| Providence Medical Foundation | |
|
1514 Valley Vista Dr Diamond Bar CA 91765-3929 | |
| (909) 860-1144 | |
| (909) 860-8307 |
| Full Name | Providence Medical Foundation |
|---|---|
| Speciality | General Practice |
| Location | 1514 Valley Vista Dr, Diamond Bar, California |
| Authorized Official Name and Position | Jill A Duplechan (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7143477790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Foundation 200 W Center Street Promenade Ste 300 Anaheim CA 92805-3960 Ph: (714) 449-4800 | Providence Medical Foundation 1514 Valley Vista Dr Diamond Bar CA 91765-3929 Ph: (909) 860-1144 |
| NPI Number | 1285890624 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 8921993205 |
|---|---|
| Medicare Enrollment ID | O20040216001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285890624 | NPI | - | NPPES |
| CG4895 | Other | CA | RAILROAD MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Eugene Belogorsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184657538 PECOS PAC ID: 5092628990 Enrollment ID: I20031106000797 |
| Provider Name | Kateri Murray |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477583029 PECOS PAC ID: 3971407123 Enrollment ID: I20031120000577 |
| Provider Name | Bruce J Yawitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588619928 PECOS PAC ID: 0648174367 Enrollment ID: I20031124000803 |
| Provider Name | Daniel L Kirsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689613408 PECOS PAC ID: 7315841939 Enrollment ID: I20031124000826 |
| Provider Name | Brenda Jean Safranko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164463048 PECOS PAC ID: 0547165086 Enrollment ID: I20031205000769 |
| Provider Name | Alexander S Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083658884 PECOS PAC ID: 1951207323 Enrollment ID: I20031208001089 |
| Provider Name | Tobey Wu-kuo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588665392 PECOS PAC ID: 4688570757 Enrollment ID: I20031209001112 |
| Provider Name | Robert Mccoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518961911 PECOS PAC ID: 7911803929 Enrollment ID: I20031210000676 |
| Provider Name | Lisa Kay Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497780795 PECOS PAC ID: 6709782592 Enrollment ID: I20031211000567 |
| Provider Name | Khaldoun A Debian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932168796 PECOS PAC ID: 6103722830 Enrollment ID: I20031211000831 |
| Provider Name | Robert H Dunham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700851870 PECOS PAC ID: 2062310964 Enrollment ID: I20031230000387 |
| Provider Name | Karen E Evensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750452652 PECOS PAC ID: 6507766730 Enrollment ID: I20040112000587 |
| Provider Name | Masis Babajanian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609873850 PECOS PAC ID: 2062312176 Enrollment ID: I20040113000414 |
| Provider Name | Kimhai N Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124192448 PECOS PAC ID: 8325949001 Enrollment ID: I20040115000991 |
| Provider Name | Leila Yasrebi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790863686 PECOS PAC ID: 7719888353 Enrollment ID: I20040116000722 |
| Provider Name | Frank Zazueta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386670230 PECOS PAC ID: 6204737703 Enrollment ID: I20040116001082 |
| Provider Name | Joey Gee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710058698 PECOS PAC ID: 9436051505 Enrollment ID: I20040121000504 |
| Provider Name | Madhavi Mummaneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316999550 PECOS PAC ID: 5395647432 Enrollment ID: I20040122000569 |
| Provider Name | Mercedes Tomioka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275639262 PECOS PAC ID: 8123920964 Enrollment ID: I20040122001000 |
| Provider Name | Michael A Katz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841213899 PECOS PAC ID: 2961304712 Enrollment ID: I20040122001050 |
| Provider Name | Hyder Z Jamal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740280932 PECOS PAC ID: 1658274725 Enrollment ID: I20040128000454 |
| Provider Name | Leroy Wayne Keiser |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417047283 PECOS PAC ID: 2264335934 Enrollment ID: I20040129000947 |
| Provider Name | Rajina R Ranadive |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447200480 PECOS PAC ID: 5698678019 Enrollment ID: I20040131000199 |
| Provider Name | Rajesh K Ranadive |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497704522 PECOS PAC ID: 4385537604 Enrollment ID: I20040202001099 |
| Provider Name | Nicole M Yi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821024506 PECOS PAC ID: 7416840046 Enrollment ID: I20040205001347 |
| Provider Name | Susan Judith Eisenberg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134226020 PECOS PAC ID: 7113811449 Enrollment ID: I20040209001132 |
| Provider Name | Jonathan C Tsao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225071384 PECOS PAC ID: 7012801632 Enrollment ID: I20040212000684 |
| Provider Name | Andrew K Wong |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578543963 PECOS PAC ID: 9032004312 Enrollment ID: I20040216001330 |
| Provider Name | John P Loftus |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922074319 PECOS PAC ID: 0749175024 Enrollment ID: I20040216001348 |
| Provider Name | Robyn D Vieth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407806961 PECOS PAC ID: 0547155459 Enrollment ID: I20040219000317 |
| Provider Name | Theresa Louise Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972683753 PECOS PAC ID: 2769377449 Enrollment ID: I20040220000454 |
| Provider Name | Farshad Dana |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790855955 PECOS PAC ID: 7911892591 Enrollment ID: I20040220001142 |
| Provider Name | Torsten J Kruse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972644482 PECOS PAC ID: 9638065014 Enrollment ID: I20040223001352 |
| Provider Name | Ian Churchhill Anderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518055573 PECOS PAC ID: 3779479647 Enrollment ID: I20040226000628 |
| Provider Name | Kang Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184693285 PECOS PAC ID: 8921994625 Enrollment ID: I20040227000260 |
| Provider Name | Ronald N Adamany |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992780688 PECOS PAC ID: 1355238858 Enrollment ID: I20040301000443 |
| Provider Name | Fredric De Picciotto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114938842 PECOS PAC ID: 9638066657 Enrollment ID: I20040303000543 |
| Provider Name | Patrick G Devlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558360479 PECOS PAC ID: 2567350440 Enrollment ID: I20040310001124 |
| Provider Name | Mahnaz Baradar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225113293 PECOS PAC ID: 4688563257 Enrollment ID: I20040311001401 |
| Provider Name | Karen L Reuss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336190354 PECOS PAC ID: 7618866609 Enrollment ID: I20040315001429 |
| Provider Name | Jonathan M Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265461784 PECOS PAC ID: 3274423884 Enrollment ID: I20040317001283 |
| Provider Name | Kenneth K Tram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700875911 PECOS PAC ID: 1759273659 Enrollment ID: I20040325001772 |
| Provider Name | Allen Houshiar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427076272 PECOS PAC ID: 5294727467 Enrollment ID: I20040330001736 |
| Provider Name | Jay Chung |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760588305 PECOS PAC ID: 8921093121 Enrollment ID: I20040416001499 |
| Provider Name | Jennifer A Heidmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790881332 PECOS PAC ID: 2567458060 Enrollment ID: I20040421000886 |
| Provider Name | James C Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437253663 PECOS PAC ID: 1850387697 Enrollment ID: I20040426000417 |
| Provider Name | Thomas S Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598714818 PECOS PAC ID: 8022005693 Enrollment ID: I20040427000261 |
| Provider Name | Edward A Stadler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699723932 PECOS PAC ID: 0345237921 Enrollment ID: I20040427000317 |
| Provider Name | Kurt D Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417906686 PECOS PAC ID: 8224025812 Enrollment ID: I20040427000412 |
| Provider Name | Scott E Capobianco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275582066 PECOS PAC ID: 5395732929 Enrollment ID: I20040427000672 |
| Provider Name | Ruben E Brinckhaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891708806 PECOS PAC ID: 8224027297 Enrollment ID: I20040506001742 |
| Provider Name | Marienelle Banez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689695082 PECOS PAC ID: 8820087281 Enrollment ID: I20040510001672 |
| Provider Name | Paulynne P Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093700064 PECOS PAC ID: 6002805314 Enrollment ID: I20040511001207 |
| Provider Name | Keith M Mullins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952367310 PECOS PAC ID: 1658361639 Enrollment ID: I20040512001603 |
| Provider Name | Philippe R Edouard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124029491 PECOS PAC ID: 6709876212 Enrollment ID: I20040517000506 |
| Provider Name | James L Benoit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407843949 PECOS PAC ID: 6901887033 Enrollment ID: I20040525001772 |
| Provider Name | Daniel J Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457347411 PECOS PAC ID: 3971584814 Enrollment ID: I20040526001638 |
| Provider Name | Edward S Lawton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801882261 PECOS PAC ID: 3476534314 Enrollment ID: I20040526001675 |
| Provider Name | Jay H Kim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811984123 PECOS PAC ID: 6002897949 Enrollment ID: I20040526001688 |
| Provider Name | Jay B Han |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669468757 PECOS PAC ID: 1355322298 Enrollment ID: I20040526001709 |
| Provider Name | Giribala R Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033106562 PECOS PAC ID: 3173504917 Enrollment ID: I20040526001710 |
| Provider Name | Martin F Carr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326034265 PECOS PAC ID: 4486635299 Enrollment ID: I20040527000527 |
| Provider Name | Shirley W Pang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457437626 PECOS PAC ID: 9436131844 Enrollment ID: I20040601000904 |
| Provider Name | Douglas G Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154322998 PECOS PAC ID: 7911989207 Enrollment ID: I20040601001571 |
| Provider Name | Mark S Weissig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649266032 PECOS PAC ID: 3375525561 Enrollment ID: I20040602000712 |
| Provider Name | Michelle A Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326126236 PECOS PAC ID: 6103808209 Enrollment ID: I20040602001569 |
| Provider Name | Scott Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497742621 PECOS PAC ID: 6305828427 Enrollment ID: I20040602001716 |
| Provider Name | Bruce S Mutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861493736 PECOS PAC ID: 3577545698 Enrollment ID: I20040602001721 |
| Provider Name | Ramesh H Rathod |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396732855 PECOS PAC ID: 5799767646 Enrollment ID: I20040603001058 |
| Provider Name | Melissa Ann Mckenzie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861450876 PECOS PAC ID: 5698758100 Enrollment ID: I20040607001585 |
| Provider Name | Yee S Miao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518953983 PECOS PAC ID: 8325021603 Enrollment ID: I20040608001302 |
| Provider Name | Andrew L Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750382628 PECOS PAC ID: 3173506466 Enrollment ID: I20040608001366 |
| Provider Name | Anthony I Bae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194711945 PECOS PAC ID: 2860475886 Enrollment ID: I20040610001203 |
| Provider Name | David E Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518968353 PECOS PAC ID: 6507849494 Enrollment ID: I20040610001821 |
| Provider Name | Brian L Hanson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902916323 PECOS PAC ID: 0648254672 Enrollment ID: I20040616000870 |
| Provider Name | Mindy Sue Shapiro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114001112 PECOS PAC ID: 9032193073 Enrollment ID: I20040616000929 |
| Provider Name | Shahram S Solhpour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548268287 PECOS PAC ID: 5496730533 Enrollment ID: I20040622001143 |
| Provider Name | Melanie Ruth Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508847971 PECOS PAC ID: 8123003241 Enrollment ID: I20040622001716 |
| Provider Name | Debra L Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447308341 PECOS PAC ID: 9436135670 Enrollment ID: I20040628000843 |
| Provider Name | Daniel E Kahler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019781 PECOS PAC ID: 8022094044 Enrollment ID: I20040630000835 |
| Provider Name | Lien T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508906033 PECOS PAC ID: 0840278792 Enrollment ID: I20040708000866 |
| Provider Name | Brian Kim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609849876 PECOS PAC ID: 8224016019 Enrollment ID: I20040708001279 |
| Provider Name | Timothy E Byun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871545012 PECOS PAC ID: 6305824491 Enrollment ID: I20040713001680 |
| Provider Name | Jeannette B Currie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083642409 PECOS PAC ID: 6103806310 Enrollment ID: I20040720001056 |
| Provider Name | Gregory P Rosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902861453 PECOS PAC ID: 1759361561 Enrollment ID: I20040722000662 |
| Provider Name | Ali Banaie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386613206 PECOS PAC ID: 3870573561 Enrollment ID: I20040723000631 |
| Provider Name | Maureen U Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386608438 PECOS PAC ID: 9335129626 Enrollment ID: I20040726000953 |
| Provider Name | Fiona C Redwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255323945 PECOS PAC ID: 4385614064 Enrollment ID: I20040729000720 |
| Provider Name | Reza Govashiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255346797 PECOS PAC ID: 6305817594 Enrollment ID: I20040802001581 |
| Provider Name | Neha B Savalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114913043 PECOS PAC ID: 6002887759 Enrollment ID: I20040804001765 |
| Provider Name | Joanna K Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861493553 PECOS PAC ID: 4284606575 Enrollment ID: I20040807000256 |
| Provider Name | May S Chen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881772887 PECOS PAC ID: 0547232571 Enrollment ID: I20040810001380 |
| Provider Name | Robin Zagone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023192960 PECOS PAC ID: 3870565492 Enrollment ID: I20040812000617 |
| Provider Name | Farhan Khabaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427159458 PECOS PAC ID: 8123091568 Enrollment ID: I20040814000271 |
| Provider Name | Eric Stephan Schmidt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720012149 PECOS PAC ID: 1557334372 Enrollment ID: I20040818001069 |
| Provider Name | Leo S Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831185792 PECOS PAC ID: 6709859432 Enrollment ID: I20040819000459 |
| Provider Name | Edgar Vyhmeister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982696571 PECOS PAC ID: 1052385747 Enrollment ID: I20040819001016 |
| Provider Name | Robert L Faust |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891766861 PECOS PAC ID: 1254305766 Enrollment ID: I20040823000846 |
| Provider Name | Michelle Davey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366445785 PECOS PAC ID: 2668446618 Enrollment ID: I20040824001465 |
| Provider Name | Richard Norman Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952492183 PECOS PAC ID: 7719951722 Enrollment ID: I20040825000403 |
| Provider Name | Jesus A Vera |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780621821 PECOS PAC ID: 6800861501 Enrollment ID: I20040826001172 |
| Provider Name | Angelia Sidarta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790731776 PECOS PAC ID: 7719953611 Enrollment ID: I20040902000388 |
| Provider Name | Arthur D Zepeda |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184718447 PECOS PAC ID: 1557337383 Enrollment ID: I20040902001348 |
| Provider Name | Tuan V Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396799672 PECOS PAC ID: 1759357015 Enrollment ID: I20040908000659 |
| Provider Name | Daniel White |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033214796 PECOS PAC ID: 4385611219 Enrollment ID: I20040910001185 |
| Provider Name | Steve M Tran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487722732 PECOS PAC ID: 5395712723 Enrollment ID: I20040914001115 |
| Provider Name | Maria Veronica Stapfer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073543146 PECOS PAC ID: 1355318494 Enrollment ID: I20040916000779 |
| Provider Name | Raymond E Kwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609853092 PECOS PAC ID: 2062480171 Enrollment ID: I20040916001352 |
| Provider Name | Phillip N Cecchini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467480194 PECOS PAC ID: 1850368051 Enrollment ID: I20040917000676 |
| Provider Name | James P Decock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720019904 PECOS PAC ID: 8022085224 Enrollment ID: I20040917000736 |
| Provider Name | Doreen M Rioux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124029020 PECOS PAC ID: 2668440611 Enrollment ID: I20040917001094 |
| Provider Name | Andrew C Karich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508866575 PECOS PAC ID: 7618945429 Enrollment ID: I20040920000978 |
| Provider Name | Donald E Bittner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538169578 PECOS PAC ID: 4284602038 Enrollment ID: I20040920001262 |
| Provider Name | Todd David Reil |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154355311 PECOS PAC ID: 6103894464 Enrollment ID: I20040923000811 |
| Provider Name | David A Zander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922023399 PECOS PAC ID: 2567431349 Enrollment ID: I20040928001234 |
| Provider Name | Christina S Sitenga-kako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114996097 PECOS PAC ID: 4981673522 Enrollment ID: I20040929001156 |
| Provider Name | Margaret A Schlatter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063430031 PECOS PAC ID: 8729057047 Enrollment ID: I20041001000874 |
| Provider Name | Mino Thu Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760482996 PECOS PAC ID: 8921077272 Enrollment ID: I20041001001106 |
| Provider Name | Jorge Mario Galdamez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710900998 PECOS PAC ID: 6901865831 Enrollment ID: I20041006001350 |
| Provider Name | Sajen J Mathews |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326048323 PECOS PAC ID: 4587623988 Enrollment ID: I20041008001404 |
| Provider Name | Jonathan P Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588664916 PECOS PAC ID: 4789643271 Enrollment ID: I20041014000263 |
| Provider Name | Kalpana S Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184651234 PECOS PAC ID: 9032179973 Enrollment ID: I20041014000606 |
| Provider Name | Maximilian E Garces |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588650436 PECOS PAC ID: 4183684715 Enrollment ID: I20041018000500 |
| Provider Name | Edward J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508863499 PECOS PAC ID: 4284695701 Enrollment ID: I20041019000743 |
| Provider Name | Virany M Kreng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891881660 PECOS PAC ID: 7618938325 Enrollment ID: I20041025000994 |
| Provider Name | Raed M Ali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891795449 PECOS PAC ID: 8224026315 Enrollment ID: I20041026001218 |
| Provider Name | Kelley L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366487522 PECOS PAC ID: 0749242915 Enrollment ID: I20041029000885 |
| Provider Name | Robert J Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841202330 PECOS PAC ID: 0446213904 Enrollment ID: I20041105000991 |
| Provider Name | Edward M West |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558377440 PECOS PAC ID: 0547223638 Enrollment ID: I20041109001215 |
| Provider Name | Andy D Tran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326059882 PECOS PAC ID: 3072577568 Enrollment ID: I20041115000856 |
| Provider Name | Joseph M Arcidi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528024544 PECOS PAC ID: 4486619616 Enrollment ID: I20041130000200 |
| Provider Name | Dmitry A Leongardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174549554 PECOS PAC ID: 4082670849 Enrollment ID: I20041203000723 |
| Provider Name | Anne Elizabeth Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518967140 PECOS PAC ID: 3375509748 Enrollment ID: I20041207000934 |
| Provider Name | David A Ruckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285620658 PECOS PAC ID: 6901862317 Enrollment ID: I20041207001268 |
| Provider Name | Christian M Lising |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760478606 PECOS PAC ID: 7719943125 Enrollment ID: I20041207001276 |
| Provider Name | Jaya A Philipose |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477671386 PECOS PAC ID: 5597722694 Enrollment ID: I20041209001097 |
| Provider Name | Gary J Mishkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912981382 PECOS PAC ID: 7810954708 Enrollment ID: I20041213000365 |
| Provider Name | Janet Yazdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386622181 PECOS PAC ID: 4587621164 Enrollment ID: I20041215000494 |
| Provider Name | Ketsana Vilaysane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356321384 PECOS PAC ID: 5890752265 Enrollment ID: I20041216001028 |
| Provider Name | Randy P Fiorentino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558440131 PECOS PAC ID: 9032177498 Enrollment ID: I20041230000776 |
| Provider Name | Marcelle O Mahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245292085 PECOS PAC ID: 6608824453 Enrollment ID: I20050107000577 |
| Provider Name | Johnson Y Chiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356412241 PECOS PAC ID: 4981652682 Enrollment ID: I20050110000674 |
| Provider Name | Allison Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255320438 PECOS PAC ID: 6305894866 Enrollment ID: I20050111000657 |
| Provider Name | Joe T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740361187 PECOS PAC ID: 7416907845 Enrollment ID: I20050124001037 |
| Provider Name | Robert M Green |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932198249 PECOS PAC ID: 0648220715 Enrollment ID: I20050126000650 |
| Provider Name | Carla A Higbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225076763 PECOS PAC ID: 6507816485 Enrollment ID: I20050127001137 |
| Provider Name | Tomas Vasiliauskas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073612529 PECOS PAC ID: 7214988336 Enrollment ID: I20050207000473 |
| Provider Name | Douglas R Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285693572 PECOS PAC ID: 1254382021 Enrollment ID: I20050209000489 |
| Provider Name | Kusum G Stokes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386642130 PECOS PAC ID: 6901858497 Enrollment ID: I20050211000912 |
| Provider Name | Jerome Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326076746 PECOS PAC ID: 3870548878 Enrollment ID: I20050311000989 |
| Provider Name | Kathleen M Pollock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073519559 PECOS PAC ID: 3274588009 Enrollment ID: I20050315000491 |
| Provider Name | Jonathan Y Choe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518959170 PECOS PAC ID: 6608821368 Enrollment ID: I20050315000752 |
| Provider Name | Deepak K Stokes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528066206 PECOS PAC ID: 4284628561 Enrollment ID: I20050318000372 |
| Provider Name | Ehsan Safaie Fard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457387003 PECOS PAC ID: 2062459860 Enrollment ID: I20050413000676 |
| Provider Name | Mary K Newkirk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088323 PECOS PAC ID: 3375580962 Enrollment ID: I20050414001001 |
| Provider Name | Kathryn M Cvar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952350282 PECOS PAC ID: 1052359676 Enrollment ID: I20050422000859 |
| Provider Name | Sara A Ramirez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467401638 PECOS PAC ID: 5092753657 Enrollment ID: I20050422001069 |
| Provider Name | Hemalatha Vangala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374029 PECOS PAC ID: 0749229151 Enrollment ID: I20050426000590 |
| Provider Name | John W Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518026814 PECOS PAC ID: 2668447525 Enrollment ID: I20050504000652 |
| Provider Name | Jennifer L Altamira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205815248 PECOS PAC ID: 1254371610 Enrollment ID: I20050505000481 |
| Provider Name | Fraidon F Azizi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841368461 PECOS PAC ID: 6507806395 Enrollment ID: I20050511000544 |
| Provider Name | Amanda Baer James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831295484 PECOS PAC ID: 0042251324 Enrollment ID: I20050517000643 |
| Provider Name | Wanjun S Bae |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457433906 PECOS PAC ID: 5698716926 Enrollment ID: I20050517001008 |
| Provider Name | Michael P Mcconnell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629117320 PECOS PAC ID: 3678514577 Enrollment ID: I20050520000724 |
| Provider Name | Peter C Czuleger |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043265580 PECOS PAC ID: 9234171067 Enrollment ID: I20050523000793 |
| Provider Name | Absalom D Hepner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205880994 PECOS PAC ID: 7113969130 Enrollment ID: I20050531000609 |
| Provider Name | David S Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528059607 PECOS PAC ID: 7113969098 Enrollment ID: I20050601000927 |
| Provider Name | Habib Azad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114962610 PECOS PAC ID: 8426091158 Enrollment ID: I20050603000723 |
| Provider Name | Cassandra A Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275550840 PECOS PAC ID: 8729021258 Enrollment ID: I20050606001198 |
| Provider Name | Corrine H Giesemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730115601 PECOS PAC ID: 3173566577 Enrollment ID: I20050607000483 |
| Provider Name | John D Mccracken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235203548 PECOS PAC ID: 2062455561 Enrollment ID: I20050608000361 |
| Provider Name | Maurizio Bonacini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114944972 PECOS PAC ID: 1456394618 Enrollment ID: I20050608000526 |
| Provider Name | Rama Samoori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457445884 PECOS PAC ID: 4880638733 Enrollment ID: I20050613000619 |
| Provider Name | Aseem D Desai |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609852888 PECOS PAC ID: 3375587157 Enrollment ID: I20050613000987 |
| Provider Name | Mark F Giglio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134129182 PECOS PAC ID: 3173416708 Enrollment ID: I20050616001214 |
| Provider Name | Karen R Simpson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376544189 PECOS PAC ID: 7012951395 Enrollment ID: I20050616001233 |
| Provider Name | Lei Han Winget |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598746950 PECOS PAC ID: 7911974514 Enrollment ID: I20050617000297 |
| Provider Name | Roger S Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730158239 PECOS PAC ID: 5193760841 Enrollment ID: I20050622001342 |
| Provider Name | Karen G Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770639189 PECOS PAC ID: 0244208247 Enrollment ID: I20050628000879 |
| Provider Name | David M Packard |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558307173 PECOS PAC ID: 7012953961 Enrollment ID: I20050630001112 |
| Provider Name | Bruce R Tammelin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942288709 PECOS PAC ID: 3779563051 Enrollment ID: I20050701001016 |
| Provider Name | Victor C Moneke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942211552 PECOS PAC ID: 5799721320 Enrollment ID: I20050705000584 |
| Provider Name | Bradley D Noblett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689788507 PECOS PAC ID: 0143256636 Enrollment ID: I20050715000641 |
| Provider Name | Samuel C Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134214406 PECOS PAC ID: 3577590355 Enrollment ID: I20050722000838 |
| Provider Name | Marion T Chirayath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760438139 PECOS PAC ID: 4587652375 Enrollment ID: I20050725000362 |
| Provider Name | Paul Richard Bracho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326185018 PECOS PAC ID: 2365470796 Enrollment ID: I20050727001107 |
| Provider Name | Mahdieh Fallahtafti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700802998 PECOS PAC ID: 5597793083 Enrollment ID: I20050728000542 |
| Provider Name | Alida A Narguizian |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942375332 PECOS PAC ID: 3476581646 Enrollment ID: I20050728001239 |
| Provider Name | Sanjay Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174609358 PECOS PAC ID: 9335177450 Enrollment ID: I20050730000154 |
| Provider Name | Jim D Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972504173 PECOS PAC ID: 4688602725 Enrollment ID: I20050730000227 |
| Provider Name | Dean I Okimoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908336 PECOS PAC ID: 6406884543 Enrollment ID: I20050730000229 |
| Provider Name | Robert Landman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326035874 PECOS PAC ID: 8224066360 Enrollment ID: I20050730000231 |
| Provider Name | Allison K Foley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982604906 PECOS PAC ID: 3678501715 Enrollment ID: I20050730000235 |
| Provider Name | Linda Golkar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811997877 PECOS PAC ID: 5991733867 Enrollment ID: I20050801001234 |
| Provider Name | Pius Jin Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003863317 PECOS PAC ID: 5698703270 Enrollment ID: I20050803001219 |
| Provider Name | Pardise Moraghebi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740235019 PECOS PAC ID: 5597793174 Enrollment ID: I20050803001233 |
| Provider Name | Tom L Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669547006 PECOS PAC ID: 6204864887 Enrollment ID: I20050803001255 |
| Provider Name | Andrew T Duke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013986959 PECOS PAC ID: 8527097187 Enrollment ID: I20050804000729 |
| Provider Name | Theodoros M Daskalakis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467409250 PECOS PAC ID: 0941239263 Enrollment ID: I20050808000406 |
| Provider Name | Linda J Pierog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427073295 PECOS PAC ID: 9032148960 Enrollment ID: I20050810000857 |
| Provider Name | Lars G Anker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962548537 PECOS PAC ID: 6103856828 Enrollment ID: I20050812000572 |
| Provider Name | Jae K Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083642839 PECOS PAC ID: 1355371550 Enrollment ID: I20050817000691 |
| Provider Name | Stephen J Denigris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699888610 PECOS PAC ID: 4284691924 Enrollment ID: I20050830000658 |
