| Uci Family Health Center - Anaheim | |
|
2441 W La Palma Ave Anaheim CA 92801-2658 | |
| (657) 282-6356 | |
| Not Available |
| Full Name | Uci Family Health Center - Anaheim |
|---|---|
| Speciality | Clinic/Center |
| Location | 2441 W La Palma Ave, Anaheim, California |
| Authorized Official Name and Position | Gina Churchill (REIMBURSEMENT DIRECTOR) |
| Authorized Official Contact | 7145096266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uci Family Health Center - Anaheim 1500 S Douglass Rd #200, Rt 183 Anaheim CA 92806-6912 Ph: (714) 509-6299 | Uci Family Health Center - Anaheim 2441 W La Palma Ave Anaheim CA 92801-2658 Ph: (657) 282-6356 |
| NPI Number | 1598790529 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/21/2020 |
| Medicare PECOS PAC ID | 5395658181 |
|---|---|
| Medicare Enrollment ID | O20031107000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598790529 | NPI | - | NPPES |
| HAP11874F | Medicaid | CA | |
| ZZT12120F | Medicaid | CA | |
| BCP11874F | Medicaid | CA | |
| FHC70104F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | EXEMPT (California) | Primary |
| Provider Name | Danphuong H Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831279991 PECOS PAC ID: 5991619033 Enrollment ID: I20031113000640 |
| Provider Name | Cynthia A Cork |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134229602 PECOS PAC ID: 2163326067 Enrollment ID: I20031121000758 |
| Provider Name | Leticia C Oliveros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912087156 PECOS PAC ID: 3274431325 Enrollment ID: I20031226000335 |
| Provider Name | Donna G Baick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700898988 PECOS PAC ID: 3476444530 Enrollment ID: I20040320000409 |
| Provider Name | Carol A Major |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285676148 PECOS PAC ID: 4385636695 Enrollment ID: I20040330000643 |
| Provider Name | Hien T Nghiem |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689754855 PECOS PAC ID: 5890773832 Enrollment ID: I20040707001555 |
| Provider Name | Marianita A Raymundo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043390297 PECOS PAC ID: 3870573504 Enrollment ID: I20040722001427 |
| Provider Name | Camille Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619059896 PECOS PAC ID: 8325093982 Enrollment ID: I20050316000493 |
| Provider Name | Rita L Ceja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033201496 PECOS PAC ID: 7214983147 Enrollment ID: I20050323001426 |
| Provider Name | Lamia Kadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942366638 PECOS PAC ID: 7517905664 Enrollment ID: I20050420000387 |
| Provider Name | Lowell J Kleinman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407875941 PECOS PAC ID: 8729024302 Enrollment ID: I20050705000961 |
| Provider Name | Louis Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669407102 PECOS PAC ID: 1658307152 Enrollment ID: I20050715000771 |
| Provider Name | Azita Mesbah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184670630 PECOS PAC ID: 7810880671 Enrollment ID: I20050729000989 |
| Provider Name | Huy T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578657847 PECOS PAC ID: 1759311426 Enrollment ID: I20050812001020 |
| Provider Name | Jaesu Han |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104802149 PECOS PAC ID: 0345274494 Enrollment ID: I20050919001049 |
| Provider Name | Jeesun Nam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437226362 PECOS PAC ID: 9234163437 Enrollment ID: I20050926001095 |
| Provider Name | Naghmeh S Salamat-saberi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558441709 PECOS PAC ID: 8729007513 Enrollment ID: I20051122000857 |
| Provider Name | Judith H Chung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689629495 PECOS PAC ID: 7810917036 Enrollment ID: I20051202000563 |
| Provider Name | Lucille L Lemus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912910647 PECOS PAC ID: 8921020389 Enrollment ID: I20051228000619 |
| Provider Name | Andreea A Nanci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508813098 PECOS PAC ID: 0244253797 Enrollment ID: I20060110001079 |
| Provider Name | Khosrow Mahdavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275536773 PECOS PAC ID: 2062435506 Enrollment ID: I20060113000958 |
| Provider Name | Alpesh N Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457394801 PECOS PAC ID: 1254393960 Enrollment ID: I20061017000244 |
| Provider Name | Marc A Lerner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477662351 PECOS PAC ID: 2860499613 Enrollment ID: I20061108000723 |
