| Sansum Santa Barbara | |
|
215 Pesetas Ln Santa Barbara CA 93110-1416 | |
| (805) 681-1760 | |
| Not Available |
| Full Name | Sansum Santa Barbara |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 Pesetas Ln, Santa Barbara, California |
| Authorized Official Name and Position | Jennifer L Thomas (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8056817709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sansum Santa Barbara Po Box 62106 Santa Barbara CA 93160-2106 Ph: (805) 681-1760 | Sansum Santa Barbara 215 Pesetas Ln Santa Barbara CA 93110-1416 Ph: (805) 681-1760 |
| NPI Number | 1154354504 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3678471976 |
|---|---|
| Medicare Enrollment ID | O20031223000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154354504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Stuart E Braverman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811940901 PECOS PAC ID: 4183519358 Enrollment ID: I20040217000496 |
| Provider Name | James K Beckmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205867561 PECOS PAC ID: 7416843461 Enrollment ID: I20040225001160 |
| Provider Name | Laura Elizabeth Polito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629173778 PECOS PAC ID: 0749272912 Enrollment ID: I20040330001738 |
| Provider Name | Mary L Scully |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487766275 PECOS PAC ID: 0143213124 Enrollment ID: I20040406000458 |
| Provider Name | Avery M Wilmanns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093728859 PECOS PAC ID: 0547254013 Enrollment ID: I20040408001395 |
| Provider Name | Alessandro Attilio Castellarin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689773244 PECOS PAC ID: 9032103478 Enrollment ID: I20040409000219 |
| Provider Name | Dante J Pieramici |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992804504 PECOS PAC ID: 8325035462 Enrollment ID: I20040429000560 |
| Provider Name | Robert L Avery |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700985496 PECOS PAC ID: 5496749939 Enrollment ID: I20040504001654 |
| Provider Name | Michael a Trambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396744801 PECOS PAC ID: 0749279925 Enrollment ID: I20040511001753 |
| Provider Name | Ma'an a Nasir |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629177241 PECOS PAC ID: 3971593963 Enrollment ID: I20040512001647 |
| Provider Name | Richard Y Chung |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194792317 PECOS PAC ID: 6406847763 Enrollment ID: I20040524001183 |
| Provider Name | Stephen W Hosea |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457411050 PECOS PAC ID: 8426039546 Enrollment ID: I20040525001718 |
| Provider Name | Bernard Chow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770582751 PECOS PAC ID: 7618953761 Enrollment ID: I20040628001686 |
| Provider Name | Kenneth R Daughters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598764193 PECOS PAC ID: 4183601768 Enrollment ID: I20040701000692 |
| Provider Name | Shin-yi Lai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376651695 PECOS PAC ID: 0345228797 Enrollment ID: I20040712000702 |
| Provider Name | Rachel Kernoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326085291 PECOS PAC ID: 3375521768 Enrollment ID: I20040712001043 |
| Provider Name | Olivia M Bajor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972544880 PECOS PAC ID: 8325010267 Enrollment ID: I20040810001519 |
| Provider Name | Joseph R Aragon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023122587 PECOS PAC ID: 8729053244 Enrollment ID: I20040828000258 |
| Provider Name | Rachel E Trautwein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295837359 PECOS PAC ID: 6901872753 Enrollment ID: I20040902001517 |
| Provider Name | Mukul Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295843738 PECOS PAC ID: 8921075425 Enrollment ID: I20040914000816 |
| Provider Name | George C Cheng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750437745 PECOS PAC ID: 6800855149 Enrollment ID: I20041004000607 |
| Provider Name | Michael F Maguire |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063404317 PECOS PAC ID: 8729047683 Enrollment ID: I20041007000419 |
| Provider Name | Brant L Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023114188 PECOS PAC ID: 1254392525 Enrollment ID: I20041020000540 |
| Provider Name | Cathy a Straits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801857156 PECOS PAC ID: 6800886292 Enrollment ID: I20041020001417 |
| Provider Name | David L Mcaninch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487646212 PECOS PAC ID: 7517851256 Enrollment ID: I20041201001077 |
| Provider Name | Duard Winfield Enoch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306838131 PECOS PAC ID: 3173417813 Enrollment ID: I20041201001129 |
| Provider Name | Tricia Westhoff-pankratz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902834393 PECOS PAC ID: 1355307711 Enrollment ID: I20041207000865 |
| Provider Name | Thomas Robert Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245279512 PECOS PAC ID: 2860459872 Enrollment ID: I20041210000905 |
| Provider Name | Reyna Maria Talanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538136379 PECOS PAC ID: 3072562420 Enrollment ID: I20050112001181 |
| Provider Name | Gregory T Brunet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013060128 PECOS PAC ID: 0547210981 Enrollment ID: I20050124001087 |
| Provider Name | Eric P Trautwein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073615126 PECOS PAC ID: 4587614383 Enrollment ID: I20050128000942 |
| Provider Name | Brook D Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730271206 PECOS PAC ID: 1153372578 Enrollment ID: I20050202001115 |
| Provider Name | Rafael S Victoria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194870220 PECOS PAC ID: 4789636465 Enrollment ID: I20050210001022 |
| Provider Name | David a Raphael |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821193970 PECOS PAC ID: 9830142488 Enrollment ID: I20050223000974 |
| Provider Name | John Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497857510 PECOS PAC ID: 2163475427 Enrollment ID: I20050225000787 |
| Provider Name | Alyson J Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689778276 PECOS PAC ID: 9537113295 Enrollment ID: I20050307000179 |
| Provider Name | Sushila L Braganza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427163898 PECOS PAC ID: 3577518851 Enrollment ID: I20050318000928 |
| Provider Name | Dawn L Brandewie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316064652 PECOS PAC ID: 4385681212 Enrollment ID: I20050412001500 |
| Provider Name | Rosa Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376650713 PECOS PAC ID: 9931149275 Enrollment ID: I20050505001214 |
| Provider Name | Martin C Bean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730299686 PECOS PAC ID: 2264472059 Enrollment ID: I20050511000592 |
| Provider Name | Peter G Ford |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164451639 PECOS PAC ID: 9133163249 Enrollment ID: I20050618000184 |
| Provider Name | Natasha M Marston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992880033 PECOS PAC ID: 2668418658 Enrollment ID: I20050629001127 |
| Provider Name | Adrian M Asencio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356357776 PECOS PAC ID: 9133165939 Enrollment ID: I20050701000451 |
| Provider Name | Jason E Boyatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265547624 PECOS PAC ID: 6507895307 Enrollment ID: I20050811000703 |
| Provider Name | Heather I Terbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316043300 PECOS PAC ID: 4789613407 Enrollment ID: I20050811000936 |
| Provider Name | Dung Hoa Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114039997 PECOS PAC ID: 8729006317 Enrollment ID: I20051102000615 |
| Provider Name | Cecily Bosma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063468338 PECOS PAC ID: 4880606144 Enrollment ID: I20060705000099 |
| Provider Name | William M Pace |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1326096785 PECOS PAC ID: 5698778777 Enrollment ID: I20060809000474 |
| Provider Name | Frederick C Kass |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538181110 PECOS PAC ID: 7214835040 Enrollment ID: I20060826000023 |
| Provider Name | Kiran Mariwalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558471433 PECOS PAC ID: 9830177575 Enrollment ID: I20061004000569 |
| Provider Name | Hsien Cheng Young |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1528162757 PECOS PAC ID: 4486652088 Enrollment ID: I20061114000659 |
| Provider Name | Elizabeth a Coker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013095256 PECOS PAC ID: 8325047582 Enrollment ID: I20061215000516 |
| Provider Name | Michael Kearney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730264177 PECOS PAC ID: 9638179625 Enrollment ID: I20061221000293 |
