| Provider Name | Michael Anthony Cruz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265851133 PECOS PAC ID: 4183988538 Enrollment ID: I20191010000870 |
| Provider Name | Brianna N Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316479892 PECOS PAC ID: 8527395383 Enrollment ID: I20191011001532 |
| Provider Name | Tanen St Clair-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487040739 PECOS PAC ID: 5193014488 Enrollment ID: I20191017000688 |
| Provider Name | Natalie K Ferraiolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306290143 PECOS PAC ID: 8820320328 Enrollment ID: I20191104000570 |
| Provider Name | Madison Galasso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053766766 PECOS PAC ID: 8123316213 Enrollment ID: I20191105002275 |
| Provider Name | Cynthia L Fambro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710331707 PECOS PAC ID: 3173955085 Enrollment ID: I20191114002600 |
| Provider Name | Janani Sankara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811341795 PECOS PAC ID: 0446683783 Enrollment ID: I20191127001681 |
| Provider Name | Arsalan Syed Azam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487053336 PECOS PAC ID: 8123311776 Enrollment ID: I20191231001197 |
| Provider Name | America P Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386281541 PECOS PAC ID: 1456786474 Enrollment ID: I20200122001774 |
| Provider Name | Sara R Ponce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174849905 PECOS PAC ID: 4789861170 Enrollment ID: I20200226000245 |
| Provider Name | Reynaldo Oconer Hacinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304860 PECOS PAC ID: 9638506157 Enrollment ID: I20200229000177 |
| Provider Name | Susan Darsann Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477755684 PECOS PAC ID: 1850571076 Enrollment ID: I20200302002609 |
| Provider Name | Katherine Emily Promer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306280607 PECOS PAC ID: 7214366996 Enrollment ID: I20200331003320 |
| Provider Name | Sean L Nardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295174761 PECOS PAC ID: 7719314855 Enrollment ID: I20200331003580 |
| Provider Name | Amira Sheikh Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831583079 PECOS PAC ID: 1759698640 Enrollment ID: I20200415002395 |
| Provider Name | Kat T Balingit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790605 PECOS PAC ID: 7012348238 Enrollment ID: I20200502000191 |
| Provider Name | Michaela Christine Staley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912438250 PECOS PAC ID: 2365873494 Enrollment ID: I20200505002699 |
| Provider Name | Whitney Darnetia Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558715573 PECOS PAC ID: 7012348956 Enrollment ID: I20200511000639 |
| Provider Name | Asma Alghamdi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316310840 PECOS PAC ID: 3375888415 Enrollment ID: I20200515001741 |
| Provider Name | Noor Al-asady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871832253 PECOS PAC ID: 8325269194 Enrollment ID: I20200520001955 |
| Provider Name | Miguel Alvarez-estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197826 PECOS PAC ID: 5799108247 Enrollment ID: I20200701000629 |
| Provider Name | Roger Ralph Roxas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578910840 PECOS PAC ID: 3870887474 Enrollment ID: I20200713001808 |
| Provider Name | Megan Tresenriter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013379171 PECOS PAC ID: 7012330822 Enrollment ID: I20200713002910 |
| Provider Name | Erica Lauren Ike |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821413907 PECOS PAC ID: 1658795299 Enrollment ID: I20200715003583 |
| Provider Name | Troy Kurz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154862357 PECOS PAC ID: 9739503822 Enrollment ID: I20200722001726 |
| Provider Name | Hilary M Gould |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104297696 PECOS PAC ID: 3870917669 Enrollment ID: I20200727002555 |
| Provider Name | Allen Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639668247 PECOS PAC ID: 7012342165 Enrollment ID: I20200811000988 |
| Provider Name | Alejandra Melissa Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063945657 PECOS PAC ID: 2961820915 Enrollment ID: I20200908003156 |
| Provider Name | Rene Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639603756 PECOS PAC ID: 2769714088 Enrollment ID: I20201005000749 |
| Provider Name | Juan Zapatel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043446644 PECOS PAC ID: 8325314420 Enrollment ID: I20201009000863 |
| Provider Name | Laurel A Mueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639601172 PECOS PAC ID: 0042578791 Enrollment ID: I20201013002109 |