| Provider Name | Christine May Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982671533 PECOS PAC ID: 5597764670 Enrollment ID: I20061219000311 |
| Provider Name | Tabetha R Harken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821100983 PECOS PAC ID: 7810099256 Enrollment ID: I20070302000447 |
| Provider Name | Kathryn M Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598845638 PECOS PAC ID: 0941306781 Enrollment ID: I20070510000544 |
| Provider Name | David K Morohashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821178088 PECOS PAC ID: 6204932056 Enrollment ID: I20070510000559 |
| Provider Name | Antoinette M Marengo Barbick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144200718 PECOS PAC ID: 8224124003 Enrollment ID: I20071010000467 |
| Provider Name | Michael D Prislin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871673012 PECOS PAC ID: 5496842031 Enrollment ID: I20071030000316 |
| Provider Name | Hanh-uyen Nguyen-tang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851588156 PECOS PAC ID: 8426138108 Enrollment ID: I20080108000193 |
| Provider Name | Charles P Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427152016 PECOS PAC ID: 7618058322 Enrollment ID: I20080119000148 |
| Provider Name | Emily E Dow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275613317 PECOS PAC ID: 1951483338 Enrollment ID: I20080123000873 |
| Provider Name | Cecilia A Florio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770663825 PECOS PAC ID: 1759336308 Enrollment ID: I20080131000713 |
| Provider Name | Susanne J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538167861 PECOS PAC ID: 3577649698 Enrollment ID: I20080328000463 |
| Provider Name | Fred M Malkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225118482 PECOS PAC ID: 0345328811 Enrollment ID: I20080423000770 |
| Provider Name | Michael L Krychman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982689725 PECOS PAC ID: 2264524446 Enrollment ID: I20080429000919 |
| Provider Name | Varalakshmi Y Reddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760562912 PECOS PAC ID: 0446329569 Enrollment ID: I20080515000394 |
| Provider Name | Jennifer A Jolley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235313867 PECOS PAC ID: 0941373435 Enrollment ID: I20080716000517 |
| Provider Name | David B Kilgore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528150109 PECOS PAC ID: 7517940836 Enrollment ID: I20081015000440 |
| Provider Name | Tamera J Hatfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033390331 PECOS PAC ID: 2163580416 Enrollment ID: I20081015000520 |
| Provider Name | Jose Mayorga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295925154 PECOS PAC ID: 9335200674 Enrollment ID: I20081205000185 |
| Provider Name | Susan M Tiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336259126 PECOS PAC ID: 5294897203 Enrollment ID: I20081230000312 |
| Provider Name | Cynthia H Sholly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255411401 PECOS PAC ID: 6406919414 Enrollment ID: I20090116000051 |
| Provider Name | Jihyun Jang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558537118 PECOS PAC ID: 1557424587 Enrollment ID: I20090116000203 |
| Provider Name | Lynette Bui Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164674503 PECOS PAC ID: 1355405978 Enrollment ID: I20090127000323 |
| Provider Name | Jay S.h. Masserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598743510 PECOS PAC ID: 6901963305 Enrollment ID: I20090331000133 |
| Provider Name | Vinita J Speir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558542837 PECOS PAC ID: 7214082999 Enrollment ID: I20090901000623 |
| Provider Name | Tan Q Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942468525 PECOS PAC ID: 3476699281 Enrollment ID: I20091008000435 |
| Provider Name | Nina N Vadecha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568610483 PECOS PAC ID: 1951443852 Enrollment ID: I20100114000671 |
| Provider Name | Antoine Mourra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447278296 PECOS PAC ID: 1759416795 Enrollment ID: I20100510000535 |
| Provider Name | Hanh T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558516476 PECOS PAC ID: 0547391542 Enrollment ID: I20100707000486 |
| Provider Name | Marli A Amin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629257530 PECOS PAC ID: 5193857779 Enrollment ID: I20100716000574 |
| Provider Name | Elizabeth Ann Blumenthal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164759916 PECOS PAC ID: 9638201825 Enrollment ID: I20100723000599 |