| Provider Name | Dwight Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508972803 PECOS PAC ID: 4880695873 Enrollment ID: I20070117000372 |
| Provider Name | Steven Hartzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255330833 PECOS PAC ID: 6800830613 Enrollment ID: I20070123000271 |
| Provider Name | Jeffrey B Yim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003918186 PECOS PAC ID: 7618870304 Enrollment ID: I20070209000650 |
| Provider Name | Megan K Hubbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619932464 PECOS PAC ID: 3779585005 Enrollment ID: I20070215000241 |
| Provider Name | John P Wheelock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760481352 PECOS PAC ID: 3779685524 Enrollment ID: I20070224000190 |
| Provider Name | David Fisk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821049297 PECOS PAC ID: 7012904253 Enrollment ID: I20070316000269 |
| Provider Name | Thomas a Bosma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255434544 PECOS PAC ID: 5092811430 Enrollment ID: I20070502000184 |
| Provider Name | Sheryl M King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174639462 PECOS PAC ID: 1759488232 Enrollment ID: I20070517000320 |
| Provider Name | James P Ingersoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457461337 PECOS PAC ID: 7517064041 Enrollment ID: I20070517000733 |
| Provider Name | Stanley E Mclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801980420 PECOS PAC ID: 9234236472 Enrollment ID: I20070522000603 |
| Provider Name | Anne V White |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1801809660 PECOS PAC ID: 7416055074 Enrollment ID: I20070605000264 |
| Provider Name | Kenneth M Hyman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104942762 PECOS PAC ID: 3971604273 Enrollment ID: I20070730000660 |
| Provider Name | Stephen Couvillion |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316980014 PECOS PAC ID: 0244263994 Enrollment ID: I20070815000547 |
| Provider Name | John K Yoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588860944 PECOS PAC ID: 3779676994 Enrollment ID: I20070904000745 |
| Provider Name | Elizabeth I Krenz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598774101 PECOS PAC ID: 3870598527 Enrollment ID: I20070906000797 |
| Provider Name | Kathleen a Kennedy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528080967 PECOS PAC ID: 0244239168 Enrollment ID: I20070907000742 |
| Provider Name | Marc Zerey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033141668 PECOS PAC ID: 7911930094 Enrollment ID: I20070925000691 |
| Provider Name | Julia S Billington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104873801 PECOS PAC ID: 3779678032 Enrollment ID: I20071001000806 |
| Provider Name | Brett E Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013117068 PECOS PAC ID: 9931294741 Enrollment ID: I20071008000601 |
| Provider Name | Priti Gagneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275666182 PECOS PAC ID: 9638265150 Enrollment ID: I20071015000367 |
| Provider Name | Scott a Mayfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679649156 PECOS PAC ID: 2668568197 Enrollment ID: I20071015000441 |
| Provider Name | Jeffrey M Hadsall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275641714 PECOS PAC ID: 2668568742 Enrollment ID: I20071020000103 |
| Provider Name | Susan I Lemon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972645513 PECOS PAC ID: 8426145137 Enrollment ID: I20071027000068 |
| Provider Name | Cynthia Buchanan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598952244 PECOS PAC ID: 4385732064 Enrollment ID: I20071113000693 |
| Provider Name | William Charles Conway |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962626390 PECOS PAC ID: 9537257811 Enrollment ID: I20071120000536 |
| Provider Name | Autumn Marie Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669535597 PECOS PAC ID: 6305936857 Enrollment ID: I20071220000286 |
| Provider Name | Kimberly C Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982896221 PECOS PAC ID: 3870673932 Enrollment ID: I20080102000616 |
| Provider Name | Toni T Meyers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972579167 PECOS PAC ID: 3173569324 Enrollment ID: I20080524000033 |
| Provider Name | Eduardo E Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447367826 PECOS PAC ID: 8426128364 Enrollment ID: I20080603000764 |
| Provider Name | Shaun S Ehsani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306040712 PECOS PAC ID: 4688746597 Enrollment ID: I20080710000122 |
| Provider Name | John a Motola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417008285 PECOS PAC ID: 9436223856 Enrollment ID: I20080804000302 |
| Provider Name | William a Golgert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366530412 PECOS PAC ID: 3971679150 Enrollment ID: I20080912000209 |
| Provider Name | Carol Dodero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326144197 PECOS PAC ID: 1951478452 Enrollment ID: I20080925000315 |
| Provider Name | Vincent Derosa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679754956 PECOS PAC ID: 3971671280 Enrollment ID: I20081013000621 |
| Provider Name | Christopher Douglas Rom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699966580 PECOS PAC ID: 9830257070 Enrollment ID: I20081016000594 |
| Provider Name | Scott a Godfrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659464089 PECOS PAC ID: 9638237167 Enrollment ID: I20081027000788 |
| Provider Name | Michael Mourad Shenoda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801096482 PECOS PAC ID: 1355409772 Enrollment ID: I20081028000845 |
| Provider Name | Rachel Marie Mendoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316196322 PECOS PAC ID: 8921167131 Enrollment ID: I20081103000494 |
| Provider Name | Laurel Bliss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154368868 PECOS PAC ID: 5890726061 Enrollment ID: I20081105000273 |
| Provider Name | Kyle Lemon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891897765 PECOS PAC ID: 6709945553 Enrollment ID: I20081107000386 |
| Provider Name | Mark Abate |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588778674 PECOS PAC ID: 6901965557 Enrollment ID: I20081111000586 |
| Provider Name | James Egan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346357696 PECOS PAC ID: 1153482518 Enrollment ID: I20081204000397 |
| Provider Name | Sean Snodgress |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205030665 PECOS PAC ID: 4880755891 Enrollment ID: I20081209000810 |
| Provider Name | Gregg Newman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275645053 PECOS PAC ID: 4789746140 Enrollment ID: I20081218000187 |
| Provider Name | Chad M Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730285503 PECOS PAC ID: 5193888030 Enrollment ID: I20090120000400 |
| Provider Name | Carin L Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417964073 PECOS PAC ID: 1759324486 Enrollment ID: I20090227000280 |
| Provider Name | Sandra C E Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457440638 PECOS PAC ID: 4587739677 Enrollment ID: I20090413000416 |
| Provider Name | Christian H Powell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134310006 PECOS PAC ID: 4789755356 Enrollment ID: I20090813000533 |
| Provider Name | Alicia Amelia Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629295217 PECOS PAC ID: 7113071770 Enrollment ID: I20090817000123 |
| Provider Name | Miguel Angel Pedroza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467622209 PECOS PAC ID: 7810042942 Enrollment ID: I20090826000057 |
| Provider Name | David Mandel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902918865 PECOS PAC ID: 5698820306 Enrollment ID: I20090902000172 |
| Provider Name | Liberty Partridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265600068 PECOS PAC ID: 9638225477 Enrollment ID: I20090921000592 |
| Provider Name | Wonsuk W Suh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023068541 PECOS PAC ID: 3072588763 Enrollment ID: I20091022000197 |
| Provider Name | Benjamin Diener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588826697 PECOS PAC ID: 0547308736 Enrollment ID: I20091109000342 |
| Provider Name | Zoltan Mocsary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306843966 PECOS PAC ID: 7214078641 Enrollment ID: I20100107000652 |
| Provider Name | Angela Pap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477550838 PECOS PAC ID: 0244372142 Enrollment ID: I20100114000639 |
| Provider Name | Thomas B Woliver |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619995057 PECOS PAC ID: 2769380591 Enrollment ID: I20100121000425 |
| Provider Name | Muhammad S Haq |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710126388 PECOS PAC ID: 7618011362 Enrollment ID: I20100218000136 |
