| Vituity Hospitalists Pc | |
|
2175 Rosaline Ave Redding CA 96001-2549 | |
| (530) 225-6000 | |
| Not Available |
| Full Name | Vituity Hospitalists Pc |
|---|---|
| Speciality | Hospitalist |
| Location | 2175 Rosaline Ave, Redding, California |
| Authorized Official Name and Position | Theophile Koury (PRESIDENT) |
| Authorized Official Contact | 5103502680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity Hospitalists Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2680 | Vituity Hospitalists Pc 2175 Rosaline Ave Redding CA 96001-2549 Ph: (530) 225-6000 |
| NPI Number | 1730666108 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 04/07/2020 |
| Medicare PECOS PAC ID | 2567714090 |
|---|---|
| Medicare Enrollment ID | O20181011001813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730666108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | John E Nepomuceno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477673770 PECOS PAC ID: 9335035708 Enrollment ID: I20040225000245 |
| Provider Name | David Thomas Pusateri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245242155 PECOS PAC ID: 8325939374 Enrollment ID: I20040322000342 |
| Provider Name | Kristin B Gershfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124030614 PECOS PAC ID: 8224022447 Enrollment ID: I20040412000790 |
| Provider Name | Pedro R Guevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043338734 PECOS PAC ID: 8123004835 Enrollment ID: I20040624001362 |
| Provider Name | Angela M Quang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427006733 PECOS PAC ID: 6002893617 Enrollment ID: I20040701000920 |
| Provider Name | Mahmood Mirbagheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952300261 PECOS PAC ID: 0042298812 Enrollment ID: I20040708001088 |
| Provider Name | Richard B Tompkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932134822 PECOS PAC ID: 1153394499 Enrollment ID: I20040817000781 |
| Provider Name | Gregory A Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013927441 PECOS PAC ID: 5395720791 Enrollment ID: I20040825000931 |
| Provider Name | Anita C Gertsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578589388 PECOS PAC ID: 5991779746 Enrollment ID: I20040825001623 |
| Provider Name | Dana Marie Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396717013 PECOS PAC ID: 6305813528 Enrollment ID: I20040915001140 |
| Provider Name | William S Sogaard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922079755 PECOS PAC ID: 6406802149 Enrollment ID: I20050325000501 |
| Provider Name | Christian J Voge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114989472 PECOS PAC ID: 6002862299 Enrollment ID: I20050330001187 |
| Provider Name | Feoktist N Orloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700839446 PECOS PAC ID: 6406803253 Enrollment ID: I20050404000635 |
| Provider Name | Ronald J Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881701555 PECOS PAC ID: 8729035449 Enrollment ID: I20050405000979 |
| Provider Name | Gurpreet K Sandhoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629133319 PECOS PAC ID: 3375581176 Enrollment ID: I20050421001153 |
| Provider Name | Nii Aryee E Tetteh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528080041 PECOS PAC ID: 7012957897 Enrollment ID: I20050511000474 |
| Provider Name | Leila Shabanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013963073 PECOS PAC ID: 9436191632 Enrollment ID: I20050527000331 |
| Provider Name | Robert Sanchez Cadotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760423768 PECOS PAC ID: 3678517273 Enrollment ID: I20050614001425 |
| Provider Name | Jeffrey E Frank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639128895 PECOS PAC ID: 3476598491 Enrollment ID: I20050621000645 |
| Provider Name | Sarita Satpathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124051552 PECOS PAC ID: 7911928239 Enrollment ID: I20051214000928 |
| Provider Name | Lisa Y Ryan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134157639 PECOS PAC ID: 9830103860 Enrollment ID: I20060130000518 |
| Provider Name | Qazi Muhammad Muzaffar Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467487280 PECOS PAC ID: 5698784122 Enrollment ID: I20060411000840 |
| Provider Name | Joanna Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043276496 PECOS PAC ID: 0143230540 Enrollment ID: I20060501000181 |
| Provider Name | Mofiz Haque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811967375 PECOS PAC ID: 9739103771 Enrollment ID: I20060502000853 |