| Provider Name | Audrey M Konow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659481125 PECOS PAC ID: 0648202259 Enrollment ID: I20050902000757 |
| Provider Name | Alexandra D Duke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760479992 PECOS PAC ID: 1052343084 Enrollment ID: I20050909000805 |
| Provider Name | William E Batty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246434 PECOS PAC ID: 4688606627 Enrollment ID: I20050909000908 |
| Provider Name | Sherif M El Sokkary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710964432 PECOS PAC ID: 8921032889 Enrollment ID: I20050921000331 |
| Provider Name | Amy L Underwood-jolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992783633 PECOS PAC ID: 8527092386 Enrollment ID: I20050921000363 |
| Provider Name | David T Kawanishi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518944057 PECOS PAC ID: 7517991391 Enrollment ID: I20050921000515 |
| Provider Name | Edward J Block |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811973860 PECOS PAC ID: 7012953789 Enrollment ID: I20050922001206 |
| Provider Name | Daniel L Kulick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679550123 PECOS PAC ID: 2264484922 Enrollment ID: I20050922001214 |
| Provider Name | Donald E Rediker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144207333 PECOS PAC ID: 0143200428 Enrollment ID: I20050922001223 |
| Provider Name | Donald Jeffrey Pratt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437136660 PECOS PAC ID: 9032199310 Enrollment ID: I20050922001235 |
| Provider Name | Gerald Sugino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427036284 PECOS PAC ID: 5597799114 Enrollment ID: I20050922001247 |
| Provider Name | Michele R Staunton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659358646 PECOS PAC ID: 8123052743 Enrollment ID: I20050922001259 |
| Provider Name | Mim I Mulford |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235116542 PECOS PAC ID: 5294771960 Enrollment ID: I20050922001262 |
| Provider Name | Michael I Miyamoto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841277167 PECOS PAC ID: 8921044694 Enrollment ID: I20050922001264 |
| Provider Name | Steven Allen Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265416077 PECOS PAC ID: 2567497175 Enrollment ID: I20051003000629 |
| Provider Name | Stacy E Whitelock |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497886048 PECOS PAC ID: 0244255057 Enrollment ID: I20051011000743 |
| Provider Name | Harendra K Punatar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699773432 PECOS PAC ID: 0143245597 Enrollment ID: I20051013001096 |
| Provider Name | Aeri Y Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689660755 PECOS PAC ID: 6406872845 Enrollment ID: I20051014000865 |
| Provider Name | Jo E Pitzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740254366 PECOS PAC ID: 8022046606 Enrollment ID: I20051019000281 |
| Provider Name | James L Lau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811056435 PECOS PAC ID: 9638196959 Enrollment ID: I20051026000811 |
| Provider Name | Yuichiro D Nakai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497739114 PECOS PAC ID: 4587681838 Enrollment ID: I20051026001066 |
| Provider Name | Khadija E Mayet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528049665 PECOS PAC ID: 3375560121 Enrollment ID: I20051031000782 |
| Provider Name | Susana Gomez Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740202506 PECOS PAC ID: 4880612407 Enrollment ID: I20051102000819 |
| Provider Name | Duc Q Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689615221 PECOS PAC ID: 0840218129 Enrollment ID: I20051104000413 |
| Provider Name | Barbara L Niklas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053446617 PECOS PAC ID: 2567481948 Enrollment ID: I20051115000528 |
| Provider Name | Michelle D Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881802759 PECOS PAC ID: 7719906106 Enrollment ID: I20051115000568 |
| Provider Name | Jill Olmstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740276732 PECOS PAC ID: 9830118231 Enrollment ID: I20051115000649 |
| Provider Name | Neil Q Tran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316096688 PECOS PAC ID: 0840219911 Enrollment ID: I20051117000517 |
| Provider Name | Michael I Bozuk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700800604 PECOS PAC ID: 5799707626 Enrollment ID: I20051221000598 |
| Provider Name | Jeffrey Messinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942358932 PECOS PAC ID: 9638191331 Enrollment ID: I20051221001063 |
| Provider Name | Mikel R Whiting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275576795 PECOS PAC ID: 9931121191 Enrollment ID: I20051230000644 |
| Provider Name | Zoheir R El-hajjaoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831199058 PECOS PAC ID: 2860461100 Enrollment ID: I20060104000644 |
| Provider Name | Banafsheh B Shaibani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740368646 PECOS PAC ID: 9436172756 Enrollment ID: I20060112000211 |
| Provider Name | Jenny Chiachen Tai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831202092 PECOS PAC ID: 0345264271 Enrollment ID: I20060118001054 |
| Provider Name | William S Sageman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417957168 PECOS PAC ID: 7719935709 Enrollment ID: I20060120000221 |
| Provider Name | Mario R Quintero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548274434 PECOS PAC ID: 1951325778 Enrollment ID: I20060120000340 |
| Provider Name | Lynne Hung |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326004748 PECOS PAC ID: 5991729691 Enrollment ID: I20060120000615 |
| Provider Name | Trieneke A Kylstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740243286 PECOS PAC ID: 2668496118 Enrollment ID: I20060123001041 |
| Provider Name | Haichi S Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891739694 PECOS PAC ID: 9830103944 Enrollment ID: I20060127000465 |
| Provider Name | Tze K Ip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316924947 PECOS PAC ID: 9335153899 Enrollment ID: I20060203000492 |
| Provider Name | Bernard T Elpedes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831127497 PECOS PAC ID: 7618982869 Enrollment ID: I20060209000529 |
| Provider Name | Linda L Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639180086 PECOS PAC ID: 5890700462 Enrollment ID: I20060217000670 |
| Provider Name | Dawn H Magdalin-betts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427157262 PECOS PAC ID: 9133138985 Enrollment ID: I20060406000328 |
| Provider Name | Lawrence R Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801895602 PECOS PAC ID: 1254341126 Enrollment ID: I20060424000216 |
| Provider Name | James C Devore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043273469 PECOS PAC ID: 0345250130 Enrollment ID: I20060424000416 |
| Provider Name | Harry B Peled |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912994179 PECOS PAC ID: 8022020668 Enrollment ID: I20060622000115 |
| Provider Name | John D Murashige |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982605481 PECOS PAC ID: 7911919550 Enrollment ID: I20060622000135 |
| Provider Name | Scott P Sainburg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184610552 PECOS PAC ID: 8729090360 Enrollment ID: I20060622000142 |
| Provider Name | Paul M Mansonhing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649211079 PECOS PAC ID: 0547272031 Enrollment ID: I20060627000343 |
| Provider Name | Heather A Iezza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649227943 PECOS PAC ID: 8123031838 Enrollment ID: I20060725000346 |
| Provider Name | Kathleen L Babington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366474645 PECOS PAC ID: 7810900131 Enrollment ID: I20060802000495 |
| Provider Name | Yasir A Qazi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326086695 PECOS PAC ID: 6406740166 Enrollment ID: I20060803000277 |
| Provider Name | Abhijit A Adhye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992763205 PECOS PAC ID: 8325041528 Enrollment ID: I20060808000364 |
| Provider Name | Alan Fischel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376573956 PECOS PAC ID: 1658374160 Enrollment ID: I20060822000397 |
| Provider Name | Patricia L Grinnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538186457 PECOS PAC ID: 2062415599 Enrollment ID: I20060822000553 |
| Provider Name | John A Sotelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164447504 PECOS PAC ID: 6608870951 Enrollment ID: I20060829000540 |
| Provider Name | Gregory Ackroyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538192984 PECOS PAC ID: 6901837582 Enrollment ID: I20060906000568 |
| Provider Name | Brian C Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457316705 PECOS PAC ID: 4284627472 Enrollment ID: I20060908000514 |
| Provider Name | William B Kilgore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508891029 PECOS PAC ID: 6608871520 Enrollment ID: I20060928000229 |
| Provider Name | Truong Dang Quach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346358223 PECOS PAC ID: 7517962160 Enrollment ID: I20061003000601 |
| Provider Name | Gregory C Barkdull |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962418806 PECOS PAC ID: 4385649946 Enrollment ID: I20061003000666 |
| Provider Name | Amy Van T Bui |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013027838 PECOS PAC ID: 4385641414 Enrollment ID: I20061101000569 |
| Provider Name | Diego R Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326058371 PECOS PAC ID: 6507863537 Enrollment ID: I20061103000261 |
| Provider Name | Kasra Morshedizadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528078672 PECOS PAC ID: 4486651205 Enrollment ID: I20061108000433 |
| Provider Name | Madineth Muy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992807721 PECOS PAC ID: 3274515663 Enrollment ID: I20061121000530 |
| Provider Name | Ameesh Parikh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699876698 PECOS PAC ID: 3870591076 Enrollment ID: I20061122000495 |
| Provider Name | William M Ko |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1629011762 PECOS PAC ID: 5092714162 Enrollment ID: I20061219000259 |
| Provider Name | Colleen M Lennard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316913197 PECOS PAC ID: 9739189507 Enrollment ID: I20061228000432 |
| Provider Name | Arash Farahanchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497829972 PECOS PAC ID: 8729089263 Enrollment ID: I20070125000203 |
| Provider Name | Kiarash Khajavi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265518443 PECOS PAC ID: 9931201092 Enrollment ID: I20070221000272 |
| Provider Name | Tuan Q Trinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205924040 PECOS PAC ID: 4688776602 Enrollment ID: I20070222000188 |
| Provider Name | David J Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275619447 PECOS PAC ID: 4981706835 Enrollment ID: I20070222000608 |
| Provider Name | Alex Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669414512 PECOS PAC ID: 2365545993 Enrollment ID: I20070319000674 |
| Provider Name | Marlene E Mires |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235185976 PECOS PAC ID: 9537262167 Enrollment ID: I20070319000680 |
| Provider Name | Athena E Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396802021 PECOS PAC ID: 1254435704 Enrollment ID: I20070322000615 |
| Provider Name | Hector W Ho |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912969353 PECOS PAC ID: 4688608656 Enrollment ID: I20070329000341 |
| Provider Name | Jennifer J Choate |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326073354 PECOS PAC ID: 8729182688 Enrollment ID: I20070402000641 |
| Provider Name | Michael Y Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487660833 PECOS PAC ID: 4385689850 Enrollment ID: I20070420000536 |
| Provider Name | Maria E Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932101763 PECOS PAC ID: 9739154501 Enrollment ID: I20070423000268 |
| Provider Name | Ari Umutyan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275516171 PECOS PAC ID: 9830295807 Enrollment ID: I20070508000430 |
| Provider Name | Karen H Fu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528007861 PECOS PAC ID: 0547367856 Enrollment ID: I20070522000294 |
| Provider Name | Ridgely O Muller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003920497 PECOS PAC ID: 9830297639 Enrollment ID: I20070601000221 |
| Provider Name | Arthur H Loussararian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720065121 PECOS PAC ID: 9335245992 Enrollment ID: I20070605000448 |
| Provider Name | Dan Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790906816 PECOS PAC ID: 7315045887 Enrollment ID: I20070606000590 |
| Provider Name | Sinda Woods Althoen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619180569 PECOS PAC ID: 7113026618 Enrollment ID: I20070625000401 |
| Provider Name | Doris Chih |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477612117 PECOS PAC ID: 1254431562 Enrollment ID: I20070714000210 |
| Provider Name | Mark Grant Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336251446 PECOS PAC ID: 1850491168 Enrollment ID: I20070714000254 |
| Provider Name | Catherine B Driver |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356469266 PECOS PAC ID: 4688765860 Enrollment ID: I20070801000710 |
| Provider Name | Jacqueline R Skvaril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497748768 PECOS PAC ID: 0042302317 Enrollment ID: I20070816000807 |
| Provider Name | Bruce N Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780677054 PECOS PAC ID: 0749372019 Enrollment ID: I20070816000824 |
| Provider Name | Ali Varzgah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871794719 PECOS PAC ID: 7416040563 Enrollment ID: I20070905000365 |
| Provider Name | Mehrnaz Badie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831212885 PECOS PAC ID: 8022101054 Enrollment ID: I20070907000408 |
| Provider Name | Michael Alan Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205847209 PECOS PAC ID: 4082707633 Enrollment ID: I20070912000590 |
| Provider Name | Michael Santoro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396722435 PECOS PAC ID: 1052417615 Enrollment ID: I20070921000520 |
| Provider Name | Holly J Haight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083693923 PECOS PAC ID: 6709971344 Enrollment ID: I20070927000692 |
| Provider Name | Douglas L Jicha |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306879325 PECOS PAC ID: 5698710267 Enrollment ID: I20070928000701 |
| Provider Name | Chad A Wadell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144436262 PECOS PAC ID: 4284729252 Enrollment ID: I20071005000181 |
| Provider Name | Marian C Holland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700084464 PECOS PAC ID: 9931295631 Enrollment ID: I20071010000765 |
| Provider Name | Roy L Panares |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285837229 PECOS PAC ID: 7719073469 Enrollment ID: I20071011000334 |
| Provider Name | Nader Noorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861479057 PECOS PAC ID: 5698871259 Enrollment ID: I20071015000309 |
| Provider Name | Eugene J Yoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861618449 PECOS PAC ID: 6406942663 Enrollment ID: I20071018000670 |
| Provider Name | Bahman Chavoshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255480661 PECOS PAC ID: 7214024165 Enrollment ID: I20071024000710 |
| Provider Name | Stephen Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851327100 PECOS PAC ID: 3971690942 Enrollment ID: I20071107000806 |
| Provider Name | Andrew B Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174563399 PECOS PAC ID: 4688686520 Enrollment ID: I20071108000695 |
| Provider Name | Dana D Tran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164566311 PECOS PAC ID: 4880782440 Enrollment ID: I20071114000530 |
| Provider Name | Vivian W Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477750479 PECOS PAC ID: 1951499490 Enrollment ID: I20071115000657 |
| Provider Name | Ynolde F Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013950443 PECOS PAC ID: 3476641937 Enrollment ID: I20071116000127 |
| Provider Name | Artin Gevorkian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578530291 PECOS PAC ID: 0042236911 Enrollment ID: I20071121000578 |
| Provider Name | Craig A Salcido |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316027857 PECOS PAC ID: 3779672548 Enrollment ID: I20071130000478 |
| Provider Name | Adriena H Kajdos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699725325 PECOS PAC ID: 1557450392 Enrollment ID: I20071203000210 |
| Provider Name | Julie D Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346216389 PECOS PAC ID: 0345330494 Enrollment ID: I20071213000430 |
| Provider Name | Dale G Britt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750584686 PECOS PAC ID: 0749370781 Enrollment ID: I20071214000313 |
| Provider Name | Martha Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487604427 PECOS PAC ID: 0345330221 Enrollment ID: I20071214000695 |
| Provider Name | Madeleine S Ramos |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669431318 PECOS PAC ID: 1254394844 Enrollment ID: I20071217000487 |
| Provider Name | Eric C Chu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790879351 PECOS PAC ID: 9830289115 Enrollment ID: I20071227000114 |
| Provider Name | Roger A Cheitlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881643732 PECOS PAC ID: 9830279595 Enrollment ID: I20080107000861 |
| Provider Name | James W Roh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033222500 PECOS PAC ID: 0446355473 Enrollment ID: I20080114000864 |
| Provider Name | Russell I Hardy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558345348 PECOS PAC ID: 2466340260 Enrollment ID: I20080122000198 |
| Provider Name | Steven W Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003886698 PECOS PAC ID: 5991744732 Enrollment ID: I20080122000852 |
| Provider Name | Panagiotis P Bougas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295814275 PECOS PAC ID: 3779520838 Enrollment ID: I20080123000894 |
| Provider Name | May C Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811933690 PECOS PAC ID: 4587642657 Enrollment ID: I20080125000210 |
| Provider Name | Llanyee I Liwanpo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417171711 PECOS PAC ID: 3072695204 Enrollment ID: I20080128000383 |
| Provider Name | Jim W Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548200686 PECOS PAC ID: 3274615950 Enrollment ID: I20080204000249 |
| Provider Name | Christopher J Saucedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347969 PECOS PAC ID: 2264515774 Enrollment ID: I20080206000701 |
| Provider Name | Else Marie Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790754885 PECOS PAC ID: 4981787223 Enrollment ID: I20080211000387 |
| Provider Name | Eric L Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053510099 PECOS PAC ID: 9133203854 Enrollment ID: I20080219000842 |
| Provider Name | Arash Aminian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154363554 PECOS PAC ID: 8628073475 Enrollment ID: I20080226000250 |
| Provider Name | Rodney J Koenig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487668505 PECOS PAC ID: 6002816287 Enrollment ID: I20080228000442 |
| Provider Name | Warren David Johnston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427052802 PECOS PAC ID: 6103900063 Enrollment ID: I20080301000100 |
| Provider Name | Donald J Mahon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255335659 PECOS PAC ID: 4486739232 Enrollment ID: I20080304000738 |
| Provider Name | Thomas C Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144225301 PECOS PAC ID: 1759466808 Enrollment ID: I20080313000179 |
| Provider Name | Rudy Y Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336149749 PECOS PAC ID: 3577525104 Enrollment ID: I20080314000277 |
| Provider Name | Shirley Van |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063530749 PECOS PAC ID: 6507941580 Enrollment ID: I20080314000495 |
| Provider Name | Oswald Erland Jauwena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538349477 PECOS PAC ID: 8628153608 Enrollment ID: I20080314000552 |
| Provider Name | Sheri Koplik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902959612 PECOS PAC ID: 6901983618 Enrollment ID: I20080404000644 |
| Provider Name | Brian F Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275614596 PECOS PAC ID: 2062306160 Enrollment ID: I20080409000270 |
| Provider Name | Jeanette Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801006267 PECOS PAC ID: 0648357756 Enrollment ID: I20080414000175 |
| Provider Name | John Aryanpur |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578616686 PECOS PAC ID: 3870569882 Enrollment ID: I20080424000382 |
| Provider Name | Richard E Sacks-wilner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992717920 PECOS PAC ID: 3678584109 Enrollment ID: I20080429000597 |
| Provider Name | James R Palleschi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528088705 PECOS PAC ID: 3375622392 Enrollment ID: I20080501000725 |
| Provider Name | Arshia M. Noori |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043246572 PECOS PAC ID: 0840226056 Enrollment ID: I20080515000712 |
| Provider Name | Gloria B Abels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235236662 PECOS PAC ID: 3274622741 Enrollment ID: I20080519000694 |
| Provider Name | Stuart D Cataldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962507590 PECOS PAC ID: 1456440924 Enrollment ID: I20080519000759 |
| Provider Name | Bruce E Kessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811093461 PECOS PAC ID: 1658270061 Enrollment ID: I20080520000276 |
| Provider Name | Lina D Le |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912074402 PECOS PAC ID: 4183793607 Enrollment ID: I20080522000595 |
| Provider Name | Aaron H Stern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871771618 PECOS PAC ID: 5698844033 Enrollment ID: I20080527000400 |
| Provider Name | David J Koster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063406163 PECOS PAC ID: 1951328988 Enrollment ID: I20080528000510 |
| Provider Name | Robert E James |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558380683 PECOS PAC ID: 3779653068 Enrollment ID: I20080529000223 |
| Provider Name | Pushpinder S Guleria |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366521825 PECOS PAC ID: 0446320618 Enrollment ID: I20080529000896 |
| Provider Name | Roger Bruce Scarborough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013939875 PECOS PAC ID: 1052480126 Enrollment ID: I20080530000586 |
| Provider Name | Daniel P Mirda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811963317 PECOS PAC ID: 5991875908 Enrollment ID: I20080603000435 |
| Provider Name | Jay S Joseph |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396835153 PECOS PAC ID: 6406926179 Enrollment ID: I20080606000491 |
| Provider Name | Cindy O Scharfen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861582322 PECOS PAC ID: 2466522156 Enrollment ID: I20080606000670 |
| Provider Name | Mazen K Munir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205943446 PECOS PAC ID: 3870663578 Enrollment ID: I20080606000726 |
| Provider Name | Gregory S Holst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881601615 PECOS PAC ID: 0143325969 Enrollment ID: I20080609000232 |
| Provider Name | Mark Turrill |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568542314 PECOS PAC ID: 8729158290 Enrollment ID: I20080610000605 |
| Provider Name | Thomas E Dunlap |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932106002 PECOS PAC ID: 0143391466 Enrollment ID: I20080613000461 |
| Provider Name | John A Vanspeybroeck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497832190 PECOS PAC ID: 0941371280 Enrollment ID: I20080613000599 |
| Provider Name | Thomas J Rydz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184781536 PECOS PAC ID: 9032280375 Enrollment ID: I20080614000067 |
| Provider Name | Daniel R Hersh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487625133 PECOS PAC ID: 1456422567 Enrollment ID: I20080617000796 |
| Provider Name | Mark Pardoe |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407930209 PECOS PAC ID: 1355412016 Enrollment ID: I20080624000405 |
| Provider Name | John J Albertini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528087632 PECOS PAC ID: 8426020058 Enrollment ID: I20080624000476 |
| Provider Name | Brian W Dorman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447278122 PECOS PAC ID: 1153492814 Enrollment ID: I20080624000496 |
| Provider Name | Frederick S Bennett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205879830 PECOS PAC ID: 2769434307 Enrollment ID: I20080626000184 |
| Provider Name | James P Srebro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629048814 PECOS PAC ID: 4789678608 Enrollment ID: I20080626000199 |
| Provider Name | Sergio M Manubens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487634879 PECOS PAC ID: 9739079104 Enrollment ID: I20080626000349 |
| Provider Name | Neil A Levin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285633081 PECOS PAC ID: 9436221215 Enrollment ID: I20080710000791 |
| Provider Name | William Markoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407869167 PECOS PAC ID: 4789757840 Enrollment ID: I20080722000782 |
| Provider Name | James G Trapnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073526729 PECOS PAC ID: 2860565926 Enrollment ID: I20080722000797 |
| Provider Name | Tony H Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194949818 PECOS PAC ID: 9739252784 Enrollment ID: I20080723000837 |
| Provider Name | Nhon T Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992989578 PECOS PAC ID: 5395819072 Enrollment ID: I20080729000428 |
| Provider Name | Frederick Charles David |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982793808 PECOS PAC ID: 7618044165 Enrollment ID: I20080924000652 |
| Provider Name | Eric Zacharias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386793826 PECOS PAC ID: 9133296411 Enrollment ID: I20080929000476 |
| Provider Name | Hengli Lin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689848848 PECOS PAC ID: 7012085954 Enrollment ID: I20081006000517 |
| Provider Name | Leo R Leer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316984842 PECOS PAC ID: 8426126871 Enrollment ID: I20081013000092 |
| Provider Name | Paul V Ziesmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649202714 PECOS PAC ID: 0749358091 Enrollment ID: I20081014000277 |
| Provider Name | Elmer Y Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912083353 PECOS PAC ID: 5890853832 Enrollment ID: I20081021000362 |
| Provider Name | Sharad K Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972729093 PECOS PAC ID: 8729146105 Enrollment ID: I20081029000617 |
| Provider Name | Kevin Kinzinger |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760554232 PECOS PAC ID: 3678632684 Enrollment ID: I20081105000785 |
| Provider Name | Amy Elizabeth Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427127588 PECOS PAC ID: 9830007327 Enrollment ID: I20081110000514 |
| Provider Name | Wes S Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376633149 PECOS PAC ID: 6507925286 Enrollment ID: I20081110000811 |
| Provider Name | Shirish A Mahajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609808856 PECOS PAC ID: 4183783715 Enrollment ID: I20081111000412 |
| Provider Name | Joshua J Bondurant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053598060 PECOS PAC ID: 9234299736 Enrollment ID: I20081113000317 |
| Provider Name | Jane D Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518018217 PECOS PAC ID: 3173683158 Enrollment ID: I20081120000460 |
| Provider Name | Eugene Paul Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558555755 PECOS PAC ID: 1759441686 Enrollment ID: I20081121000094 |
| Provider Name | Madeline Ong Veloso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629027305 PECOS PAC ID: 2567523103 Enrollment ID: I20081202000085 |
| Provider Name | Thomas X Cuyegkeng |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427129337 PECOS PAC ID: 6709947377 Enrollment ID: I20081202000412 |
| Provider Name | Diane Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598824252 PECOS PAC ID: 2365503661 Enrollment ID: I20081204000877 |
| Provider Name | Ellen Marie Boersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265684633 PECOS PAC ID: 9032270061 Enrollment ID: I20081209000198 |
| Provider Name | Eric H Gerdes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053374371 PECOS PAC ID: 1658432612 Enrollment ID: I20081209000416 |
| Provider Name | Ziad R El-hajjaoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376543785 PECOS PAC ID: 8224007562 Enrollment ID: I20081210000231 |
| Provider Name | David Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780684910 PECOS PAC ID: 3779552013 Enrollment ID: I20081211000432 |
| Provider Name | Charles I Knoll |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962443945 PECOS PAC ID: 7416040860 Enrollment ID: I20081212000270 |
| Provider Name | George L Schiffman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104803188 PECOS PAC ID: 2961508528 Enrollment ID: I20081215000027 |
| Provider Name | Bahman Badie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396721916 PECOS PAC ID: 1254437809 Enrollment ID: I20081215000060 |
| Provider Name | Chau Ngoc Thi Tran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083813422 PECOS PAC ID: 9830251420 Enrollment ID: I20081216000171 |
| Provider Name | Mujeeb Altaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316125941 PECOS PAC ID: 2860578986 Enrollment ID: I20081218000422 |
| Provider Name | Kristin Catherine Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629179502 PECOS PAC ID: 0446312722 Enrollment ID: I20081219000531 |
| Provider Name | Maily T Creamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417164450 PECOS PAC ID: 6800958133 Enrollment ID: I20081222000231 |
| Provider Name | Gary M Lekander |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174697783 PECOS PAC ID: 1658433644 Enrollment ID: I20081230000139 |
| Provider Name | Richard Grenier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588637193 PECOS PAC ID: 4688736572 Enrollment ID: I20081231000425 |
| Provider Name | Robert E Parke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962470161 PECOS PAC ID: 7416928429 Enrollment ID: I20090108000239 |
| Provider Name | Michelle M Donato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477522035 PECOS PAC ID: 6406919026 Enrollment ID: I20090108000319 |
| Provider Name | Robert G Gish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548281322 PECOS PAC ID: 2769482140 Enrollment ID: I20090114000521 |
| Provider Name | Tariq Mahmood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104874171 PECOS PAC ID: 1254390875 Enrollment ID: I20090121000563 |
| Provider Name | Sam S Huang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841248812 PECOS PAC ID: 7618936238 Enrollment ID: I20090121000623 |
| Provider Name | Lela M Emad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811902612 PECOS PAC ID: 2567435944 Enrollment ID: I20090126000391 |
| Provider Name | Lori A Uyeno |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1851515845 PECOS PAC ID: 6406910470 Enrollment ID: I20090205000683 |
| Provider Name | Payam Tabrizi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760576706 PECOS PAC ID: 5496810178 Enrollment ID: I20090212000253 |