| Provider Name | Michael Polo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942347257 PECOS PAC ID: 1658406921 Enrollment ID: I20100312000243 |
| Provider Name | Wanda Sue Kim-hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760718985 PECOS PAC ID: 2860527884 Enrollment ID: I20100316000796 |
| Provider Name | Virginia Pagenkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801024377 PECOS PAC ID: 9830228824 Enrollment ID: I20100601000567 |
| Provider Name | Arthur a Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306845847 PECOS PAC ID: 0446294250 Enrollment ID: I20100604000640 |
| Provider Name | Linda S Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629105069 PECOS PAC ID: 0345370615 Enrollment ID: I20100612000035 |
| Provider Name | David M Carlson |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1902133465 PECOS PAC ID: 3870626567 Enrollment ID: I20100802000579 |
| Provider Name | Shannon Kaminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053547604 PECOS PAC ID: 7810021078 Enrollment ID: I20100810001021 |
| Provider Name | Thomas C Daughters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841283397 PECOS PAC ID: 4082658893 Enrollment ID: I20100812000771 |
| Provider Name | William Dunbar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548219314 PECOS PAC ID: 2264592666 Enrollment ID: I20100813000334 |
| Provider Name | Mark Christopher Juretic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689778029 PECOS PAC ID: 6608900402 Enrollment ID: I20100816000771 |
| Provider Name | Douglas W Jacobson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316058639 PECOS PAC ID: 3870634348 Enrollment ID: I20100819000147 |
| Provider Name | James M Benzian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497754931 PECOS PAC ID: 8729022538 Enrollment ID: I20100831000363 |
| Provider Name | Charles Christopher Donner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245242197 PECOS PAC ID: 7911199484 Enrollment ID: I20101004000432 |
| Provider Name | Kurt N. Ransohoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558374363 PECOS PAC ID: 1557450434 Enrollment ID: I20101004000493 |
| Provider Name | Richard S. Ponce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578576450 PECOS PAC ID: 0446442867 Enrollment ID: I20101004001195 |
| Provider Name | Michael L Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336158732 PECOS PAC ID: 1850583279 Enrollment ID: I20101004001248 |
| Provider Name | Myron I Liebhaber |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1346253390 PECOS PAC ID: 3476745803 Enrollment ID: I20101004001284 |
| Provider Name | Jerold a Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740394170 PECOS PAC ID: 4385836642 Enrollment ID: I20101006000133 |
| Provider Name | Bret E Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316959240 PECOS PAC ID: 5294927349 Enrollment ID: I20101007000301 |
| Provider Name | Daniel J. Curhan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760491112 PECOS PAC ID: 2264481613 Enrollment ID: I20101007000430 |
| Provider Name | Thomas Beamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538273933 PECOS PAC ID: 9436341534 Enrollment ID: I20101007000885 |
| Provider Name | Thomas G Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770697872 PECOS PAC ID: 9133311905 Enrollment ID: I20101012000685 |
| Provider Name | Karen J Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629171558 PECOS PAC ID: 8820280639 Enrollment ID: I20101012001186 |
| Provider Name | John J Gaitan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124136734 PECOS PAC ID: 8325230048 Enrollment ID: I20101012001380 |
| Provider Name | John W. Gainor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003828989 PECOS PAC ID: 7214129931 Enrollment ID: I20101012001405 |
| Provider Name | James C Zmolek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417960154 PECOS PAC ID: 0840482568 Enrollment ID: I20101012001418 |
| Provider Name | William V. Hahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033227582 PECOS PAC ID: 4587856273 Enrollment ID: I20101013000838 |
| Provider Name | Glenn W Hollingshead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033295480 PECOS PAC ID: 8729270418 Enrollment ID: I20101013000886 |
| Provider Name | Winifred Kong Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396797049 PECOS PAC ID: 5698967396 Enrollment ID: I20101013000965 |
| Provider Name | James M Scheib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285730853 PECOS PAC ID: 3971795576 Enrollment ID: I20101013001083 |
| Provider Name | Andrew F. Mester |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649283599 PECOS PAC ID: 2860685286 Enrollment ID: I20101019000086 |
| Provider Name | John K Rasmussen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184729238 PECOS PAC ID: 9638362882 Enrollment ID: I20101020000250 |
| Provider Name | Kelli J. Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003909771 PECOS PAC ID: 6608069885 Enrollment ID: I20101020000601 |
| Provider Name | Alex Koper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053324079 PECOS PAC ID: 0244423457 Enrollment ID: I20101020001041 |
| Provider Name | Daniel R Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770698144 PECOS PAC ID: 8325231541 Enrollment ID: I20101020001068 |
| Provider Name | James a Moghtader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568475424 PECOS PAC ID: 5799978920 Enrollment ID: I20101020001213 |
| Provider Name | Jay M Winner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689770687 PECOS PAC ID: 8729271705 Enrollment ID: I20101022000346 |
| Provider Name | Cecilia O Dowd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154414795 PECOS PAC ID: 4688867674 Enrollment ID: I20101022000425 |
| Provider Name | Jessica a Cohen-brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144239567 PECOS PAC ID: 8325231046 Enrollment ID: I20101026000416 |
| Provider Name | Angela M Hamilton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902908817 PECOS PAC ID: 1557555232 Enrollment ID: I20101027000916 |
| Provider Name | Leonard Yee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982700985 PECOS PAC ID: 9830383488 Enrollment ID: I20101028000226 |
| Provider Name | Gloria Hadsall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912919812 PECOS PAC ID: 0749474856 Enrollment ID: I20101103000213 |
| Provider Name | David Dodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619943834 PECOS PAC ID: 2466408208 Enrollment ID: I20101103000279 |
| Provider Name | Rosanna Petronella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134224272 PECOS PAC ID: 0941494801 Enrollment ID: I20101104000574 |
| Provider Name | Mark H. Musicant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962595561 PECOS PAC ID: 9830383793 Enrollment ID: I20101104000593 |
| Provider Name | Stuart D. Segal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508879354 PECOS PAC ID: 4082808969 Enrollment ID: I20101104000890 |
| Provider Name | Rabindra a Braganza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972512382 PECOS PAC ID: 5193919942 Enrollment ID: I20101105000163 |
| Provider Name | Marta Sovilj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942302088 PECOS PAC ID: 7517151392 Enrollment ID: I20101105000413 |
| Provider Name | Daryl W Burgess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104931575 PECOS PAC ID: 4486848264 Enrollment ID: I20101105000465 |
| Provider Name | Kari K Mathison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124124276 PECOS PAC ID: 7719172501 Enrollment ID: I20101105000643 |
| Provider Name | David L. Phreaner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467557504 PECOS PAC ID: 4880889690 Enrollment ID: I20101105000966 |
| Provider Name | David C Pires |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1821135799 PECOS PAC ID: 8921293739 Enrollment ID: I20101105001013 |
| Provider Name | Denise S Kircher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245332196 PECOS PAC ID: 9537354113 Enrollment ID: I20101109000376 |
| Provider Name | Mark L. Silverberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366544488 PECOS PAC ID: 4082800438 Enrollment ID: I20101124000095 |
| Provider Name | Matthew J Ebling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962712240 PECOS PAC ID: 1052508728 Enrollment ID: I20101207000610 |
| Provider Name | Michael C Bordofsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073505327 PECOS PAC ID: 8426003617 Enrollment ID: I20101207000853 |
| Provider Name | Gabriella Cardi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467508465 PECOS PAC ID: 5193908176 Enrollment ID: I20110329000623 |
| Provider Name | Robert K Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548313232 PECOS PAC ID: 9234105966 Enrollment ID: I20110510000039 |
| Provider Name | Shiva Shabnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679802037 PECOS PAC ID: 5092991992 Enrollment ID: I20110510000583 |