| Provider Name | Aaron J Epstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134371743 PECOS PAC ID: 4082747746 Enrollment ID: I20100802000168 |
| Provider Name | Candice E Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376742973 PECOS PAC ID: 5991838146 Enrollment ID: I20100809000683 |
| Provider Name | Tonya Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158649 PECOS PAC ID: 1456485309 Enrollment ID: I20100816000081 |
| Provider Name | David Sabet |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538294996 PECOS PAC ID: 8729164884 Enrollment ID: I20100927000426 |
| Provider Name | Robert Carroll |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295875854 PECOS PAC ID: 8123058435 Enrollment ID: I20101005000142 |
| Provider Name | Hien T Tran |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487851408 PECOS PAC ID: 0345391504 Enrollment ID: I20101007000303 |
| Provider Name | Sudhir Gupta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1811077969 PECOS PAC ID: 1658457023 Enrollment ID: I20101021001391 |
| Provider Name | Brian Somoano |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245422658 PECOS PAC ID: 8729272315 Enrollment ID: I20101027001071 |
| Provider Name | Paul R Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568442671 PECOS PAC ID: 0648373274 Enrollment ID: I20101130000368 |
| Provider Name | Penny R Murata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700966967 PECOS PAC ID: 9032391503 Enrollment ID: I20110305000047 |
| Provider Name | Geoffrey Ku Kenyota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437309275 PECOS PAC ID: 9931381779 Enrollment ID: I20110315000704 |
| Provider Name | Vivian T Laquer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164656229 PECOS PAC ID: 6800072612 Enrollment ID: I20110512000089 |
| Provider Name | Pamela R Kushner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871670828 PECOS PAC ID: 6800088782 Enrollment ID: I20111121000939 |
| Provider Name | Pai-wen Sheen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942212139 PECOS PAC ID: 7113194077 Enrollment ID: I20120117000408 |
| Provider Name | Heidi Nmi Goodarzi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386849958 PECOS PAC ID: 2264690718 Enrollment ID: I20120618000516 |
| Provider Name | Sam V Truong |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841516689 PECOS PAC ID: 3072764711 Enrollment ID: I20121106000596 |
| Provider Name | Christopher A Kroner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477785681 PECOS PAC ID: 6901057090 Enrollment ID: I20121120000199 |
| Provider Name | Christina Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770830499 PECOS PAC ID: 2769634849 Enrollment ID: I20121219000109 |
| Provider Name | Baotran Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356661235 PECOS PAC ID: 6901048958 Enrollment ID: I20130805000362 |
| Provider Name | Lili Sheibani Wei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417101668 PECOS PAC ID: 5698921591 Enrollment ID: I20130823000029 |
| Provider Name | John W Hann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689968224 PECOS PAC ID: 2567697451 Enrollment ID: I20131031000224 |
| Provider Name | Yongen Chang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932490034 PECOS PAC ID: 2769617331 Enrollment ID: I20131107000370 |
| Provider Name | Tiffany K Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639519473 PECOS PAC ID: 4880825561 Enrollment ID: I20140321000991 |
| Provider Name | Candice E Whealon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790830404 PECOS PAC ID: 5991938318 Enrollment ID: I20140508001499 |
| Provider Name | Laura E Fitzmaurice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982865044 PECOS PAC ID: 9133303761 Enrollment ID: I20140527000754 |
| Provider Name | Janet C Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164578795 PECOS PAC ID: 2365568771 Enrollment ID: I20140625002365 |
| Provider Name | Mary N Zaki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346565611 PECOS PAC ID: 3072738376 Enrollment ID: I20140630000862 |
| Provider Name | Cindy T Chau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699080598 PECOS PAC ID: 6305061359 Enrollment ID: I20140707000981 |
| Provider Name | Hong T Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295022259 PECOS PAC ID: 3779708557 Enrollment ID: I20140710002592 |
| Provider Name | Anna M Halbeisen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801044862 PECOS PAC ID: 3072766203 Enrollment ID: I20140811002845 |
| Provider Name | Rachel A Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063686376 PECOS PAC ID: 9931357795 Enrollment ID: I20140812001254 |