| Provider Name | Ronald B Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740370238 PECOS PAC ID: 8325103674 Enrollment ID: I20090219000618 |
| Provider Name | Jennifer A Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992906465 PECOS PAC ID: 7012073182 Enrollment ID: I20090226000151 |
| Provider Name | Helen M Spivak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659397818 PECOS PAC ID: 9638235625 Enrollment ID: I20090226000344 |
| Provider Name | Valentina R Dalili-shoaie |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1447224126 PECOS PAC ID: 8325046022 Enrollment ID: I20090227000200 |
| Provider Name | Robert Yale Goldberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609920008 PECOS PAC ID: 1850458050 Enrollment ID: I20090313000525 |
| Provider Name | Maruja D Diaz Arjonilla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841481074 PECOS PAC ID: 4082771787 Enrollment ID: I20090325000198 |
| Provider Name | Rita M Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437357258 PECOS PAC ID: 9739246232 Enrollment ID: I20090327000498 |
| Provider Name | Gloria Lynn Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043301542 PECOS PAC ID: 0143377432 Enrollment ID: I20090401000481 |
| Provider Name | Manisha Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164608063 PECOS PAC ID: 7416004437 Enrollment ID: I20090409000073 |
| Provider Name | Elisa E Washburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205076379 PECOS PAC ID: 3577612910 Enrollment ID: I20090514000283 |
| Provider Name | Howard W Fellows |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659365526 PECOS PAC ID: 3971543943 Enrollment ID: I20090519000224 |
| Provider Name | Hima Bindu Natla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730366139 PECOS PAC ID: 3274683800 Enrollment ID: I20090602000573 |
| Provider Name | Audrey Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598867657 PECOS PAC ID: 8628128287 Enrollment ID: I20090603000145 |
| Provider Name | Erik I Finlayson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942470893 PECOS PAC ID: 6103978606 Enrollment ID: I20090714000614 |
| Provider Name | Daljeet Samra |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1720229693 PECOS PAC ID: 8729130844 Enrollment ID: I20090720000576 |
| Provider Name | Chrystene A Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710123609 PECOS PAC ID: 7012060635 Enrollment ID: I20090729000868 |
| Provider Name | Daniel W Landa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174527139 PECOS PAC ID: 9436108123 Enrollment ID: I20090804000226 |
| Provider Name | David M Pino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669571410 PECOS PAC ID: 4688727837 Enrollment ID: I20090805000416 |
| Provider Name | Edward M Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568466431 PECOS PAC ID: 5799838967 Enrollment ID: I20090805000587 |
| Provider Name | Clifford Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831299528 PECOS PAC ID: 7517011364 Enrollment ID: I20090813000572 |
| Provider Name | Matthew E Shepherd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568470425 PECOS PAC ID: 0345341509 Enrollment ID: I20090821000408 |
| Provider Name | Courtney Anne Vito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174763643 PECOS PAC ID: 5991859159 Enrollment ID: I20090821000623 |
| Provider Name | Taylor Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366699274 PECOS PAC ID: 0042364176 Enrollment ID: I20090824000589 |
| Provider Name | Douglas G Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780688572 PECOS PAC ID: 9436106838 Enrollment ID: I20090826000259 |
| Provider Name | Truongson Xuan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922232206 PECOS PAC ID: 5890840656 Enrollment ID: I20090831000084 |
| Provider Name | John H Rhee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780898981 PECOS PAC ID: 1850446113 Enrollment ID: I20090910000143 |
| Provider Name | Andrew C Phan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710164736 PECOS PAC ID: 4587719729 Enrollment ID: I20090911000307 |
| Provider Name | Laura E Hatfield |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225201379 PECOS PAC ID: 4981750908 Enrollment ID: I20090916000545 |
| Provider Name | Tori D Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659509586 PECOS PAC ID: 6507912771 Enrollment ID: I20090917000208 |
| Provider Name | Susan J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992975957 PECOS PAC ID: 8729134432 Enrollment ID: I20090922000547 |
| Provider Name | Marie T Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245353309 PECOS PAC ID: 6406937804 Enrollment ID: I20090922000702 |
| Provider Name | Stephanie I Stone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538264544 PECOS PAC ID: 7113991597 Enrollment ID: I20091007000181 |
| Provider Name | Stephen M Gugenheim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174501340 PECOS PAC ID: 5395633077 Enrollment ID: I20091016000586 |
| Provider Name | Linda Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275703605 PECOS PAC ID: 3779620513 Enrollment ID: I20091027000441 |
| Provider Name | Fernando Tuvera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598854093 PECOS PAC ID: 6103963947 Enrollment ID: I20091027000477 |
| Provider Name | Sanjay C Dhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811074586 PECOS PAC ID: 5799768370 Enrollment ID: I20091030000411 |
| Provider Name | Adrian A Bose |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104032630 PECOS PAC ID: 2668519125 Enrollment ID: I20091102000528 |
| Provider Name | Lian T Bach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144490962 PECOS PAC ID: 3577601681 Enrollment ID: I20091110000705 |
| Provider Name | Alyssa Khanh-van Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245461722 PECOS PAC ID: 6901944727 Enrollment ID: I20091114000057 |
| Provider Name | Raul Marquez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215914536 PECOS PAC ID: 2062518624 Enrollment ID: I20091116000628 |
| Provider Name | Amy Darwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407827660 PECOS PAC ID: 7719914720 Enrollment ID: I20091120000395 |
| Provider Name | Stephen W Halpern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821160599 PECOS PAC ID: 0244213817 Enrollment ID: I20091123000426 |
| Provider Name | Johanna Su |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255547725 PECOS PAC ID: 9335288547 Enrollment ID: I20091201000642 |
| Provider Name | Alfred O Moon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1396953105 PECOS PAC ID: 6507905734 Enrollment ID: I20091202000024 |
| Provider Name | Anthony P Kosinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588656631 PECOS PAC ID: 8325930944 Enrollment ID: I20091205000187 |
| Provider Name | Grainne Mcevoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841369667 PECOS PAC ID: 5597804443 Enrollment ID: I20091205000195 |
| Provider Name | Diane L Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114156171 PECOS PAC ID: 6608915566 Enrollment ID: I20091207000072 |
| Provider Name | Biren G Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710086533 PECOS PAC ID: 4385640002 Enrollment ID: I20091212000056 |
| Provider Name | Vy P Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881671154 PECOS PAC ID: 4789780347 Enrollment ID: I20091215000693 |
| Provider Name | Christopher P Celio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538245279 PECOS PAC ID: 6901827252 Enrollment ID: I20091221000220 |
| Provider Name | Sanjay Chabra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316916125 PECOS PAC ID: 4082653381 Enrollment ID: I20091222000446 |
| Provider Name | Kiho Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003091539 PECOS PAC ID: 1850431735 Enrollment ID: I20091228000471 |
| Provider Name | Minch K Fong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407849284 PECOS PAC ID: 4789726258 Enrollment ID: I20100121000346 |
| Provider Name | Yasmin Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639296387 PECOS PAC ID: 4486797305 Enrollment ID: I20100201000394 |
| Provider Name | Farid Osman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962423103 PECOS PAC ID: 2567361686 Enrollment ID: I20100202000809 |
| Provider Name | Christos Robert Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437140811 PECOS PAC ID: 3375550163 Enrollment ID: I20100210000437 |
| Provider Name | Joseph E Barrera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629054630 PECOS PAC ID: 3971609520 Enrollment ID: I20100224000773 |
| Provider Name | Christopher A Walter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447420732 PECOS PAC ID: 8224184635 Enrollment ID: I20100302000324 |
| Provider Name | Amirtha Ajit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881688422 PECOS PAC ID: 4688752702 Enrollment ID: I20100304000511 |
| Provider Name | Michael P Truong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023096765 PECOS PAC ID: 9133109416 Enrollment ID: I20100310000274 |
| Provider Name | Eran Matalon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073656815 PECOS PAC ID: 2860392099 Enrollment ID: I20100312000120 |
| Provider Name | Lam D Dang |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861662553 PECOS PAC ID: 4688709843 Enrollment ID: I20100315000059 |
| Provider Name | Marlon C Decastro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780643270 PECOS PAC ID: 9234131905 Enrollment ID: I20100316000335 |
| Provider Name | Robert White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245435791 PECOS PAC ID: 1759416779 Enrollment ID: I20100316000817 |
| Provider Name | Jack C Feng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710964481 PECOS PAC ID: 7517063167 Enrollment ID: I20100317000149 |
| Provider Name | Jong W Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497719942 PECOS PAC ID: 9830224443 Enrollment ID: I20100322000691 |
| Provider Name | Michael W Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588750343 PECOS PAC ID: 6800921388 Enrollment ID: I20100323000517 |
| Provider Name | Glen S Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912096579 PECOS PAC ID: 3274422852 Enrollment ID: I20100324000578 |
| Provider Name | Nicole H Awad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295821189 PECOS PAC ID: 1456486844 Enrollment ID: I20100324000753 |
| Provider Name | Jerry F Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083703565 PECOS PAC ID: 8820124100 Enrollment ID: I20100325000540 |
| Provider Name | Ivan Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609965417 PECOS PAC ID: 0042346330 Enrollment ID: I20100325000624 |
| Provider Name | Norman J Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447349089 PECOS PAC ID: 8022144328 Enrollment ID: I20100325000747 |
| Provider Name | Steven H Joe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649366410 PECOS PAC ID: 7113053133 Enrollment ID: I20100330000246 |
| Provider Name | Philip E Madrid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578523692 PECOS PAC ID: 6002942828 Enrollment ID: I20100331000970 |
| Provider Name | Fernando G Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962591198 PECOS PAC ID: 0042347478 Enrollment ID: I20100416000291 |
| Provider Name | George Z Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477647212 PECOS PAC ID: 1557498540 Enrollment ID: I20100422000995 |
| Provider Name | Kenneth K Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013918283 PECOS PAC ID: 9830226604 Enrollment ID: I20100427000676 |
| Provider Name | Veronica Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295999571 PECOS PAC ID: 5597892109 Enrollment ID: I20100429000701 |
| Provider Name | Lillian P Lai-wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699776898 PECOS PAC ID: 1658409149 Enrollment ID: I20100504000201 |
| Provider Name | Mark B Davenport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679569636 PECOS PAC ID: 8527196047 Enrollment ID: I20100504000541 |
| Provider Name | Robert E Ranney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902807670 PECOS PAC ID: 6103954573 Enrollment ID: I20100505000364 |
| Provider Name | Robert Michael Rosenberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265433072 PECOS PAC ID: 1557499944 Enrollment ID: I20100505000498 |
| Provider Name | Jon Kramer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962402941 PECOS PAC ID: 0648308056 Enrollment ID: I20100505000746 |
| Provider Name | Elliott L Brandwene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518050012 PECOS PAC ID: 5193853547 Enrollment ID: I20100506000128 |
| Provider Name | Ruben Cabral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568458008 PECOS PAC ID: 1052449345 Enrollment ID: I20100506000689 |
| Provider Name | Donald James Iverson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356309728 PECOS PAC ID: 3173694163 Enrollment ID: I20100510000266 |
| Provider Name | Ana Ivanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104812833 PECOS PAC ID: 6305918673 Enrollment ID: I20100524000443 |
| Provider Name | Deborah E Colina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386853935 PECOS PAC ID: 9830228030 Enrollment ID: I20100526000882 |
| Provider Name | Christopher S Aou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164422671 PECOS PAC ID: 2365571593 Enrollment ID: I20100527000161 |
| Provider Name | Steven E. Saltman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770579153 PECOS PAC ID: 6608906664 Enrollment ID: I20100617000717 |
| Provider Name | John M Gilbert |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588650667 PECOS PAC ID: 6608906524 Enrollment ID: I20100618000603 |
| Provider Name | Eugene Byun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104812643 PECOS PAC ID: 1456482330 Enrollment ID: I20100622000646 |
| Provider Name | Stewart L Shanfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346286580 PECOS PAC ID: 1254376536 Enrollment ID: I20100719000568 |
| Provider Name | Joanne L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457516510 PECOS PAC ID: 2264567593 Enrollment ID: I20100726000140 |
| Provider Name | David B Kovacs |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861633083 PECOS PAC ID: 1759414758 Enrollment ID: I20100728000129 |
| Provider Name | Stuart L Bursten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164494696 PECOS PAC ID: 6204969132 Enrollment ID: I20100729000394 |
| Provider Name | Cherie A Cora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356552236 PECOS PAC ID: 1456484799 Enrollment ID: I20100806000180 |
| Provider Name | Michael R Novak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972501179 PECOS PAC ID: 2264566132 Enrollment ID: I20100813000341 |
| Provider Name | David C Pan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912932740 PECOS PAC ID: 2062546864 Enrollment ID: I20100816000767 |
| Provider Name | Dugald D Chisholm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912103284 PECOS PAC ID: 9931251113 Enrollment ID: I20100818000513 |
| Provider Name | Joseph T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710209622 PECOS PAC ID: 6305970914 Enrollment ID: I20100818000855 |
| Provider Name | Melanie R Santos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720262470 PECOS PAC ID: 8921172701 Enrollment ID: I20100827000801 |
| Provider Name | Noel Serrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700925211 PECOS PAC ID: 4789636325 Enrollment ID: I20100902000739 |
| Provider Name | Mark Northfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861406316 PECOS PAC ID: 3779608997 Enrollment ID: I20100913000041 |
| Provider Name | Dennis J Buchanan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003864737 PECOS PAC ID: 5890788079 Enrollment ID: I20100913000967 |
| Provider Name | Beth A Hartung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275501488 PECOS PAC ID: 4587789300 Enrollment ID: I20100917000063 |
| Provider Name | Sanjay D Bhojraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124090303 PECOS PAC ID: 1850315987 Enrollment ID: I20100917000880 |
| Provider Name | George G Miranda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558545038 PECOS PAC ID: 3779609284 Enrollment ID: I20100921001487 |
| Provider Name | Eric O Benner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063648343 PECOS PAC ID: 5991821456 Enrollment ID: I20100922000534 |
| Provider Name | Monique Garcia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205097649 PECOS PAC ID: 2668598723 Enrollment ID: I20100927000024 |
| Provider Name | Peter D.g. Chang Sing |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386678902 PECOS PAC ID: 7416073473 Enrollment ID: I20100927001394 |
| Provider Name | Thach D Mai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366508541 PECOS PAC ID: 6204952211 Enrollment ID: I20100928000491 |
| Provider Name | Rebecca K Finnemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023214467 PECOS PAC ID: 8820280209 Enrollment ID: I20101004000716 |
| Provider Name | Renee M Soderquist |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124280557 PECOS PAC ID: 3870785124 Enrollment ID: I20101005001286 |
| Provider Name | Kathleen E Glaspy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134311186 PECOS PAC ID: 4981896909 Enrollment ID: I20101008001065 |
| Provider Name | Steve O Kwon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841399847 PECOS PAC ID: 7113931353 Enrollment ID: I20101011001197 |
| Provider Name | Gansevoort Hurlbut Dunnington |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336335140 PECOS PAC ID: 6305038951 Enrollment ID: I20101014000389 |
| Provider Name | Loan T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346477858 PECOS PAC ID: 8921291568 Enrollment ID: I20101015000112 |
| Provider Name | Susan Watkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376857383 PECOS PAC ID: 7810180536 Enrollment ID: I20101026000369 |
| Provider Name | Judy A Losco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073546602 PECOS PAC ID: 3476747130 Enrollment ID: I20101027000670 |
| Provider Name | Nicolas R Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992941751 PECOS PAC ID: 3779777362 Enrollment ID: I20101027001132 |
| Provider Name | Lance Barlas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710980321 PECOS PAC ID: 0941494363 Enrollment ID: I20101029001013 |
| Provider Name | Hernan P Castro-rueda |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720162092 PECOS PAC ID: 6709945843 Enrollment ID: I20101108000737 |
| Provider Name | Win Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619110384 PECOS PAC ID: 5193910727 Enrollment ID: I20101109001060 |
| Provider Name | Kenten Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20101109001202 |
| Provider Name | Michael V Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013095900 PECOS PAC ID: 0547455677 Enrollment ID: I20101115000271 |
| Provider Name | Joseph I Eichenseher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164628590 PECOS PAC ID: 3577758473 Enrollment ID: I20101117000163 |
| Provider Name | Gregory N Sacher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972682011 PECOS PAC ID: 1052507969 Enrollment ID: I20101117001588 |
| Provider Name | Michael J Boyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235213307 PECOS PAC ID: 7416143763 Enrollment ID: I20101129000303 |
| Provider Name | Tat Md Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134288749 PECOS PAC ID: 8123214426 Enrollment ID: I20101129000908 |
| Provider Name | Frances Hungyi Lu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942445374 PECOS PAC ID: 8921294976 Enrollment ID: I20101202000236 |
| Provider Name | Elpidio C Mariano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063524528 PECOS PAC ID: 9537356506 Enrollment ID: I20101203000589 |
| Provider Name | Ninad R Dabadghav |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558448498 PECOS PAC ID: 7012104748 Enrollment ID: I20101207001319 |
| Provider Name | Yue Yu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306011242 PECOS PAC ID: 3577750074 Enrollment ID: I20101209000891 |
| Provider Name | Sheryl Anne Garrett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912085523 PECOS PAC ID: 0547457905 Enrollment ID: I20101210000353 |
| Provider Name | Gabriel A Gomez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952614554 PECOS PAC ID: 2769679125 Enrollment ID: I20101210000411 |
| Provider Name | Laurie A Dibble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487738555 PECOS PAC ID: 3870780984 Enrollment ID: I20101214001272 |
| Provider Name | Jennifer L Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508835786 PECOS PAC ID: 1850589565 Enrollment ID: I20101222000439 |
| Provider Name | Wilfredo Y. Alejo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114990785 PECOS PAC ID: 5092904037 Enrollment ID: I20110106000849 |
| Provider Name | Sandra A Mathur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841250974 PECOS PAC ID: 3678762564 Enrollment ID: I20110107000303 |
| Provider Name | Laura J Biardi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639286792 PECOS PAC ID: 4385692219 Enrollment ID: I20110110000259 |
| Provider Name | Charles Y Suh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194711184 PECOS PAC ID: 4688863137 Enrollment ID: I20110113001073 |
| Provider Name | Brian Koffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326049164 PECOS PAC ID: 3173712510 Enrollment ID: I20110114001005 |
| Provider Name | Joyce H Colton House |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891960597 PECOS PAC ID: 2668651639 Enrollment ID: I20110122000040 |
| Provider Name | Sheri Sameni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487955571 PECOS PAC ID: 8628257029 Enrollment ID: I20110131000586 |
| Provider Name | Tim Huston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124091129 PECOS PAC ID: 4183734692 Enrollment ID: I20110211000290 |
| Provider Name | Amber Lynn Pachon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881830776 PECOS PAC ID: 8921288556 Enrollment ID: I20110214000694 |
| Provider Name | Melissa E Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417940040 PECOS PAC ID: 0749460319 Enrollment ID: I20110215000065 |
| Provider Name | Kenneth L Rexinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003809963 PECOS PAC ID: 9739369273 Enrollment ID: I20110215000958 |
| Provider Name | Michael Monge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457513178 PECOS PAC ID: 9234310384 Enrollment ID: I20110222000808 |
| Provider Name | Amy Michelle Herold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871779017 PECOS PAC ID: 4082895735 Enrollment ID: I20110301000175 |
| Provider Name | Bradley Borsari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104826619 PECOS PAC ID: 9032390695 Enrollment ID: I20110302000344 |
| Provider Name | Catherine V Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497748776 PECOS PAC ID: 0648362905 Enrollment ID: I20110302000944 |
| Provider Name | Alison E Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669775490 PECOS PAC ID: 5597947812 Enrollment ID: I20110308000740 |
| Provider Name | Joseph G Mayo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366522476 PECOS PAC ID: 3678681863 Enrollment ID: I20110309000321 |
| Provider Name | Nusrat Ahsan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558416537 PECOS PAC ID: 5597947416 Enrollment ID: I20110314000256 |
| Provider Name | Alexa P Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700050911 PECOS PAC ID: 1658423694 Enrollment ID: I20110315000820 |
| Provider Name | Shahzad M Azad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912212697 PECOS PAC ID: 4082896782 Enrollment ID: I20110316000305 |
| Provider Name | Asha J Wilborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548565740 PECOS PAC ID: 0547443863 Enrollment ID: I20110324000323 |
| Provider Name | Daniel L Junck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851300974 PECOS PAC ID: 0648228981 Enrollment ID: I20110412000530 |
| Provider Name | Ellen M Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326021320 PECOS PAC ID: 5496931974 Enrollment ID: I20110518000107 |
| Provider Name | Amber S. Singletary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730139601 PECOS PAC ID: 5991982027 Enrollment ID: I20110526000782 |
| Provider Name | Lisa Pitino |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245415280 PECOS PAC ID: 9739240300 Enrollment ID: I20110602000757 |
| Provider Name | Naho Taguchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124299839 PECOS PAC ID: 2567649817 Enrollment ID: I20110614000279 |
| Provider Name | Jarrod Paul Holmes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013018035 PECOS PAC ID: 0244417459 Enrollment ID: I20110615000243 |
| Provider Name | Jamie C Fertal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447456769 PECOS PAC ID: 2567649700 Enrollment ID: I20110615000561 |
| Provider Name | Joshua D Hanelin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194928770 PECOS PAC ID: 1557548732 Enrollment ID: I20110616000180 |
| Provider Name | Marsha Funderburk Granese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063572915 PECOS PAC ID: 5092608240 Enrollment ID: I20110617000311 |
| Provider Name | Doreen T Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295934081 PECOS PAC ID: 9436241544 Enrollment ID: I20110622000629 |
| Provider Name | Michael Simon Weinstein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427165067 PECOS PAC ID: 4688702020 Enrollment ID: I20110624000263 |
| Provider Name | Michael Tsinberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326212994 PECOS PAC ID: 3577741180 Enrollment ID: I20110630000451 |
| Provider Name | Lisa M Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568763043 PECOS PAC ID: 8921286279 Enrollment ID: I20110711000139 |
| Provider Name | Michael Malouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578549234 PECOS PAC ID: 2860580255 Enrollment ID: I20110720000591 |
| Provider Name | Joshua Patrick Beirne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841216041 PECOS PAC ID: 4284637349 Enrollment ID: I20110722000625 |
| Provider Name | Lourdes M Canfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568488534 PECOS PAC ID: 8820266505 Enrollment ID: I20110725000202 |
| Provider Name | Allen Y Tham |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578715801 PECOS PAC ID: 0941479182 Enrollment ID: I20110804000586 |
| Provider Name | Shana M Hill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871767020 PECOS PAC ID: 4981873007 Enrollment ID: I20110808000094 |
| Provider Name | James Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821399551 PECOS PAC ID: 8022287044 Enrollment ID: I20110809000408 |
| Provider Name | Nikolai Alexander Bildzukewicz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255547493 PECOS PAC ID: 6608045455 Enrollment ID: I20110811000495 |
| Provider Name | Sina Neshatian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750510913 PECOS PAC ID: 6103095773 Enrollment ID: I20110816000735 |
| Provider Name | Lisbeth Keplinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053571828 PECOS PAC ID: 8325163603 Enrollment ID: I20110817000121 |
| Provider Name | Reza Dehkordi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679540116 PECOS PAC ID: 0143257923 Enrollment ID: I20110817000614 |
| Provider Name | Timothy M Wimmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811955735 PECOS PAC ID: 0446429989 Enrollment ID: I20110817000837 |
| Provider Name | Tanya S Nino |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1194973529 PECOS PAC ID: 0143499681 Enrollment ID: I20110817000869 |
| Provider Name | Qiu Hua Wan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861794968 PECOS PAC ID: 1355511866 Enrollment ID: I20110818000737 |
| Provider Name | Rupa S Reddy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114183464 PECOS PAC ID: 7517137904 Enrollment ID: I20110822000303 |
| Provider Name | David J Russell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578727996 PECOS PAC ID: 0648347633 Enrollment ID: I20110824000149 |
| Provider Name | David Paltin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194749507 PECOS PAC ID: 5395915342 Enrollment ID: I20110830000329 |
| Provider Name | John Yashou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841459583 PECOS PAC ID: 3678610797 Enrollment ID: I20110902000397 |
| Provider Name | Brendan M Lloyd |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437354289 PECOS PAC ID: 2264603786 Enrollment ID: I20110913000901 |
| Provider Name | Gerard Demers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487626032 PECOS PAC ID: 2668643016 Enrollment ID: I20110915000701 |
| Provider Name | Jessica C Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790940203 PECOS PAC ID: 6103097183 Enrollment ID: I20110923000028 |
| Provider Name | Stephen R Dieker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174731004 PECOS PAC ID: 1557533296 Enrollment ID: I20110930000515 |
| Provider Name | Keith C Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891921458 PECOS PAC ID: 7012189210 Enrollment ID: I20111012000521 |
| Provider Name | Dana L Forman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437319399 PECOS PAC ID: 0941472500 Enrollment ID: I20111019000855 |
| Provider Name | Bonnie Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780648725 PECOS PAC ID: 1850364928 Enrollment ID: I20111111000521 |
| Provider Name | Sahil Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043426265 PECOS PAC ID: 5698949394 Enrollment ID: I20111115000320 |
| Provider Name | Doe D Gasque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982855698 PECOS PAC ID: 6901967827 Enrollment ID: I20111208000710 |
| Provider Name | Jill Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710118849 PECOS PAC ID: 1355516956 Enrollment ID: I20111209000392 |
| Provider Name | Tin C Botzler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831491695 PECOS PAC ID: 0143495499 Enrollment ID: I20111214000887 |
| Provider Name | Sapoora Manshaii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922041185 PECOS PAC ID: 4587564174 Enrollment ID: I20111221000399 |
| Provider Name | Donald W Henderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447217898 PECOS PAC ID: 7012900293 Enrollment ID: I20111227000571 |
| Provider Name | Matthew B Singer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487944781 PECOS PAC ID: 0840466116 Enrollment ID: I20120109000413 |
| Provider Name | Theresa M Franks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396700704 PECOS PAC ID: 2769475946 Enrollment ID: I20120110000283 |
| Provider Name | Genevieve Taguinod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598956815 PECOS PAC ID: 4183890346 Enrollment ID: I20120110000599 |
| Provider Name | Adamane S Lalithmohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982893582 PECOS PAC ID: 1557528791 Enrollment ID: I20120131000484 |
| Provider Name | Janis D Fee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891781175 PECOS PAC ID: 2466487194 Enrollment ID: I20120213000673 |
| Provider Name | Michael P Mullaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427378124 PECOS PAC ID: 8729247879 Enrollment ID: I20120308000346 |
| Provider Name | Muhammad J Sohel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003900960 PECOS PAC ID: 7214196849 Enrollment ID: I20120316000563 |
| Provider Name | Laura M Mackenzie Tangredi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679532956 PECOS PAC ID: 8224298864 Enrollment ID: I20120320000195 |