| Provider Name | Virna M Veloso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063473932 PECOS PAC ID: 4587841507 Enrollment ID: I20110531000478 |
| Provider Name | Robert Kershaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750341673 PECOS PAC ID: 9537194485 Enrollment ID: I20110721000833 |
| Provider Name | Mei Mei L Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205128915 PECOS PAC ID: 6709055932 Enrollment ID: I20110804000547 |
| Provider Name | Justin Meyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386942217 PECOS PAC ID: 3476722448 Enrollment ID: I20110808000794 |
| Provider Name | Karen Dasilva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831366046 PECOS PAC ID: 3870762677 Enrollment ID: I20110812000073 |
| Provider Name | Hosam Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881846475 PECOS PAC ID: 2668641135 Enrollment ID: I20110818000193 |
| Provider Name | K Charmian Dresel-velasquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356509699 PECOS PAC ID: 9638349020 Enrollment ID: I20110822000274 |
| Provider Name | Shawna Lee Weisler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962501858 PECOS PAC ID: 5799955969 Enrollment ID: I20110825000198 |
| Provider Name | Christopher Douglas Kuzminski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023319704 PECOS PAC ID: 3678743721 Enrollment ID: I20110826000506 |
| Provider Name | Jeremy Stephen Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518120252 PECOS PAC ID: 4981874625 Enrollment ID: I20110907000965 |
| Provider Name | Julie W Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518254937 PECOS PAC ID: 1052583325 Enrollment ID: I20111010000236 |
| Provider Name | Benton T Ashlock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821306648 PECOS PAC ID: 5799959136 Enrollment ID: I20111121000172 |
| Provider Name | Daniel N Berger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669407680 PECOS PAC ID: 4486821832 Enrollment ID: I20120125000629 |
| Provider Name | Lindsay Hoben Blount |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558417568 PECOS PAC ID: 9830357912 Enrollment ID: I20120221000331 |
| Provider Name | Amanda J Sweet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811186018 PECOS PAC ID: 5496917254 Enrollment ID: I20120424000662 |
| Provider Name | Jennifer B Kosek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215129184 PECOS PAC ID: 7214191279 Enrollment ID: I20120604000471 |
| Provider Name | Angelika Deloa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548490964 PECOS PAC ID: 1951567973 Enrollment ID: I20120719000276 |
| Provider Name | Matti R Jansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821227174 PECOS PAC ID: 1355507930 Enrollment ID: I20120726000074 |
| Provider Name | Jinny E Chang |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1336266857 PECOS PAC ID: 2567500572 Enrollment ID: I20120726000170 |
| Provider Name | Emanuel J Zusmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609103852 PECOS PAC ID: 4880850395 Enrollment ID: I20120727000733 |
| Provider Name | Amir H Rad |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1710262472 PECOS PAC ID: 5496911877 Enrollment ID: I20120730000784 |
| Provider Name | W Kiernan Ocallaghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932294816 PECOS PAC ID: 8325012495 Enrollment ID: I20121025000453 |
| Provider Name | Colin D Shafer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306810494 PECOS PAC ID: 8921099722 Enrollment ID: I20130118000367 |
| Provider Name | Shane E Cotter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467643718 PECOS PAC ID: 6608044037 Enrollment ID: I20130123000370 |
| Provider Name | Lauren B Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245519966 PECOS PAC ID: 5991959678 Enrollment ID: I20130205000145 |
| Provider Name | Ann M Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619960556 PECOS PAC ID: 7416999131 Enrollment ID: I20130221000044 |
| Provider Name | Scott B Tobis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831396720 PECOS PAC ID: 1850425943 Enrollment ID: I20130803000107 |
| Provider Name | Miguel a Loya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619281532 PECOS PAC ID: 6709028699 Enrollment ID: I20130805000920 |
| Provider Name | Siranush S Yegiyants |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871712232 PECOS PAC ID: 3678707783 Enrollment ID: I20131003000267 |
| Provider Name | Bryce R Holderness |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427362441 PECOS PAC ID: 0840424842 Enrollment ID: I20131007000289 |
| Provider Name | Matthew W Backer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669653861 PECOS PAC ID: 7810157807 Enrollment ID: I20131021001472 |
| Provider Name | Sara Taroumian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720258585 PECOS PAC ID: 3173649043 Enrollment ID: I20131022001279 |
| Provider Name | Todd W Engstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538282587 PECOS PAC ID: 6608975669 Enrollment ID: I20131104001799 |
| Provider Name | Cori Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346523438 PECOS PAC ID: 9830363118 Enrollment ID: I20131119001746 |
| Provider Name | Joy Kelly Buechler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451240 PECOS PAC ID: 2567698186 Enrollment ID: I20131203002011 |
| Provider Name | Katherine Putz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922322726 PECOS PAC ID: 0749417731 Enrollment ID: I20131219000662 |
| Provider Name | Chadler R Burgoyne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508052333 PECOS PAC ID: 9830255967 Enrollment ID: I20140124000416 |
| Provider Name | Taylor J Holve |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477756815 PECOS PAC ID: 1254594211 Enrollment ID: I20140128001597 |
| Provider Name | Jonathan T Sakoda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588080758 PECOS PAC ID: 8729202148 Enrollment ID: I20140604002240 |
| Provider Name | Andrew D Beckler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285878074 PECOS PAC ID: 3072737626 Enrollment ID: I20140621000006 |
| Provider Name | Jamie T Duncan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740561083 PECOS PAC ID: 3971728296 Enrollment ID: I20140630001656 |
| Provider Name | Bryan J Garber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669768438 PECOS PAC ID: 5799900825 Enrollment ID: I20140703002079 |
| Provider Name | Tina Rose Schukart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346526373 PECOS PAC ID: 8628293206 Enrollment ID: I20140716000710 |
| Provider Name | Alejandro Torres |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578999124 PECOS PAC ID: 5597993246 Enrollment ID: I20140725002200 |
| Provider Name | Ashley Ann Thorsell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013146364 PECOS PAC ID: 4789817743 Enrollment ID: I20140918002607 |
| Provider Name | Constance a Stoehr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851579635 PECOS PAC ID: 0345460945 Enrollment ID: I20141002001370 |
| Provider Name | Deborah Meyers |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902874563 PECOS PAC ID: 6406998376 Enrollment ID: I20141015001882 |
| Provider Name | Grace Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629268750 PECOS PAC ID: 7113149758 Enrollment ID: I20141114000411 |
| Provider Name | Liana Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144546672 PECOS PAC ID: 2860624962 Enrollment ID: I20141217001098 |
| Provider Name | Nicole G Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518009687 PECOS PAC ID: 8123077252 Enrollment ID: I20141218001642 |
| Provider Name | Ryan Fante |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497079040 PECOS PAC ID: 0345563821 Enrollment ID: I20150108002490 |
| Provider Name | Juliet M Penn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215175070 PECOS PAC ID: 9032373253 Enrollment ID: I20150423000059 |
| Provider Name | Elise Swanson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083048995 PECOS PAC ID: 5496074429 Enrollment ID: I20150424001396 |
| Provider Name | Anh T Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043328933 PECOS PAC ID: 7618053315 Enrollment ID: I20150603001681 |
| Provider Name | Kendra Lyn Wiggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679721609 PECOS PAC ID: 0244400281 Enrollment ID: I20150611003461 |
| Provider Name | Taisa Skovorodko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124316062 PECOS PAC ID: 7416268669 Enrollment ID: I20150615002492 |
| Provider Name | Emily Marie Crick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922491646 PECOS PAC ID: 9537470554 Enrollment ID: I20150617002493 |
| Provider Name | Mick S Meiselman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801897012 PECOS PAC ID: 3779663372 Enrollment ID: I20150725012749 |