| Provider Name | Hai N Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952447914 PECOS PAC ID: 6800014416 Enrollment ID: I20140822002361 |
| Provider Name | Betzy K Salcedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013202589 PECOS PAC ID: 8820218654 Enrollment ID: I20140930000994 |
| Provider Name | Leah T Riha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558629097 PECOS PAC ID: 9739301805 Enrollment ID: I20141106000072 |
| Provider Name | Maureen C Ries |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750544516 PECOS PAC ID: 4385809961 Enrollment ID: I20141119002748 |
| Provider Name | Rebecca Afiba Arthur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619174844 PECOS PAC ID: 6204150543 Enrollment ID: I20150115001161 |
| Provider Name | Prajakta A Deshpande |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760576094 PECOS PAC ID: 8729078134 Enrollment ID: I20150205002363 |
| Provider Name | Changnin Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427239128 PECOS PAC ID: 8022334077 Enrollment ID: I20150310001203 |
| Provider Name | Pei Lin N Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003101569 PECOS PAC ID: 0749507119 Enrollment ID: I20150324000159 |
| Provider Name | Erica P Wu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518272566 PECOS PAC ID: 7719204031 Enrollment ID: I20150326000663 |
| Provider Name | Rachel M Sirignano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952691370 PECOS PAC ID: 2668790312 Enrollment ID: I20150409001912 |
| Provider Name | Jessica C Mangonon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962769968 PECOS PAC ID: 0547580599 Enrollment ID: I20150515000001 |
| Provider Name | Robert Johnston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003194853 PECOS PAC ID: 5890006696 Enrollment ID: I20150619002373 |
| Provider Name | Brian Y Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033404645 PECOS PAC ID: 6507177193 Enrollment ID: I20150623003107 |
| Provider Name | Jill K Alldredge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558653451 PECOS PAC ID: 2860703469 Enrollment ID: I20150624000254 |
| Provider Name | Anjani Kolahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306103791 PECOS PAC ID: 2466765425 Enrollment ID: I20150720002034 |
| Provider Name | Justin T Diedrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396978037 PECOS PAC ID: 3476780495 Enrollment ID: I20150812007096 |
| Provider Name | Elana M Craemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750645289 PECOS PAC ID: 0143535054 Enrollment ID: I20150820010655 |
| Provider Name | Rosa M Bribiesca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871679613 PECOS PAC ID: 5294983169 Enrollment ID: I20150918002375 |
| Provider Name | Yasser M Giron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073878922 PECOS PAC ID: 5799093795 Enrollment ID: I20150924000922 |
| Provider Name | Valerie Thi Van |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932585866 PECOS PAC ID: 7113235854 Enrollment ID: I20150930001383 |
| Provider Name | Sonia Dutta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841599255 PECOS PAC ID: 8123270709 Enrollment ID: I20151229002505 |
| Provider Name | Tina A Abolhassani Bloomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043382666 PECOS PAC ID: 0648596437 Enrollment ID: I20160309002126 |
| Provider Name | Rebecca M Sauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083973283 PECOS PAC ID: 8729385182 Enrollment ID: I20160330000301 |
| Provider Name | Juliet Elizabeth Wolford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497002232 PECOS PAC ID: 3971810920 Enrollment ID: I20160420001576 |
| Provider Name | Nicole Annmarie Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376903724 PECOS PAC ID: 1850690785 Enrollment ID: I20160427002470 |
| Provider Name | Melissa E Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629439567 PECOS PAC ID: 2769781566 Enrollment ID: I20160428002293 |
| Provider Name | Neha Talreja Sudol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891055075 PECOS PAC ID: 6608175328 Enrollment ID: I20160502002041 |
| Provider Name | Lynn Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447330501 PECOS PAC ID: 0648569541 Enrollment ID: I20160517000364 |
| Provider Name | Vanessa Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700230059 PECOS PAC ID: 9537459102 Enrollment ID: I20160609002508 |
| Provider Name | Lindsey Elaine Ford |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1437418290 PECOS PAC ID: 3779874243 Enrollment ID: I20160614001872 |