| Provider Name | Paresh Matmari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881603306 PECOS PAC ID: 3274537691 Enrollment ID: I20060826000032 |
| Provider Name | James S Guetzkow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801906995 PECOS PAC ID: 8921004631 Enrollment ID: I20061019000381 |
| Provider Name | Michael L Farley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396754925 PECOS PAC ID: 1759303100 Enrollment ID: I20061024000608 |
| Provider Name | Anamika Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144301722 PECOS PAC ID: 2567463607 Enrollment ID: I20070116000512 |
| Provider Name | Bruce Graham Tatro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851473318 PECOS PAC ID: 8022019108 Enrollment ID: I20070117000235 |
| Provider Name | Michael Mccarthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982616553 PECOS PAC ID: 7719902832 Enrollment ID: I20070928000688 |
| Provider Name | Tuan Minh Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306059357 PECOS PAC ID: 4486749512 Enrollment ID: I20071003000709 |
| Provider Name | Joseph G Mallon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407041197 PECOS PAC ID: 5890882500 Enrollment ID: I20071027000054 |
| Provider Name | Michael B Hajduk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215002753 PECOS PAC ID: 7315971637 Enrollment ID: I20071120000160 |
| Provider Name | Gigi Nickas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710907274 PECOS PAC ID: 1759312903 Enrollment ID: I20080107000388 |
| Provider Name | Diane T Bui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700077245 PECOS PAC ID: 2466534771 Enrollment ID: I20080125000225 |
| Provider Name | Coretta Hamlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164622155 PECOS PAC ID: 1355426115 Enrollment ID: I20080304000845 |
| Provider Name | Denise S Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518979442 PECOS PAC ID: 1557440518 Enrollment ID: I20080502000317 |
| Provider Name | Neil A Louwrens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174621320 PECOS PAC ID: 0446329726 Enrollment ID: I20080513000795 |
| Provider Name | Eric R Stokmanis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700819588 PECOS PAC ID: 3072682988 Enrollment ID: I20080519000512 |
| Provider Name | Fernando Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801804901 PECOS PAC ID: 8426948951 Enrollment ID: I20080707000505 |
| Provider Name | Humayun Tufail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902947625 PECOS PAC ID: 0840363016 Enrollment ID: I20080721000815 |
| Provider Name | Hazem Mohamed Yassin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649238809 PECOS PAC ID: 1557356250 Enrollment ID: I20080805000200 |
| Provider Name | Michael J Neal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932137460 PECOS PAC ID: 3375611940 Enrollment ID: I20081009000142 |
| Provider Name | Cherif E Girgis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023237260 PECOS PAC ID: 4183782204 Enrollment ID: I20081018000082 |
| Provider Name | Tatyana L Reznik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518084771 PECOS PAC ID: 5698834356 Enrollment ID: I20081110000605 |
| Provider Name | Eva M Mikrut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396873741 PECOS PAC ID: 3072672682 Enrollment ID: I20081111000223 |
| Provider Name | Stephen D Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417010869 PECOS PAC ID: 0749344018 Enrollment ID: I20090130000612 |
| Provider Name | Xiao Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548220304 PECOS PAC ID: 2769456003 Enrollment ID: I20090302000623 |
| Provider Name | Mark R Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427055102 PECOS PAC ID: 8729163233 Enrollment ID: I20090601000299 |
| Provider Name | Paula A Amacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598916884 PECOS PAC ID: 7012069628 Enrollment ID: I20090713000347 |
| Provider Name | Piyal P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043426745 PECOS PAC ID: 4880740596 Enrollment ID: I20090922000573 |
| Provider Name | Catherine A Ludlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518007137 PECOS PAC ID: 9335284728 Enrollment ID: I20100310000411 |
| Provider Name | Andreas E Heller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528066560 PECOS PAC ID: 8123153335 Enrollment ID: I20100312000717 |
| Provider Name | Lewis Gamarra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124048608 PECOS PAC ID: 5294861167 Enrollment ID: I20100330000779 |