| Provider Name | Jermey W Lash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144585514 PECOS PAC ID: 5496060436 Enrollment ID: I20150819008571 |
| Provider Name | Kara Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952558850 PECOS PAC ID: 2163582768 Enrollment ID: I20150908000000 |
| Provider Name | Lauren Elizabeth Jordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275829087 PECOS PAC ID: 1850609678 Enrollment ID: I20150928002979 |
| Provider Name | Sawyer B Haig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629333919 PECOS PAC ID: 1052629326 Enrollment ID: I20151006002706 |
| Provider Name | Steven D Mcmurtry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861423147 PECOS PAC ID: 5597748632 Enrollment ID: I20151008000378 |
| Provider Name | Gregory Cogert |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063541043 PECOS PAC ID: 7214033760 Enrollment ID: I20151008000443 |
| Provider Name | Heather R Merrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528157138 PECOS PAC ID: 0840196911 Enrollment ID: I20151009001155 |
| Provider Name | Joanna L Gibbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235457466 PECOS PAC ID: 1153451109 Enrollment ID: I20151111001155 |
| Provider Name | Navdeesh Kaur Sidhu Reiners |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770876450 PECOS PAC ID: 3870894058 Enrollment ID: I20151211001335 |
| Provider Name | Laureen L Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124496203 PECOS PAC ID: 5193026011 Enrollment ID: I20151218001557 |
| Provider Name | Ashley L Mcgrogan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912375155 PECOS PAC ID: 7012218514 Enrollment ID: I20151228001644 |
| Provider Name | Jacqueline M Wiley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811175615 PECOS PAC ID: 8729378609 Enrollment ID: I20160606000892 |
| Provider Name | Stephanie J Rothman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639379514 PECOS PAC ID: 2264680115 Enrollment ID: I20160615000978 |
| Provider Name | Jodi Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063860575 PECOS PAC ID: 9436390515 Enrollment ID: I20160722001981 |
| Provider Name | Meredith a Perrin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083978027 PECOS PAC ID: 7416193966 Enrollment ID: I20160819002306 |
| Provider Name | Mica Y Bergman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912268996 PECOS PAC ID: 5193010007 Enrollment ID: I20160823002496 |
| Provider Name | Roy Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396021648 PECOS PAC ID: 7113171240 Enrollment ID: I20160826001633 |
| Provider Name | Marissa Piacenti Jobe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740302413 PECOS PAC ID: 1355448010 Enrollment ID: I20160831001689 |
| Provider Name | Ryan F Kendle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861719551 PECOS PAC ID: 6901192889 Enrollment ID: I20160831002524 |
| Provider Name | Lillian F Donner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407309511 PECOS PAC ID: 6103112974 Enrollment ID: I20160902000299 |
| Provider Name | Kristen Araza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760837546 PECOS PAC ID: 2961798749 Enrollment ID: I20160902000464 |
| Provider Name | Cyrus Sircar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538504709 PECOS PAC ID: 0446547566 Enrollment ID: I20160916001888 |
| Provider Name | Serene M Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841555109 PECOS PAC ID: 2668769860 Enrollment ID: I20160930001321 |
| Provider Name | Vicente a Tejada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801271598 PECOS PAC ID: 9436447299 Enrollment ID: I20161011000485 |
| Provider Name | Julian Becher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982050704 PECOS PAC ID: 8123306172 Enrollment ID: I20161026002849 |
| Provider Name | Gina M Faruzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881018513 PECOS PAC ID: 3577841329 Enrollment ID: I20161028001126 |
| Provider Name | Erin Hammett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467884098 PECOS PAC ID: 8224316708 Enrollment ID: I20161103002131 |
| Provider Name | Thaidra Gaufin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851634745 PECOS PAC ID: 3779875265 Enrollment ID: I20161116001058 |
| Provider Name | Jessica L Franklin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144632696 PECOS PAC ID: 0446569438 Enrollment ID: I20161202002155 |
| Provider Name | Marilyn Mendoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427492156 PECOS PAC ID: 3779891742 Enrollment ID: I20161205002421 |
| Provider Name | Saida Hamdani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740398999 PECOS PAC ID: 5597045740 Enrollment ID: I20161206001502 |
| Provider Name | Adam C Catevenis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215482179 PECOS PAC ID: 1052691045 Enrollment ID: I20161208002141 |
| Provider Name | Barbara L Irish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003363847 PECOS PAC ID: 8224318068 Enrollment ID: I20161213001221 |
| Provider Name | Lindsay Wermers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144760596 PECOS PAC ID: 2264709559 Enrollment ID: I20170516001696 |
| Provider Name | Sarah Marie Patronete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387055 PECOS PAC ID: 8527335769 Enrollment ID: I20170518002334 |
| Provider Name | Daniel Lee Learned |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033406780 PECOS PAC ID: 9335370261 Enrollment ID: I20170808002642 |
| Provider Name | Gregory J Hammett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508266727 PECOS PAC ID: 3072886944 Enrollment ID: I20170829003143 |
| Provider Name | Yelena Gimelberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871014621 PECOS PAC ID: 6103191192 Enrollment ID: I20170929003474 |
| Provider Name | Benjamin M Howard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457675118 PECOS PAC ID: 3274827951 Enrollment ID: I20171019001524 |
| Provider Name | Tamara Berry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407112212 PECOS PAC ID: 6901190172 Enrollment ID: I20171030000664 |
| Provider Name | Amanda Beaudry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477903516 PECOS PAC ID: 8729345798 Enrollment ID: I20171129001156 |
| Provider Name | Thomas C Caves |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144284522 PECOS PAC ID: 1153364799 Enrollment ID: I20171208001846 |
| Provider Name | Hiwot S Araya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922427327 PECOS PAC ID: 5698033819 Enrollment ID: I20171218000998 |
| Provider Name | Aristides Charles Avgeris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356379283 PECOS PAC ID: 9335336817 Enrollment ID: I20180126001670 |
| Provider Name | Brian Edward NG |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063935591 PECOS PAC ID: 2769744408 Enrollment ID: I20180316002262 |
| Provider Name | Jessica M Sprague |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437594884 PECOS PAC ID: 7719240399 Enrollment ID: I20180412001266 |
| Provider Name | Allison Elizabeth Akers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750737896 PECOS PAC ID: 9931463569 Enrollment ID: I20180508001709 |
| Provider Name | Kateryna Markova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255688560 PECOS PAC ID: 2365763240 Enrollment ID: I20180515002120 |
| Provider Name | Yul Rapoport |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699935080 PECOS PAC ID: 6507080041 Enrollment ID: I20180518000812 |
| Provider Name | Sarah Ann Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417342668 PECOS PAC ID: 0648535401 Enrollment ID: I20180525001331 |
| Provider Name | Cagne a Henriksen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942704374 PECOS PAC ID: 5799030789 Enrollment ID: I20180614002584 |
| Provider Name | Manu K Singh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114338753 PECOS PAC ID: 9436404233 Enrollment ID: I20180619003345 |
| Provider Name | Krista Briana Blaustein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487144747 PECOS PAC ID: 9830444330 Enrollment ID: I20180625003368 |
| Provider Name | Maira Paschoin De Oliveira Campos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497020861 PECOS PAC ID: 5092061267 Enrollment ID: I20180629001761 |
| Provider Name | David R Lerner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194081729 PECOS PAC ID: 0446506455 Enrollment ID: I20180705001973 |
| Provider Name | Farzaneh Sarlak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538252036 PECOS PAC ID: 6103899430 Enrollment ID: I20180928002758 |
| Provider Name | Andrea Kremsreiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164880811 PECOS PAC ID: 8224382833 Enrollment ID: I20181119001108 |
| Provider Name | Mananya Satayaprasert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326226887 PECOS PAC ID: 9537338975 Enrollment ID: I20181119002289 |