| Provider Name | Martin Ortiz Oliveros |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225435928 PECOS PAC ID: 5597185363 Enrollment ID: I20201015003060 |
| Provider Name | Tamara Mansy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396277737 PECOS PAC ID: 1456628015 Enrollment ID: I20201106001668 |
| Provider Name | Lagina R Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558897009 PECOS PAC ID: 1355752239 Enrollment ID: I20201125000566 |
| Provider Name | Danielle Alexis Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780148056 PECOS PAC ID: 7517379233 Enrollment ID: I20201221002498 |
| Provider Name | Krystal A Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922531250 PECOS PAC ID: 2365855418 Enrollment ID: I20210108001052 |
| Provider Name | Victor Alcalde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760828958 PECOS PAC ID: 0345538716 Enrollment ID: I20210301001932 |
| Provider Name | Matthew W Rogers |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1639606130 PECOS PAC ID: 2567725674 Enrollment ID: I20210316000827 |
| Provider Name | Elissa Y Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790216422 PECOS PAC ID: 9133498041 Enrollment ID: I20210323002089 |
| Provider Name | Victor Jourdain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487892212 PECOS PAC ID: 3173930872 Enrollment ID: I20210324003342 |
| Provider Name | Nadia Faiq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982101234 PECOS PAC ID: 1759798374 Enrollment ID: I20210328000007 |
| Provider Name | Ha Nhat Vo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285174904 PECOS PAC ID: 9234546565 Enrollment ID: I20210401001353 |
| Provider Name | Roberto Ruelas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194257386 PECOS PAC ID: 6002184124 Enrollment ID: I20210413001551 |
| Provider Name | Marie Halfman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205282647 PECOS PAC ID: 1052710571 Enrollment ID: I20210602002848 |
| Provider Name | Maritza E Carrillo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649628587 PECOS PAC ID: 0547556318 Enrollment ID: I20210708001624 |
| Provider Name | Trang Dai Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992219539 PECOS PAC ID: 5294137386 Enrollment ID: I20210712004086 |
| Provider Name | Elisa K. Quiroz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932558301 PECOS PAC ID: 9234421538 Enrollment ID: I20210713000820 |
| Provider Name | Ahmed Mayet Abdulrahim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619040292 PECOS PAC ID: 3971905928 Enrollment ID: I20210713002313 |
| Provider Name | Emily Sbiroli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144751199 PECOS PAC ID: 5698178317 Enrollment ID: I20210719002613 |
| Provider Name | Alexandra Tee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881198406 PECOS PAC ID: 3476961806 Enrollment ID: I20210816003915 |
| Provider Name | Ivan Horacio Rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316479603 PECOS PAC ID: 8921346479 Enrollment ID: I20210825001712 |
| Provider Name | Vicente Diaz-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790745776 PECOS PAC ID: 1557353356 Enrollment ID: I20210825002940 |
| Provider Name | Ioan B Belovarski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316471451 PECOS PAC ID: 1052719408 Enrollment ID: I20211014003382 |
| Provider Name | Stacy Marie Rivera Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417625187 PECOS PAC ID: 2466850748 Enrollment ID: I20211018002719 |
| Provider Name | Liliana Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326599002 PECOS PAC ID: 5496143489 Enrollment ID: I20211025001150 |
| Provider Name | Hebert Rosenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922532712 PECOS PAC ID: 8729351663 Enrollment ID: I20211027001628 |
| Provider Name | Victoria Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093087819 PECOS PAC ID: 1355599663 Enrollment ID: I20211028002401 |
| Provider Name | Joseph Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417480948 PECOS PAC ID: 4587081203 Enrollment ID: I20211103001472 |
| Provider Name | Ernestina Araiza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568608636 PECOS PAC ID: 3870981277 Enrollment ID: I20211103001521 |
| Provider Name | Laura Marie Budde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932734597 PECOS PAC ID: 1759779150 Enrollment ID: I20211103001659 |
| Provider Name | Bianca Patricia Dube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740535152 PECOS PAC ID: 7012208465 Enrollment ID: I20211104002827 |
| Provider Name | Mitchell Evan Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316441793 PECOS PAC ID: 6002205150 Enrollment ID: I20211111002276 |