| Provider Name | Willard S Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285898635 PECOS PAC ID: 8820125008 Enrollment ID: I20100420000351 |
| Provider Name | Dominic Martin Avenido Macaranas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922083724 PECOS PAC ID: 0749171270 Enrollment ID: I20100521000437 |
| Provider Name | Jaclyn J Mcgowan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629230495 PECOS PAC ID: 1759414162 Enrollment ID: I20100805000899 |
| Provider Name | Rabab M Radwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790971711 PECOS PAC ID: 6305961699 Enrollment ID: I20100909000852 |
| Provider Name | Ann Lise Bollay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487610333 PECOS PAC ID: 7012008188 Enrollment ID: I20110131000126 |
| Provider Name | Tina Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255417770 PECOS PAC ID: 8820278633 Enrollment ID: I20110211000217 |
| Provider Name | Poonam Sudip Gorakshakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710904289 PECOS PAC ID: 3375727027 Enrollment ID: I20110405000629 |
| Provider Name | James W Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366744492 PECOS PAC ID: 6002093341 Enrollment ID: I20110614000168 |
| Provider Name | Doreen T Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295934081 PECOS PAC ID: 9436241544 Enrollment ID: I20110622000629 |
| Provider Name | Ye K Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720241904 PECOS PAC ID: 9032387998 Enrollment ID: I20110719000866 |
| Provider Name | Kyaw K Maung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154612604 PECOS PAC ID: 3274702154 Enrollment ID: I20110810000291 |
| Provider Name | Prashant Vaswani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528352440 PECOS PAC ID: 6709055635 Enrollment ID: I20110811000121 |
| Provider Name | William Andres Triana Rojas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528216033 PECOS PAC ID: 3274703459 Enrollment ID: I20110825000295 |
| Provider Name | Matthew Mcandrew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215928197 PECOS PAC ID: 5294770491 Enrollment ID: I20110928000190 |
| Provider Name | Christopher S Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104109750 PECOS PAC ID: 8729251566 Enrollment ID: I20111024000259 |
| Provider Name | Scott Sherr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295938819 PECOS PAC ID: 2264620020 Enrollment ID: I20120426000474 |
| Provider Name | Mandana Abollhassani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588826242 PECOS PAC ID: 2264695105 Enrollment ID: I20120514000078 |
| Provider Name | Ann De Jong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871700823 PECOS PAC ID: 8527141316 Enrollment ID: I20120515000176 |
| Provider Name | Ashwani Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851528509 PECOS PAC ID: 8426172974 Enrollment ID: I20120827000360 |
| Provider Name | Nadia D Lupercio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881837433 PECOS PAC ID: 4486805496 Enrollment ID: I20121120000539 |
| Provider Name | Gilbert K Essilfie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063785988 PECOS PAC ID: 9335393628 Enrollment ID: I20130214000426 |
| Provider Name | Ashish A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932413200 PECOS PAC ID: 7911147509 Enrollment ID: I20130702000277 |
| Provider Name | Mark Garfinkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124039698 PECOS PAC ID: 6709886856 Enrollment ID: I20130702000582 |
| Provider Name | Thuy Thi Xuan Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952613606 PECOS PAC ID: 5890935084 Enrollment ID: I20130711000640 |
| Provider Name | Margaux K Snider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659538999 PECOS PAC ID: 5294976965 Enrollment ID: I20130723000036 |
| Provider Name | Reza Bashtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285868729 PECOS PAC ID: 8325289366 Enrollment ID: I20130802000332 |
| Provider Name | Tariq Dastagir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033197082 PECOS PAC ID: 5799710448 Enrollment ID: I20130815000745 |
| Provider Name | Robert M Matz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558503086 PECOS PAC ID: 3870735061 Enrollment ID: I20130819000409 |
| Provider Name | William Dechavez Convalecer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699794594 PECOS PAC ID: 5991709669 Enrollment ID: I20130828000859 |
| Provider Name | David O Andino-nieves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639515638 PECOS PAC ID: 7315172707 Enrollment ID: I20131018001463 |