| Provider Name | Casey N Rives |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720213382 PECOS PAC ID: 5597991927 Enrollment ID: I20181120002752 |
| Provider Name | Ena Sharma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235577941 PECOS PAC ID: 3577853803 Enrollment ID: I20181121000990 |
| Provider Name | Scott M Dewhirst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659799153 PECOS PAC ID: 0941429781 Enrollment ID: I20181211003633 |
| Provider Name | Elliot D Deyoung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972881035 PECOS PAC ID: 0941579965 Enrollment ID: I20190207000275 |
| Provider Name | Dree E Daugherty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043258544 PECOS PAC ID: 5991788697 Enrollment ID: I20190220000804 |
| Provider Name | Victoria Eng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730573015 PECOS PAC ID: 0840530432 Enrollment ID: I20190318002601 |
| Provider Name | Erica Shadae Kinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790281947 PECOS PAC ID: 1355681479 Enrollment ID: I20190327000518 |
| Provider Name | Julia Regina Link-herrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578030961 PECOS PAC ID: 9830430933 Enrollment ID: I20190417001567 |
| Provider Name | Kati Lynn Kenner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558854984 PECOS PAC ID: 9537401955 Enrollment ID: I20190503000495 |
| Provider Name | Gabriella Apollonio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497237598 PECOS PAC ID: 9335482538 Enrollment ID: I20190509001630 |
| Provider Name | Graham Reimer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1194958389 PECOS PAC ID: 4688989700 Enrollment ID: I20190522000667 |
| Provider Name | Marlene E Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255895686 PECOS PAC ID: 4082940226 Enrollment ID: I20190725003931 |
| Provider Name | Chris Y Wu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265829345 PECOS PAC ID: 1951647155 Enrollment ID: I20190809002141 |
| Provider Name | Cristina R. Harnsberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497054126 PECOS PAC ID: 4183999436 Enrollment ID: I20190809002491 |
| Provider Name | Eric Michael Bank |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720423882 PECOS PAC ID: 2668709692 Enrollment ID: I20190813002810 |
| Provider Name | Naila M Rashid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992124309 PECOS PAC ID: 4587945233 Enrollment ID: I20190819004062 |
| Provider Name | Anne Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174090161 PECOS PAC ID: 6507194230 Enrollment ID: I20190820001254 |
| Provider Name | Susana Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750854865 PECOS PAC ID: 7810225349 Enrollment ID: I20190822000610 |
| Provider Name | Alexander Leasure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588026934 PECOS PAC ID: 2668756156 Enrollment ID: I20190823001324 |
| Provider Name | Robert Richard Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972079663 PECOS PAC ID: 5597093625 Enrollment ID: I20190827002187 |
| Provider Name | Meghan M Wallman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053607879 PECOS PAC ID: 4880904671 Enrollment ID: I20190909001855 |
| Provider Name | Ashley Dunn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033538269 PECOS PAC ID: 7517279920 Enrollment ID: I20190923002428 |
| Provider Name | Lindsay B Katona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952752263 PECOS PAC ID: 0244561009 Enrollment ID: I20191008003447 |
| Provider Name | Jason Solway |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306229646 PECOS PAC ID: 4385975580 Enrollment ID: I20191018000614 |
| Provider Name | Katrina Blackburn Mitchell |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225233760 PECOS PAC ID: 6800117722 Enrollment ID: I20191025001498 |
| Provider Name | Samuel Robert Althauser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306224050 PECOS PAC ID: 1557693405 Enrollment ID: I20191028000747 |
| Provider Name | Honeylette Sy Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073169736 PECOS PAC ID: 0840522454 Enrollment ID: I20191031002492 |
| Provider Name | Marie Claire Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245693639 PECOS PAC ID: 2466746797 Enrollment ID: I20191112002228 |
| Provider Name | Elie Zouein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265743009 PECOS PAC ID: 1658515366 Enrollment ID: I20191203000876 |
| Provider Name | Charles Henry Hunt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649735044 PECOS PAC ID: 3779918735 Enrollment ID: I20200121002382 |
| Provider Name | Shiela Marie Aguilos Tungol-laffie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780235960 PECOS PAC ID: 5698100683 Enrollment ID: I20200122000796 |
| Provider Name | Sarah Elaine Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982251260 PECOS PAC ID: 4880029511 Enrollment ID: I20200127001180 |
| Provider Name | Justin Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912388950 PECOS PAC ID: 3577819663 Enrollment ID: I20200220001124 |
| Provider Name | Caitlin Harris Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609227453 PECOS PAC ID: 7012344641 Enrollment ID: I20200220002243 |
| Provider Name | Musab U Saeed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427192384 PECOS PAC ID: 5092815233 Enrollment ID: I20200224001235 |
| Provider Name | Andrew P Reardon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205085149 PECOS PAC ID: 7719315837 Enrollment ID: I20200323002874 |
| Provider Name | Warner Peng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154584704 PECOS PAC ID: 9234381849 Enrollment ID: I20200331003452 |
| Provider Name | Yurhee Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457887606 PECOS PAC ID: 7315369378 Enrollment ID: I20200619001038 |
| Provider Name | Hayden a Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669954731 PECOS PAC ID: 3274957436 Enrollment ID: I20200721001471 |
| Provider Name | Brandy Hogg-duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124474358 PECOS PAC ID: 9830483080 Enrollment ID: I20200723001531 |
| Provider Name | Sean R Mcguinness |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497280515 PECOS PAC ID: 1153746490 Enrollment ID: I20200804002552 |
| Provider Name | Sean K Keem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205924784 PECOS PAC ID: 2062472442 Enrollment ID: I20200806001670 |
| Provider Name | Brittany a Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780296954 PECOS PAC ID: 1658799085 Enrollment ID: I20200916001259 |
| Provider Name | Emilie Helen Halbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558752907 PECOS PAC ID: 8729408505 Enrollment ID: I20201015003260 |
| Provider Name | Kirsten J Wagner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477948511 PECOS PAC ID: 3274860580 Enrollment ID: I20201021002370 |
| Provider Name | Justin P Holiwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912540592 PECOS PAC ID: 7618397951 Enrollment ID: I20201026002178 |
| Provider Name | Ron Golan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861835852 PECOS PAC ID: 0143567149 Enrollment ID: I20201027002384 |
| Provider Name | Christina Marie Archer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487178380 PECOS PAC ID: 3779993852 Enrollment ID: I20201030000652 |
| Provider Name | Justin C Voog |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396001152 PECOS PAC ID: 9032432331 Enrollment ID: I20201106002395 |
| Provider Name | Jeffrey David Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659496339 PECOS PAC ID: 2668579756 Enrollment ID: I20201124000600 |
| Provider Name | Sirena Sechslingloff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972118768 PECOS PAC ID: 5597176222 Enrollment ID: I20201201002155 |
| Provider Name | Michelle Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831640556 PECOS PAC ID: 9335412162 Enrollment ID: I20210119002556 |
| Provider Name | Kevin M Kapadia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255565875 PECOS PAC ID: 8820221336 Enrollment ID: I20210120000752 |
| Provider Name | Agueda Espinoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821632209 PECOS PAC ID: 5092129684 Enrollment ID: I20210121002053 |
| Provider Name | Alexander Christian Victoria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306440938 PECOS PAC ID: 5496169310 Enrollment ID: I20210203002790 |
| Provider Name | Stefanie L Rashti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891201968 PECOS PAC ID: 7113280470 Enrollment ID: I20210222001615 |
| Provider Name | Angela Rose Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568002863 PECOS PAC ID: 2961817002 Enrollment ID: I20210223000778 |
| Provider Name | Kristin Cara Dehahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295325819 PECOS PAC ID: 7315352390 Enrollment ID: I20210225001179 |