| Provider Name | Kathleen A Mott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275819641 PECOS PAC ID: 2668632779 Enrollment ID: I20120328000104 |
| Provider Name | David Finnigan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871599852 PECOS PAC ID: 3779664347 Enrollment ID: I20120328000981 |
| Provider Name | Melissa Strange |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396975199 PECOS PAC ID: 0749453363 Enrollment ID: I20120404000934 |
| Provider Name | Kathleen M Furlong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205101987 PECOS PAC ID: 8426219585 Enrollment ID: I20120417000314 |
| Provider Name | Charlaine I Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932408960 PECOS PAC ID: 7113188293 Enrollment ID: I20120417000482 |
| Provider Name | James W Harwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396754511 PECOS PAC ID: 6507028065 Enrollment ID: I20120427000554 |
| Provider Name | Lisa L Majer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003990748 PECOS PAC ID: 6305008475 Enrollment ID: I20120507000644 |
| Provider Name | Ann De Jong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871700823 PECOS PAC ID: 8527141316 Enrollment ID: I20120515000176 |
| Provider Name | Robert R. Klingman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982670667 PECOS PAC ID: 5799780979 Enrollment ID: I20120601000238 |
| Provider Name | Luminita M Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326338450 PECOS PAC ID: 4385808062 Enrollment ID: I20120608000220 |
| Provider Name | Gerald S Buntin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043478456 PECOS PAC ID: 9830368000 Enrollment ID: I20120618000527 |
| Provider Name | Daniel R Ponticiello |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417185273 PECOS PAC ID: 8729131123 Enrollment ID: I20120621000618 |
| Provider Name | Anuj Mittal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720178841 PECOS PAC ID: 1254308968 Enrollment ID: I20120627000431 |
| Provider Name | Ian S Rogers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629002381 PECOS PAC ID: 5092970640 Enrollment ID: I20120703000605 |
| Provider Name | Hussain A Gilani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588800080 PECOS PAC ID: 1456516038 Enrollment ID: I20120705000190 |
| Provider Name | Monish J Laxpati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053552893 PECOS PAC ID: 8022273291 Enrollment ID: I20120713000413 |
| Provider Name | Maureen V Villasenor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184923609 PECOS PAC ID: 4789840893 Enrollment ID: I20120718000125 |
| Provider Name | Chris E. Davenport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639300528 PECOS PAC ID: 4284890344 Enrollment ID: I20120718000584 |
| Provider Name | Srinivas Peddi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003024191 PECOS PAC ID: 8527246883 Enrollment ID: I20120724000670 |
| Provider Name | Michelle L Fujimoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255659215 PECOS PAC ID: 5890941769 Enrollment ID: I20120808000511 |
| Provider Name | Harsh Agrawal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629397674 PECOS PAC ID: 2567618176 Enrollment ID: I20120815000293 |
| Provider Name | Amy Alias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306015607 PECOS PAC ID: 4880761899 Enrollment ID: I20120820000454 |
| Provider Name | Jenifer J Tantarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972767739 PECOS PAC ID: 3779730718 Enrollment ID: I20120828000129 |
| Provider Name | Elizabeth S Culhane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508979923 PECOS PAC ID: 3274780135 Enrollment ID: I20120828000461 |
| Provider Name | Deborah S Britt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316959307 PECOS PAC ID: 2264689132 Enrollment ID: I20120828000610 |
| Provider Name | Arman Sheibanikia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194960385 PECOS PAC ID: 5991952863 Enrollment ID: I20120828000613 |
| Provider Name | Kenneth Prosser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770694598 PECOS PAC ID: 6608023437 Enrollment ID: I20120829000398 |
| Provider Name | Hyun Kang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316917883 PECOS PAC ID: 1052207081 Enrollment ID: I20120905000427 |
| Provider Name | Miriam D Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518263227 PECOS PAC ID: 0446408801 Enrollment ID: I20120911000141 |
| Provider Name | David L Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518070523 PECOS PAC ID: 6709034044 Enrollment ID: I20120912000278 |
| Provider Name | Grace Tandoc Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356454086 PECOS PAC ID: 1355599606 Enrollment ID: I20120912000377 |
| Provider Name | Kerry A Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356365373 PECOS PAC ID: 0648457259 Enrollment ID: I20120914000724 |
| Provider Name | Gregory S Houghton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649489402 PECOS PAC ID: 6406027317 Enrollment ID: I20120918000502 |
| Provider Name | Amanda S Holthouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962799700 PECOS PAC ID: 8224286190 Enrollment ID: I20120918000761 |
| Provider Name | Shaheen Michael Counts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972727063 PECOS PAC ID: 2769631266 Enrollment ID: I20120926000804 |
| Provider Name | Matthew L Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568634822 PECOS PAC ID: 4486803814 Enrollment ID: I20120928000600 |
| Provider Name | Steven J Korenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568776318 PECOS PAC ID: 8921281502 Enrollment ID: I20121008000372 |
| Provider Name | Cristina Hernandez O'day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275738940 PECOS PAC ID: 2062660277 Enrollment ID: I20121012000039 |
| Provider Name | David Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073883765 PECOS PAC ID: 9638329535 Enrollment ID: I20121031000422 |
| Provider Name | Waraporn Denjalearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669760310 PECOS PAC ID: 2769654714 Enrollment ID: I20121101000294 |
| Provider Name | Francisco Saguil Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841262763 PECOS PAC ID: 5092748996 Enrollment ID: I20121102000293 |
| Provider Name | Sara Ann Keck |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770743312 PECOS PAC ID: 5395996037 Enrollment ID: I20121106000544 |
| Provider Name | Douglas Long Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184880114 PECOS PAC ID: 5698811230 Enrollment ID: I20121114000034 |
| Provider Name | Alison O Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396093738 PECOS PAC ID: 9234380114 Enrollment ID: I20121127000623 |
| Provider Name | Lisa P Hoang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750687638 PECOS PAC ID: 1355593559 Enrollment ID: I20121217000300 |
| Provider Name | Vickie Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952625881 PECOS PAC ID: 5597918227 Enrollment ID: I20130109000202 |
| Provider Name | Charlton K Byun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225340961 PECOS PAC ID: 4082867528 Enrollment ID: I20130110000571 |
| Provider Name | Kendall Shane Allred |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265767354 PECOS PAC ID: 4385897701 Enrollment ID: I20130116000218 |
| Provider Name | Martha Carranza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376614925 PECOS PAC ID: 2567615818 Enrollment ID: I20130116000563 |
| Provider Name | Lingamurthy Ravi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679542120 PECOS PAC ID: 9739160987 Enrollment ID: I20130125000002 |
| Provider Name | Monica Euijin Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215129309 PECOS PAC ID: 9931353844 Enrollment ID: I20130130000340 |
| Provider Name | Jeffrey S Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356598189 PECOS PAC ID: 8729232517 Enrollment ID: I20130201000254 |
| Provider Name | Jacqueline Marie Leon Leon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629398490 PECOS PAC ID: 6709037930 Enrollment ID: I20130206000216 |
| Provider Name | Deepika Aluru |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750313235 PECOS PAC ID: 9335335983 Enrollment ID: I20130206000506 |
| Provider Name | Nguyen Do |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861687873 PECOS PAC ID: 6608926613 Enrollment ID: I20130208000406 |
| Provider Name | Payam Rohani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801029921 PECOS PAC ID: 6901050335 Enrollment ID: I20130211000528 |
| Provider Name | Paul E Nicholas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699861344 PECOS PAC ID: 9234189788 Enrollment ID: I20130215000175 |
| Provider Name | Jason T Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316907298 PECOS PAC ID: 3072557446 Enrollment ID: I20130228000275 |
| Provider Name | Mark F Bradbury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053351221 PECOS PAC ID: 3870587744 Enrollment ID: I20130409000249 |
| Provider Name | Dane A Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568713675 PECOS PAC ID: 6800032731 Enrollment ID: I20130423000088 |
| Provider Name | Brian J Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558612978 PECOS PAC ID: 7012153646 Enrollment ID: I20130426000114 |
| Provider Name | Rhoda A Halliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205072816 PECOS PAC ID: 2860631207 Enrollment ID: I20130617000160 |
| Provider Name | Armando V Depala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912938085 PECOS PAC ID: 4284873092 Enrollment ID: I20130626000555 |
| Provider Name | Omar Ferrari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861589186 PECOS PAC ID: 8325068224 Enrollment ID: I20130627000286 |
| Provider Name | Mark Garfinkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124039698 PECOS PAC ID: 6709886856 Enrollment ID: I20130702000582 |
| Provider Name | Muhammad Umer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154632636 PECOS PAC ID: 1355581851 Enrollment ID: I20130705000109 |
| Provider Name | Kevin T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356594675 PECOS PAC ID: 3779621149 Enrollment ID: I20130705000338 |
| Provider Name | Ajit S Ahluwalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548465156 PECOS PAC ID: 7517054778 Enrollment ID: I20130705000430 |
| Provider Name | Laurie M Doolittle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740364710 PECOS PAC ID: 2769622141 Enrollment ID: I20130708000547 |
| Provider Name | Karen Kay G Alfonso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316228729 PECOS PAC ID: 9638319056 Enrollment ID: I20130709000183 |
| Provider Name | Erik T Mcgoldrick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528258738 PECOS PAC ID: 3971768557 Enrollment ID: I20130715000357 |
| Provider Name | Jonathan D Ou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518109719 PECOS PAC ID: 5193965069 Enrollment ID: I20130717000789 |
| Provider Name | Bonnie C Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144527441 PECOS PAC ID: 4486895075 Enrollment ID: I20130724000461 |
| Provider Name | Muhammad Shakeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851581003 PECOS PAC ID: 6901998962 Enrollment ID: I20130730000805 |
| Provider Name | Katherine Alconcel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376864215 PECOS PAC ID: 6800037953 Enrollment ID: I20130801000235 |
| Provider Name | Reza Bashtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285868729 PECOS PAC ID: 8325289366 Enrollment ID: I20130802000332 |
| Provider Name | Jay Erwin Tiongson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609082312 PECOS PAC ID: 6800911439 Enrollment ID: I20130803000003 |
| Provider Name | Tauseef Qureshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649471319 PECOS PAC ID: 6709028814 Enrollment ID: I20130819000802 |
| Provider Name | Teresa A Podgorski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265481907 PECOS PAC ID: 8022250190 Enrollment ID: I20130820000680 |
| Provider Name | Milan Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952447476 PECOS PAC ID: 7113978339 Enrollment ID: I20130821000444 |
| Provider Name | Marika Catherine Ennis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215249214 PECOS PAC ID: 4486897444 Enrollment ID: I20130823000896 |
| Provider Name | Simon Gabriel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326209222 PECOS PAC ID: 7113174582 Enrollment ID: I20130827000647 |
| Provider Name | Bang Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861477044 PECOS PAC ID: 6901881994 Enrollment ID: I20130829000294 |
| Provider Name | Suhail Rahhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326044876 PECOS PAC ID: 6103841796 Enrollment ID: I20130829000902 |
| Provider Name | Adam M Dost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962728238 PECOS PAC ID: 0749423176 Enrollment ID: I20130903000808 |
| Provider Name | Fouzia Asif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518194612 PECOS PAC ID: 8022242411 Enrollment ID: I20131018001177 |
| Provider Name | Mehrdad A Mansouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376532747 PECOS PAC ID: 1850537739 Enrollment ID: I20131024001620 |
| Provider Name | Robert Boonyaputthikul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700198801 PECOS PAC ID: 0345475158 Enrollment ID: I20131104000893 |
| Provider Name | Blanca B Bisuna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508199431 PECOS PAC ID: 9537301916 Enrollment ID: I20131105000475 |
| Provider Name | Sina Dadfarmay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083809966 PECOS PAC ID: 6305961152 Enrollment ID: I20131107001264 |
| Provider Name | Ishai Erez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124335625 PECOS PAC ID: 8325273873 Enrollment ID: I20131108001476 |
| Provider Name | Elizabeth L Neuger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053416867 PECOS PAC ID: 4486847399 Enrollment ID: I20131113000956 |
| Provider Name | Stephanie Suzanne Dittmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942422688 PECOS PAC ID: 4082768809 Enrollment ID: I20131115000255 |
| Provider Name | Rebecca A Penera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356571715 PECOS PAC ID: 3072749019 Enrollment ID: I20131120001901 |
| Provider Name | Bashar M Shahatit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831416742 PECOS PAC ID: 0042462731 Enrollment ID: I20131125001218 |
| Provider Name | Kevin E Mcbride |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386924017 PECOS PAC ID: 6406082296 Enrollment ID: I20131127000592 |
| Provider Name | Megan Linnebur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790042885 PECOS PAC ID: 6406083880 Enrollment ID: I20131210000593 |
| Provider Name | Paul J Dennis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427079680 PECOS PAC ID: 8628016367 Enrollment ID: I20131216000535 |
| Provider Name | Ana E Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114020997 PECOS PAC ID: 6709989528 Enrollment ID: I20131216001796 |
| Provider Name | Paul T Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235384058 PECOS PAC ID: 0345483889 Enrollment ID: I20131223001536 |
| Provider Name | Zahra Shahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023252657 PECOS PAC ID: 2567699887 Enrollment ID: I20131227000388 |
| Provider Name | Patrick J Lally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427480185 PECOS PAC ID: 5597993931 Enrollment ID: I20140110001208 |
| Provider Name | Babar Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093989618 PECOS PAC ID: 2365588340 Enrollment ID: I20140111000317 |
| Provider Name | Shohreh Sameni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386999050 PECOS PAC ID: 0345478418 Enrollment ID: I20140117000289 |
| Provider Name | Amita R Khazanie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598991788 PECOS PAC ID: 1557599586 Enrollment ID: I20140120000507 |
| Provider Name | Zachary R Lewton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346202975 PECOS PAC ID: 5991756470 Enrollment ID: I20140227000941 |
| Provider Name | Tracy Lorene Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184928012 PECOS PAC ID: 6800026246 Enrollment ID: I20140303001873 |
| Provider Name | Leo A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023265816 PECOS PAC ID: 1355479551 Enrollment ID: I20140311001318 |
| Provider Name | Carrie Lou B Charlton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891011847 PECOS PAC ID: 5496986374 Enrollment ID: I20140317001778 |
| Provider Name | Vishal Jitendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316956337 PECOS PAC ID: 5496751661 Enrollment ID: I20140331001930 |
| Provider Name | Guadalupe N Hedrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164417093 PECOS PAC ID: 3678610383 Enrollment ID: I20140408001011 |
| Provider Name | Lauren M Choi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134228109 PECOS PAC ID: 4789816604 Enrollment ID: I20140408001589 |
| Provider Name | Marlene Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023089729 PECOS PAC ID: 2163654641 Enrollment ID: I20140416000272 |
| Provider Name | Paul Assaad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518267186 PECOS PAC ID: 8325270556 Enrollment ID: I20140422001212 |
| Provider Name | Alex H Ly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134380173 PECOS PAC ID: 8527228790 Enrollment ID: I20140422001860 |
| Provider Name | Doranne Donesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982975488 PECOS PAC ID: 0244462497 Enrollment ID: I20140422001914 |
| Provider Name | Kimberlee M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851718100 PECOS PAC ID: 5890918163 Enrollment ID: I20140514002031 |
| Provider Name | Christine H Won |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134285794 PECOS PAC ID: 9931282787 Enrollment ID: I20140603001130 |
| Provider Name | Nahla Makhoul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073561585 PECOS PAC ID: 8729098538 Enrollment ID: I20140603001735 |
| Provider Name | Andrew S Nik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316177520 PECOS PAC ID: 5294959508 Enrollment ID: I20140606000413 |
| Provider Name | Jacob Kyle Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588951271 PECOS PAC ID: 4688898869 Enrollment ID: I20140609001353 |
| Provider Name | Emalee Ann Corbera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962534792 PECOS PAC ID: 1850515016 Enrollment ID: I20140610001784 |
| Provider Name | Richard Diego Gonzales Y Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205101227 PECOS PAC ID: 2466676051 Enrollment ID: I20140623001426 |
| Provider Name | Valerie A Hillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427393297 PECOS PAC ID: 6406070002 Enrollment ID: I20140623001691 |
| Provider Name | Allison C Paine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073857439 PECOS PAC ID: 2466676978 Enrollment ID: I20140623002741 |
| Provider Name | Harikrishna J Makani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407169485 PECOS PAC ID: 6002030517 Enrollment ID: I20140623002754 |
| Provider Name | Sebastian B Sugay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578725990 PECOS PAC ID: 0547485849 Enrollment ID: I20140630000746 |
| Provider Name | Vicki Darlene Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023193745 PECOS PAC ID: 7618192584 Enrollment ID: I20140709000806 |
| Provider Name | Billie K Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750574083 PECOS PAC ID: 8820213630 Enrollment ID: I20140711001442 |
| Provider Name | Aidan R Raney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962631101 PECOS PAC ID: 1254556988 Enrollment ID: I20140712000081 |
| Provider Name | Jason Jilk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811213382 PECOS PAC ID: 6305062860 Enrollment ID: I20140718002187 |
| Provider Name | Eui San Cha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497047757 PECOS PAC ID: 4880810357 Enrollment ID: I20140721000000 |
| Provider Name | Saba Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104112440 PECOS PAC ID: 0941426332 Enrollment ID: I20140721001085 |
| Provider Name | Jean E Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154495455 PECOS PAC ID: 8426274234 Enrollment ID: I20140730001740 |
| Provider Name | Sanyogeeta Bhaway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275828162 PECOS PAC ID: 7214154947 Enrollment ID: I20140804001665 |
| Provider Name | Natalie Garcia Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134411424 PECOS PAC ID: 0749415024 Enrollment ID: I20140813000917 |
| Provider Name | Jason R Caberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144592924 PECOS PAC ID: 6406074160 Enrollment ID: I20140821002894 |
| Provider Name | Albert P Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134359094 PECOS PAC ID: 4385862655 Enrollment ID: I20140828000032 |
| Provider Name | Albert Wong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841429586 PECOS PAC ID: 8426276650 Enrollment ID: I20140828002443 |
| Provider Name | Anthony T Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326068990 PECOS PAC ID: 1355393604 Enrollment ID: I20140829002309 |
| Provider Name | Henry Yuan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043442379 PECOS PAC ID: 0143458521 Enrollment ID: I20140905000054 |
| Provider Name | Bob Yin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528227188 PECOS PAC ID: 2264651900 Enrollment ID: I20140911002061 |
| Provider Name | Huy T Trieu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639404353 PECOS PAC ID: 8426277054 Enrollment ID: I20140915000906 |
| Provider Name | Janet M Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477842458 PECOS PAC ID: 4082832985 Enrollment ID: I20140915001675 |
| Provider Name | Thuyet Q Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265720056 PECOS PAC ID: 7214156355 Enrollment ID: I20140922002567 |
| Provider Name | Sonal Sakariya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730454257 PECOS PAC ID: 5092934018 Enrollment ID: I20140923002401 |
| Provider Name | Ming Charles Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770843054 PECOS PAC ID: 0042442386 Enrollment ID: I20140924000204 |
| Provider Name | Stacy Healy James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265515340 PECOS PAC ID: 6305065384 Enrollment ID: I20140924001849 |
| Provider Name | Siddharth Ramesh Hublikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912133646 PECOS PAC ID: 0244470581 Enrollment ID: I20141007000647 |
| Provider Name | Nina C Swadener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518301621 PECOS PAC ID: 5092935189 Enrollment ID: I20141014000700 |
| Provider Name | Julienne N Tropel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588942759 PECOS PAC ID: 4587885660 Enrollment ID: I20141015001644 |
| Provider Name | Tracy Roy Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699858357 PECOS PAC ID: 9931320942 Enrollment ID: I20141016000570 |
| Provider Name | Rasha Souheil Germain |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356521389 PECOS PAC ID: 9234395914 Enrollment ID: I20141016001700 |
| Provider Name | Steven C Bereta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205245560 PECOS PAC ID: 8022239904 Enrollment ID: I20141017000418 |
| Provider Name | Candice M Dolbier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629333893 PECOS PAC ID: 8325271661 Enrollment ID: I20141017000764 |
| Provider Name | James S Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083041503 PECOS PAC ID: 8022239912 Enrollment ID: I20141017000783 |
| Provider Name | Giac Donati Consiglieri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124208277 PECOS PAC ID: 9032375605 Enrollment ID: I20141017000907 |
| Provider Name | Vishal G Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144455825 PECOS PAC ID: 1052532736 Enrollment ID: I20141022000094 |
| Provider Name | Shivani K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487946364 PECOS PAC ID: 5092936690 Enrollment ID: I20141023002702 |
| Provider Name | Karen A Frankwich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316100415 PECOS PAC ID: 1658592282 Enrollment ID: I20141024001230 |
| Provider Name | Khaled M Hassan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023272309 PECOS PAC ID: 5698939189 Enrollment ID: I20141028001601 |
| Provider Name | Daniel Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609296433 PECOS PAC ID: 3971724337 Enrollment ID: I20141028001957 |
| Provider Name | Maria L Savitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982603718 PECOS PAC ID: 1557323953 Enrollment ID: I20141030000031 |
| Provider Name | Kurt Holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447546072 PECOS PAC ID: 6709016223 Enrollment ID: I20141107000254 |
| Provider Name | Nilanthi D Gunawardane |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124351051 PECOS PAC ID: 7517189384 Enrollment ID: I20141111000878 |
| Provider Name | Ehsan Ghetmiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083908396 PECOS PAC ID: 5698997401 Enrollment ID: I20141112000015 |
| Provider Name | Catherine A Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942547294 PECOS PAC ID: 2860714177 Enrollment ID: I20141121002388 |
| Provider Name | Mehrnaz Hojjati |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720029135 PECOS PAC ID: 3971576091 Enrollment ID: I20141125001853 |
| Provider Name | Stephen G Copeland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902122328 PECOS PAC ID: 5092946145 Enrollment ID: I20141203001380 |
| Provider Name | Sheung K Vong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073804779 PECOS PAC ID: 9830411453 Enrollment ID: I20141209001654 |
| Provider Name | Cecelia A Rondou |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285950147 PECOS PAC ID: 1355663964 Enrollment ID: I20141210002262 |
| Provider Name | Bernadine Deramo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255344768 PECOS PAC ID: 9436381159 Enrollment ID: I20141215001395 |
| Provider Name | Edgar M Wayne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508026766 PECOS PAC ID: 7911046677 Enrollment ID: I20141217001132 |
| Provider Name | Jennifer A Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346477841 PECOS PAC ID: 0042481756 Enrollment ID: I20141223002277 |
| Provider Name | Yang Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396035564 PECOS PAC ID: 6901129576 Enrollment ID: I20150107000393 |
| Provider Name | Kevin Adrian Sterling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881757409 PECOS PAC ID: 7618040726 Enrollment ID: I20150108002211 |
| Provider Name | Venessa F Gutierrez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750786323 PECOS PAC ID: 3274857586 Enrollment ID: I20150115000003 |
| Provider Name | Mary J Borses |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164513297 PECOS PAC ID: 0244334647 Enrollment ID: I20150115000967 |
| Provider Name | Phong D Vuong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225207871 PECOS PAC ID: 8224102009 Enrollment ID: I20150117000291 |
| Provider Name | Timothy Mickel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407817646 PECOS PAC ID: 8729302955 Enrollment ID: I20150119000015 |
| Provider Name | Yio-fan D Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588989529 PECOS PAC ID: 5597080044 Enrollment ID: I20150204002170 |
| Provider Name | Valerie H Takes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831443878 PECOS PAC ID: 0749506293 Enrollment ID: I20150228000029 |
| Provider Name | Jacqueline Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205245255 PECOS PAC ID: 4981920956 Enrollment ID: I20150310001813 |
| Provider Name | Cheryl L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134371180 PECOS PAC ID: 1355667270 Enrollment ID: I20150311001137 |
| Provider Name | Janet C Uhde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518163443 PECOS PAC ID: 0840356861 Enrollment ID: I20150321000012 |
| Provider Name | Deborah A Binning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972727865 PECOS PAC ID: 1951628056 Enrollment ID: I20150331000338 |
| Provider Name | Nidal Al Hannat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235335563 PECOS PAC ID: 1759575624 Enrollment ID: I20150410002602 |
| Provider Name | Divya Chode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598040339 PECOS PAC ID: 9234457698 Enrollment ID: I20150415000021 |
| Provider Name | Hannah Woebkenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467682849 PECOS PAC ID: 9638320138 Enrollment ID: I20150415000144 |
| Provider Name | Pamela E Xandre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265626345 PECOS PAC ID: 0840518080 Enrollment ID: I20150420000024 |
| Provider Name | Yvette A Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356492771 PECOS PAC ID: 3072831056 Enrollment ID: I20150423002168 |
| Provider Name | Sothy L Pheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083697007 PECOS PAC ID: 9638132186 Enrollment ID: I20150424002047 |
| Provider Name | Leigh Ann Slater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356546774 PECOS PAC ID: 6709041528 Enrollment ID: I20150515001210 |
| Provider Name | Elie M Richa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518937838 PECOS PAC ID: 8325084049 Enrollment ID: I20150529000968 |
| Provider Name | Aminah Louise Cherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356758080 PECOS PAC ID: 8426379611 Enrollment ID: I20150529001897 |
| Provider Name | David Nhat Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992930465 PECOS PAC ID: 7416188529 Enrollment ID: I20150603000973 |
| Provider Name | Mark A Covec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316162662 PECOS PAC ID: 8820162647 Enrollment ID: I20150605002317 |
| Provider Name | Justin Wei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619298965 PECOS PAC ID: 0749501062 Enrollment ID: I20150611001105 |
| Provider Name | Ihab Bassam Alomari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669628319 PECOS PAC ID: 8820309198 Enrollment ID: I20150613000078 |
| Provider Name | Natalie P Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952747925 PECOS PAC ID: 7416268677 Enrollment ID: I20150616000040 |
| Provider Name | Syed A Samee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548311814 PECOS PAC ID: 2668576034 Enrollment ID: I20150624000011 |
| Provider Name | Paul Doey Mcadams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083690259 PECOS PAC ID: 4385897636 Enrollment ID: I20150624002341 |
| Provider Name | Amy Catherine Conrad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346225653 PECOS PAC ID: 2668784869 Enrollment ID: I20150630003169 |
| Provider Name | Daniel S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568759454 PECOS PAC ID: 8729217989 Enrollment ID: I20150701000000 |
| Provider Name | Amir Asifuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407148760 PECOS PAC ID: 8123247723 Enrollment ID: I20150701001808 |
| Provider Name | Julie A Leveque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225115207 PECOS PAC ID: 3072825819 Enrollment ID: I20150707002880 |
| Provider Name | Piangwarin Phaosawasdi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962727123 PECOS PAC ID: 2567774326 Enrollment ID: I20150707003459 |
| Provider Name | Eleanor Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235366949 PECOS PAC ID: 8325273790 Enrollment ID: I20150711000014 |
| Provider Name | Billy T Hour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790097004 PECOS PAC ID: 4486800372 Enrollment ID: I20150717000717 |