| Provider Name | Jochebed Israel Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205826492 PECOS PAC ID: 5496724437 Enrollment ID: I20140324000682 |
| Provider Name | Sanjay Raisoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891937785 PECOS PAC ID: 5092990234 Enrollment ID: I20140520000860 |
| Provider Name | Joshua A Travis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982998217 PECOS PAC ID: 1557587508 Enrollment ID: I20140728001136 |
| Provider Name | Stephanie W Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528351053 PECOS PAC ID: 5193941847 Enrollment ID: I20140801000752 |
| Provider Name | Nisha S Sandesara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316226061 PECOS PAC ID: 5496972853 Enrollment ID: I20140807001560 |
| Provider Name | Tuan A Phan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558382150 PECOS PAC ID: 4385685189 Enrollment ID: I20150108000024 |
| Provider Name | Kevin Adrian Sterling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881757409 PECOS PAC ID: 7618040726 Enrollment ID: I20150108002211 |
| Provider Name | Nicole Kaipust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023276144 PECOS PAC ID: 2860716974 Enrollment ID: I20150121000001 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20150313001140 |
| Provider Name | Jeffrey John Crudo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508987371 PECOS PAC ID: 5092767897 Enrollment ID: I20150507002116 |
| Provider Name | Aminah Louise Cherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356758080 PECOS PAC ID: 8426379611 Enrollment ID: I20150529001897 |
| Provider Name | Joshua Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114289550 PECOS PAC ID: 7416260823 Enrollment ID: I20150714002091 |
| Provider Name | Jose L Barrios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346400116 PECOS PAC ID: 7517197080 Enrollment ID: I20150728004766 |
| Provider Name | Yunying Shi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861833899 PECOS PAC ID: 5698089746 Enrollment ID: I20150803000849 |
| Provider Name | Hana N Abuershaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497164016 PECOS PAC ID: 4880900232 Enrollment ID: I20150831000744 |
| Provider Name | Leevaneigh C Reghunathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295148328 PECOS PAC ID: 7315254091 Enrollment ID: I20150911002157 |
| Provider Name | Ako M Walther |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588907836 PECOS PAC ID: 1850691171 Enrollment ID: I20151118001301 |
| Provider Name | Jiandong Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063788222 PECOS PAC ID: 6305152653 Enrollment ID: I20151208003219 |
| Provider Name | Paul M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033464656 PECOS PAC ID: 1355665035 Enrollment ID: I20160317002243 |
| Provider Name | Darby-annette A Clayson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619968021 PECOS PAC ID: 0042221368 Enrollment ID: I20160323000586 |
| Provider Name | John A Avery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457694796 PECOS PAC ID: 3577855162 Enrollment ID: I20160629002403 |
| Provider Name | Jiakun Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912177627 PECOS PAC ID: 3476611245 Enrollment ID: I20160810002692 |
| Provider Name | Aaron N Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780028993 PECOS PAC ID: 5890081129 Enrollment ID: I20160912002539 |
| Provider Name | Elisabeth Anacius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003109828 PECOS PAC ID: 7810155090 Enrollment ID: I20160920000786 |
| Provider Name | Lakshmi P Manchineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104123017 PECOS PAC ID: 4789853219 Enrollment ID: I20161213001957 |
| Provider Name | Mohammad Albaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861589962 PECOS PAC ID: 0345331153 Enrollment ID: I20170112001316 |
| Provider Name | Brian Y Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548609241 PECOS PAC ID: 7618251141 Enrollment ID: I20170301002106 |
| Provider Name | Connor V Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780010603 PECOS PAC ID: 8325322431 Enrollment ID: I20170308001245 |
| Provider Name | Rajeev R Malireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467884775 PECOS PAC ID: 5597042556 Enrollment ID: I20170501001963 |
| Provider Name | David J Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700189404 PECOS PAC ID: 8820229172 Enrollment ID: I20170511002500 |
| Provider Name | Swati Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376709923 PECOS PAC ID: 5092946244 Enrollment ID: I20170705001218 |