| Provider Name | Robert Christian Maciel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598293532 PECOS PAC ID: 2860800463 Enrollment ID: I20210420002521 |
| Provider Name | Nicole L Almanza |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316594781 PECOS PAC ID: 1658789979 Enrollment ID: I20210426001238 |
| Provider Name | Jessica Tamar Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528215076 PECOS PAC ID: 6608921853 Enrollment ID: I20210624003299 |
| Provider Name | Summer Kathleen Baird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245727809 PECOS PAC ID: 6709280191 Enrollment ID: I20210806001784 |
| Provider Name | Benjamin J Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316182405 PECOS PAC ID: 1355528274 Enrollment ID: I20210903002576 |
| Provider Name | Ericka Mckay Sohlberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881034601 PECOS PAC ID: 7618374851 Enrollment ID: I20210930001309 |
| Provider Name | Justin James Tynan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619505922 PECOS PAC ID: 9830596840 Enrollment ID: I20211019002596 |
| Provider Name | Andrea I Zambrano |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992066336 PECOS PAC ID: 5799019659 Enrollment ID: I20211216001322 |
| Provider Name | Alisha Nicole Atherly-brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962978502 PECOS PAC ID: 6608118450 Enrollment ID: I20211228001986 |
| Provider Name | Justin J Kam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679193296 PECOS PAC ID: 8729495585 Enrollment ID: I20211230001512 |
| Provider Name | Michelle Marie Pursley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851947147 PECOS PAC ID: 9436541950 Enrollment ID: I20220113000796 |
| Provider Name | Elsa E. Carrillo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508526476 PECOS PAC ID: 8123411170 Enrollment ID: I20220215001989 |
| Provider Name | Jamie V Considine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033879614 PECOS PAC ID: 0749677946 Enrollment ID: I20220418001120 |
| Provider Name | Kelsey Renee Collin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164050563 PECOS PAC ID: 7315324282 Enrollment ID: I20220513002386 |
| Provider Name | Amanda Moreen Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306596572 PECOS PAC ID: 6608254016 Enrollment ID: I20220525001881 |
| Provider Name | Andrew Clark |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447745336 PECOS PAC ID: 0840686101 Enrollment ID: I20220614003181 |
| Provider Name | Maria Quezada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508229899 PECOS PAC ID: 6406124361 Enrollment ID: I20220712002626 |
| Provider Name | Madeline Carlene Perez-andrade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639841869 PECOS PAC ID: 0345621728 Enrollment ID: I20220715002127 |
| Provider Name | Cardy D Romero |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1871519108 PECOS PAC ID: 3173693769 Enrollment ID: I20220809001816 |
| Provider Name | Susan Mansourian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538680707 PECOS PAC ID: 2163772195 Enrollment ID: I20220817001766 |
| Provider Name | Richard V Huynh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629369442 PECOS PAC ID: 8022374008 Enrollment ID: I20220909001524 |
| Provider Name | Justin Varghese Abraham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225322522 PECOS PAC ID: 5092948430 Enrollment ID: I20220927001032 |
| Provider Name | Roxana Ardebili Ledig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487219358 PECOS PAC ID: 4587040365 Enrollment ID: I20220930002812 |
| Provider Name | Nandini R Nittur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013406859 PECOS PAC ID: 6305222829 Enrollment ID: I20221005003690 |
| Provider Name | Ambareen Zeenat Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720641079 PECOS PAC ID: 4385039783 Enrollment ID: I20221006002709 |
| Provider Name | Natalie Heidi Achamallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255881546 PECOS PAC ID: 5092181131 Enrollment ID: I20221014001792 |
| Provider Name | Ramiro Jervis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467473090 PECOS PAC ID: 6103894944 Enrollment ID: I20221018001323 |
| Provider Name | Corina C Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386008811 PECOS PAC ID: 7618244518 Enrollment ID: I20221020001269 |
| Provider Name | Sarah B Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841714136 PECOS PAC ID: 4183030968 Enrollment ID: I20221028001208 |
| Provider Name | Brooke Cheema |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902987415 PECOS PAC ID: 1052788007 Enrollment ID: I20221103000639 |
| Provider Name | Monica Wen Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326767633 PECOS PAC ID: 1456720523 Enrollment ID: I20221212002211 |
| Provider Name | Laura M Herget |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740704592 PECOS PAC ID: 2466822093 Enrollment ID: I20221222002801 |
| Provider Name | Amanda E Dutton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649545336 PECOS PAC ID: 1052567344 Enrollment ID: I20230118002849 |
| Provider Name | Michele D Daniele |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205589322 PECOS PAC ID: 0345611596 Enrollment ID: I20230125002920 |
| Provider Name | Joanna K Buitrago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386006468 PECOS PAC ID: 0042504243 Enrollment ID: I20230207000652 |
| Provider Name | Mike Oulashian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164694212 PECOS PAC ID: 2668640111 Enrollment ID: I20230210000994 |
| Provider Name | James Caines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972162915 PECOS PAC ID: 5496141665 Enrollment ID: I20230227001161 |
| Provider Name | Moyukh Ghosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316332497 PECOS PAC ID: 8123307600 Enrollment ID: I20230301001552 |
| Provider Name | Milani Sivagnanam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174937106 PECOS PAC ID: 2062703812 Enrollment ID: I20230301001824 |
| Provider Name | Vardan Atanesian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857834 PECOS PAC ID: 1658745799 Enrollment ID: I20230313001983 |
| Provider Name | Brennan Matthew Kono |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720785074 PECOS PAC ID: 0840664827 Enrollment ID: I20230314001238 |
| Provider Name | Dong Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902124076 PECOS PAC ID: 5698995645 Enrollment ID: I20230404002830 |
| Provider Name | Kyle Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730888751 PECOS PAC ID: 3971968140 Enrollment ID: I20230424001859 |
| Provider Name | Maricela H Hurtado Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891494936 PECOS PAC ID: 7911363775 Enrollment ID: I20230519002689 |
| Provider Name | Erica Bristol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386155299 PECOS PAC ID: 0648645275 Enrollment ID: I20230523000360 |
| Provider Name | Chad M Guenther |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063874758 PECOS PAC ID: 2567796386 Enrollment ID: I20230705002727 |
| Provider Name | Omid Yousefian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588041875 PECOS PAC ID: 3476805177 Enrollment ID: I20230706000516 |
| Provider Name | Hannah Rebecca Barrows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528747128 PECOS PAC ID: 6709248362 Enrollment ID: I20230814001887 |
| Provider Name | Celeste Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194419002 PECOS PAC ID: 4183087091 Enrollment ID: I20230824003942 |
| Provider Name | Julia Depaoli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689458945 PECOS PAC ID: 5799148011 Enrollment ID: I20230901002694 |
| Provider Name | Jack Bergal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629693858 PECOS PAC ID: 3072977875 Enrollment ID: I20230913000051 |
| Provider Name | Matthew John Steinhaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962039305 PECOS PAC ID: 0941654172 Enrollment ID: I20230921003078 |
| Provider Name | Enzo Troiani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306629175 PECOS PAC ID: 8123472966 Enrollment ID: I20230927001383 |
| Provider Name | Samantha L Iannucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790560027 PECOS PAC ID: 7012361546 Enrollment ID: I20231002002344 |
| Provider Name | Katherine N Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538788633 PECOS PAC ID: 3577917913 Enrollment ID: I20231003003504 |
| Provider Name | Dionne Melody S Austria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144915661 PECOS PAC ID: 3072969906 Enrollment ID: I20231027002169 |
| Provider Name | Kristiana C Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336869809 PECOS PAC ID: 8426406554 Enrollment ID: I20231129002094 |
| Provider Name | Monique Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508645110 PECOS PAC ID: 9032569132 Enrollment ID: I20240102003546 |
