| Sharpcare Medical Group, APC | |
|
230 Prospect Place Suite 340-b Coronado CA 92118 | |
| (619) 522-4000 | |
| (619) 435-0150 |
| Full Name | Sharpcare Medical Group, APC |
|---|---|
| Speciality | Family Medicine |
| Location | 230 Prospect Place, Coronado, California |
| Authorized Official Name and Position | Kenneth Roth (PRESIDENT) |
| Authorized Official Contact | 8585410181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharpcare Medical Group, APC 8695 Spectrum Center Blvd. Attn: Network Management - 4th Floor San Diego CA 92123 Ph: (858) 499-4510 | Sharpcare Medical Group, APC 230 Prospect Place Suite 340-b Coronado CA 92118 Ph: (619) 522-4000 |
| NPI Number | 1730521568 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 0244518736 |
|---|---|
| Medicare Enrollment ID | O20161103002472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730521568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Kenneth a Warm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982783379 PECOS PAC ID: 9739127838 Enrollment ID: I20050419001519 |
| Provider Name | Roger Oen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710060165 PECOS PAC ID: 1658305263 Enrollment ID: I20050922001191 |
| Provider Name | Corinne J Ancona-young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336168418 PECOS PAC ID: 6103915913 Enrollment ID: I20071201000123 |
| Provider Name | Peter R Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265412779 PECOS PAC ID: 0143390799 Enrollment ID: I20080609000384 |
| Provider Name | Jenny Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689837742 PECOS PAC ID: 8527126903 Enrollment ID: I20081029000642 |
| Provider Name | Bryan J Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245258433 PECOS PAC ID: 4486779782 Enrollment ID: I20100909001015 |
| Provider Name | Nicole Tremain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518922392 PECOS PAC ID: 5799977914 Enrollment ID: I20101006001011 |
| Provider Name | Joy Emmanuel-cochrane |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497887475 PECOS PAC ID: 6103006093 Enrollment ID: I20110303000250 |
| Provider Name | Michael Lajin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467411702 PECOS PAC ID: 1759569296 Enrollment ID: I20120427000182 |
| Provider Name | Merilee R Summerfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467531988 PECOS PAC ID: 4880907799 Enrollment ID: I20150721003256 |
| Provider Name | Kathryn Louise Maiorano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770910770 PECOS PAC ID: 5991083339 Enrollment ID: I20161104002066 |
| Provider Name | Amanda Janell Aspeytia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578238 PECOS PAC ID: 4789988452 Enrollment ID: I20170726001757 |
| Provider Name | Abida Faiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699200105 PECOS PAC ID: 7719239086 Enrollment ID: I20181015002545 |
| Provider Name | Ehatsham Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649589243 PECOS PAC ID: 0244574861 Enrollment ID: I20181207000533 |
| Provider Name | Andrew J Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629430814 PECOS PAC ID: 4789946559 Enrollment ID: I20190103003023 |
| Provider Name | Gregory Scott Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578943858 PECOS PAC ID: 8325356983 Enrollment ID: I20190517000807 |
| Provider Name | Lloyd George Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558304717 PECOS PAC ID: 9436485620 Enrollment ID: I20190725002024 |
| Provider Name | Kim Ann V Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760872188 PECOS PAC ID: 6709120645 Enrollment ID: I20200120000857 |
| Provider Name | Hans L Crumpler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659338473 PECOS PAC ID: 9638259500 Enrollment ID: I20200120000940 |
| Provider Name | Cortney M Keckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194363770 PECOS PAC ID: 5799111852 Enrollment ID: I20200207002422 |
| Provider Name | Sarah Cunado Delabahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366111965 PECOS PAC ID: 4587058664 Enrollment ID: I20220307001675 |
| Provider Name | Rachael Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740936111 PECOS PAC ID: 0042699290 Enrollment ID: I20220620000684 |
| Provider Name | Iris Tso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487427621 PECOS PAC ID: 6901332642 Enrollment ID: I20241205000799 |
| Provider Name | Ravishankar Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154617306 PECOS PAC ID: 3779899075 Enrollment ID: I20251010001924 |
| Provider Name | Sparghai Sahar Ludin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609454198 PECOS PAC ID: 6901394790 Enrollment ID: I20251023001141 |
Sharpcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Prospect Pl Ste 340b, Coronado, CA 92118 Phone: 619-522-4000 Fax: 619-435-0150 |
Laura Norton Petrovich MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1224 10th St, Suite 200, Coronado, CA 92118 Phone: 619-435-2234 Fax: 619-435-1784 |
Parmela Sawhney MD Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 1st St, Suite 6, Coronado, CA 92118 Phone: 619-435-4488 Fax: 619-435-4489 |
Patrick R Yassini M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Orange Ave, #100, Coronado, CA 92118 Phone: 619-522-4005 Fax: 619-522-4014 |
Crown Island Family Practice a Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Prospect Pl, Suite 350, Coronado, CA 92118 Phone: 619-537-6910 Fax: 619-537-6905 |
Prema Sai Medical, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl Ste 220, Coronado, CA 92118 Phone: 559-593-6450 Fax: 619-297-4490 |