| Provider Name | Samantha Mason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639470529 PECOS PAC ID: 0446412589 Enrollment ID: I20170712002383 |
| Provider Name | David W Yoon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689075582 PECOS PAC ID: 1052695269 Enrollment ID: I20170822002364 |
| Provider Name | Fadi Arodaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720499023 PECOS PAC ID: 5092084723 Enrollment ID: I20170828002001 |
| Provider Name | Gregory J Hammett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508266727 PECOS PAC ID: 3072886944 Enrollment ID: I20170829003143 |
| Provider Name | Laurentiu Istrate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437416179 PECOS PAC ID: 5597990630 Enrollment ID: I20170831003038 |
| Provider Name | Nancy N Mutoro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437492428 PECOS PAC ID: 8527333848 Enrollment ID: I20171011003573 |
| Provider Name | Zunaira Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548598055 PECOS PAC ID: 2062665268 Enrollment ID: I20171114000901 |
| Provider Name | Sunil K Jain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477750602 PECOS PAC ID: 2163679820 Enrollment ID: I20180119002299 |
| Provider Name | Jyothi Adsumilli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245508159 PECOS PAC ID: 9739301896 Enrollment ID: I20180502001222 |
| Provider Name | Louis Kennedy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689056954 PECOS PAC ID: 9739450842 Enrollment ID: I20180518001487 |
| Provider Name | Lam Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902224025 PECOS PAC ID: 3476808429 Enrollment ID: I20180615002181 |
| Provider Name | Sarah Abuseif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281795 PECOS PAC ID: 3577818210 Enrollment ID: I20180620001593 |
| Provider Name | Jaehee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578854824 PECOS PAC ID: 5092022053 Enrollment ID: I20180627003286 |
| Provider Name | Jonathan Stephen Dario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245626613 PECOS PAC ID: 6608188040 Enrollment ID: I20180813002685 |
| Provider Name | Bilegsaikhan Balkhaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982098885 PECOS PAC ID: 4183932163 Enrollment ID: I20181129000050 |
| Provider Name | Alemnesh Mesfin Tekle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245387752 PECOS PAC ID: 3072669332 Enrollment ID: I20181205003537 |
| Provider Name | Ashish L Rohira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326084716 PECOS PAC ID: 7416953971 Enrollment ID: I20190227000825 |
| Provider Name | Daisy-scarlett Maccallum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508120924 PECOS PAC ID: 8628205705 Enrollment ID: I20190503000521 |
| Provider Name | Angie K Huxley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104001734 PECOS PAC ID: 4082766852 Enrollment ID: I20190730001982 |
| Provider Name | Maria Natalia Marmol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699904474 PECOS PAC ID: 5890022172 Enrollment ID: I20190808003086 |
| Provider Name | Michael M Ngumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124524673 PECOS PAC ID: 8820421811 Enrollment ID: I20191205000512 |
| Provider Name | David Valencia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215315007 PECOS PAC ID: 0648537845 Enrollment ID: I20200526000872 |
| Provider Name | Tracy J Upton |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1700271152 PECOS PAC ID: 5395169502 Enrollment ID: I20200721003139 |
| Provider Name | Crystal A Rhea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760910020 PECOS PAC ID: 2860731361 Enrollment ID: I20200811001028 |
| Provider Name | Olga Grigorieva-olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780046243 PECOS PAC ID: 8921391335 Enrollment ID: I20200817001302 |
| Provider Name | Alicia Cherice Ruth Daisley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669993564 PECOS PAC ID: 8022435205 Enrollment ID: I20200902001916 |
| Provider Name | Praneeth Srivatsa Janaswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134576986 PECOS PAC ID: 1355679861 Enrollment ID: I20201008001100 |
| Provider Name | Suneetha Madhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861915118 PECOS PAC ID: 1254741036 Enrollment ID: I20201105002550 |
| Provider Name | Christopher Cody Walheim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326572116 PECOS PAC ID: 3678826864 Enrollment ID: I20201109000664 |