| Provider Name | Angela C Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982075792 PECOS PAC ID: 1658662648 Enrollment ID: I20160622001406 |
| Provider Name | Hung-hsin M Yen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548605348 PECOS PAC ID: 2567770050 Enrollment ID: I20160705000854 |
| Provider Name | Melissa L Westermann |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1760730758 PECOS PAC ID: 3173831187 Enrollment ID: I20160706002034 |
| Provider Name | Alexa J Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194168724 PECOS PAC ID: 6709104656 Enrollment ID: I20160804001492 |
| Provider Name | Jason A Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083051700 PECOS PAC ID: 1557673266 Enrollment ID: I20160919001955 |
| Provider Name | Jula K Inrig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740393743 PECOS PAC ID: 8921000548 Enrollment ID: I20161020002015 |
| Provider Name | Jenna K Timboe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114362894 PECOS PAC ID: 1658689161 Enrollment ID: I20161021001556 |
| Provider Name | Rebekah J Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912342916 PECOS PAC ID: 4789992397 Enrollment ID: I20161026003228 |
| Provider Name | Ja Young Seo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336691377 PECOS PAC ID: 2264711126 Enrollment ID: I20161116001905 |
| Provider Name | Jeffrey Duc Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942610969 PECOS PAC ID: 4486934205 Enrollment ID: I20161213000357 |
| Provider Name | Hillary S Zieve |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831500131 PECOS PAC ID: 3971801457 Enrollment ID: I20170511001729 |
| Provider Name | Misha Lovin Khalighi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801215694 PECOS PAC ID: 9931323219 Enrollment ID: I20170725003925 |
| Provider Name | Diana Cholakian Pearre |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659714475 PECOS PAC ID: 5799056271 Enrollment ID: I20170801003234 |
| Provider Name | Taylor J Brueseke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821304882 PECOS PAC ID: 9830315316 Enrollment ID: I20170807000097 |
| Provider Name | Kristen K Buono |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1245573039 PECOS PAC ID: 7517259278 Enrollment ID: I20170808000541 |
| Provider Name | Jamie Botelho Patterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922447242 PECOS PAC ID: 3971811936 Enrollment ID: I20170824000868 |
| Provider Name | Jennifer Y Duffy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841631801 PECOS PAC ID: 2860700846 Enrollment ID: I20170829001379 |
| Provider Name | Jeffrey S Arroyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780064055 PECOS PAC ID: 0446534531 Enrollment ID: I20170829004316 |
| Provider Name | Hoang Anh N Nguyen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407147440 PECOS PAC ID: 3870868730 Enrollment ID: I20171003007948 |
| Provider Name | Pina J Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528479821 PECOS PAC ID: 1456659507 Enrollment ID: I20171114001277 |
| Provider Name | Megan Mary Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740623420 PECOS PAC ID: 6800167990 Enrollment ID: I20171130000816 |
| Provider Name | Elizabeth A Symanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538471222 PECOS PAC ID: 4183982812 Enrollment ID: I20171229000185 |
| Provider Name | Cynthia L Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881646917 PECOS PAC ID: 5496944704 Enrollment ID: I20180105000376 |
| Provider Name | John Aldrich N Alejandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891242293 PECOS PAC ID: 2264700343 Enrollment ID: I20180212001256 |
| Provider Name | M Baraa Allaf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336375534 PECOS PAC ID: 8426290248 Enrollment ID: I20180322001995 |
| Provider Name | Lisa Martin Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386087112 PECOS PAC ID: 8921230616 Enrollment ID: I20180410002290 |
| Provider Name | Robert C Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841618634 PECOS PAC ID: 6204129315 Enrollment ID: I20180425001142 |
| Provider Name | Carolyn Elizabeth Haunschild |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1912319880 PECOS PAC ID: 3173887445 Enrollment ID: I20180514002796 |
| Provider Name | Kiran H Clair |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629481908 PECOS PAC ID: 9931480019 Enrollment ID: I20180515001136 |
| Provider Name | Kailyne Ashe Van Stavern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841678232 PECOS PAC ID: 5799057220 Enrollment ID: I20180515002497 |