| Provider Name | Crystal Hunter Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548683378 PECOS PAC ID: 2062801681 Enrollment ID: I20211119000179 |
| Provider Name | Joshua Ocegueda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336643345 PECOS PAC ID: 4789074964 Enrollment ID: I20211201002964 |
| Provider Name | Joseph Lai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568891794 PECOS PAC ID: 5890063135 Enrollment ID: I20211216001742 |
| Provider Name | Chieu L Pham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972645638 PECOS PAC ID: 6305237793 Enrollment ID: I20211220000005 |
| Provider Name | Claudia Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770055543 PECOS PAC ID: 6204228836 Enrollment ID: I20220111002541 |
| Provider Name | Emily Denise Dascenzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952982761 PECOS PAC ID: 5395137319 Enrollment ID: I20220124002069 |
| Provider Name | Alan Awdisho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164795498 PECOS PAC ID: 0244543841 Enrollment ID: I20220125000694 |
| Provider Name | Eli Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649373739 PECOS PAC ID: 3678468154 Enrollment ID: I20220202001261 |
| Provider Name | Alexandra Fischer Jain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063170603 PECOS PAC ID: 2961895982 Enrollment ID: I20220215000540 |
| Provider Name | Usha Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184019911 PECOS PAC ID: 7618300500 Enrollment ID: I20220215001146 |
| Provider Name | Saghi Tehran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134792245 PECOS PAC ID: 8325431224 Enrollment ID: I20220216001383 |
| Provider Name | Jasmine Marie Mcphatter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902266018 PECOS PAC ID: 1850785650 Enrollment ID: I20220221001467 |
| Provider Name | Deirdre Shawna Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265921365 PECOS PAC ID: 5294129318 Enrollment ID: I20220304002218 |
| Provider Name | David Corbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275627200 PECOS PAC ID: 3779557640 Enrollment ID: I20220315001071 |
| Provider Name | Amy Elizabeth Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609549161 PECOS PAC ID: 0446645824 Enrollment ID: I20220322001069 |
| Provider Name | Anna Korogodski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326634890 PECOS PAC ID: 9133514235 Enrollment ID: I20220325001948 |
| Provider Name | Ellen Cummings |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790445542 PECOS PAC ID: 4981099090 Enrollment ID: I20220327000032 |
| Provider Name | Elisa Hughes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134870603 PECOS PAC ID: 4183019235 Enrollment ID: I20220328001291 |
| Provider Name | Lesley Lara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184112682 PECOS PAC ID: 7810382983 Enrollment ID: I20220328002244 |
| Provider Name | Michelle Elena Damato |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356814776 PECOS PAC ID: 9638565997 Enrollment ID: I20220413001995 |
| Provider Name | Randall Patricio Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871696435 PECOS PAC ID: 2668869520 Enrollment ID: I20220422000984 |
| Provider Name | Stephanie Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902330723 PECOS PAC ID: 6507196532 Enrollment ID: I20220502001179 |
| Provider Name | Adesuwa Bello |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144557281 PECOS PAC ID: 7012226327 Enrollment ID: I20220525000768 |
| Provider Name | Cosmin Borsan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679060255 PECOS PAC ID: 3072991108 Enrollment ID: I20220602000662 |
| Provider Name | Elsa Torres |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710624986 PECOS PAC ID: 7113305004 Enrollment ID: I20220606001021 |
| Provider Name | Patricia E Celaya |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952656902 PECOS PAC ID: 0042691149 Enrollment ID: I20220720003812 |
| Provider Name | Emily A Troyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326484437 PECOS PAC ID: 5092015065 Enrollment ID: I20220721003452 |
| Provider Name | Reman Sami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295362242 PECOS PAC ID: 5991186827 Enrollment ID: I20220722001815 |
| Provider Name | Daniela Gomez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255878997 PECOS PAC ID: 1850627894 Enrollment ID: I20220815001503 |
| Provider Name | Paige Alexandra Sutherland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235767245 PECOS PAC ID: 7214311281 Enrollment ID: I20220825002112 |