| Provider Name | Matthew Brady Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033478276 PECOS PAC ID: 5395966519 Enrollment ID: I20150725012746 |
| Provider Name | Daniel S Chang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962728022 PECOS PAC ID: 0244544740 Enrollment ID: I20150728005112 |
| Provider Name | Eleanor R Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548479181 PECOS PAC ID: 0042524563 Enrollment ID: I20150728005899 |
| Provider Name | Jessica R. Sheridan-babare |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609100817 PECOS PAC ID: 2163554635 Enrollment ID: I20150729008624 |
| Provider Name | Eileen Edith Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339146 PECOS PAC ID: 1052464575 Enrollment ID: I20150805008852 |
| Provider Name | Mark-allen N Polyakov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548556053 PECOS PAC ID: 7113145327 Enrollment ID: I20150817000889 |
| Provider Name | Ricardo M Gomez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790053528 PECOS PAC ID: 4183939036 Enrollment ID: I20150820011864 |
| Provider Name | Yevgeny Klebanov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841555976 PECOS PAC ID: 3375859168 Enrollment ID: I20150824001849 |
| Provider Name | Stacey N Massignan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801155056 PECOS PAC ID: 2466768940 Enrollment ID: I20150828000602 |
| Provider Name | Katerina Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205227089 PECOS PAC ID: 6204142581 Enrollment ID: I20150901001870 |
| Provider Name | Raphael I Falk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679863641 PECOS PAC ID: 3173754702 Enrollment ID: I20150903000057 |
| Provider Name | Tatiana A Kalita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205231933 PECOS PAC ID: 6507172541 Enrollment ID: I20150904001670 |
| Provider Name | Shelley S Canlas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700022894 PECOS PAC ID: 6709193402 Enrollment ID: I20150914000056 |
| Provider Name | Maria M Montenegro-barreto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719199 PECOS PAC ID: 4880796655 Enrollment ID: I20150916001875 |
| Provider Name | Johnny N Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235371675 PECOS PAC ID: 0042453359 Enrollment ID: I20150918000346 |
| Provider Name | Monica O Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528176989 PECOS PAC ID: 8426233453 Enrollment ID: I20150918001604 |
| Provider Name | Harrison Wilson Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20150918001749 |
| Provider Name | Jon M Karch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710203880 PECOS PAC ID: 8628385838 Enrollment ID: I20150921003306 |
| Provider Name | Alireza Halati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609022938 PECOS PAC ID: 3072820158 Enrollment ID: I20150922002825 |
| Provider Name | Nasser I Jameel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518378413 PECOS PAC ID: 4789992751 Enrollment ID: I20150924003331 |
| Provider Name | Brandon H Murti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396002689 PECOS PAC ID: 5193033165 Enrollment ID: I20150925000060 |
| Provider Name | Salman Mehboob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497841795 PECOS PAC ID: 9931207412 Enrollment ID: I20150925000426 |
| Provider Name | Jennifer T Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548521206 PECOS PAC ID: 4688802630 Enrollment ID: I20150929001115 |
| Provider Name | Mohammad Z Nabulsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760749931 PECOS PAC ID: 5698083228 Enrollment ID: I20151001001405 |
| Provider Name | Uzoma Raymond Chukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255741567 PECOS PAC ID: 7911216940 Enrollment ID: I20151014001319 |
| Provider Name | Jessica G Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437538485 PECOS PAC ID: 1355650938 Enrollment ID: I20151021002803 |
| Provider Name | Pinella Adrea Holder |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306958996 PECOS PAC ID: 3274687181 Enrollment ID: I20151026000550 |
| Provider Name | Meadow R Stempek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770700726 PECOS PAC ID: 5496854507 Enrollment ID: I20151028001325 |
| Provider Name | Allison A Molinski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891032751 PECOS PAC ID: 2466762521 Enrollment ID: I20151103000275 |
| Provider Name | Karl Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396010740 PECOS PAC ID: 8820308588 Enrollment ID: I20151109000961 |
| Provider Name | Oscar Gantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346676889 PECOS PAC ID: 4183924483 Enrollment ID: I20151118000385 |
| Provider Name | Mara Macdonald Bertoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700293339 PECOS PAC ID: 4183944861 Enrollment ID: I20151118000769 |
| Provider Name | Janice Tham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194195719 PECOS PAC ID: 0749580926 Enrollment ID: I20151119000636 |
| Provider Name | Adeline Marcelo Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720467491 PECOS PAC ID: 5698075869 Enrollment ID: I20151120000763 |
| Provider Name | Pierre T Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588919815 PECOS PAC ID: 0749580504 Enrollment ID: I20151130001467 |
| Provider Name | Amy G Voet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922391788 PECOS PAC ID: 5597065383 Enrollment ID: I20151201000756 |
| Provider Name | Violeta Miller Recalde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306197611 PECOS PAC ID: 3870801152 Enrollment ID: I20151201002598 |
| Provider Name | Dennis R Knoernschild |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366731622 PECOS PAC ID: 2062644156 Enrollment ID: I20151202001941 |
| Provider Name | Monica K Martyn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083088678 PECOS PAC ID: 8820398381 Enrollment ID: I20151204002467 |
| Provider Name | Jiandong Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063788222 PECOS PAC ID: 6305152653 Enrollment ID: I20151208003219 |
| Provider Name | Emily A Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730290834 PECOS PAC ID: 2860793056 Enrollment ID: I20151211001890 |
| Provider Name | Parul T Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023098738 PECOS PAC ID: 7416841986 Enrollment ID: I20151215001573 |
| Provider Name | Jonathan S Holloway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710272547 PECOS PAC ID: 5395989461 Enrollment ID: I20151217001833 |
| Provider Name | Quan Zhao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588834758 PECOS PAC ID: 9537460241 Enrollment ID: I20151223000394 |
| Provider Name | Leslie F Shigemasa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932231792 PECOS PAC ID: 3779885280 Enrollment ID: I20151230000410 |
| Provider Name | Mariana V Salerno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598921645 PECOS PAC ID: 3678622875 Enrollment ID: I20151231001961 |
| Provider Name | Rachel L Hatchimonji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023480126 PECOS PAC ID: 2961704721 Enrollment ID: I20160111001914 |
| Provider Name | Karen J Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679816680 PECOS PAC ID: 0648572297 Enrollment ID: I20160113002149 |
| Provider Name | Maria A Spizzirri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114288503 PECOS PAC ID: 1658594924 Enrollment ID: I20160120001915 |
| Provider Name | Amber D Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164897179 PECOS PAC ID: 8527361708 Enrollment ID: I20160121001544 |
| Provider Name | Meigan M Everts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457348039 PECOS PAC ID: 3476799255 Enrollment ID: I20160204002407 |
| Provider Name | Eric C Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497017339 PECOS PAC ID: 7911226402 Enrollment ID: I20160216001675 |
| Provider Name | Brooke A Nichols |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932406907 PECOS PAC ID: 6204083173 Enrollment ID: I20160219000313 |
| Provider Name | Tiffany P Avila |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528275864 PECOS PAC ID: 3971773300 Enrollment ID: I20160222000821 |
| Provider Name | Tuan Ngoc Hoang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265590905 PECOS PAC ID: 7618272568 Enrollment ID: I20160301002462 |
| Provider Name | Stephanie L Bedolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265717565 PECOS PAC ID: 2466613153 Enrollment ID: I20160404002223 |
| Provider Name | Kevin Vallabh Balar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255776803 PECOS PAC ID: 9830497981 Enrollment ID: I20160406001044 |
| Provider Name | James S Doll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528000627 PECOS PAC ID: 4981734365 Enrollment ID: I20160418001017 |
| Provider Name | Emily Petromilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437527876 PECOS PAC ID: 6406166016 Enrollment ID: I20160420000791 |
| Provider Name | Gerrard F Ferrer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689719353 PECOS PAC ID: 9638202245 Enrollment ID: I20160420002508 |
| Provider Name | Saraswati C Srikantiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659340073 PECOS PAC ID: 9931124773 Enrollment ID: I20160510000690 |
| Provider Name | Casey Meister Vanlare Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124144407 PECOS PAC ID: 8022231810 Enrollment ID: I20160510001372 |
| Provider Name | Collins Boampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225449622 PECOS PAC ID: 3072802289 Enrollment ID: I20160511001342 |
| Provider Name | Joyce Lai Yan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669790358 PECOS PAC ID: 0547490484 Enrollment ID: I20160512001925 |
| Provider Name | Lily W Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669733812 PECOS PAC ID: 5991022071 Enrollment ID: I20160606002106 |
| Provider Name | Sadia Fatima Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912293317 PECOS PAC ID: 1052601820 Enrollment ID: I20160607001201 |
| Provider Name | Nima Taheri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073856837 PECOS PAC ID: 0345531893 Enrollment ID: I20160614001388 |
| Provider Name | Daniel J Laird |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205198314 PECOS PAC ID: 3870884166 Enrollment ID: I20160616000797 |
| Provider Name | John K Wong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336436500 PECOS PAC ID: 0749571677 Enrollment ID: I20160623000260 |
| Provider Name | Hailey H Hwangbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891776357 PECOS PAC ID: 4789909748 Enrollment ID: I20160628000383 |
| Provider Name | Lawrence Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063779171 PECOS PAC ID: 8729379417 Enrollment ID: I20160628001609 |
| Provider Name | Sarah N Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801232822 PECOS PAC ID: 3678717972 Enrollment ID: I20160629000505 |
| Provider Name | Loie Sauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134214455 PECOS PAC ID: 7214955889 Enrollment ID: I20160629001101 |
| Provider Name | Christie Danielle Aiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972976744 PECOS PAC ID: 9032400767 Enrollment ID: I20160629001674 |
| Provider Name | Austin Y Sue |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487916045 PECOS PAC ID: 0840582292 Enrollment ID: I20160706000975 |
| Provider Name | Saif Al Yaseen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356684096 PECOS PAC ID: 1759673908 Enrollment ID: I20160707002045 |
| Provider Name | Christina M Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033555024 PECOS PAC ID: 7416249560 Enrollment ID: I20160711000206 |
| Provider Name | Tsigereda Kassa Tesfaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386031086 PECOS PAC ID: 2365734308 Enrollment ID: I20160712000614 |
| Provider Name | Amber E Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174651913 PECOS PAC ID: 1052603941 Enrollment ID: I20160713002237 |
| Provider Name | Daniel Luis Escajeda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346258753 PECOS PAC ID: 8628097425 Enrollment ID: I20160714002000 |
| Provider Name | Nisha Bansal Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700229457 PECOS PAC ID: 9739472176 Enrollment ID: I20160722002037 |
| Provider Name | John Kelly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730324740 PECOS PAC ID: 8022286566 Enrollment ID: I20160725000495 |
| Provider Name | John C Kurylo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467611988 PECOS PAC ID: 0547400921 Enrollment ID: I20160725002848 |
| Provider Name | Nina Ganley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013344704 PECOS PAC ID: 8628361862 Enrollment ID: I20160725002934 |
| Provider Name | Chung Yu Cuiffo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659630556 PECOS PAC ID: 6103134127 Enrollment ID: I20160802002594 |
| Provider Name | Jian Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841633617 PECOS PAC ID: 5799082574 Enrollment ID: I20160805002428 |
| Provider Name | Julie H Yoo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760742001 PECOS PAC ID: 6002100302 Enrollment ID: I20160809003137 |
| Provider Name | Daniel T Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982938262 PECOS PAC ID: 1658531298 Enrollment ID: I20160810000340 |
| Provider Name | Sarita Shivakoti Dhakal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841628930 PECOS PAC ID: 9739315532 Enrollment ID: I20160810000900 |
| Provider Name | Alexey Shereshevsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033326061 PECOS PAC ID: 6204983661 Enrollment ID: I20160810002646 |
| Provider Name | Michelle Ngo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760773014 PECOS PAC ID: 1658665765 Enrollment ID: I20160812001143 |
| Provider Name | Bardia Sadr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912398785 PECOS PAC ID: 3971897992 Enrollment ID: I20160812001604 |
| Provider Name | Justine Ann Bello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629237276 PECOS PAC ID: 5395898852 Enrollment ID: I20160816001904 |
| Provider Name | Peter J Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831296185 PECOS PAC ID: 9638393911 Enrollment ID: I20160816002735 |
| Provider Name | Glenda L Montague |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043508872 PECOS PAC ID: 4385947704 Enrollment ID: I20160818000885 |
| Provider Name | Nare Davoodi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457725145 PECOS PAC ID: 1951696640 Enrollment ID: I20160819000486 |
| Provider Name | Adam G Kaplan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306078050 PECOS PAC ID: 8022235977 Enrollment ID: I20160819000627 |
| Provider Name | Chau Y Van |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396180758 PECOS PAC ID: 2062707649 Enrollment ID: I20160822000829 |
| Provider Name | Aladean Abdrabbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578905675 PECOS PAC ID: 2264727890 Enrollment ID: I20160822002535 |
| Provider Name | Paul Thai-phi Nguyenfa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831535749 PECOS PAC ID: 5496040917 Enrollment ID: I20160823002459 |
| Provider Name | Todd S Kessler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366453011 PECOS PAC ID: 0547413411 Enrollment ID: I20160830000971 |
| Provider Name | Rachael N Adair |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104229483 PECOS PAC ID: 9931495637 Enrollment ID: I20160906002669 |
| Provider Name | Masato Sugiura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801220710 PECOS PAC ID: 1254633753 Enrollment ID: I20160914002375 |
| Provider Name | Dusten Malcolm Macdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467550012 PECOS PAC ID: 3072743764 Enrollment ID: I20160920002570 |
| Provider Name | Giovanni Salerno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942242698 PECOS PAC ID: 8325947237 Enrollment ID: I20160921001052 |
| Provider Name | Onna Suzette Whiteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871942219 PECOS PAC ID: 4082901921 Enrollment ID: I20160921001230 |
| Provider Name | Courtney A Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235559972 PECOS PAC ID: 1557658267 Enrollment ID: I20160923001184 |
| Provider Name | Kathryn A Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811397177 PECOS PAC ID: 0446479992 Enrollment ID: I20160927000175 |
| Provider Name | Angela P Basen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639514144 PECOS PAC ID: 9335444363 Enrollment ID: I20160927002804 |
| Provider Name | Katherine M Aldrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194995563 PECOS PAC ID: 5193033553 Enrollment ID: I20161003000441 |
| Provider Name | Jashdeep S Dhoot |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417109067 PECOS PAC ID: 3577865823 Enrollment ID: I20161004001214 |
| Provider Name | Victoria L Leigh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619372265 PECOS PAC ID: 5294023438 Enrollment ID: I20161004001429 |
| Provider Name | Selamawit T Gebreslassie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912175787 PECOS PAC ID: 7618272022 Enrollment ID: I20161006001855 |
| Provider Name | Kurtis G Birch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659781565 PECOS PAC ID: 5092009837 Enrollment ID: I20161007000811 |
| Provider Name | Hannah Newburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699020792 PECOS PAC ID: 1557659190 Enrollment ID: I20161013001596 |
| Provider Name | Robert Frankel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487736328 PECOS PAC ID: 8820376023 Enrollment ID: I20161021001773 |
| Provider Name | Katherine A Estlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255574885 PECOS PAC ID: 8426208547 Enrollment ID: I20161024002461 |
| Provider Name | Jennifer Leigh Logan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639620768 PECOS PAC ID: 6901185230 Enrollment ID: I20161109001633 |
| Provider Name | Neha Damle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124462544 PECOS PAC ID: 0941593065 Enrollment ID: I20161118000357 |
| Provider Name | Carolyn B Boley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629528245 PECOS PAC ID: 4587943246 Enrollment ID: I20161121001114 |
| Provider Name | Monica J Ball-zondervan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614827 PECOS PAC ID: 1052690765 Enrollment ID: I20161121002761 |
| Provider Name | Igor Z Abolnik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194783829 PECOS PAC ID: 1153377833 Enrollment ID: I20161123001201 |
| Provider Name | Stanley Hahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619977758 PECOS PAC ID: 0648210898 Enrollment ID: I20161130000840 |
| Provider Name | Ashmi S Ullal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073803722 PECOS PAC ID: 9335442995 Enrollment ID: I20161205000503 |
| Provider Name | Mark Klinger Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20170112000842 |
| Provider Name | Harsharandeep S Sanghera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386088060 PECOS PAC ID: 8224279625 Enrollment ID: I20170113002563 |
| Provider Name | Karl Ong Cua |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134664642 PECOS PAC ID: 6002198538 Enrollment ID: I20170118001766 |
| Provider Name | Ibrahim Adejoh Idakoji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639463573 PECOS PAC ID: 4183906548 Enrollment ID: I20170119000534 |
| Provider Name | Daniel Jason Greenfield |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043203946 PECOS PAC ID: 8426330812 Enrollment ID: I20170124000532 |
| Provider Name | Monika Kaniewska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770949513 PECOS PAC ID: 1456633668 Enrollment ID: I20170124001621 |
| Provider Name | Nathaniel R Woodruff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275623191 PECOS PAC ID: 0547250169 Enrollment ID: I20170124003284 |
| Provider Name | Chad B Krilich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932115771 PECOS PAC ID: 3274514450 Enrollment ID: I20170126001253 |
| Provider Name | Thomas A Marsland |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477558716 PECOS PAC ID: 7719871326 Enrollment ID: I20170131000506 |
| Provider Name | Haleigh Kotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184967861 PECOS PAC ID: 8921381534 Enrollment ID: I20170206001158 |
| Provider Name | Aliasghar Mohyuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174595136 PECOS PAC ID: 7012047368 Enrollment ID: I20170206001524 |
| Provider Name | Shea M. Pribyl |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639336050 PECOS PAC ID: 9133351992 Enrollment ID: I20170209000211 |
| Provider Name | Kavit A Desouza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245441997 PECOS PAC ID: 5991005787 Enrollment ID: I20170211000245 |
| Provider Name | Indupriya Pallekonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568744852 PECOS PAC ID: 8224255724 Enrollment ID: I20170220002923 |
| Provider Name | Catherine C Friesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669730230 PECOS PAC ID: 5193009876 Enrollment ID: I20170223002285 |
| Provider Name | Connie Phuong Bartlett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669561858 PECOS PAC ID: 7012291586 Enrollment ID: I20170228002330 |
| Provider Name | Neal B Handly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720026875 PECOS PAC ID: 5092845099 Enrollment ID: I20170307001761 |
| Provider Name | Marlin W Causey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023214848 PECOS PAC ID: 4082916457 Enrollment ID: I20170309001409 |
| Provider Name | Ana Espitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598159808 PECOS PAC ID: 7416231584 Enrollment ID: I20170309001467 |
| Provider Name | Afshin Y Doust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417057316 PECOS PAC ID: 6901866532 Enrollment ID: I20170316002237 |
| Provider Name | John C Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821042292 PECOS PAC ID: 0547270530 Enrollment ID: I20170321001883 |
| Provider Name | Holly Lorraine Leo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467663666 PECOS PAC ID: 2163727157 Enrollment ID: I20170328002844 |
| Provider Name | Chan Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376949230 PECOS PAC ID: 7810272192 Enrollment ID: I20170329000958 |
| Provider Name | Jonathan M Maynard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255765020 PECOS PAC ID: 2860777166 Enrollment ID: I20170329001601 |
| Provider Name | Dustin A Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336347293 PECOS PAC ID: 2163670209 Enrollment ID: I20170426002887 |
| Provider Name | Rajeev R Malireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467884775 PECOS PAC ID: 5597042556 Enrollment ID: I20170501001963 |
| Provider Name | Elizabeth P Tito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629092309 PECOS PAC ID: 4082501614 Enrollment ID: I20170501002272 |
| Provider Name | Sudarshan Chatterjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750465712 PECOS PAC ID: 7618993007 Enrollment ID: I20170504000941 |
| Provider Name | Tam D Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134540719 PECOS PAC ID: 4385921733 Enrollment ID: I20170511002715 |
| Provider Name | Nicholas Michael Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770984098 PECOS PAC ID: 1759665482 Enrollment ID: I20170515001093 |
| Provider Name | Jenny Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174844104 PECOS PAC ID: 9234353582 Enrollment ID: I20170518001420 |
| Provider Name | Sarah Dawn Pace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598081705 PECOS PAC ID: 2860517893 Enrollment ID: I20170531000908 |
| Provider Name | Vincent A Covelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354347 PECOS PAC ID: 4385911924 Enrollment ID: I20170601002153 |
| Provider Name | Ye Thu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306180146 PECOS PAC ID: 8628345063 Enrollment ID: I20170606001919 |
| Provider Name | Anjit Khurana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659784593 PECOS PAC ID: 0345518841 Enrollment ID: I20170623001123 |
| Provider Name | Benjamin W Dickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932526860 PECOS PAC ID: 4183923469 Enrollment ID: I20170627001172 |
| Provider Name | Shasta Marie Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417312315 PECOS PAC ID: 1254638828 Enrollment ID: I20170628001200 |
| Provider Name | Catherine Artoun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841552502 PECOS PAC ID: 4385939438 Enrollment ID: I20170629001658 |
| Provider Name | Isabelle V Guiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790049146 PECOS PAC ID: 3173892494 Enrollment ID: I20170629002748 |
| Provider Name | Alexander C Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265842470 PECOS PAC ID: 7315216017 Enrollment ID: I20170712002310 |
| Provider Name | Maria-claudia Campagna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780604975 PECOS PAC ID: 2365475027 Enrollment ID: I20170712003606 |
| Provider Name | Jason Yost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932544632 PECOS PAC ID: 6406080548 Enrollment ID: I20170712003670 |
| Provider Name | Ginger L Bhakti |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851469092 PECOS PAC ID: 6608145230 Enrollment ID: I20170712004016 |
| Provider Name | Nolan K Bayen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639541014 PECOS PAC ID: 9436429495 Enrollment ID: I20170724003401 |
| Provider Name | Jennifer Bernice Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902241110 PECOS PAC ID: 5395015226 Enrollment ID: I20170725003015 |
| Provider Name | Michael Mccoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871857672 PECOS PAC ID: 4183995889 Enrollment ID: I20170728002135 |
| Provider Name | Bhakti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154741254 PECOS PAC ID: 7416241856 Enrollment ID: I20170803000633 |
| Provider Name | Sonali Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225387152 PECOS PAC ID: 1951527043 Enrollment ID: I20170808001160 |
| Provider Name | Jennifer Hahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376957795 PECOS PAC ID: 9537430608 Enrollment ID: I20170808001525 |
| Provider Name | Avinash N Ramchandani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1730358532 PECOS PAC ID: 0941324834 Enrollment ID: I20170809001687 |
| Provider Name | Daniel Gilbert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053632091 PECOS PAC ID: 6103060454 Enrollment ID: I20170816004353 |
| Provider Name | Erum Iqbal Bajwa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184069239 PECOS PAC ID: 0446566558 Enrollment ID: I20170825002200 |
| Provider Name | Abraham D Flinders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043685969 PECOS PAC ID: 8820384605 Enrollment ID: I20170825002241 |
| Provider Name | Fadi Arodaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720499023 PECOS PAC ID: 5092084723 Enrollment ID: I20170828002001 |
| Provider Name | Rodney L Camp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972568228 PECOS PAC ID: 5698787943 Enrollment ID: I20170829004107 |
| Provider Name | Angela Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528506383 PECOS PAC ID: 5698048957 Enrollment ID: I20170907003042 |
| Provider Name | David Ju Hyuk Suk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083841720 PECOS PAC ID: 4284897257 Enrollment ID: I20170908001155 |
| Provider Name | Michael D Weil |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801322268 PECOS PAC ID: 2668745621 Enrollment ID: I20170913002586 |
| Provider Name | Jennifer Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659708436 PECOS PAC ID: 0042583023 Enrollment ID: I20170913003501 |
| Provider Name | Anjali Acharya Date |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407134687 PECOS PAC ID: 2567756679 Enrollment ID: I20170914001964 |
| Provider Name | Joni L Mcatee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689971814 PECOS PAC ID: 4183927999 Enrollment ID: I20170919003546 |
| Provider Name | Anumeha Bhalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548688856 PECOS PAC ID: 7810261401 Enrollment ID: I20170920002447 |
| Provider Name | Jacadi Bignami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780023804 PECOS PAC ID: 8426366477 Enrollment ID: I20170921003319 |
| Provider Name | Jennifer Elizabeth Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982121885 PECOS PAC ID: 2567736887 Enrollment ID: I20170925001999 |
| Provider Name | Baxter K Richardson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306109905 PECOS PAC ID: 7911271168 Enrollment ID: I20170926004362 |
| Provider Name | Sarom Pyun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104264472 PECOS PAC ID: 6507131703 Enrollment ID: I20171012003540 |
| Provider Name | Suehong Tao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588639314 PECOS PAC ID: 6901091115 Enrollment ID: I20171013003035 |
| Provider Name | Melissa N Loja |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578826749 PECOS PAC ID: 4486920600 Enrollment ID: I20171016002476 |
| Provider Name | Sharone Esther Perlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548631419 PECOS PAC ID: 8820383078 Enrollment ID: I20171023001924 |
| Provider Name | Kristopher A Huston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831517390 PECOS PAC ID: 7911206032 Enrollment ID: I20171024002832 |
| Provider Name | Michelle Ann Neveu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639607666 PECOS PAC ID: 3072879063 Enrollment ID: I20171107003087 |
| Provider Name | Jake Leff Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700203023 PECOS PAC ID: 8022374560 Enrollment ID: I20171115003830 |
| Provider Name | Zev S Tovian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720492713 PECOS PAC ID: 5496012668 Enrollment ID: I20171122002212 |
| Provider Name | Shaun Michael Gifford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558576918 PECOS PAC ID: 1951557065 Enrollment ID: I20171128003755 |
| Provider Name | Christopher Matthew Monpere |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235674524 PECOS PAC ID: 7416214366 Enrollment ID: I20171130001481 |
| Provider Name | Larissa Isterabadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821125543 PECOS PAC ID: 2466719935 Enrollment ID: I20171208001484 |
| Provider Name | Sarah O'loughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780865444 PECOS PAC ID: 5294093738 Enrollment ID: I20171211001771 |
| Provider Name | Nicole M Glick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323227 PECOS PAC ID: 1355609488 Enrollment ID: I20171219003431 |
| Provider Name | Mahshid Agahi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164793279 PECOS PAC ID: 5294093100 Enrollment ID: I20171226001773 |
| Provider Name | Mazin Elhadary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538554548 PECOS PAC ID: 9436417276 Enrollment ID: I20171227001461 |
| Provider Name | Artur Grigoriyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922251792 PECOS PAC ID: 2062678428 Enrollment ID: I20171228002226 |
| Provider Name | Devon Wolfkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346765823 PECOS PAC ID: 0648539155 Enrollment ID: I20180108003063 |
| Provider Name | Mark Causin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881872844 PECOS PAC ID: 8426211764 Enrollment ID: I20180115000497 |
| Provider Name | Kimberly Ann Casarotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992211957 PECOS PAC ID: 4082974795 Enrollment ID: I20180126002251 |