| Provider Name | Stephanie Grace Abinoja Raymundo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003294455 PECOS PAC ID: 1254603566 Enrollment ID: I20180515002955 |
| Provider Name | Cindy F Sihotang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720466154 PECOS PAC ID: 0446522973 Enrollment ID: I20180517002525 |
| Provider Name | Sarah Jeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710306899 PECOS PAC ID: 6204191257 Enrollment ID: I20180523000835 |
| Provider Name | Gregory R Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326426842 PECOS PAC ID: 4880966282 Enrollment ID: I20180601001012 |
| Provider Name | Elizabeth T Patberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881014983 PECOS PAC ID: 2264736537 Enrollment ID: I20180711001278 |
| Provider Name | Carol Peckham Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235324062 PECOS PAC ID: 5991747552 Enrollment ID: I20180712003526 |
| Provider Name | Michelle Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801199104 PECOS PAC ID: 8022366947 Enrollment ID: I20180808002335 |
| Provider Name | Lisa Jo Camino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801077706 PECOS PAC ID: 9830448331 Enrollment ID: I20180823001755 |
| Provider Name | Virginia A Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548735715 PECOS PAC ID: 9234476425 Enrollment ID: I20190125001680 |
| Provider Name | My Phuong Thi Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659878882 PECOS PAC ID: 8729328745 Enrollment ID: I20190328001704 |
| Provider Name | Amanda Marie Schafenacker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346603461 PECOS PAC ID: 0345595229 Enrollment ID: I20190604000986 |
| Provider Name | Vanessa Yu-wen Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699138511 PECOS PAC ID: 9638426562 Enrollment ID: I20190620001209 |
| Provider Name | Kimberly Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144635848 PECOS PAC ID: 0648504779 Enrollment ID: I20190624003326 |
| Provider Name | Karen P. Brandeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336426840 PECOS PAC ID: 2668706391 Enrollment ID: I20190628001217 |
| Provider Name | Nkiruka Chuba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558604678 PECOS PAC ID: 5698046142 Enrollment ID: I20190702001329 |
| Provider Name | Rebecca J Post |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558755934 PECOS PAC ID: 9638410335 Enrollment ID: I20190708002414 |
| Provider Name | Brian Crosland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164802104 PECOS PAC ID: 0042568362 Enrollment ID: I20190710000715 |
| Provider Name | Nisa K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326536590 PECOS PAC ID: 5092068247 Enrollment ID: I20190813002632 |
| Provider Name | Andrew S Nobe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316326952 PECOS PAC ID: 1153605225 Enrollment ID: I20190827003548 |
| Provider Name | Jesse Max Velazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013391929 PECOS PAC ID: 6204166291 Enrollment ID: I20190917003446 |
| Provider Name | Danielle Elizabeth Curitore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831153394 PECOS PAC ID: 4385635978 Enrollment ID: I20191011002222 |
| Provider Name | Katherine Elizabeth Coakley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427438605 PECOS PAC ID: 4789932351 Enrollment ID: I20191104003143 |
| Provider Name | Travis-riley K Korenaga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114311180 PECOS PAC ID: 6608209424 Enrollment ID: I20191210001177 |
| Provider Name | Stephanie Sy Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568824183 PECOS PAC ID: 2668727595 Enrollment ID: I20191210002034 |
| Provider Name | Majid Husain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326493693 PECOS PAC ID: 3577818327 Enrollment ID: I20191211002988 |
| Provider Name | Timothy David Hicks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386006823 PECOS PAC ID: 0941555684 Enrollment ID: I20191212002874 |
| Provider Name | Brenda Lee Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548329451 PECOS PAC ID: 4688966914 Enrollment ID: I20200114000238 |
| Provider Name | Eliana Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306310750 PECOS PAC ID: 2860828597 Enrollment ID: I20200128003210 |
| Provider Name | Sandeep Dhadvai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790217230 PECOS PAC ID: 3173851326 Enrollment ID: I20200508001752 |
| Provider Name | Brittni Allison Johnson Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982058673 PECOS PAC ID: 4183055007 Enrollment ID: I20200509000281 |