| Provider Name | Rebecca Lauren Lach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679137780 PECOS PAC ID: 2466836119 Enrollment ID: I20220830003786 |
| Provider Name | Ana Karen Ortiz Ilizaliturri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316407026 PECOS PAC ID: 6901281831 Enrollment ID: I20220913004136 |
| Provider Name | Leslie Jesus Ruelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477920221 PECOS PAC ID: 9537544986 Enrollment ID: I20220921000698 |
| Provider Name | Claudia Carolina Ramirez Sanchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659720555 PECOS PAC ID: 3779876495 Enrollment ID: I20220927000444 |
| Provider Name | Sabah Noori Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194388637 PECOS PAC ID: 8921484056 Enrollment ID: I20220927003042 |
| Provider Name | Allison Marcelle Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467913251 PECOS PAC ID: 9335525617 Enrollment ID: I20221011000699 |
| Provider Name | Roshni Kakaiya |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1073179529 PECOS PAC ID: 1658747977 Enrollment ID: I20221011002566 |
| Provider Name | Ekaterina Chausse Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154040418 PECOS PAC ID: 3678949799 Enrollment ID: I20221014000830 |
| Provider Name | Diana Rabban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033426374 PECOS PAC ID: 5597131474 Enrollment ID: I20221018001036 |
| Provider Name | Skylar Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457089187 PECOS PAC ID: 1951777895 Enrollment ID: I20221018003422 |
| Provider Name | Ammar Khaleel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841744208 PECOS PAC ID: 7618343344 Enrollment ID: I20221020000160 |
| Provider Name | Rachel Buehler Van Hollebeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497217756 PECOS PAC ID: 4486020005 Enrollment ID: I20221021001186 |
| Provider Name | William H Longfellow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669886545 PECOS PAC ID: 7214259217 Enrollment ID: I20221024002714 |
| Provider Name | May Auni Basheer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346993466 PECOS PAC ID: 7810364155 Enrollment ID: I20221031000651 |
| Provider Name | Luis Martin Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558924936 PECOS PAC ID: 2466829114 Enrollment ID: I20221109001029 |
| Provider Name | Alaysa L Thygersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760107767 PECOS PAC ID: 8628447042 Enrollment ID: I20221207000954 |
| Provider Name | Lisette Manriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760058911 PECOS PAC ID: 3870963531 Enrollment ID: I20221221002721 |
| Provider Name | Josue Reynaga |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1356929111 PECOS PAC ID: 3779953252 Enrollment ID: I20221227000923 |
| Provider Name | Adrienne Owens Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184389934 PECOS PAC ID: 8022488519 Enrollment ID: I20221227001438 |
| Provider Name | Maribel Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669180600 PECOS PAC ID: 6709257157 Enrollment ID: I20230120002395 |
| Provider Name | Mark Jerome Olson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831369255 PECOS PAC ID: 9133590367 Enrollment ID: I20230125001935 |
| Provider Name | Ann Lee Crawford-roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386149706 PECOS PAC ID: 7618307497 Enrollment ID: I20230126002724 |
| Provider Name | Raishelle Lian Meagher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851821904 PECOS PAC ID: 0345611422 Enrollment ID: I20230127002219 |
| Provider Name | Dani Ellen Castleberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053706853 PECOS PAC ID: 6103297296 Enrollment ID: I20230127002627 |
| Provider Name | Carlos A Mayor Noriega |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841490703 PECOS PAC ID: 1456606953 Enrollment ID: I20230202002242 |
| Provider Name | Marie Beverly Dizon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275989659 PECOS PAC ID: 0143692590 Enrollment ID: I20230210001406 |
| Provider Name | Ruth Ellen Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396382313 PECOS PAC ID: 8628440765 Enrollment ID: I20230217001749 |
| Provider Name | Jeffrey Choi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225560501 PECOS PAC ID: 1951774827 Enrollment ID: I20230224001252 |
| Provider Name | Reem Sadda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871921833 PECOS PAC ID: 9931467628 Enrollment ID: I20230425001840 |
| Provider Name | Bart Roberts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033500319 PECOS PAC ID: 8325404569 Enrollment ID: I20230515000938 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023783248 PECOS PAC ID: 8123484706 Enrollment ID: I20230524001986 |