| Provider Name | Christopher Norris Krone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386815074 PECOS PAC ID: 1153474978 Enrollment ID: I20180129002098 |
| Provider Name | Shuang Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013262492 PECOS PAC ID: 1658599014 Enrollment ID: I20180201002830 |
| Provider Name | Andree M Leroy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750578357 PECOS PAC ID: 7315130234 Enrollment ID: I20180220002031 |
| Provider Name | Grace Shuang Zhang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679501670 PECOS PAC ID: 2365444742 Enrollment ID: I20180221002197 |
| Provider Name | Kenneth D Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629576244 PECOS PAC ID: 3971864125 Enrollment ID: I20180302001425 |
| Provider Name | Mollie Mclean Munc |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891980363 PECOS PAC ID: 8921369018 Enrollment ID: I20180306002898 |
| Provider Name | Donna Lee Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003906280 PECOS PAC ID: 7517228554 Enrollment ID: I20180307002366 |
| Provider Name | Amalia Irene Kimber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326344268 PECOS PAC ID: 5698036663 Enrollment ID: I20180308001024 |
| Provider Name | Natalie Perdomo Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871092064 PECOS PAC ID: 8729349634 Enrollment ID: I20180308002606 |
| Provider Name | Megan D Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871091629 PECOS PAC ID: 8921360918 Enrollment ID: I20180403002560 |
| Provider Name | Eurides I.f Lopes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447511803 PECOS PAC ID: 3577852284 Enrollment ID: I20180405000593 |
| Provider Name | Susan J Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811271539 PECOS PAC ID: 3072752591 Enrollment ID: I20180406002346 |
| Provider Name | David Joung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972864544 PECOS PAC ID: 8022371517 Enrollment ID: I20180416001144 |
| Provider Name | Michael Donald Tang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780874461 PECOS PAC ID: 3678662475 Enrollment ID: I20180419002729 |
| Provider Name | Wayne D Warrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841254299 PECOS PAC ID: 3375540560 Enrollment ID: I20180420002115 |
| Provider Name | Stella Lai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588906663 PECOS PAC ID: 3072881994 Enrollment ID: I20180426002327 |
| Provider Name | Marc William Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477649382 PECOS PAC ID: 5698039675 Enrollment ID: I20180426002439 |
| Provider Name | Asia Day Downing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316365265 PECOS PAC ID: 9133348360 Enrollment ID: I20180426002814 |
| Provider Name | Christine Yuri Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235635129 PECOS PAC ID: 7517221336 Enrollment ID: I20180503000205 |
| Provider Name | Daniel M Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548648868 PECOS PAC ID: 3375829401 Enrollment ID: I20180516001836 |
| Provider Name | Hongshi Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396902862 PECOS PAC ID: 0749478915 Enrollment ID: I20180523001635 |
| Provider Name | Kirellos Zamary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619261609 PECOS PAC ID: 9537424148 Enrollment ID: I20180601001353 |
| Provider Name | Shruti Pravinkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376937656 PECOS PAC ID: 0143581405 Enrollment ID: I20180618000208 |
| Provider Name | Ognjen Katan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275875668 PECOS PAC ID: 9335422914 Enrollment ID: I20180620003238 |
| Provider Name | Nathaniel David Moradzadeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922341049 PECOS PAC ID: 6204182629 Enrollment ID: I20180627001889 |
| Provider Name | Sindhura Kodali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861811408 PECOS PAC ID: 2466746896 Enrollment ID: I20180705002871 |
| Provider Name | Jamie R Messegee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285900290 PECOS PAC ID: 9234485889 Enrollment ID: I20180711003944 |
| Provider Name | Vijay Krishna Prabhakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932593167 PECOS PAC ID: 8820345754 Enrollment ID: I20180723003166 |
| Provider Name | Wajidah Abdul-khabir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215323522 PECOS PAC ID: 8527347491 Enrollment ID: I20180725003754 |
| Provider Name | Skye Rainis Heston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548503717 PECOS PAC ID: 3375825268 Enrollment ID: I20180727000905 |
| Provider Name | Robert Nathaniel Lowry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801232129 PECOS PAC ID: 3476835521 Enrollment ID: I20180727002453 |
| Provider Name | Aaron Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053706309 PECOS PAC ID: 1456612993 Enrollment ID: I20180731004096 |
| Provider Name | Parshaw Jonathan Dorriz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972940625 PECOS PAC ID: 9436478930 Enrollment ID: I20180801001802 |
| Provider Name | Jae Wook Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558624957 PECOS PAC ID: 3678899622 Enrollment ID: I20180803002255 |
| Provider Name | Megan Hormazdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528566742 PECOS PAC ID: 6608124557 Enrollment ID: I20180808003577 |
| Provider Name | Brett J Schulte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285637579 PECOS PAC ID: 1052507720 Enrollment ID: I20180820003298 |
| Provider Name | Amit K Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740544360 PECOS PAC ID: 4486954716 Enrollment ID: I20180821004030 |
| Provider Name | Brandon Eugene Bireley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407296064 PECOS PAC ID: 7517216690 Enrollment ID: I20180822003337 |
| Provider Name | Anna Kristina Paulsson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134562333 PECOS PAC ID: 1355634510 Enrollment ID: I20180823002445 |
| Provider Name | Ronak R Vora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942560321 PECOS PAC ID: 5294084125 Enrollment ID: I20180824002931 |
| Provider Name | Patrick T Koo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801152772 PECOS PAC ID: 8921302977 Enrollment ID: I20180830001952 |
| Provider Name | Yung Lyou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013277342 PECOS PAC ID: 1951615269 Enrollment ID: I20180904000798 |
| Provider Name | Bennett Cua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962791772 PECOS PAC ID: 9032406665 Enrollment ID: I20180904000915 |
| Provider Name | Anaita Jasmine Panthaky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508317843 PECOS PAC ID: 0244580645 Enrollment ID: I20180905003802 |
| Provider Name | Erica Valdovinos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548655087 PECOS PAC ID: 5799035051 Enrollment ID: I20180906002526 |
| Provider Name | Nicole Christine Shattuck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437415692 PECOS PAC ID: 5193033801 Enrollment ID: I20180911000940 |
| Provider Name | Steven Yi Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467831131 PECOS PAC ID: 7113278722 Enrollment ID: I20180920002200 |
| Provider Name | Dania A Youssef |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780069021 PECOS PAC ID: 3971854472 Enrollment ID: I20180921002952 |
| Provider Name | Mark A Bisignani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487655882 PECOS PAC ID: 7618860198 Enrollment ID: I20180924001155 |
| Provider Name | Jamie Ilana Leavitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063814978 PECOS PAC ID: 0345591723 Enrollment ID: I20180924003620 |
| Provider Name | Sang Yim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003294661 PECOS PAC ID: 1456602705 Enrollment ID: I20180925003196 |
| Provider Name | Donald Lloyd Whisler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639516149 PECOS PAC ID: 7113200361 Enrollment ID: I20181003001671 |
| Provider Name | Leslie I Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104921402 PECOS PAC ID: 8426046533 Enrollment ID: I20181005000250 |
| Provider Name | Kristen Michele Dunagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477958734 PECOS PAC ID: 6709138332 Enrollment ID: I20181010001340 |
| Provider Name | David Regan Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508860016 PECOS PAC ID: 8426377607 Enrollment ID: I20181015000549 |
| Provider Name | Tiffany Ngai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215378930 PECOS PAC ID: 1355693458 Enrollment ID: I20181017001345 |
| Provider Name | Jennifer L Spignese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386130938 PECOS PAC ID: 3476806522 Enrollment ID: I20181019000879 |
| Provider Name | Amir Behzad Razavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063457059 PECOS PAC ID: 8628177201 Enrollment ID: I20181030003291 |
| Provider Name | Jason Ling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154664597 PECOS PAC ID: 1658625363 Enrollment ID: I20181115002873 |
| Provider Name | Alexis Bouteneff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316982515 PECOS PAC ID: 1153461876 Enrollment ID: I20181126001420 |
| Provider Name | Laura Elizabeth Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255781340 PECOS PAC ID: 9133464449 Enrollment ID: I20181214000489 |
| Provider Name | Erin Marie Danial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154757755 PECOS PAC ID: 7012252380 Enrollment ID: I20181214002975 |
| Provider Name | Tuong Thuy M Sugiura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932535879 PECOS PAC ID: 5799020780 Enrollment ID: I20181219002205 |
| Provider Name | Colin J Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295121770 PECOS PAC ID: 0042555690 Enrollment ID: I20181231000559 |
| Provider Name | Janet M Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912488123 PECOS PAC ID: 3072859438 Enrollment ID: I20190107002752 |
| Provider Name | Timothy Youngsoo Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720434186 PECOS PAC ID: 2062775372 Enrollment ID: I20190117003012 |
| Provider Name | Reema Basu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215173497 PECOS PAC ID: 9537406657 Enrollment ID: I20190129000187 |
| Provider Name | Christopher David Vercammen-grandjean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942543699 PECOS PAC ID: 0648561969 Enrollment ID: I20190207000665 |
| Provider Name | Edward N Slayden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124468384 PECOS PAC ID: 1355620311 Enrollment ID: I20190213001939 |
| Provider Name | Christopher Y Way |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598024515 PECOS PAC ID: 1456579267 Enrollment ID: I20190219001454 |
| Provider Name | Ahmed Mohyeldin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912213687 PECOS PAC ID: 8527207372 Enrollment ID: I20190219001722 |
| Provider Name | Marie L Bridgeford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144623869 PECOS PAC ID: 4587903422 Enrollment ID: I20190311002689 |
| Provider Name | David Andrew Philips |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629040480 PECOS PAC ID: 8325261415 Enrollment ID: I20190312001401 |
| Provider Name | Lauren M Ratiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669936860 PECOS PAC ID: 3476894346 Enrollment ID: I20190403001955 |
| Provider Name | Jessica Lee Guevara-galan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558728717 PECOS PAC ID: 9436412673 Enrollment ID: I20190412001467 |
| Provider Name | Narpinder Dhanoa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801202783 PECOS PAC ID: 5496064271 Enrollment ID: I20190422000033 |
| Provider Name | Alexandre D Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265845291 PECOS PAC ID: 3678815479 Enrollment ID: I20190426001314 |
| Provider Name | Tran T Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295218212 PECOS PAC ID: 1456693266 Enrollment ID: I20190426001597 |
| Provider Name | Kayla Elyse Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770054678 PECOS PAC ID: 9133461536 Enrollment ID: I20190506001253 |
| Provider Name | Luz Maria Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407890320 PECOS PAC ID: 3779826722 Enrollment ID: I20190515001933 |
| Provider Name | Ninos M Oda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992130405 PECOS PAC ID: 5092949461 Enrollment ID: I20190515002715 |
| Provider Name | Jason L Bourland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316232945 PECOS PAC ID: 8921303454 Enrollment ID: I20190520001657 |
| Provider Name | Arthur Philip Ratcliffe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972556710 PECOS PAC ID: 3971671777 Enrollment ID: I20190522003205 |
| Provider Name | Danny Yoonsang Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740568427 PECOS PAC ID: 2062755515 Enrollment ID: I20190523002788 |
| Provider Name | Punita Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841687928 PECOS PAC ID: 5698046944 Enrollment ID: I20190604001799 |
| Provider Name | Andrea Pribac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194172361 PECOS PAC ID: 6204169840 Enrollment ID: I20190613000379 |
| Provider Name | Eva M Fried |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326454463 PECOS PAC ID: 5193941045 Enrollment ID: I20190618001276 |
| Provider Name | Manasa Vulchi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760739296 PECOS PAC ID: 8224347901 Enrollment ID: I20190624000834 |
| Provider Name | Fen Jiang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831312289 PECOS PAC ID: 5092994863 Enrollment ID: I20190625001134 |
| Provider Name | Jennifer Cruz Alicbusan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619435815 PECOS PAC ID: 9739413600 Enrollment ID: I20190626002025 |
| Provider Name | Paolo Gabriel Jorge |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669891727 PECOS PAC ID: 2961758032 Enrollment ID: I20190627001187 |
| Provider Name | Laura Pestana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588002521 PECOS PAC ID: 3971743063 Enrollment ID: I20190703000623 |
| Provider Name | Michael F Mangahas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689053738 PECOS PAC ID: 3678808953 Enrollment ID: I20190709001291 |
| Provider Name | Anke-juliana Thiel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992981401 PECOS PAC ID: 7012242316 Enrollment ID: I20190709001669 |
| Provider Name | Toni Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205859311 PECOS PAC ID: 3274523238 Enrollment ID: I20190710001880 |
| Provider Name | Andrew Thuc Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134513047 PECOS PAC ID: 1658606876 Enrollment ID: I20190710003113 |
| Provider Name | Alison Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952468811 PECOS PAC ID: 2567648868 Enrollment ID: I20190712002310 |
| Provider Name | Andrew Joseph Merriman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467846444 PECOS PAC ID: 3870866833 Enrollment ID: I20190716000238 |
| Provider Name | Heesook Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679068845 PECOS PAC ID: 6204161961 Enrollment ID: I20190717002405 |
| Provider Name | Michael T Borrello |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265476857 PECOS PAC ID: 1254335672 Enrollment ID: I20190718001198 |
| Provider Name | Asad Julian Bedran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306200563 PECOS PAC ID: 4082940580 Enrollment ID: I20190722001478 |
| Provider Name | Michael James Glamore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033522842 PECOS PAC ID: 8921228206 Enrollment ID: I20190731000953 |
| Provider Name | Kevin Robert Grierson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154770048 PECOS PAC ID: 9638405384 Enrollment ID: I20190801002840 |
| Provider Name | Alex E Miner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285021220 PECOS PAC ID: 8325313448 Enrollment ID: I20190802002754 |
| Provider Name | Sonja Jane Halterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639533474 PECOS PAC ID: 5698063477 Enrollment ID: I20190814003482 |
| Provider Name | Amber Dawn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689231995 PECOS PAC ID: 2668700436 Enrollment ID: I20190819002037 |
| Provider Name | Thu Trang Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033698915 PECOS PAC ID: 5496083115 Enrollment ID: I20190820000852 |
| Provider Name | Anh Hoang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114380581 PECOS PAC ID: 0941538508 Enrollment ID: I20190821002026 |
| Provider Name | Eric J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801208707 PECOS PAC ID: 0042598989 Enrollment ID: I20190827002785 |
| Provider Name | Lisa Eileen Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619456449 PECOS PAC ID: 7113255159 Enrollment ID: I20190828003500 |
| Provider Name | Victor Babalola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942511480 PECOS PAC ID: 4587897814 Enrollment ID: I20190916003627 |
| Provider Name | Jaleesa Follens-jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255846796 PECOS PAC ID: 0345579306 Enrollment ID: I20190917001866 |
| Provider Name | Lina Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114457025 PECOS PAC ID: 0345508545 Enrollment ID: I20190919000227 |
| Provider Name | Anita Abhyankar Corradetti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952695207 PECOS PAC ID: 5698995983 Enrollment ID: I20190920002479 |
| Provider Name | Thomas Maxwell Fissenden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851682090 PECOS PAC ID: 6406147289 Enrollment ID: I20190925002093 |
| Provider Name | Simranjit Kaur Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396164356 PECOS PAC ID: 8123358652 Enrollment ID: I20190926001961 |
| Provider Name | Bryan K Nam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578925467 PECOS PAC ID: 7315278454 Enrollment ID: I20191003003541 |
| Provider Name | Tyler Scott Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629412937 PECOS PAC ID: 0446581516 Enrollment ID: I20191004000869 |
| Provider Name | Courtney A Rotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821370602 PECOS PAC ID: 0446581276 Enrollment ID: I20191009002487 |
| Provider Name | Richard Michael Jacoby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053353029 PECOS PAC ID: 3173610391 Enrollment ID: I20191010002966 |
| Provider Name | Danielle Elizabeth Curitore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831153394 PECOS PAC ID: 4385635978 Enrollment ID: I20191011002222 |
| Provider Name | Basit Rahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253071 PECOS PAC ID: 4284874942 Enrollment ID: I20191016001158 |
| Provider Name | Kraig K Wasik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851755649 PECOS PAC ID: 1951647528 Enrollment ID: I20191018000651 |
| Provider Name | Michelle Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780154187 PECOS PAC ID: 7113258344 Enrollment ID: I20191018001838 |
| Provider Name | Ji Yeon Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295189850 PECOS PAC ID: 0244562213 Enrollment ID: I20191023002651 |
| Provider Name | Daniel J Ochalek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407893399 PECOS PAC ID: 8527140722 Enrollment ID: I20191031001923 |
| Provider Name | Lamarr R Echols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770970139 PECOS PAC ID: 9739453283 Enrollment ID: I20191031002609 |
| Provider Name | Jeevan Singh Sall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457872244 PECOS PAC ID: 5496087728 Enrollment ID: I20191105003261 |
| Provider Name | Eveline S Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427058932 PECOS PAC ID: 8426052994 Enrollment ID: I20191118003052 |
| Provider Name | Paul Jie Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497105951 PECOS PAC ID: 7517251374 Enrollment ID: I20191121001453 |
| Provider Name | Patti S Giallanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043715444 PECOS PAC ID: 3072946490 Enrollment ID: I20191125002617 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20191212002972 |
| Provider Name | Stefanie F Zargarbashi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527692 PECOS PAC ID: 9638503014 Enrollment ID: I20191217002380 |
| Provider Name | Daniald M Rodrigues |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174767230 PECOS PAC ID: 7911178538 Enrollment ID: I20200109003008 |
| Provider Name | Rocio Valeria Lacayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912561416 PECOS PAC ID: 6305996729 Enrollment ID: I20200122000545 |
| Provider Name | Hiro Makino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467494732 PECOS PAC ID: 4688564792 Enrollment ID: I20200122001650 |
| Provider Name | Elizabeth Pointer Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497016711 PECOS PAC ID: 1951737543 Enrollment ID: I20200129002633 |
| Provider Name | Hussien Saab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245752500 PECOS PAC ID: 4082046446 Enrollment ID: I20200130000821 |
| Provider Name | Gelareh Renee Nikpour-heravi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013302876 PECOS PAC ID: 5799031688 Enrollment ID: I20200203001199 |
| Provider Name | Gurinder Sidhu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306031315 PECOS PAC ID: 8426134479 Enrollment ID: I20200204001361 |
| Provider Name | Renee Theresa Dettloff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285170951 PECOS PAC ID: 9931535226 Enrollment ID: I20200205000271 |
| Provider Name | Julianne Jacober |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336595677 PECOS PAC ID: 4486941846 Enrollment ID: I20200207000817 |
| Provider Name | Patricia Kelleher Tynan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462310 PECOS PAC ID: 4880020932 Enrollment ID: I20200207001899 |
| Provider Name | Vivian C Ogueli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881056349 PECOS PAC ID: 2769737691 Enrollment ID: I20200212001145 |
| Provider Name | Christopher J Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518074947 PECOS PAC ID: 6901855410 Enrollment ID: I20200217004203 |
| Provider Name | Tiffany Tuyet Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376059253 PECOS PAC ID: 4082976568 Enrollment ID: I20200219002580 |
| Provider Name | Phuong C Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265512982 PECOS PAC ID: 1759576242 Enrollment ID: I20200219002592 |
| Provider Name | Andrew E Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366895831 PECOS PAC ID: 1557798170 Enrollment ID: I20200220001819 |
| Provider Name | Dong Hum Yoon |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1477915767 PECOS PAC ID: 1850649385 Enrollment ID: I20200221002570 |
| Provider Name | Ronald Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437612538 PECOS PAC ID: 3173950854 Enrollment ID: I20200226002039 |
| Provider Name | Tuyet Ann Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578926622 PECOS PAC ID: 2466792353 Enrollment ID: I20200305001057 |
| Provider Name | Anna Teresa Brunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740828615 PECOS PAC ID: 4789012394 Enrollment ID: I20200313001597 |
| Provider Name | Sangita Deveshwar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710055256 PECOS PAC ID: 5698801769 Enrollment ID: I20200319000503 |
| Provider Name | Kiana Nouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487185096 PECOS PAC ID: 8022447317 Enrollment ID: I20200408001096 |
| Provider Name | James Brian Goldberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013974328 PECOS PAC ID: 1658353164 Enrollment ID: I20200420002240 |
| Provider Name | Alain D Broulard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134691215 PECOS PAC ID: 8921438185 Enrollment ID: I20200501000001 |
| Provider Name | James Joseph Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760483358 PECOS PAC ID: 2668560616 Enrollment ID: I20200504000627 |
| Provider Name | Helen B Kwak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235767112 PECOS PAC ID: 1759712367 Enrollment ID: I20200515000542 |
| Provider Name | Sarah Nicole Mcvay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255714952 PECOS PAC ID: 4082922620 Enrollment ID: I20200519001059 |
| Provider Name | Yoko Bean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366822025 PECOS PAC ID: 4284983115 Enrollment ID: I20200529002062 |
| Provider Name | Arati Pratap |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740228931 PECOS PAC ID: 7517902828 Enrollment ID: I20200602000839 |
| Provider Name | Grace M Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225670565 PECOS PAC ID: 1658792304 Enrollment ID: I20200604000974 |
| Provider Name | Catalina Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366073702 PECOS PAC ID: 1658792346 Enrollment ID: I20200604002526 |
| Provider Name | Maria B Patten |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073612552 PECOS PAC ID: 8224220249 Enrollment ID: I20200610002009 |
| Provider Name | Elham Najafpour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376938605 PECOS PAC ID: 7618278128 Enrollment ID: I20200612001210 |
| Provider Name | Laura Yu Blumenthal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912369950 PECOS PAC ID: 3678866324 Enrollment ID: I20200616001367 |
| Provider Name | Thomas Michael Kalinoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881128957 PECOS PAC ID: 7810319910 Enrollment ID: I20200618001712 |
| Provider Name | William Barto Parks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285797274 PECOS PAC ID: 8022430156 Enrollment ID: I20200618002543 |
| Provider Name | Bret Gorham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841797032 PECOS PAC ID: 3375965338 Enrollment ID: I20200619001260 |
| Provider Name | Erika Madrigal Hoyos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033323092 PECOS PAC ID: 9638349376 Enrollment ID: I20200622000463 |
| Provider Name | Nicholas Fiske Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144840786 PECOS PAC ID: 6406278431 Enrollment ID: I20200622001034 |
| Provider Name | Sarah Nichole Noppen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649533274 PECOS PAC ID: 5294979134 Enrollment ID: I20200624003315 |
| Provider Name | Erin E Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528690278 PECOS PAC ID: 9133541816 Enrollment ID: I20200625001978 |
| Provider Name | Courtney Keith White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831501089 PECOS PAC ID: 8224450887 Enrollment ID: I20200629000143 |
| Provider Name | Eric Hweegeun Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821520032 PECOS PAC ID: 6608298104 Enrollment ID: I20200629002144 |
| Provider Name | Abhinav Koul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700145661 PECOS PAC ID: 6608182472 Enrollment ID: I20200706000097 |
| Provider Name | Ayda Dashtaei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497146120 PECOS PAC ID: 4587974274 Enrollment ID: I20200707003407 |
| Provider Name | Benjamin Alan Cramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588191795 PECOS PAC ID: 7517235336 Enrollment ID: I20200708002919 |
| Provider Name | Shirin E Kasturia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689036600 PECOS PAC ID: 0042559072 Enrollment ID: I20200709002386 |
| Provider Name | Jae E Woo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083193635 PECOS PAC ID: 0345663241 Enrollment ID: I20200710002172 |
| Provider Name | Pamela Maur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427343532 PECOS PAC ID: 9234351214 Enrollment ID: I20200717002726 |
| Provider Name | Francis Joseph Amede |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528092723 PECOS PAC ID: 2567479579 Enrollment ID: I20200720000523 |
| Provider Name | Christina Anne Mcdowell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316153737 PECOS PAC ID: 8022119007 Enrollment ID: I20200720003323 |
| Provider Name | Susann Mischke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366067449 PECOS PAC ID: 0547684631 Enrollment ID: I20200722001765 |
| Provider Name | David A Reynolds |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467748558 PECOS PAC ID: 6709161227 Enrollment ID: I20200723000637 |
| Provider Name | Shara Marissa Yurkiewicz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356736425 PECOS PAC ID: 2567701865 Enrollment ID: I20200723002327 |
| Provider Name | Renshy Shih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760879852 PECOS PAC ID: 8224305495 Enrollment ID: I20200727002919 |
| Provider Name | Rajveer Singh Sangera |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003256546 PECOS PAC ID: 8224271564 Enrollment ID: I20200728001041 |
| Provider Name | Nadin A Faidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831542158 PECOS PAC ID: 3577988088 Enrollment ID: I20200730003398 |
| Provider Name | Elizabeth Ann Nieto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689020760 PECOS PAC ID: 0547685877 Enrollment ID: I20200804002455 |
| Provider Name | Bowen Jiang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053682971 PECOS PAC ID: 7416198874 Enrollment ID: I20200806000741 |
| Provider Name | James B Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699162024 PECOS PAC ID: 3779893938 Enrollment ID: I20200806001911 |
| Provider Name | Michael Leonce Pezold |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720377856 PECOS PAC ID: 3779908884 Enrollment ID: I20200806002468 |
| Provider Name | Sana Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093133290 PECOS PAC ID: 1850696709 Enrollment ID: I20200807000181 |
| Provider Name | Benjamin Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518915008 PECOS PAC ID: 1355359860 Enrollment ID: I20200810002854 |
| Provider Name | Morgan Johnson Harris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801053574 PECOS PAC ID: 6608024609 Enrollment ID: I20200813000620 |
| Provider Name | Bhumika Bharatkumar Sherdiwala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316331218 PECOS PAC ID: 7214243344 Enrollment ID: I20200813000674 |
| Provider Name | Yao Yao Guan Pollock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154692549 PECOS PAC ID: 2961798269 Enrollment ID: I20200813000703 |
| Provider Name | John Hu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649698127 PECOS PAC ID: 8022317056 Enrollment ID: I20200813002564 |
| Provider Name | Danielle Ogez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407201049 PECOS PAC ID: 3870919293 Enrollment ID: I20200817001461 |
| Provider Name | Fern Cudlip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922240183 PECOS PAC ID: 2769808856 Enrollment ID: I20200819004022 |
| Provider Name | Michelle Marie Coppel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740642701 PECOS PAC ID: 9537585633 Enrollment ID: I20200820000243 |
| Provider Name | Grey Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255863338 PECOS PAC ID: 8820321896 Enrollment ID: I20200820003624 |
| Provider Name | Travis M Neighbor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467908178 PECOS PAC ID: 0143646034 Enrollment ID: I20200824000778 |
| Provider Name | Jessica Maria Chan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275927485 PECOS PAC ID: 6103172440 Enrollment ID: I20200825001574 |
| Provider Name | Matea Orlovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194222745 PECOS PAC ID: 3072930494 Enrollment ID: I20200825001908 |
| Provider Name | Xinyu Nan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326458175 PECOS PAC ID: 7012289788 Enrollment ID: I20200826003439 |
| Provider Name | Amanda C Purdy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487181749 PECOS PAC ID: 8022435510 Enrollment ID: I20200828001582 |