| Provider Name | Marisa Chi Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649624800 PECOS PAC ID: 9739436478 Enrollment ID: I20200511000829 |
| Provider Name | Jonathan Glenn Steller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043650930 PECOS PAC ID: 5496062457 Enrollment ID: I20200511000884 |
| Provider Name | Betty Ngoc Pham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790217750 PECOS PAC ID: 5395072904 Enrollment ID: I20200521003194 |
| Provider Name | Madushka Yohan De Zoysa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023533387 PECOS PAC ID: 1254752819 Enrollment ID: I20200608000165 |
| Provider Name | Taryn Lynn Dubin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770016826 PECOS PAC ID: 0648509406 Enrollment ID: I20200608001707 |
| Provider Name | Wesley Orianna Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275065039 PECOS PAC ID: 5597093757 Enrollment ID: I20200611002319 |
| Provider Name | Jasmine Devendra Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346668837 PECOS PAC ID: 9335469022 Enrollment ID: I20200714001225 |
| Provider Name | Matteo Leveroni-calvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427497262 PECOS PAC ID: 6305080813 Enrollment ID: I20200715003123 |
| Provider Name | Allen Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639668247 PECOS PAC ID: 7012342165 Enrollment ID: I20200811000988 |
| Provider Name | Anjali Yashasvi Hari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295189470 PECOS PAC ID: 8325390529 Enrollment ID: I20200813000797 |
| Provider Name | Dylan Rebecca Hanami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033642996 PECOS PAC ID: 8426381963 Enrollment ID: I20200821001410 |
| Provider Name | Alex Joseph Kipp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235440330 PECOS PAC ID: 7214164169 Enrollment ID: I20200930001482 |
| Provider Name | Anam Meraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750818399 PECOS PAC ID: 0143630111 Enrollment ID: I20201102002275 |
| Provider Name | Julia Marjorie Bregand-white |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750600961 PECOS PAC ID: 9032332663 Enrollment ID: I20201111001621 |
| Provider Name | Ellexis Emily Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336671536 PECOS PAC ID: 9638584360 Enrollment ID: I20210210002439 |
| Provider Name | Carly A Crowder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043743628 PECOS PAC ID: 7517291289 Enrollment ID: I20210507002169 |
| Provider Name | Ernesto Licon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194254896 PECOS PAC ID: 1557770294 Enrollment ID: I20210510000188 |
| Provider Name | Gina Frances Milone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548792195 PECOS PAC ID: 9739598426 Enrollment ID: I20210510002044 |
| Provider Name | Andrew Jaiver Zaragoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245734938 PECOS PAC ID: 0840625463 Enrollment ID: I20210511002400 |
| Provider Name | Eduardo Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508398702 PECOS PAC ID: 2961816897 Enrollment ID: I20210517001485 |
| Provider Name | Chloe S Courchesne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255864021 PECOS PAC ID: 8628404787 Enrollment ID: I20210714000394 |
| Provider Name | Katherine Marie De Azambuja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336672187 PECOS PAC ID: 7517290588 Enrollment ID: I20210802002192 |
| Provider Name | Laura Esmeralda Zavala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376047597 PECOS PAC ID: 5991128837 Enrollment ID: I20210813002129 |
| Provider Name | Dipti Banerjee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992236673 PECOS PAC ID: 3779810940 Enrollment ID: I20210922003774 |
| Provider Name | Sonia Sedano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003328709 PECOS PAC ID: 5395084578 Enrollment ID: I20211019003318 |
| Provider Name | Partha Sarathi Gonavaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053473090 PECOS PAC ID: 1951403955 Enrollment ID: I20211110002233 |
| Provider Name | Shipra Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578755781 PECOS PAC ID: 5597823229 Enrollment ID: I20220128002098 |
| Provider Name | Haejin Joyce Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427596592 PECOS PAC ID: 6901229830 Enrollment ID: I20220216002544 |
| Provider Name | Irmina Sultana Haq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740542612 PECOS PAC ID: 0345501094 Enrollment ID: I20220224001309 |
| Provider Name | An Thien Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346889623 PECOS PAC ID: 8921493149 Enrollment ID: I20220324001411 |