| Provider Name | Huy Dinh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689138539 PECOS PAC ID: 3678930906 Enrollment ID: I20230601001028 |
| Provider Name | David Lena |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295808731 PECOS PAC ID: 4284947847 Enrollment ID: I20230613000935 |
| Provider Name | Anita K Koo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669825667 PECOS PAC ID: 7416318803 Enrollment ID: I20230801004568 |
| Provider Name | Dylan Scott Tayag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902281983 PECOS PAC ID: 8123480001 Enrollment ID: I20230809000860 |
| Provider Name | Jessica Holdaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164982260 PECOS PAC ID: 6305208091 Enrollment ID: I20230811002150 |
| Provider Name | Kim Nguyen Wheeler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700577434 PECOS PAC ID: 8921460650 Enrollment ID: I20230814000267 |
| Provider Name | Sharonya Shrivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646213 PECOS PAC ID: 3971965609 Enrollment ID: I20230814000490 |
| Provider Name | Alec Gabriel Contag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215495627 PECOS PAC ID: 9638531270 Enrollment ID: I20230815001567 |
| Provider Name | Damaris Garcia Sandoval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447838883 PECOS PAC ID: 2567824022 Enrollment ID: I20230815002917 |
| Provider Name | Sandra Lynn Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073674370 PECOS PAC ID: 6406218908 Enrollment ID: I20230815004249 |
| Provider Name | Chitra Fernando |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659598688 PECOS PAC ID: 0042386872 Enrollment ID: I20230822000729 |
| Provider Name | Phu Luong Thi Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043849177 PECOS PAC ID: 6103271416 Enrollment ID: I20231005003453 |
| Provider Name | Heena Utpal Pandya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235620147 PECOS PAC ID: 6103271655 Enrollment ID: I20231018002385 |
| Provider Name | Katherine Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356877807 PECOS PAC ID: 0042588782 Enrollment ID: I20231019001007 |
| Provider Name | Tenaya Siva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174151203 PECOS PAC ID: 8628424942 Enrollment ID: I20231023003375 |
| Provider Name | Arienne Malekmadani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124648332 PECOS PAC ID: 4880040005 Enrollment ID: I20231025000200 |
| Provider Name | Juan Carlos Lozano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396373619 PECOS PAC ID: 7810343993 Enrollment ID: I20231025002770 |
| Provider Name | Laura J Lynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225086481 PECOS PAC ID: 6800242819 Enrollment ID: I20231027001022 |
| Provider Name | Rodolfo Balderas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649808460 PECOS PAC ID: 4385090083 Enrollment ID: I20231101002704 |
| Provider Name | Tanner John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043707326 PECOS PAC ID: 2769839968 Enrollment ID: I20231109001600 |
| Provider Name | Regina Marie Javier |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174106447 PECOS PAC ID: 1153778246 Enrollment ID: I20231110002253 |
| Provider Name | Michael Labib |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609055797 PECOS PAC ID: 8729443866 Enrollment ID: I20231113000937 |
| Provider Name | Aisha Maria Van Pratt Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821550559 PECOS PAC ID: 2961887641 Enrollment ID: I20231213000451 |
| Provider Name | Miriam Guillen-ibarra |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164691424 PECOS PAC ID: 2961852751 Enrollment ID: I20231219003915 |
| Provider Name | Emad Ibrahim Abukhieran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558314237 PECOS PAC ID: 9537100276 Enrollment ID: I20231226000415 |
| Provider Name | Saul Joaquin Estavillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528330073 PECOS PAC ID: 6103277462 Enrollment ID: I20240110005195 |
| Provider Name | Amanda Weaver |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174266423 PECOS PAC ID: 5395196679 Enrollment ID: I20240111000677 |
| Provider Name | Silvia Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982821179 PECOS PAC ID: 9739531831 Enrollment ID: I20240113000224 |
| Provider Name | Amanda Breedlove |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316487119 PECOS PAC ID: 8123470978 Enrollment ID: I20240117004374 |
| Provider Name | Nancy Jimenez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568023596 PECOS PAC ID: 1355793571 Enrollment ID: I20240123003090 |
| Provider Name | Graciela Castellanos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033484530 PECOS PAC ID: 0143672394 Enrollment ID: I20240123004405 |