| Provider Name | Laura Nunes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659734051 PECOS PAC ID: 4789919242 Enrollment ID: I20200902001580 |
| Provider Name | Alexandra B Edelman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700240249 PECOS PAC ID: 8820360597 Enrollment ID: I20200903000667 |
| Provider Name | Suzanne Yeomans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710330311 PECOS PAC ID: 0648698902 Enrollment ID: I20200908002453 |
| Provider Name | Michael Kuo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033593744 PECOS PAC ID: 0840618898 Enrollment ID: I20200908002920 |
| Provider Name | Hien Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902335904 PECOS PAC ID: 6002145869 Enrollment ID: I20200909002638 |
| Provider Name | Tanya L Villers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487153300 PECOS PAC ID: 1153683263 Enrollment ID: I20200918002172 |
| Provider Name | Austin Longberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336503416 PECOS PAC ID: 1153618095 Enrollment ID: I20200918002256 |
| Provider Name | Jing Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699208942 PECOS PAC ID: 7810315991 Enrollment ID: I20200922002790 |
| Provider Name | Polina Zhuzhina |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952947657 PECOS PAC ID: 9537588579 Enrollment ID: I20200924002658 |
| Provider Name | Kelsi Leigh Schoenrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427588755 PECOS PAC ID: 1456690197 Enrollment ID: I20200929001447 |
| Provider Name | Emmeline Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407395197 PECOS PAC ID: 7719306323 Enrollment ID: I20201001000859 |
| Provider Name | Cynthia Val Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679642821 PECOS PAC ID: 5799104139 Enrollment ID: I20201002002661 |
| Provider Name | Lacey Elizabeth Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043834302 PECOS PAC ID: 1850710245 Enrollment ID: I20201005001339 |
| Provider Name | Stephanie Victoria Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801428107 PECOS PAC ID: 5395164602 Enrollment ID: I20201005002900 |
| Provider Name | Herbert C Bazron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609803048 PECOS PAC ID: 3476584855 Enrollment ID: I20201023000528 |
| Provider Name | Anastacia Legaspi Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467985259 PECOS PAC ID: 9032481338 Enrollment ID: I20201027002546 |
| Provider Name | Gritz Pierre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215319140 PECOS PAC ID: 2961718259 Enrollment ID: I20201027002672 |
| Provider Name | Alejandra Razo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346722436 PECOS PAC ID: 6709217276 Enrollment ID: I20201106001411 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740714260 PECOS PAC ID: 0244640829 Enrollment ID: I20201110003384 |
| Provider Name | Charys Hayden-town |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629697883 PECOS PAC ID: 2062822414 Enrollment ID: I20201113001361 |
| Provider Name | Catherine Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295199552 PECOS PAC ID: 4688967052 Enrollment ID: I20201116003052 |
| Provider Name | Mengying Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235664301 PECOS PAC ID: 0749691897 Enrollment ID: I20201123000976 |
| Provider Name | Karen Hsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659733459 PECOS PAC ID: 5597001743 Enrollment ID: I20201208002766 |
| Provider Name | Irina Sofia Bratan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567922 PECOS PAC ID: 9436576402 Enrollment ID: I20201210001598 |
| Provider Name | Angela Belin Thurston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861733727 PECOS PAC ID: 6901122092 Enrollment ID: I20201211002241 |
| Provider Name | Brandi Marie Peroney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376144543 PECOS PAC ID: 6406268614 Enrollment ID: I20201211002512 |
| Provider Name | Manoj K Eapen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801892666 PECOS PAC ID: 3779579909 Enrollment ID: I20201214000129 |
| Provider Name | Tammy M Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861550865 PECOS PAC ID: 0244256196 Enrollment ID: I20201222001583 |
| Provider Name | Cindy Cam-phuoc Truong Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396347324 PECOS PAC ID: 4385056050 Enrollment ID: I20201222001776 |
| Provider Name | Nikki Anne Schuster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558776237 PECOS PAC ID: 7719399385 Enrollment ID: I20201224000468 |
| Provider Name | Seyedeh Maryam Bashiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477900850 PECOS PAC ID: 6305195439 Enrollment ID: I20210211002291 |
| Provider Name | Mahmoud Qasem Moammar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952500696 PECOS PAC ID: 9931282332 Enrollment ID: I20210216000893 |
| Provider Name | Amy Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174111967 PECOS PAC ID: 6305251711 Enrollment ID: I20210217001751 |
| Provider Name | Monica Cecilia Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225223472 PECOS PAC ID: 6800201146 Enrollment ID: I20210218000145 |
| Provider Name | Amit Banerjee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821529959 PECOS PAC ID: 4688089949 Enrollment ID: I20210218001121 |
| Provider Name | Shanaya Shailesh Suchak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316367121 PECOS PAC ID: 4789950924 Enrollment ID: I20210219001145 |
| Provider Name | Emad Kamal Abdel-fattah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164430872 PECOS PAC ID: 5294085528 Enrollment ID: I20210222002136 |
| Provider Name | Janet Jihyun Yi Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114309192 PECOS PAC ID: 7810302833 Enrollment ID: I20210224001067 |
| Provider Name | Shidong Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306371323 PECOS PAC ID: 1052727245 Enrollment ID: I20210312002271 |
| Provider Name | Sonja Abbassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225426851 PECOS PAC ID: 3577871177 Enrollment ID: I20210317001684 |
| Provider Name | Lorien Mary Paulson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902000839 PECOS PAC ID: 9739335944 Enrollment ID: I20210329001220 |
| Provider Name | Chris Uzodinma Okwuosa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114336260 PECOS PAC ID: 7315235207 Enrollment ID: I20210408001241 |
| Provider Name | Cynthia Neal Sepulveda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649819368 PECOS PAC ID: 6901214972 Enrollment ID: I20210413001782 |
| Provider Name | Amy Strouse |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164832721 PECOS PAC ID: 4486062288 Enrollment ID: I20210415001765 |
| Provider Name | Ahad Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477020246 PECOS PAC ID: 5991046799 Enrollment ID: I20210416000998 |
| Provider Name | Crystal Feliciano Sangalang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689130890 PECOS PAC ID: 7810305661 Enrollment ID: I20210416001134 |
| Provider Name | Brian Fischer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124190103 PECOS PAC ID: 4183851314 Enrollment ID: I20210511001563 |
| Provider Name | Erica J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013506740 PECOS PAC ID: 2062821390 Enrollment ID: I20210517001833 |
| Provider Name | Marie Antoinette Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255602470 PECOS PAC ID: 9436558749 Enrollment ID: I20210518002502 |
| Provider Name | Rodabeh H Mirian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942489026 PECOS PAC ID: 7810178431 Enrollment ID: I20210524000182 |
| Provider Name | John Lewis Eisenlohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386007011 PECOS PAC ID: 2567754153 Enrollment ID: I20210524001560 |
| Provider Name | Lorelei Joyce Repique Bietz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750357158 PECOS PAC ID: 9739105362 Enrollment ID: I20210524002389 |
| Provider Name | Becky Thai Muldoon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316272180 PECOS PAC ID: 5395976492 Enrollment ID: I20210526001171 |
| Provider Name | Stanly Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134556137 PECOS PAC ID: 8820497647 Enrollment ID: I20210527003051 |
| Provider Name | Deanna Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992186662 PECOS PAC ID: 8628323391 Enrollment ID: I20210602001153 |
| Provider Name | Alana Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447594965 PECOS PAC ID: 3971756594 Enrollment ID: I20210607001118 |
| Provider Name | Lily Chen |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1861819815 PECOS PAC ID: 4082905054 Enrollment ID: I20210614003458 |
| Provider Name | Kiffen Karress Sauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861060873 PECOS PAC ID: 8123429016 Enrollment ID: I20210629003498 |
| Provider Name | Hnoukaj A. Lyfoung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053774919 PECOS PAC ID: 8325332778 Enrollment ID: I20210707003773 |
| Provider Name | Chelsea Areck Dymond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790217511 PECOS PAC ID: 9335563568 Enrollment ID: I20210709002876 |
| Provider Name | Ommar Tin Hla |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942225511 PECOS PAC ID: 9638177322 Enrollment ID: I20210713000816 |
| Provider Name | Shelby Rae Booker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831626381 PECOS PAC ID: 5890066492 Enrollment ID: I20210713001134 |
| Provider Name | Michael R Whitmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508307927 PECOS PAC ID: 2668874678 Enrollment ID: I20210714000560 |
| Provider Name | Taryl Lynn Nothern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962773580 PECOS PAC ID: 5597167353 Enrollment ID: I20210715003390 |
| Provider Name | Erick Michael Westbroek |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720423791 PECOS PAC ID: 6608090105 Enrollment ID: I20210721000523 |
| Provider Name | Fady El-gabalawy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780068213 PECOS PAC ID: 6305249459 Enrollment ID: I20210727001587 |
| Provider Name | Sarah Lindsey Heitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316316920 PECOS PAC ID: 9931502093 Enrollment ID: I20210727001959 |
| Provider Name | Michael Erik Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790282903 PECOS PAC ID: 2961805056 Enrollment ID: I20210727003149 |
| Provider Name | Timothy Duy Tien Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578068219 PECOS PAC ID: 6507269529 Enrollment ID: I20210728000422 |
| Provider Name | Christina Buchanan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750818357 PECOS PAC ID: 2668875519 Enrollment ID: I20210729001425 |
| Provider Name | Teresa Doran Castro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316518384 PECOS PAC ID: 9234532094 Enrollment ID: I20210730002386 |
| Provider Name | Amir Najafi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992064950 PECOS PAC ID: 7012311723 Enrollment ID: I20210803001088 |
| Provider Name | Soo Yeun Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528565371 PECOS PAC ID: 0648674044 Enrollment ID: I20210806002050 |
| Provider Name | Sean Thomas Hickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104313097 PECOS PAC ID: 6901157346 Enrollment ID: I20210809002744 |
| Provider Name | Matthew Cadelago |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811490683 PECOS PAC ID: 9436407319 Enrollment ID: I20210809003703 |
| Provider Name | Christine Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962907808 PECOS PAC ID: 2860896842 Enrollment ID: I20210812003191 |
| Provider Name | Manuel Diaz Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932604261 PECOS PAC ID: 5395097992 Enrollment ID: I20210812003873 |
| Provider Name | Pamela Victoria Estrada Higa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922536721 PECOS PAC ID: 4486058344 Enrollment ID: I20210813003003 |
| Provider Name | Moriah Nicole Marie Edmundson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487195640 PECOS PAC ID: 9931504834 Enrollment ID: I20210816001563 |
| Provider Name | Joseph Hsiao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699139287 PECOS PAC ID: 0648607689 Enrollment ID: I20210816001981 |
| Provider Name | Lisa Michelle Crabtree |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154828747 PECOS PAC ID: 2163772799 Enrollment ID: I20210821000196 |
| Provider Name | Christopher Robertson Nyland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568982866 PECOS PAC ID: 1355747957 Enrollment ID: I20210907003429 |
| Provider Name | Julia Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205332392 PECOS PAC ID: 1759788847 Enrollment ID: I20210915003197 |
| Provider Name | Abram Paul Beshay |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356874218 PECOS PAC ID: 7618221771 Enrollment ID: I20210916001379 |
| Provider Name | Patrick James Bachoura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205330818 PECOS PAC ID: 3173920154 Enrollment ID: I20210916003432 |
| Provider Name | Patrick Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124409719 PECOS PAC ID: 5799092367 Enrollment ID: I20210923000584 |
| Provider Name | Abdul Said Fazel Abdali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104319771 PECOS PAC ID: 2466859897 Enrollment ID: I20210927003252 |
| Provider Name | Subaila Zia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649479866 PECOS PAC ID: 3173795531 Enrollment ID: I20210928000599 |
| Provider Name | Svetlana Yagudayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811193808 PECOS PAC ID: 0840697256 Enrollment ID: I20210928002986 |
| Provider Name | Arman Pirzad |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1346699667 PECOS PAC ID: 3577858331 Enrollment ID: I20210929002515 |
| Provider Name | Joshua Miyoji Sugino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407322654 PECOS PAC ID: 5890115364 Enrollment ID: I20210929003900 |
| Provider Name | Amit Karmur |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700134830 PECOS PAC ID: 0547667735 Enrollment ID: I20211001000194 |
| Provider Name | Prabhat Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629573365 PECOS PAC ID: 9638413909 Enrollment ID: I20211006001918 |
| Provider Name | Simon O Stampe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407219546 PECOS PAC ID: 9638464993 Enrollment ID: I20211006003272 |
| Provider Name | Jack Robert Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881181386 PECOS PAC ID: 3779981626 Enrollment ID: I20211007002335 |
| Provider Name | Madelaine Marie Greacen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881182624 PECOS PAC ID: 1850799701 Enrollment ID: I20211007002361 |
| Provider Name | Nancy Said Armanious |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952898744 PECOS PAC ID: 9335547702 Enrollment ID: I20211015000726 |
| Provider Name | Vince Patrick Cacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477759371 PECOS PAC ID: 5890966071 Enrollment ID: I20211019002875 |
| Provider Name | Jessica Nah-hyung Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477086866 PECOS PAC ID: 4284022039 Enrollment ID: I20211027001541 |
| Provider Name | Michael Christopher Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003472085 PECOS PAC ID: 5092103887 Enrollment ID: I20211027003021 |
| Provider Name | Yulius Mustafa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356416366 PECOS PAC ID: 6709859598 Enrollment ID: I20211028001957 |
| Provider Name | Nicolle Andreea Pacifico |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740708098 PECOS PAC ID: 3072901578 Enrollment ID: I20211103000829 |
| Provider Name | Hillary Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720630049 PECOS PAC ID: 0648609685 Enrollment ID: I20211103002051 |
| Provider Name | Danny Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336644129 PECOS PAC ID: 2860881208 Enrollment ID: I20211105001086 |
| Provider Name | Linda M Towle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407809668 PECOS PAC ID: 0840102141 Enrollment ID: I20211105002154 |
| Provider Name | Benjamin Aaron Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134750474 PECOS PAC ID: 0042622854 Enrollment ID: I20211109001749 |
| Provider Name | Megan Christie Modenos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821585993 PECOS PAC ID: 9032508858 Enrollment ID: I20211117001965 |
| Provider Name | Akram Mesleh Shayeb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861784993 PECOS PAC ID: 1658510318 Enrollment ID: I20211124001761 |
| Provider Name | Vrinda S Bhasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740660133 PECOS PAC ID: 7719310952 Enrollment ID: I20211207001232 |
| Provider Name | Kenneth Paolo Dagdag Lising |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003465105 PECOS PAC ID: 9931599834 Enrollment ID: I20211208002719 |
| Provider Name | Molly Petrine Burges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316280662 PECOS PAC ID: 6709149677 Enrollment ID: I20211208003160 |
| Provider Name | Kaitlin Mika Masatsugu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790445781 PECOS PAC ID: 7618369257 Enrollment ID: I20220112000140 |
| Provider Name | Scott Richard Vaudrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649944687 PECOS PAC ID: 3971518671 Enrollment ID: I20220113002277 |
| Provider Name | Anders John Davidson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881957694 PECOS PAC ID: 9830493535 Enrollment ID: I20220114002049 |
| Provider Name | Tejshri J Gohel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558828178 PECOS PAC ID: 8426440850 Enrollment ID: I20220117000531 |
| Provider Name | Amy Jiang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376935478 PECOS PAC ID: 8729393442 Enrollment ID: I20220121002040 |
| Provider Name | Trang Thi Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356013924 PECOS PAC ID: 8123411816 Enrollment ID: I20220201001478 |
| Provider Name | Anthony Alexander Anagnostou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427450568 PECOS PAC ID: 7113275306 Enrollment ID: I20220203002060 |
| Provider Name | Douglas Francis Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649699737 PECOS PAC ID: 6103114004 Enrollment ID: I20220207001628 |
| Provider Name | Maria Victoria Valdez Potes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053945220 PECOS PAC ID: 3072907922 Enrollment ID: I20220218001795 |
| Provider Name | Ladouglas J Suber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265788483 PECOS PAC ID: 0446517239 Enrollment ID: I20220228002418 |
| Provider Name | Tannaz Raaz Farighi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518196 PECOS PAC ID: 3971997172 Enrollment ID: I20220304000976 |
| Provider Name | Daisy Ariana Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569878 PECOS PAC ID: 7214342195 Enrollment ID: I20220321001402 |
| Provider Name | Luke Bolek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508992470 PECOS PAC ID: 8022102904 Enrollment ID: I20220321002631 |
| Provider Name | Yee Chi Christina Chen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417402025 PECOS PAC ID: 4981099017 Enrollment ID: I20220328000600 |
| Provider Name | Rita V Alvarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427304120 PECOS PAC ID: 6608170279 Enrollment ID: I20220405000767 |
| Provider Name | Hannah Huong Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821488735 PECOS PAC ID: 7012292170 Enrollment ID: I20220414001592 |
| Provider Name | Diana Corea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770199788 PECOS PAC ID: 2860889029 Enrollment ID: I20220419000396 |
| Provider Name | Emanuelle Vasconcelos B Borba Pontual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245988161 PECOS PAC ID: 0345637484 Enrollment ID: I20220420001361 |
| Provider Name | Amit Raina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316138142 PECOS PAC ID: 9436242807 Enrollment ID: I20220502001044 |
| Provider Name | Lisa Yoensil Yoon Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447866132 PECOS PAC ID: 5698152338 Enrollment ID: I20220518000737 |
| Provider Name | Jankee Bipin Pandya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366962854 PECOS PAC ID: 7719364470 Enrollment ID: I20220518001400 |
| Provider Name | Selina Danielle Sladics |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023768033 PECOS PAC ID: 1456738095 Enrollment ID: I20220519001683 |
| Provider Name | Haleh Dejam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275107310 PECOS PAC ID: 8325426661 Enrollment ID: I20220527001664 |
| Provider Name | Sherwin Abdoli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508386442 PECOS PAC ID: 7214357052 Enrollment ID: I20220621000940 |
| Provider Name | Rohit Anand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902243025 PECOS PAC ID: 1850528449 Enrollment ID: I20220623002363 |
| Provider Name | Charles Brandsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214763 PECOS PAC ID: 1557627718 Enrollment ID: I20220624002604 |
| Provider Name | Ammar Dahodwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699279067 PECOS PAC ID: 7214316983 Enrollment ID: I20220627001865 |
| Provider Name | Colette Shiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508325382 PECOS PAC ID: 9931529179 Enrollment ID: I20220707001752 |
| Provider Name | Prashant Jolepalem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174835003 PECOS PAC ID: 2860623360 Enrollment ID: I20220715002348 |
| Provider Name | Selyna Belle Mcgeown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851908321 PECOS PAC ID: 9638550080 Enrollment ID: I20220718001143 |
| Provider Name | Diana Myrna Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396321998 PECOS PAC ID: 5597173880 Enrollment ID: I20220725001081 |
| Provider Name | Malhar Anantbhai Jhaveri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982167508 PECOS PAC ID: 2062747215 Enrollment ID: I20220725001738 |
| Provider Name | Sean Edward Purtell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609432434 PECOS PAC ID: 2062893852 Enrollment ID: I20220726001276 |
| Provider Name | Robina Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003265745 PECOS PAC ID: 5496047680 Enrollment ID: I20220726002600 |
| Provider Name | Alexandra C Lambeck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235698002 PECOS PAC ID: 8729468517 Enrollment ID: I20220727000930 |
| Provider Name | Matthew Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346709102 PECOS PAC ID: 1254713704 Enrollment ID: I20220801001921 |
| Provider Name | Sweta Chekuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841584273 PECOS PAC ID: 5294957197 Enrollment ID: I20220803002786 |
| Provider Name | Teresa Lynn Lurie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245418730 PECOS PAC ID: 0345623021 Enrollment ID: I20220812000662 |
| Provider Name | Claire Faith Kenney Clifton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851952386 PECOS PAC ID: 8426383647 Enrollment ID: I20220812002488 |
| Provider Name | Christine L Coy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245218437 PECOS PAC ID: 6901289537 Enrollment ID: I20220815003399 |
| Provider Name | Ai-vy H Bui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821557984 PECOS PAC ID: 7719360296 Enrollment ID: I20220816002008 |
| Provider Name | Leeza Suzanne Camacho Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326470683 PECOS PAC ID: 7618350190 Enrollment ID: I20220816002022 |
| Provider Name | Samantha Marie Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578135679 PECOS PAC ID: 1850774357 Enrollment ID: I20220816002729 |
| Provider Name | Johan Forslund |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982138665 PECOS PAC ID: 8325421670 Enrollment ID: I20220818002146 |
| Provider Name | Clelia Alexandra Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295294163 PECOS PAC ID: 7012390388 Enrollment ID: I20220818002740 |
| Provider Name | Thong Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063866572 PECOS PAC ID: 4688967573 Enrollment ID: I20220818003463 |
| Provider Name | Mitch Biermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033671292 PECOS PAC ID: 1052794252 Enrollment ID: I20220822001411 |
| Provider Name | Chelsea Pham-wightman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326608944 PECOS PAC ID: 0042546608 Enrollment ID: I20220826002178 |
| Provider Name | Jacqueline Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710540802 PECOS PAC ID: 2466788153 Enrollment ID: I20220831002009 |
| Provider Name | Racine Howard Cobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821724691 PECOS PAC ID: 1850775487 Enrollment ID: I20220831002535 |
| Provider Name | G. Alden Holmes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689177453 PECOS PAC ID: 1052795598 Enrollment ID: I20220831003231 |
| Provider Name | Debbie Vongviwat |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316502792 PECOS PAC ID: 4385028893 Enrollment ID: I20220901001949 |
| Provider Name | Caren Vanderpool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720668262 PECOS PAC ID: 2567846926 Enrollment ID: I20220902000378 |
| Provider Name | Danielle Marie Cress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164053989 PECOS PAC ID: 4688058993 Enrollment ID: I20220906003085 |
| Provider Name | Saba Bagewadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588059059 PECOS PAC ID: 0840523155 Enrollment ID: I20220907003772 |
| Provider Name | Christina Malaina Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710618236 PECOS PAC ID: 4880078088 Enrollment ID: I20220907003861 |
| Provider Name | David L Capaccio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457355364 PECOS PAC ID: 9739131228 Enrollment ID: I20220912001779 |
| Provider Name | Drumil Premal Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679033625 PECOS PAC ID: 7113302084 Enrollment ID: I20220913001235 |
| Provider Name | Johnny Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801356290 PECOS PAC ID: 6800126657 Enrollment ID: I20220914000916 |
| Provider Name | Dwayne F Yee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891422416 PECOS PAC ID: 5597140327 Enrollment ID: I20220915000708 |
| Provider Name | Christian Snow Pingree |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801259957 PECOS PAC ID: 1052674694 Enrollment ID: I20220919000241 |
| Provider Name | Gisele Kabbach |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255795076 PECOS PAC ID: 1951641521 Enrollment ID: I20220920002023 |
| Provider Name | Maggie Szeto Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811622913 PECOS PAC ID: 0547645954 Enrollment ID: I20220921003493 |
| Provider Name | Benjamin Neil Hunter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972952703 PECOS PAC ID: 8123310869 Enrollment ID: I20220928000666 |
| Provider Name | Parvita Paresh Panchal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730683145 PECOS PAC ID: 0840540977 Enrollment ID: I20220928002912 |
| Provider Name | Katelyn Leslie Minyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932841335 PECOS PAC ID: 5890171763 Enrollment ID: I20220929001521 |
| Provider Name | Madiha Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437413648 PECOS PAC ID: 5597059600 Enrollment ID: I20221004001742 |
| Provider Name | Quinn Tetsuro Fujii |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255894200 PECOS PAC ID: 5991181588 Enrollment ID: I20221005002005 |
| Provider Name | Roger K Ng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407992076 PECOS PAC ID: 7214179977 Enrollment ID: I20221005003376 |
| Provider Name | Jeoung S Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306324850 PECOS PAC ID: 0244616647 Enrollment ID: I20221010000547 |
| Provider Name | Erin Kathleen Fee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518321918 PECOS PAC ID: 8921392093 Enrollment ID: I20221013001841 |
| Provider Name | Ahmad Shariftabrizi |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1053727313 PECOS PAC ID: 5092085928 Enrollment ID: I20221018000716 |
| Provider Name | Deborah Marchino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700122124 PECOS PAC ID: 3173769445 Enrollment ID: I20221020003031 |
| Provider Name | Yama Ahmad Afshar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003378415 PECOS PAC ID: 6103292693 Enrollment ID: I20221025002617 |
| Provider Name | Natalia Nemkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629574934 PECOS PAC ID: 3870969231 Enrollment ID: I20221026002538 |
| Provider Name | Jonathan Maw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174184386 PECOS PAC ID: 2769864636 Enrollment ID: I20221107003015 |
| Provider Name | Gbenga Adeyemi Shogbesan |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1588169171 PECOS PAC ID: 5193105963 Enrollment ID: I20221130000890 |
| Provider Name | Richard Bao Nghiem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588129209 PECOS PAC ID: 6002285475 Enrollment ID: I20221206002739 |
| Provider Name | Loretta Marie Alimam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336856608 PECOS PAC ID: 6608245634 Enrollment ID: I20221213002049 |
| Provider Name | Juwono Lindawati Sutedjo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114072980 PECOS PAC ID: 9638319015 Enrollment ID: I20221214000247 |
| Provider Name | Ashley N Ramirez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306451802 PECOS PAC ID: 5597134445 Enrollment ID: I20221215001149 |
| Provider Name | Simone Everett Tolmie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104572007 PECOS PAC ID: 3779952486 Enrollment ID: I20221219002068 |
| Provider Name | Kattie Lynn Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346951894 PECOS PAC ID: 4981074242 Enrollment ID: I20221230001594 |
| Provider Name | Sai Himanshu Tanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770204075 PECOS PAC ID: 0345610622 Enrollment ID: I20230102000124 |
| Provider Name | Nicoya N Pucci |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841916145 PECOS PAC ID: 4688044761 Enrollment ID: I20230106000169 |
| Provider Name | Anne Bernadette Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942935705 PECOS PAC ID: 9931579968 Enrollment ID: I20230106002665 |
| Provider Name | Karla Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942818240 PECOS PAC ID: 2163833641 Enrollment ID: I20230112000016 |
| Provider Name | Laura Bretado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215675178 PECOS PAC ID: 5092186635 Enrollment ID: I20230119000443 |
| Provider Name | Shamail Sarmad Tariq |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033370358 PECOS PAC ID: 3375840218 Enrollment ID: I20230119001508 |
| Provider Name | James Edward Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810309 PECOS PAC ID: 0648559070 Enrollment ID: I20230120002243 |
| Provider Name | Cori Lee Chastain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265143416 PECOS PAC ID: 1951772342 Enrollment ID: I20230123001303 |
| Provider Name | Arif M Rohilla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821086182 PECOS PAC ID: 4486606670 Enrollment ID: I20230124000849 |
| Provider Name | Emanuel Lopez-perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356970875 PECOS PAC ID: 4486025319 Enrollment ID: I20230131003639 |
| Provider Name | Renee Trang Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003526187 PECOS PAC ID: 6305217282 Enrollment ID: I20230201001624 |
| Provider Name | Moses Christadoss Rajasingh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801808266 PECOS PAC ID: 2062595135 Enrollment ID: I20230202002170 |