| Provider Name | Nicole Aneiros Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881153120 PECOS PAC ID: 6204243827 Enrollment ID: I20220526002717 |
| Provider Name | Joanne Liang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962961284 PECOS PAC ID: 5395146567 Enrollment ID: I20220610000660 |
| Provider Name | Casey Schreiber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043779218 PECOS PAC ID: 4082025572 Enrollment ID: I20220614003013 |
| Provider Name | Alice Margaret Sherman-brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700383593 PECOS PAC ID: 8224450689 Enrollment ID: I20220615003101 |
| Provider Name | Ashten Brook Waks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356847826 PECOS PAC ID: 4880073139 Enrollment ID: I20220616002903 |
| Provider Name | Karla Lorente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467956672 PECOS PAC ID: 1153700349 Enrollment ID: I20220617001594 |
| Provider Name | Marielle Mae Beamesderfer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083173041 PECOS PAC ID: 9133529605 Enrollment ID: I20220628000734 |
| Provider Name | Alyssa Christine Bujnak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265921688 PECOS PAC ID: 5294156519 Enrollment ID: I20220712000690 |
| Provider Name | Mayra Ulloa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336867142 PECOS PAC ID: 5092190652 Enrollment ID: I20220916003040 |
| Provider Name | Gwen Davina Lin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912467630 PECOS PAC ID: 0840690327 Enrollment ID: I20230210000428 |
| Provider Name | Belen Cornejo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528240967 PECOS PAC ID: 4183099476 Enrollment ID: I20230419002271 |
| Provider Name | Judy Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124654108 PECOS PAC ID: 8022474071 Enrollment ID: I20230516003756 |
| Provider Name | Devesh Naidoo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164089363 PECOS PAC ID: 1557760923 Enrollment ID: I20230613002883 |
| Provider Name | Charlotte Mary Ter Haar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740741560 PECOS PAC ID: 4486986155 Enrollment ID: I20230614001693 |
| Provider Name | Prachi Rajesh Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861028714 PECOS PAC ID: 2860886538 Enrollment ID: I20230621000983 |
| Provider Name | Jessica Marie Faraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386271229 PECOS PAC ID: 8527427285 Enrollment ID: I20230629000625 |
| Provider Name | Virginia Ella Fontenot |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1124681812 PECOS PAC ID: 7618202672 Enrollment ID: I20230713000732 |
| Provider Name | Alex Andrea Francoeur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154880235 PECOS PAC ID: 7719304112 Enrollment ID: I20230718004231 |
| Provider Name | Xiang Yu Feng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871958975 PECOS PAC ID: 5092176677 Enrollment ID: I20230728002063 |
| Provider Name | Lindsay M Burton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679008650 PECOS PAC ID: 0648666065 Enrollment ID: I20230831002676 |
| Provider Name | Nafiseh Khodaparast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306403837 PECOS PAC ID: 2365805595 Enrollment ID: I20230905003691 |
| Provider Name | Mojan Nita Azarmi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164836086 PECOS PAC ID: 7911301148 Enrollment ID: I20230905004000 |
| Provider Name | Kelly Michelle Moquin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689009110 PECOS PAC ID: 6901262369 Enrollment ID: I20230919001623 |
| Provider Name | Melissa Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730640632 PECOS PAC ID: 3779984430 Enrollment ID: I20231010000310 |
| Provider Name | Claudia Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144000290 PECOS PAC ID: 7416305636 Enrollment ID: I20231129001308 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
Anaheim Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2571 W La Palma Ave, Anaheim, CA 92801 Phone: 714-827-9797 Fax: 714-827-5377 | |
Shirdi Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 W Romneya Dr, Anaheim, CA 92801 Phone: 714-776-3180 Fax: 714-991-1932 | |
Rakesh Kumar Bhola ,m.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1781 W Romneya Dr Ste C, Anaheim, CA 92801 Phone: 714-776-2700 | |
Anaheim Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280 Fax: 714-484-1358 | |
Richard Dick M Yip Md A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd Ste 211, Anaheim, CA 92804 Phone: 714-527-6000 Fax: 714-527-2371 | |
Benevolence Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N East St, Anaheim, CA 92805 Phone: 714-491-1771 |