| Provider Name | Sergio Salazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043089469 PECOS PAC ID: 8426400680 Enrollment ID: I20240123004743 |
| Provider Name | Sebastian Shields |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558895342 PECOS PAC ID: 4284087446 Enrollment ID: I20240124003314 |
| Provider Name | Unique Deshona Whitehurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124800214 PECOS PAC ID: 9133579311 Enrollment ID: I20240125001189 |
| Provider Name | Iraida Alvarez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174683189 PECOS PAC ID: 1850744905 Enrollment ID: I20240125001550 |
| Provider Name | Blaine Rimer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174049035 PECOS PAC ID: 6002269305 Enrollment ID: I20240201003622 |
| Provider Name | Violeta Chavez-serrano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114792017 PECOS PAC ID: 8527411859 Enrollment ID: I20240201004587 |
| Provider Name | Nery Magdalena Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346866589 PECOS PAC ID: 3971956251 Enrollment ID: I20240202001527 |
| Provider Name | Andy Dinh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386228518 PECOS PAC ID: 2163865841 Enrollment ID: I20240209001135 |
| Provider Name | Sean R Posada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295100691 PECOS PAC ID: 6305213299 Enrollment ID: I20240214001099 |
| Provider Name | Sydney Renee Roscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992448864 PECOS PAC ID: 7810331147 Enrollment ID: I20240214003920 |
| Provider Name | Ilian Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881842946 PECOS PAC ID: 2860836814 Enrollment ID: I20240216003837 |
| Provider Name | Katherine Ann Phillips |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063927242 PECOS PAC ID: 0446519649 Enrollment ID: I20240216004238 |
| Provider Name | Maura Letecia Becerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710561279 PECOS PAC ID: 9335583095 Enrollment ID: I20240221001691 |
| Provider Name | Carolina Gonzalez-garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215321955 PECOS PAC ID: 8820433667 Enrollment ID: I20240301003287 |
| Provider Name | Caroline Crisol |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962663617 PECOS PAC ID: 2062857808 Enrollment ID: I20240301003449 |
| Provider Name | Liane Fry |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003110917 PECOS PAC ID: 4486099066 Enrollment ID: I20240305003568 |
| Provider Name | Justine Ann Miranda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285040709 PECOS PAC ID: 4587000195 Enrollment ID: I20240306000462 |
| Provider Name | Thuthiri Thandar Lwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174010896 PECOS PAC ID: 8325484835 Enrollment ID: I20240306004093 |
| Provider Name | Vicki C Petropoulos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982883575 PECOS PAC ID: 3274979398 Enrollment ID: I20240312002245 |
| Provider Name | Nikisha Jay Lad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942857107 PECOS PAC ID: 0244677607 Enrollment ID: I20240320002797 |
| Provider Name | Kimberly Patterson Hyatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780997742 PECOS PAC ID: 2860839107 Enrollment ID: I20240322001504 |
| Provider Name | Jack Utz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194353094 PECOS PAC ID: 3678910528 Enrollment ID: I20240327001691 |
| Provider Name | Kim Hoang Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447873534 PECOS PAC ID: 1759729429 Enrollment ID: I20240401003399 |
| Provider Name | Amanda Lyn Depaolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215420138 PECOS PAC ID: 2365880945 Enrollment ID: I20240402000491 |
| Provider Name | Brianna Nicole Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770161150 PECOS PAC ID: 5193165926 Enrollment ID: I20240426002707 |
| Provider Name | Kate Petersen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598237281 PECOS PAC ID: 5496196412 Enrollment ID: I20240508002440 |
| Provider Name | Sandra Lus Camargo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083744098 PECOS PAC ID: 4880035617 Enrollment ID: I20240510002836 |
| Provider Name | Lo Fu Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314835 PECOS PAC ID: 9830188309 Enrollment ID: I20240510003094 |
| Provider Name | Sofia Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902197544 PECOS PAC ID: 2264671601 Enrollment ID: I20240514000943 |
| Provider Name | Denice Y Romero-marquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811379910 PECOS PAC ID: 4082990635 Enrollment ID: I20240514002813 |