| Provider Name | Gabrielle K Flamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427542828 PECOS PAC ID: 2860881000 Enrollment ID: I20240103001274 |
| Provider Name | Lindsay Marie Schulz Mustard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639778277 PECOS PAC ID: 9032512587 Enrollment ID: I20240108000841 |
| Provider Name | Rebecca L Guron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770164295 PECOS PAC ID: 3971956988 Enrollment ID: I20240125004086 |
| Provider Name | Ann M Kurtenbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033693205 PECOS PAC ID: 8921351461 Enrollment ID: I20240223002855 |
| Provider Name | Hope L Saxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417738899 PECOS PAC ID: 6709221716 Enrollment ID: I20240229002903 |
| Provider Name | Jacalyn M Gross |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659419885 PECOS PAC ID: 9931545506 Enrollment ID: I20240306002375 |
| Provider Name | Linda Margarita Reidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790478154 PECOS PAC ID: 2365888377 Enrollment ID: I20240313001615 |
| Provider Name | Marady Sabiaga Mesa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134902299 PECOS PAC ID: 5092152058 Enrollment ID: I20240326002303 |
| Provider Name | Alyssa Rose Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841950581 PECOS PAC ID: 4587003579 Enrollment ID: I20240424000842 |
| Provider Name | Hayley K Costas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700574258 PECOS PAC ID: 5092155416 Enrollment ID: I20240502002502 |
| Provider Name | Jacob K Trapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467295923 PECOS PAC ID: 4789122946 Enrollment ID: I20240819003407 |
| Provider Name | Angela M Lin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093491193 PECOS PAC ID: 6406397298 Enrollment ID: I20240919003775 |
| Provider Name | Trevor J Stoltzfus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114594405 PECOS PAC ID: 9335670603 Enrollment ID: I20240927001799 |
| Provider Name | Courtney Misaye Ching |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023853389 PECOS PAC ID: 3577094549 Enrollment ID: I20241001002695 |
| Provider Name | Mohammed I Abu Zaanona |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922591197 PECOS PAC ID: 3072864206 Enrollment ID: I20241014003171 |
| Provider Name | Drew Alexandra Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053142109 PECOS PAC ID: 2466985528 Enrollment ID: I20241028002274 |
| Provider Name | Connor James Triggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396311833 PECOS PAC ID: 0941734156 Enrollment ID: I20241111002983 |
| Provider Name | Sarah June Teramae |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720793235 PECOS PAC ID: 9234663931 Enrollment ID: I20241115003834 |
| Provider Name | Kyle Quimby Deacon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588234140 PECOS PAC ID: 7810422201 Enrollment ID: I20241121003250 |
| Provider Name | Katherine Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225665250 PECOS PAC ID: 8123553484 Enrollment ID: I20241122002000 |
| Provider Name | Alexandra E Reis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912485913 PECOS PAC ID: 2163957440 Enrollment ID: I20241122002936 |
| Provider Name | Mariam W Guenther |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932527983 PECOS PAC ID: 6507089414 Enrollment ID: I20241126002176 |
| Provider Name | Lindsay R Sklover |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386261857 PECOS PAC ID: 3678976529 Enrollment ID: I20241126003169 |
| Provider Name | Lindsay Beth Lookingbill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861149163 PECOS PAC ID: 7618403189 Enrollment ID: I20241206001627 |
| Provider Name | Laura Catherine Laurenzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912724758 PECOS PAC ID: 1557897964 Enrollment ID: I20241209003418 |
| Provider Name | Colleen Mary Breen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831617851 PECOS PAC ID: 1557897816 Enrollment ID: I20241210001475 |
| Provider Name | Benjamin P Wisner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396891982 PECOS PAC ID: 3577696269 Enrollment ID: I20250115002192 |
| Provider Name | Cory a Malone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306378245 PECOS PAC ID: 9830557040 Enrollment ID: I20250205002006 |
| Provider Name | Buenaventura Gaviola Agraviador |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366116170 PECOS PAC ID: 7315477239 Enrollment ID: I20250207000766 |
| Provider Name | Suzanne L Delea |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841339868 PECOS PAC ID: 3779754155 Enrollment ID: I20250219002210 |
| Provider Name | Jessica Maria So |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518421726 PECOS PAC ID: 6709262660 Enrollment ID: I20250224003706 |
| Provider Name | Nedeljko J Uncanin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346744737 PECOS PAC ID: 1052778123 Enrollment ID: I20250318002628 |
| Provider Name | Marie Gabrielle Lanorias Eamiguel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376349944 PECOS PAC ID: 6901315985 Enrollment ID: I20250602001342 |
| Provider Name | Tianlun Jiang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629537485 PECOS PAC ID: 8022343334 Enrollment ID: I20250703003747 |
| Provider Name | Michael David Weed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568824167 PECOS PAC ID: 4981004785 Enrollment ID: I20250731000763 |
| Provider Name | Ana Xiaodan Alldredge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215704705 PECOS PAC ID: 0547768756 Enrollment ID: I20250807002367 |
| Provider Name | Thomas E Mellor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083030274 PECOS PAC ID: 4082836986 Enrollment ID: I20250811002389 |
| Provider Name | Alexander Voloshko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366189003 PECOS PAC ID: 7214437458 Enrollment ID: I20250822001572 |
| Provider Name | Krystle Irvine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912585100 PECOS PAC ID: 2961878269 Enrollment ID: I20250829003061 |
| Provider Name | Andrew T Kwong |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205334836 PECOS PAC ID: 7214339365 Enrollment ID: I20250829003948 |
| Provider Name | Jeffrey M Rebhun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679032643 PECOS PAC ID: 9032440458 Enrollment ID: I20250902001386 |
| Provider Name | Derek Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174961262 PECOS PAC ID: 3274814991 Enrollment ID: I20250905003168 |
| Provider Name | Kevin C Tolzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861104911 PECOS PAC ID: 9133571748 Enrollment ID: I20250916001645 |
| Provider Name | Hyo K Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093752750 PECOS PAC ID: 3870587959 Enrollment ID: I20250919001638 |
| Provider Name | Matthew J Henriques |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457240681 PECOS PAC ID: 6709382807 Enrollment ID: I20250929001711 |
| Provider Name | Daniel E Wong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275094815 PECOS PAC ID: 1355675034 Enrollment ID: I20250929003479 |
| Provider Name | Spencer Boyle |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093341950 PECOS PAC ID: 7719390822 Enrollment ID: I20251029003184 |
| Provider Name | Kristen Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841917291 PECOS PAC ID: 7012385206 Enrollment ID: I20260122001248 |
| Provider Name | Jacqueline Mai Tuyet Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962353904 PECOS PAC ID: 0840775870 Enrollment ID: I20260327002345 |
| Provider Name | Dominic Sturdivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457202020 PECOS PAC ID: 1052896917 Enrollment ID: I20260327003838 |
| Provider Name | Benita Tjoe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336674456 PECOS PAC ID: 1153896550 Enrollment ID: I20260413002329 |
| Provider Name | Shara T Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922843861 PECOS PAC ID: 5092252262 Enrollment ID: I20260618001757 |
Allen J Thomashefsky, MD, a Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath St Ste 301, Santa Barbara, CA 93105 Phone: 805-962-2662 Fax: 805-569-5670 |
Recovery Road Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 State Street, Santa Barbara, CA 93101 Phone: 805-962-7800 Fax: 805-962-9002 |
Conscious Psychiatry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5290 Overpass Rd Ste 128, Santa Barbara, CA 93111 Phone: 805-203-0049 |
Milpas Medical Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 N Milpas St, Santa Barbara, CA 93103 Phone: 805-965-8284 Fax: 805-962-0429 |
Jeffrey R. Polito M.D. a Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 334 S Patterson Ave, Santa Barbara, CA 93111 Phone: 805-681-1490 Fax: 805-681-1593 |
Gary M Van Deventer MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454 |