| Provider Name | Carla Darlene Maria Betters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700258472 PECOS PAC ID: 8123490919 Enrollment ID: I20230203000839 |
| Provider Name | Tali H. Arik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295755734 PECOS PAC ID: 1658331459 Enrollment ID: I20230206003070 |
| Provider Name | Cindy Cantt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285345793 PECOS PAC ID: 2163894486 Enrollment ID: I20230215001623 |
| Provider Name | Victor Olexandrobych Nekrasov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619368461 PECOS PAC ID: 8224400288 Enrollment ID: I20230221001247 |
| Provider Name | Donna Mirote Siazon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946618 PECOS PAC ID: 2365837390 Enrollment ID: I20230221002836 |
| Provider Name | Kabou Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053025197 PECOS PAC ID: 9739552761 Enrollment ID: I20230222001536 |
| Provider Name | Hachem Nasri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235576893 PECOS PAC ID: 5799168100 Enrollment ID: I20230227001519 |
| Provider Name | Praful Balkrishna Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396760575 PECOS PAC ID: 5698955938 Enrollment ID: I20230228000292 |
| Provider Name | Shannon Marie Setter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447970793 PECOS PAC ID: 0244603694 Enrollment ID: I20230306000694 |
| Provider Name | Janny Nguyen Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932816626 PECOS PAC ID: 6204209521 Enrollment ID: I20230307000549 |
| Provider Name | Allan Lee Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699235259 PECOS PAC ID: 5991179657 Enrollment ID: I20230320001160 |
| Provider Name | Melissa Sue Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326758517 PECOS PAC ID: 4385018019 Enrollment ID: I20230321001579 |
| Provider Name | Hanna Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447911284 PECOS PAC ID: 7214302272 Enrollment ID: I20230405002554 |
| Provider Name | Dylan Erik Wessman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851362933 PECOS PAC ID: 8325269251 Enrollment ID: I20230413002329 |
| Provider Name | Vipul Jindal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427571983 PECOS PAC ID: 3375889694 Enrollment ID: I20230419002372 |
| Provider Name | Tatum Kimberly Koukladas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275245631 PECOS PAC ID: 8123483138 Enrollment ID: I20230426002279 |
| Provider Name | Yamama Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684370 PECOS PAC ID: 5799044087 Enrollment ID: I20230510002287 |
| Provider Name | Brenda Elisa Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639875982 PECOS PAC ID: 0749646917 Enrollment ID: I20230512000925 |
| Provider Name | Tarasa Katrin Quintanilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275259814 PECOS PAC ID: 9739545401 Enrollment ID: I20230523000586 |
| Provider Name | Bianca Desiree Di Marzio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386357358 PECOS PAC ID: 0345607685 Enrollment ID: I20230601001700 |
| Provider Name | Lucas Raymond King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114216421 PECOS PAC ID: 8527346071 Enrollment ID: I20230605001553 |
| Provider Name | Aaron Kime |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841635869 PECOS PAC ID: 9638460090 Enrollment ID: I20230630000299 |
| Provider Name | Jessica Tekla Les |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487898334 PECOS PAC ID: 4486875945 Enrollment ID: I20230710002842 |
| Provider Name | Patricia Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124739537 PECOS PAC ID: 6002275872 Enrollment ID: I20230711003977 |
| Provider Name | Ashley Dawn Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801422894 PECOS PAC ID: 4284094038 Enrollment ID: I20230712002617 |
| Provider Name | Veronica Janell Bolanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391454 PECOS PAC ID: 1153781604 Enrollment ID: I20230717001026 |
| Provider Name | Andrew Thua Thang Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356978944 PECOS PAC ID: 8022478106 Enrollment ID: I20230720003171 |
| Provider Name | Daniel Kasey Estrada |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346655396 PECOS PAC ID: 4587991443 Enrollment ID: I20230725002427 |
| Provider Name | Snehamayi Ramayanam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952925588 PECOS PAC ID: 3072974955 Enrollment ID: I20230726000386 |
| Provider Name | Nathan Steven Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861698656 PECOS PAC ID: 9537599253 Enrollment ID: I20230727002890 |
| Provider Name | Joshua Joseph Loya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710372701 PECOS PAC ID: 1456626456 Enrollment ID: I20230728001863 |
| Provider Name | Swaminadhan Gnanashanmugam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073765517 PECOS PAC ID: 2668805912 Enrollment ID: I20230801003299 |
| Provider Name | Milad Najar Ranjbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285258194 PECOS PAC ID: 3173984416 Enrollment ID: I20230802001902 |
| Provider Name | Amina Ramadan Larbah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326667213 PECOS PAC ID: 8729449046 Enrollment ID: I20230803000965 |
| Provider Name | James Van Phan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407482490 PECOS PAC ID: 2264835651 Enrollment ID: I20230803003473 |
| Provider Name | Johnathan Emad Agil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700413002 PECOS PAC ID: 4284056680 Enrollment ID: I20230804001646 |
| Provider Name | Alicia White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578847034 PECOS PAC ID: 1951649219 Enrollment ID: I20230814003730 |
| Provider Name | Jailene Jimenez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669139713 PECOS PAC ID: 2264894716 Enrollment ID: I20230815002167 |
| Provider Name | Mustafa Faisal Mustafa Douglas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164032447 PECOS PAC ID: 0143682658 Enrollment ID: I20230816000353 |
| Provider Name | Gloria Morgan Morrow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598126336 PECOS PAC ID: 7810359296 Enrollment ID: I20230816004011 |
| Provider Name | Billy C Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871087957 PECOS PAC ID: 2264788934 Enrollment ID: I20230817001011 |
| Provider Name | Edward Barrows |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578539169 PECOS PAC ID: 0446337570 Enrollment ID: I20230817001606 |
| Provider Name | Hamza Aksu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902442635 PECOS PAC ID: 5193187433 Enrollment ID: I20230817002198 |
| Provider Name | Matthew Rikio Murayama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700463635 PECOS PAC ID: 3678935707 Enrollment ID: I20230822000000 |
| Provider Name | Christine Renee Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285260216 PECOS PAC ID: 7719381904 Enrollment ID: I20230823000902 |
| Provider Name | Sara Songhee Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346876349 PECOS PAC ID: 6901269869 Enrollment ID: I20230825001905 |
| Provider Name | Ethlene Evette Dade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417649013 PECOS PAC ID: 9133582646 Enrollment ID: I20230831001545 |
| Provider Name | Lisa Dao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114422730 PECOS PAC ID: 5294165692 Enrollment ID: I20230831002187 |
| Provider Name | Alfredo Manuel Portillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639852635 PECOS PAC ID: 4183087513 Enrollment ID: I20230831002966 |
| Provider Name | Jeremy Joseph Feck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851920904 PECOS PAC ID: 9133535214 Enrollment ID: I20230901001721 |
| Provider Name | Shelby Christine Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851911911 PECOS PAC ID: 5890158018 Enrollment ID: I20230905003344 |
| Provider Name | Charlene Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447888375 PECOS PAC ID: 4082038039 Enrollment ID: I20230908003234 |
| Provider Name | Lauren Mamaril Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194345116 PECOS PAC ID: 2567826498 Enrollment ID: I20230912000680 |
| Provider Name | Surin Alice Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992332878 PECOS PAC ID: 4082078621 Enrollment ID: I20230914001865 |
| Provider Name | Emily Du |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669933552 PECOS PAC ID: 3678973393 Enrollment ID: I20230919001295 |
| Provider Name | Songchi Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346864709 PECOS PAC ID: 8820411127 Enrollment ID: I20230921002251 |
| Provider Name | Kristi Kwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255960308 PECOS PAC ID: 3173939451 Enrollment ID: I20230929001398 |
| Provider Name | Christopher Atkinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093013260 PECOS PAC ID: 5294021887 Enrollment ID: I20231002002785 |
| Provider Name | Ruby Banuelos Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902379985 PECOS PAC ID: 8022355783 Enrollment ID: I20231003003280 |
| Provider Name | Samuel Jin-sue Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336777812 PECOS PAC ID: 9436504891 Enrollment ID: I20231005000914 |
| Provider Name | Christopher Disimone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861461147 PECOS PAC ID: 3779519228 Enrollment ID: I20231006001405 |
| Provider Name | Elizabeth Spence Kozak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184078685 PECOS PAC ID: 4789966045 Enrollment ID: I20231006001470 |
| Provider Name | Daisy Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063933489 PECOS PAC ID: 5991150161 Enrollment ID: I20231006002845 |
| Provider Name | Htay Phyu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972946259 PECOS PAC ID: 0547555146 Enrollment ID: I20231009003167 |
| Provider Name | Paulina Isabel Almarosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366730004 PECOS PAC ID: 8022463025 Enrollment ID: I20231011002147 |
| Provider Name | Ramir William Cayanan Geluz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922622851 PECOS PAC ID: 1658726518 Enrollment ID: I20231012001188 |
| Provider Name | Victor L Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093159410 PECOS PAC ID: 8628438900 Enrollment ID: I20231012003236 |
| Provider Name | Manlio Sinai Hernandez-castillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093334385 PECOS PAC ID: 0547616922 Enrollment ID: I20231020001127 |
| Provider Name | Lilian Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730717737 PECOS PAC ID: 0840646212 Enrollment ID: I20231023000819 |
| Provider Name | Tsz Man Tong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679192934 PECOS PAC ID: 6406279306 Enrollment ID: I20231025001500 |
| Provider Name | Gamze Kircalioglu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528632692 PECOS PAC ID: 1052767126 Enrollment ID: I20231025002501 |
| Provider Name | Roxanna Pourmirzaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881187151 PECOS PAC ID: 5193114171 Enrollment ID: I20231030003333 |
| Provider Name | Melody Gozie Opene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871961938 PECOS PAC ID: 5193172781 Enrollment ID: I20231102003609 |
| Provider Name | Laura Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619593126 PECOS PAC ID: 5698193084 Enrollment ID: I20231108000439 |
| Provider Name | Pammeli M. Carlos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649777624 PECOS PAC ID: 9830546902 Enrollment ID: I20231110000911 |
| Provider Name | Joseph Thomas Lapenna |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1154828465 PECOS PAC ID: 1153669635 Enrollment ID: I20231111000675 |
| Provider Name | Sage Juliet Fanucchi-funes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841964293 PECOS PAC ID: 7113374083 Enrollment ID: I20231114003292 |
| Provider Name | Vincent Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710513684 PECOS PAC ID: 5193172914 Enrollment ID: I20231115002439 |
| Provider Name | Therese Grace Sumague Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851929111 PECOS PAC ID: 2062823651 Enrollment ID: I20231121003286 |
| Provider Name | Shenoda Yousef Azmy Abd Elmaseh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194348656 PECOS PAC ID: 7012365547 Enrollment ID: I20231122000958 |
| Provider Name | Gretchen Marie Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932721487 PECOS PAC ID: 8426406794 Enrollment ID: I20231127002428 |
| Provider Name | Maryha Irm Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235662826 PECOS PAC ID: 3072853548 Enrollment ID: I20231128003317 |
| Provider Name | Laura A Cosenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376852467 PECOS PAC ID: 8426239179 Enrollment ID: I20231130003688 |
| Provider Name | Prativa Rajbhandari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659628667 PECOS PAC ID: 8729398250 Enrollment ID: I20231205002620 |
| Provider Name | Isabel Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003262510 PECOS PAC ID: 6002109956 Enrollment ID: I20231206002862 |
| Provider Name | Kate Erin Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043848732 PECOS PAC ID: 2668821364 Enrollment ID: I20231206002956 |
| Provider Name | Guadalupe Alfaro Cabrera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972062065 PECOS PAC ID: 6800245531 Enrollment ID: I20231206004375 |
| Provider Name | Maria D Giraldo Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851075865 PECOS PAC ID: 0446609861 Enrollment ID: I20231211003364 |
| Provider Name | Su Lat Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013537422 PECOS PAC ID: 7416306634 Enrollment ID: I20231213003552 |
| Provider Name | Minh Trang Thi Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841827409 PECOS PAC ID: 7719336635 Enrollment ID: I20231218000554 |
| Provider Name | April Elizabeth Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215714183 PECOS PAC ID: 7012367949 Enrollment ID: I20231219000974 |
| Provider Name | Padma Shivani Aluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992325526 PECOS PAC ID: 4587082029 Enrollment ID: I20231228002538 |
| Provider Name | Erin Margaret Nelli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487869129 PECOS PAC ID: 1951471242 Enrollment ID: I20231229000519 |
| Provider Name | Christian John Posner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518028497 PECOS PAC ID: 1658355565 Enrollment ID: I20231229000654 |
| Provider Name | Michelle Flores |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013189448 PECOS PAC ID: 4587014626 Enrollment ID: I20240102001612 |
| Provider Name | Lizbeth Eliana Rosas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891025862 PECOS PAC ID: 2466802434 Enrollment ID: I20240103002404 |
| Provider Name | Jazmin Elizabeth Vargas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841657020 PECOS PAC ID: 8628429248 Enrollment ID: I20240109000465 |
| Provider Name | Betty Avery |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417489733 PECOS PAC ID: 7618328030 Enrollment ID: I20240110003305 |
| Provider Name | Tina Marie Ortiz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063539567 PECOS PAC ID: 4880045970 Enrollment ID: I20240112003730 |
| Provider Name | Mary Josephine Mosier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477916609 PECOS PAC ID: 8820440902 Enrollment ID: I20240115001558 |
| Provider Name | Alysha Mai Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831605575 PECOS PAC ID: 1254784317 Enrollment ID: I20240125002031 |
| Provider Name | Martha Patricia Banuelos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710413356 PECOS PAC ID: 1557714581 Enrollment ID: I20240125004810 |
| Provider Name | Wayne Philip Lenz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629003421 PECOS PAC ID: 3173427200 Enrollment ID: I20240127000408 |
| Provider Name | Maria Campos Landa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417251133 PECOS PAC ID: 6406209907 Enrollment ID: I20240131004476 |
| Provider Name | Blake Daly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568148336 PECOS PAC ID: 6002279809 Enrollment ID: I20240205004299 |
| Provider Name | Charlotte Grace Hargrave |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467150862 PECOS PAC ID: 9234573569 Enrollment ID: I20240214004149 |
| Provider Name | Nishanta Bikram Baidya |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1700142726 PECOS PAC ID: 2668601303 Enrollment ID: I20240216001598 |
| Provider Name | Verina Salib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972377067 PECOS PAC ID: 5092159145 Enrollment ID: I20240216003573 |
| Provider Name | Jaime Filtzkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356690549 PECOS PAC ID: 4486948205 Enrollment ID: I20240216003976 |
| Provider Name | Ian Christopher Hopper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396206587 PECOS PAC ID: 3173906278 Enrollment ID: I20240308000002 |
| Provider Name | Alexandria Shantaye Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326526989 PECOS PAC ID: 8123464997 Enrollment ID: I20240314003629 |
| Provider Name | Joshua Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831969856 PECOS PAC ID: 9537505375 Enrollment ID: I20240318002819 |
| Provider Name | Hollynn Frances Wilcox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487271359 PECOS PAC ID: 3577901586 Enrollment ID: I20240409003627 |
| Provider Name | Kaye Sicat Alpasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245098821 PECOS PAC ID: 7618315607 Enrollment ID: I20240410001437 |
| Provider Name | Maria Leonor Haydis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174105969 PECOS PAC ID: 9436598091 Enrollment ID: I20240415003614 |
| Provider Name | Scott Daniel Flamm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265422604 PECOS PAC ID: 9830195551 Enrollment ID: I20240416001438 |
| Provider Name | Cody Lee Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319642 PECOS PAC ID: 8224462718 Enrollment ID: I20240416001797 |
| Provider Name | Robert Lindsay Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659427243 PECOS PAC ID: 5991877284 Enrollment ID: I20240417002170 |
| Provider Name | Walter Louis Seale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720033459 PECOS PAC ID: 5890693048 Enrollment ID: I20240418001910 |
| Provider Name | Lisa Sara Polon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366879967 PECOS PAC ID: 6305285529 Enrollment ID: I20240419001876 |
| Provider Name | Christina Nachita Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669903274 PECOS PAC ID: 7517307408 Enrollment ID: I20240425001121 |
| Provider Name | Surinder Singh Moonga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851898019 PECOS PAC ID: 2062764285 Enrollment ID: I20240426003378 |
| Provider Name | Svetlana Lemza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871949040 PECOS PAC ID: 9931549623 Enrollment ID: I20240429001417 |
| Provider Name | William Michael Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780663468 PECOS PAC ID: 5193625333 Enrollment ID: I20240429003087 |
| Provider Name | Christina Yong Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295592293 PECOS PAC ID: 3870934987 Enrollment ID: I20240507002558 |
| Provider Name | John Hyo Keun Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841878550 PECOS PAC ID: 5193166601 Enrollment ID: I20240515002663 |
| Provider Name | Casey E Weiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730742586 PECOS PAC ID: 2668715160 Enrollment ID: I20240528003570 |
| Provider Name | Jiayang Xiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518546118 PECOS PAC ID: 4880136464 Enrollment ID: I20240611002089 |
| Provider Name | Gurpreet Kaur Shires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225535685 PECOS PAC ID: 5294088530 Enrollment ID: I20240618001874 |
| Provider Name | Matthew Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851701320 PECOS PAC ID: 1456894104 Enrollment ID: I20240621002992 |
| Provider Name | Kimberlee Kristen Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386403020 PECOS PAC ID: 1850835992 Enrollment ID: I20240701002111 |
| Provider Name | Ariana Marie Valenton Berta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497595367 PECOS PAC ID: 6103361753 Enrollment ID: I20240708004207 |
| Provider Name | Ryan Michael Mchenry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023685625 PECOS PAC ID: 9335590942 Enrollment ID: I20240709000472 |
| Provider Name | Darius Roohani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124607379 PECOS PAC ID: 8426593237 Enrollment ID: I20240716002514 |
| Provider Name | Marcelina Perez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588160022 PECOS PAC ID: 2264978659 Enrollment ID: I20240722002449 |
| Provider Name | Curtis Patrick Flaherty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447876008 PECOS PAC ID: 7719309541 Enrollment ID: I20240723004391 |
| Provider Name | Jeremy Ryan Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679004691 PECOS PAC ID: 5991043796 Enrollment ID: I20240724001282 |
| Provider Name | Andrew Paul Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427639863 PECOS PAC ID: 8729487509 Enrollment ID: I20240731001986 |
| Provider Name | Rochelle Macapagal Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831933290 PECOS PAC ID: 3678010618 Enrollment ID: I20240807004308 |
| Provider Name | Beatrice Arlene Brumley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134689474 PECOS PAC ID: 9830509553 Enrollment ID: I20240812003916 |
| Provider Name | Maria Guadalupe Diosdado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700628385 PECOS PAC ID: 5092253757 Enrollment ID: I20240813004336 |
| Provider Name | Mark Mousa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104497684 PECOS PAC ID: 3476955287 Enrollment ID: I20240817000625 |
| Provider Name | Bradley Sean Neutel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104482389 PECOS PAC ID: 2466990775 Enrollment ID: I20240819001032 |
| Provider Name | Sean Thomas Creegan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437738671 PECOS PAC ID: 5698213700 Enrollment ID: I20240820001078 |
| Provider Name | Gabrielle Evan Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932945995 PECOS PAC ID: 7012455140 Enrollment ID: I20240820002107 |
| Provider Name | Brian The Lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093396483 PECOS PAC ID: 4789075532 Enrollment ID: I20240820004509 |
| Provider Name | Umair Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659833416 PECOS PAC ID: 7911445945 Enrollment ID: I20240821001603 |
| Provider Name | Elianna Esther Sternfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396325536 PECOS PAC ID: 9436698438 Enrollment ID: I20240821005191 |
| Provider Name | Hannah Alexandria Knox |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629562749 PECOS PAC ID: 2062899818 Enrollment ID: I20240823000317 |
| Provider Name | David Ray Vierra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467030619 PECOS PAC ID: 8628477718 Enrollment ID: I20240906003037 |
| Provider Name | Tyler Murdock Macrae |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033746649 PECOS PAC ID: 9133570864 Enrollment ID: I20240909004302 |
| Provider Name | Belinda Sue Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508218314 PECOS PAC ID: 2365739760 Enrollment ID: I20240909004346 |
| Provider Name | Mariam Moosa Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689243321 PECOS PAC ID: 8729528351 Enrollment ID: I20240910004216 |
| Provider Name | Christin Jane Tee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023687365 PECOS PAC ID: 1456891894 Enrollment ID: I20240911003700 |
| Provider Name | Jordan Taylor Rode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982100145 PECOS PAC ID: 7416353487 Enrollment ID: I20240911003894 |
| Provider Name | Murtaza Ismail Bharmal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164951307 PECOS PAC ID: 5496024119 Enrollment ID: I20240917002626 |
| Provider Name | Brian Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265094247 PECOS PAC ID: 6507191475 Enrollment ID: I20240918002837 |
| Provider Name | Tien-ching Tammy Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041347 PECOS PAC ID: 4183958580 Enrollment ID: I20240918004702 |
| Provider Name | Tamisha P Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407605819 PECOS PAC ID: 3971044520 Enrollment ID: I20240923001897 |
| Provider Name | Shruti Ria Dasgupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023647138 PECOS PAC ID: 5092256578 Enrollment ID: I20240924003477 |
| Provider Name | Eddie Wilcox Shum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619559226 PECOS PAC ID: 0446791941 Enrollment ID: I20240924004429 |
| Provider Name | Shruthi Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154902195 PECOS PAC ID: 6305387721 Enrollment ID: I20240925000743 |
| Provider Name | Crystal Teresa Fame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588246284 PECOS PAC ID: 5294276598 Enrollment ID: I20240925004462 |
| Provider Name | Misha Sharif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376123596 PECOS PAC ID: 3971901711 Enrollment ID: I20240926002299 |
| Provider Name | Kim Ngan Ngoc Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518491836 PECOS PAC ID: 1850637083 Enrollment ID: I20241001003855 |
| Provider Name | Riana Kaur Sandhar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851955207 PECOS PAC ID: 1951732353 Enrollment ID: I20241003002401 |
| Provider Name | Pengyi Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558941948 PECOS PAC ID: 1759812522 Enrollment ID: I20241003002470 |
| Provider Name | Melvin Kantono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508442955 PECOS PAC ID: 4082145768 Enrollment ID: I20241004002804 |
| Provider Name | So La Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194285965 PECOS PAC ID: 3870980808 Enrollment ID: I20241008003765 |
| Provider Name | Karoline Cheng Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255918231 PECOS PAC ID: 4880126275 Enrollment ID: I20241009004226 |
| Provider Name | Kimberly Hilleen Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053188136 PECOS PAC ID: 6002348679 Enrollment ID: I20241021002823 |
| Provider Name | Jeremy John Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013271592 PECOS PAC ID: 9638603327 Enrollment ID: I20241118002835 |
| Provider Name | Sadia Bashir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821668898 PECOS PAC ID: 1951836691 Enrollment ID: I20241119001131 |
| Provider Name | Janelle Renee Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356983068 PECOS PAC ID: 1456784586 Enrollment ID: I20241119003757 |
| Provider Name | Arvin Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790422111 PECOS PAC ID: 1153856216 Enrollment ID: I20241126001934 |
| Provider Name | Xinhe Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225871577 PECOS PAC ID: 1658806419 Enrollment ID: I20241203001862 |
| Provider Name | Adaligza Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144810953 PECOS PAC ID: 6406382258 Enrollment ID: I20241204001204 |
| Provider Name | Min Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326788860 PECOS PAC ID: 8022495514 Enrollment ID: I20241206000268 |
| Provider Name | Leah Victoria Heinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043934482 PECOS PAC ID: 4688015027 Enrollment ID: I20241215000072 |
| Provider Name | Christopher Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568297943 PECOS PAC ID: 5991234056 Enrollment ID: I20250120000286 |
| Provider Name | Thomas Joseph Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720349061 PECOS PAC ID: 4183856214 Enrollment ID: I20250129000571 |
| Provider Name | Samuel D Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770010027 PECOS PAC ID: 8527336148 Enrollment ID: I20250219003377 |
| Provider Name | Augustina Teresa Jancic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760205017 PECOS PAC ID: 3375063225 Enrollment ID: I20250221001144 |
| Provider Name | Jeffrey D Rediger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871525675 PECOS PAC ID: 8729094024 Enrollment ID: I20250303003051 |
| Provider Name | Katia Fausto Elizalde |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093529398 PECOS PAC ID: 5991226789 Enrollment ID: I20250310002023 |
| Provider Name | Danielle Marie Sheehy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134932569 PECOS PAC ID: 6709307242 Enrollment ID: I20250312003512 |
| Provider Name | Frank Robert Skobel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700220357 PECOS PAC ID: 8628356623 Enrollment ID: I20250318000618 |
| Provider Name | Jennifer Siembida Beretsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164800215 PECOS PAC ID: 4789984808 Enrollment ID: I20250318001867 |
| Provider Name | Maica Cherlcie De Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255086443 PECOS PAC ID: 9436594728 Enrollment ID: I20250331000000 |
| Provider Name | Mitchell Scott Collman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962454884 PECOS PAC ID: 0749268043 Enrollment ID: I20250402001279 |
| Provider Name | Amanda Leigh Twardzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427634153 PECOS PAC ID: 3173932217 Enrollment ID: I20250403000871 |
| Provider Name | Ramya Krishna Rao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336535699 PECOS PAC ID: 2365754389 Enrollment ID: I20250409000499 |
| Provider Name | Heather Lynn Maine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689472342 PECOS PAC ID: 7719401876 Enrollment ID: I20250410000500 |
| Provider Name | Nathan Dario Brinckhaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508156910 PECOS PAC ID: 1355560541 Enrollment ID: I20250416002044 |
| Provider Name | Kristine Sunga Catacutan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629862362 PECOS PAC ID: 9335665736 Enrollment ID: I20250429002022 |
| Provider Name | Pouran Malekzadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033643424 PECOS PAC ID: 9335545177 Enrollment ID: I20250501000003 |
| Provider Name | Jessica Chung Mac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326561382 PECOS PAC ID: 8628594728 Enrollment ID: I20250501002504 |
| Provider Name | Gigi Michelle Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235430166 PECOS PAC ID: 6204019110 Enrollment ID: I20250515001397 |
| Provider Name | Shannon Briana Kearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699572776 PECOS PAC ID: 8527586973 Enrollment ID: I20250519003192 |
| Provider Name | Jonathan Daniel Fosbre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306203195 PECOS PAC ID: 6608174024 Enrollment ID: I20250523000907 |
| Provider Name | Miguel Ernesto Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982445383 PECOS PAC ID: 0042720658 Enrollment ID: I20250611002779 |
Alaa Hajal Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Grand Ave Ste L, Diamond Bar, CA 91765 Phone: 909-551-0205 Fax: 909-345-7084 | |
Angeles Del Sol Calaim Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 626-322-2777 | |
Steve Li Chan Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1106 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-612-5835 Fax: 909-612-5836 | |
Oasis Center For Interventional Psychiatry Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765 Phone: 909-895-5800 | |
Yu Care Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 877-860-1717 | |
Yeyongshin Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Grand Ave Ste J, Diamond Bar, CA 91765 Phone: 909-306-4102 | |
Ole A. Heggeness, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21015 Pathfinder Rd, 100, Diamond Bar, CA 91765 Phone: 909-861-3511 |