| Somagen Healthcare Inc | |
|
5671 Balboa Ave San Diego CA 92111-2705 | |
| (858) 800-2880 | |
| (619) 569-2590 |
| Full Name | Somagen Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5671 Balboa Ave, San Diego, California |
| Authorized Official Name and Position | Daniel Lareaux (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8553629773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somagen Healthcare Inc 750 Otay Lakes Rd # 272 Chula Vista CA 91910-6915 Ph: (855) 362-9773 | Somagen Healthcare Inc 5671 Balboa Ave San Diego CA 92111-2705 Ph: (858) 800-2880 |
| NPI Number | 1558788620 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 8921225830 |
|---|---|
| Medicare Enrollment ID | O20140815001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558788620 | NPI | - | NPPES |
| Provider Name | Lisa M Sacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144358938 PECOS PAC ID: 0749203958 Enrollment ID: I20060112001062 |
| Provider Name | Julie A Keeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912963109 PECOS PAC ID: 7315963113 Enrollment ID: I20080306000514 |
| Provider Name | Luzviminda D Saidro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750364386 PECOS PAC ID: 0244291599 Enrollment ID: I20081112000017 |
| Provider Name | Jennifer Doumas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124038328 PECOS PAC ID: 9739363920 Enrollment ID: I20110817000425 |
| Provider Name | Julie Elana Kaltgrad |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235444068 PECOS PAC ID: 9739354242 Enrollment ID: I20111212000938 |
| Provider Name | Vicki Lynn Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699759134 PECOS PAC ID: 7517123110 Enrollment ID: I20120726000323 |
| Provider Name | Charles M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053762005 PECOS PAC ID: 8628356466 Enrollment ID: I20161028000596 |
| Provider Name | Brandy Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114476769 PECOS PAC ID: 5698055937 Enrollment ID: I20161202001969 |
| Provider Name | Cristiana Golu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083684997 PECOS PAC ID: 6608013990 Enrollment ID: I20171011001094 |
| Provider Name | Xavier Jeremiah Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780010595 PECOS PAC ID: 2961631239 Enrollment ID: I20171117003130 |
| Provider Name | Aaron J Stirling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588142533 PECOS PAC ID: 1052663317 Enrollment ID: I20181015002143 |
| Provider Name | Rowena San Juan Dacanay-herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144689175 PECOS PAC ID: 6709110059 Enrollment ID: I20190620002357 |
| Provider Name | Mackenzie L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629581764 PECOS PAC ID: 0345663134 Enrollment ID: I20200713002227 |
| Provider Name | Mariusz Niedzwiecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083281679 PECOS PAC ID: 7719378504 Enrollment ID: I20220105002600 |
| Provider Name | Alba Casco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689066490 PECOS PAC ID: 3870988413 Enrollment ID: I20220318000304 |
| Provider Name | Christina Braunworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831794023 PECOS PAC ID: 5294114203 Enrollment ID: I20220622002122 |
| Provider Name | Malinda Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326542424 PECOS PAC ID: 0143584383 Enrollment ID: I20221012003010 |
| Provider Name | Erika Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396462917 PECOS PAC ID: 5698145092 Enrollment ID: I20221229001387 |
| Provider Name | Renea Barrientos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689333940 PECOS PAC ID: 7517339039 Enrollment ID: I20230209003174 |
| Provider Name | Regina J Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639673858 PECOS PAC ID: 7416208137 Enrollment ID: I20230410000766 |
| Provider Name | Michelle Brower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588367668 PECOS PAC ID: 9537525118 Enrollment ID: I20230524002224 |
| Provider Name | Daniel Owen Lareaux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629606173 PECOS PAC ID: 7517380546 Enrollment ID: I20230622002992 |
| Provider Name | Philip Krause |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942735295 PECOS PAC ID: 6507215266 Enrollment ID: I20231207001005 |
| Provider Name | Rahel A Demessie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619749041 PECOS PAC ID: 6901255587 Enrollment ID: I20231207002058 |
| Provider Name | Michelle Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194418012 PECOS PAC ID: 1557704806 Enrollment ID: I20240204000131 |
| Provider Name | Sherlita Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205522083 PECOS PAC ID: 4981041969 Enrollment ID: I20240326003142 |
| Provider Name | Donna Lagda Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790243699 PECOS PAC ID: 0941742936 Enrollment ID: I20240605002948 |
| Provider Name | Clarisa Pelayo Du |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528784345 PECOS PAC ID: 2062954894 Enrollment ID: I20240609000012 |
| Provider Name | Naomi Twigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689203838 PECOS PAC ID: 4789002676 Enrollment ID: I20240618001572 |
| Provider Name | Emily Torres Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811751712 PECOS PAC ID: 2668917451 Enrollment ID: I20240717000671 |
| Provider Name | Autumn Sunshine Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881454726 PECOS PAC ID: 5991241085 Enrollment ID: I20240725000862 |
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