| Provider Name | Charles R Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194840231 PECOS PAC ID: 2668460130 Enrollment ID: I20240603002059 |
| Provider Name | Britt Kristina Welsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023266202 PECOS PAC ID: 7012459910 Enrollment ID: I20240606003088 |
| Provider Name | Ariana Marvel Castellanos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922534890 PECOS PAC ID: 2961944889 Enrollment ID: I20240606003834 |
| Provider Name | Sairah Bano Jahangir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932940400 PECOS PAC ID: 0941742357 Enrollment ID: I20240612002986 |
| Provider Name | Carolina Contreras |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871075689 PECOS PAC ID: 2163965039 Enrollment ID: I20240619002642 |
| Provider Name | Mariam S Rassam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316662778 PECOS PAC ID: 4385015924 Enrollment ID: I20240621001270 |
| Provider Name | Karisa Thayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558765941 PECOS PAC ID: 2961821004 Enrollment ID: I20240625003313 |
| Provider Name | Matthew Joaquin Di Franco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841343548 PECOS PAC ID: 5890239149 Enrollment ID: I20240627003930 |
| Provider Name | Aurelia Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437130937 PECOS PAC ID: 7810919685 Enrollment ID: I20240709003545 |
| Provider Name | Crystal Xueting Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043898497 PECOS PAC ID: 3678019882 Enrollment ID: I20240724002198 |
| Provider Name | Syamak Hakimi Tabrizi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851858708 PECOS PAC ID: 9931645983 Enrollment ID: I20240725003677 |
| Provider Name | Ruth Wauqua Bol |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124246376 PECOS PAC ID: 7315241296 Enrollment ID: I20240726003599 |
| Provider Name | Kevin Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760986715 PECOS PAC ID: 9032465653 Enrollment ID: I20240727000691 |
| Provider Name | Karen Mishell Duenas Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972181345 PECOS PAC ID: 4183161375 Enrollment ID: I20240807002445 |
| Provider Name | Ashley Tapia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952821472 PECOS PAC ID: 3274072160 Enrollment ID: I20240822003759 |
| Provider Name | Brian Robert Coburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528528676 PECOS PAC ID: 1254870835 Enrollment ID: I20240827002900 |
| Provider Name | Daryl Spak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285128025 PECOS PAC ID: 4789081308 Enrollment ID: I20240916003508 |
| Provider Name | Jessica Jane Kriksciun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174151690 PECOS PAC ID: 9931640117 Enrollment ID: I20240916003575 |
| Provider Name | Estefania Larrosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710523410 PECOS PAC ID: 6507307618 Enrollment ID: I20240917001334 |
| Provider Name | Jiun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598020752 PECOS PAC ID: 8426372541 Enrollment ID: I20240918002262 |
| Provider Name | Bailey Lee Chelemedos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619671971 PECOS PAC ID: 0648711283 Enrollment ID: I20240923001725 |
| Provider Name | Daniel Joseph Hiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942648621 PECOS PAC ID: 8022327931 Enrollment ID: I20240924001204 |
| Provider Name | Arman Majidi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861906307 PECOS PAC ID: 7911438171 Enrollment ID: I20240930002063 |
| Provider Name | Gabriela Velasquez |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1811513617 PECOS PAC ID: 0749607901 Enrollment ID: I20240930003115 |
| Provider Name | Myrna A Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548614506 PECOS PAC ID: 5597297838 Enrollment ID: I20241011001862 |
| Provider Name | Ignacio Guadarrama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821331174 PECOS PAC ID: 8628500899 Enrollment ID: I20241011003492 |
| Provider Name | Abbas Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104200112 PECOS PAC ID: 6709184161 Enrollment ID: I20241016001927 |
| Provider Name | Joseph Michael Francis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134806466 PECOS PAC ID: 1759813603 Enrollment ID: I20241016002288 |
| Provider Name | Caleb James Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316619430 PECOS PAC ID: 1254864655 Enrollment ID: I20241023003764 |
| Provider Name | Kathileen Jean Orozco |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1871122473 PECOS PAC ID: 7113462714 Enrollment ID: I20241031001654 |
| Provider Name | Stephanie Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942031752 PECOS PAC ID: 5991238743 Enrollment ID: I20241031002235 |