| Provider Name | Mariam Shetab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346731650 PECOS PAC ID: 6709280290 Enrollment ID: I20210805000939 |
| Provider Name | Jasmeet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275064958 PECOS PAC ID: 6305110339 Enrollment ID: I20210820002291 |
| Provider Name | Aram Hambardzumyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952807851 PECOS PAC ID: 3375881998 Enrollment ID: I20210824002714 |
| Provider Name | Khin Nyein Chan Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154732154 PECOS PAC ID: 1951675628 Enrollment ID: I20210916001115 |
| Provider Name | Saba Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871025957 PECOS PAC ID: 8426380437 Enrollment ID: I20220307000873 |
| Provider Name | Donghyun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548614563 PECOS PAC ID: 6305130592 Enrollment ID: I20220719000500 |
| Provider Name | Ammad Saddique |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164082905 PECOS PAC ID: 3779810817 Enrollment ID: I20220722002195 |
| Provider Name | Anca Vlase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457543027 PECOS PAC ID: 6901092832 Enrollment ID: I20220812002820 |
| Provider Name | Joshua Ray Suelflow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396308755 PECOS PAC ID: 0547643744 Enrollment ID: I20220822001626 |
| Provider Name | Anamika Neralla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437611522 PECOS PAC ID: 9739556846 Enrollment ID: I20221102002210 |
| Provider Name | Abdulrahman Mahdi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245893650 PECOS PAC ID: 2062745631 Enrollment ID: I20221201003303 |
| Provider Name | Varinderjit Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068631 PECOS PAC ID: 4385016468 Enrollment ID: I20230220000336 |
| Provider Name | Michelle Yen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669934683 PECOS PAC ID: 7517332349 Enrollment ID: I20230410001983 |
| Provider Name | Ivana Do Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460833 PECOS PAC ID: 3072978956 Enrollment ID: I20230713000943 |
| Provider Name | Thai Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740808815 PECOS PAC ID: 0749603413 Enrollment ID: I20230731001415 |
| Provider Name | Justin Thomas Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932737178 PECOS PAC ID: 2769843986 Enrollment ID: I20230803001272 |
| Provider Name | Rambabu Thallapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043521255 PECOS PAC ID: 3870736390 Enrollment ID: I20230920000977 |
| Provider Name | John Ross Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518450113 PECOS PAC ID: 5092114215 Enrollment ID: I20231026003334 |
| Provider Name | Loren Morabito |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699303750 PECOS PAC ID: 4486068996 Enrollment ID: I20231102000004 |
| Provider Name | Venkata Chavali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679101596 PECOS PAC ID: 4183055486 Enrollment ID: I20231120003366 |
| Provider Name | Jacob Kulyn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053991919 PECOS PAC ID: 8325438153 Enrollment ID: I20240724002645 |
| Provider Name | Yamah Anwari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871170829 PECOS PAC ID: 0042612251 Enrollment ID: I20240822002209 |
| Provider Name | Sara Suliman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689240061 PECOS PAC ID: 2961943022 Enrollment ID: I20240917003275 |
| Provider Name | Ashley Nicole Freeborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205650504 PECOS PAC ID: 0749717288 Enrollment ID: I20241223002727 |
Andrew L Knapp Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Butte St, Redding, CA 96001 Phone: 530-243-0498 | |
Than T Aung Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2421 Old Eureka Way, Redding, CA 96001 Phone: 530-225-8775 Fax: 530-225-8778 | |
Shasta Community College - Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11555 Old Oregon Trl, Redding, CA 96003 Phone: 530-242-7580 Fax: 530-225-4968 | |
Excellence In Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2110 Railroad Ave., Redding, CA 96001 Phone: 530-243-1414 Fax: 530-243-0493 | |
Prestige Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Hartnell Ave, Redding, CA 96002 Phone: 530-262-6001 | |
Docs Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2510 Airpark Dr, Suite 102, Redding, CA 96001 Phone: 530-243-8667 Fax: 530-243-8742 | |
Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Railroad Ave, Redding, CA 96001 Phone: 530-225-7486 Fax: 530-225-7293 |