| Provider Name | Noor Amad Sharrak |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174037212 PECOS PAC ID: 7416218805 Enrollment ID: I20241101001723 |
| Provider Name | Camille Hana Nawawi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699265975 PECOS PAC ID: 1759815160 Enrollment ID: I20241107002374 |
| Provider Name | Maria Luisa Da Cunha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750708434 PECOS PAC ID: 6608165709 Enrollment ID: I20241115001635 |
| Provider Name | Evelyne H Vu-tien |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407861198 PECOS PAC ID: 1153856893 Enrollment ID: I20241119001022 |
| Provider Name | Hassan Ijaz Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669848008 PECOS PAC ID: 8426314188 Enrollment ID: I20241119002119 |
| Provider Name | Dariana Cazares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609390665 PECOS PAC ID: 2365978632 Enrollment ID: I20241210002139 |
| Provider Name | Wendy Bojorquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962197640 PECOS PAC ID: 9537695754 Enrollment ID: I20241211004146 |
| Provider Name | Anjali Pillay Dominiack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932920204 PECOS PAC ID: 1052847134 Enrollment ID: I20241212002385 |
| Provider Name | Carlos G Sanchez-rojas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982424057 PECOS PAC ID: 2668909334 Enrollment ID: I20241218003856 |
| Provider Name | Chanmee Praise Seo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336717206 PECOS PAC ID: 1052848785 Enrollment ID: I20241219002079 |
| Provider Name | Ana Karin Cardenas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649790320 PECOS PAC ID: 8820525470 Enrollment ID: I20241220002902 |
| Provider Name | Nadeen Isam Allah Werdi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396434122 PECOS PAC ID: 9436688561 Enrollment ID: I20250117002881 |
| Provider Name | Gabrielle Joan Kennedy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194532523 PECOS PAC ID: 9537698451 Enrollment ID: I20250122002170 |
| Provider Name | Jennifer Alicia Aguilar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932474459 PECOS PAC ID: 5991234213 Enrollment ID: I20250130002619 |
| Provider Name | Arlette Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942856471 PECOS PAC ID: 8921529900 Enrollment ID: I20250306001185 |
| Provider Name | Krishen Dharmesh Wadhwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588305221 PECOS PAC ID: 8224559216 Enrollment ID: I20250306001840 |
| Provider Name | Estafani Rivas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093344962 PECOS PAC ID: 8022471465 Enrollment ID: I20250310003281 |
| Provider Name | Rina Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689002289 PECOS PAC ID: 4385951847 Enrollment ID: I20250312002040 |
| Provider Name | Marilu Alonso |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043787344 PECOS PAC ID: 4789106212 Enrollment ID: I20250313002661 |
| Provider Name | Filiberto Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497333983 PECOS PAC ID: 1658893979 Enrollment ID: I20250317001381 |
| Provider Name | Ardeth Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699704338 PECOS PAC ID: 1759349061 Enrollment ID: I20250318003412 |
| Provider Name | Christina Lynette Lumpkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578957122 PECOS PAC ID: 5799089520 Enrollment ID: I20250416003459 |
| Provider Name | Chatrathip Nasongkla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639799760 PECOS PAC ID: 0244756625 Enrollment ID: I20250429001510 |
| Provider Name | Caitlin Louise Flewelling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336528215 PECOS PAC ID: 6507382983 Enrollment ID: I20250429001552 |
| Provider Name | Angel De Luna Escobedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124755277 PECOS PAC ID: 4486171386 Enrollment ID: I20250505001847 |
| Provider Name | Nour Moataz Farouk Elgezawi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255067880 PECOS PAC ID: 6406372457 Enrollment ID: I20250506000372 |
| Provider Name | Jusac Arizthian Suryanata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124897046 PECOS PAC ID: 4082131453 Enrollment ID: I20250508002243 |
| Provider Name | Rowena Julian Toctocan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790585545 PECOS PAC ID: 3870012982 Enrollment ID: I20250521003655 |
Stephen M. Daquino, Do; Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Azam Md & Mcjunkin Prof Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3455 Ingraham St, San Diego, CA 92109 Phone: 619-937-2055 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 |