| Wound Md Pc | |
|
2 Borazon Ct Petaluma CA 94952-5289 | |
| (323) 800-2799 | |
| (216) 273-9998 |
| Full Name | Wound Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 2 Borazon Ct, Petaluma, California |
| Authorized Official Name and Position | Fernando Antelo (OWNER/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3238002799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Md Pc 6150 Parkland Blvd Ste 225 Mayfield Heights OH 44124-4103 Ph: (216) 273-9800 | Wound Md Pc 2 Borazon Ct Petaluma CA 94952-5289 Ph: (323) 800-2799 |
| NPI Number | 1942606744 |
|---|---|
| Provider Enumeration Date | 11/06/2014 |
| Last Update Date | 02/12/2025 |
| Medicare PECOS PAC ID | 8820314529 |
|---|---|
| Medicare Enrollment ID | O20150223001584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942606744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Elijah Mobley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528034212 PECOS PAC ID: 4981508207 Enrollment ID: I20031119000929 |
| Provider Name | Robyn Anne Lakamsani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073786315 PECOS PAC ID: 0941271233 Enrollment ID: I20040803001081 |
| Provider Name | Derek P Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184671513 PECOS PAC ID: 7618918830 Enrollment ID: I20050518000803 |
| Provider Name | Monica L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467496919 PECOS PAC ID: 4082615398 Enrollment ID: I20070212000707 |
| Provider Name | Gail C Salganick-erfani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912976622 PECOS PAC ID: 7315837697 Enrollment ID: I20070716000404 |
| Provider Name | John Fu-tsun Hsu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093038135 PECOS PAC ID: 0749319382 Enrollment ID: I20100520000289 |
| Provider Name | Gabriel Carabello |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164453320 PECOS PAC ID: 3577756600 Enrollment ID: I20101102000967 |
| Provider Name | Jeffrey E Deweese |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326072893 PECOS PAC ID: 4981892759 Enrollment ID: I20101221000032 |
| Provider Name | Avni Bansi Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
| Provider Name | Naomi Torgersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972675627 PECOS PAC ID: 8123294873 Enrollment ID: I20111229000445 |
| Provider Name | John O Simmonds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801195912 PECOS PAC ID: 1254593130 Enrollment ID: I20120511000418 |
| Provider Name | Fernando Antelo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295927887 PECOS PAC ID: 3274796800 Enrollment ID: I20120518000273 |
| Provider Name | Alvin May |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184884876 PECOS PAC ID: 0547411936 Enrollment ID: I20121112000615 |
| Provider Name | Patricia Lutfy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497024061 PECOS PAC ID: 1355656943 Enrollment ID: I20150811004817 |
| Provider Name | Andrea H Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861934838 PECOS PAC ID: 2062795222 Enrollment ID: I20170214000082 |
| Provider Name | Richard Rodney Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174598262 PECOS PAC ID: 0648177634 Enrollment ID: I20170821001789 |
| 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 | Marissa A De Freese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194963462 PECOS PAC ID: 3072709138 Enrollment ID: I20180830003141 |
| Provider Name | Kumar S Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821369877 PECOS PAC ID: 0244583482 Enrollment ID: I20181105002751 |
| Provider Name | Alexander Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043752751 PECOS PAC ID: 3779868062 Enrollment ID: I20190430003111 |
| Provider Name | Alexander F Simopoulos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801002969 PECOS PAC ID: 2365784899 Enrollment ID: I20190501003335 |
| Provider Name | Nandlal M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891702734 PECOS PAC ID: 9537201660 Enrollment ID: I20190618003505 |
| Provider Name | Brittni C Moroyoqui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025631 PECOS PAC ID: 2062742281 Enrollment ID: I20191001000868 |
| Provider Name | Shwe Pyae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891344917 PECOS PAC ID: 5890129258 Enrollment ID: I20191218002384 |
| Provider Name | Debra L Stafford |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003994294 PECOS PAC ID: 5193150886 Enrollment ID: I20200128001013 |
| Provider Name | Majdi L Abdulmaula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295260529 PECOS PAC ID: 8527335314 Enrollment ID: I20200707002394 |
| Provider Name | Brian M Cullison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952357097 PECOS PAC ID: 7618881673 Enrollment ID: I20210816003519 |
| Provider Name | George T Drugas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558398347 PECOS PAC ID: 3971693722 Enrollment ID: I20210922002137 |
| Provider Name | Ann Amukele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669623153 PECOS PAC ID: 2668866062 Enrollment ID: I20220301001476 |
| Provider Name | Susan Canning |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689677122 PECOS PAC ID: 1951350164 Enrollment ID: I20220322001286 |
| Provider Name | Karen Johnston |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326518325 PECOS PAC ID: 7810226420 Enrollment ID: I20220818000761 |
| Provider Name | Philip Cardan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134446966 PECOS PAC ID: 9133420144 Enrollment ID: I20221012003621 |
| Provider Name | Roberto Rey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942380787 PECOS PAC ID: 4587038138 Enrollment ID: I20230321002821 |
| Provider Name | Rajeev Kaul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336198183 PECOS PAC ID: 6608889928 Enrollment ID: I20240401003385 |
Relymd Virtual Health Ca, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5341 Old Redwood Hwy Ste 210, Petaluma, CA 94954 Phone: 770-874-5400 | |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622 | |
Petaluma Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1225 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Ranadive Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Lynch Creek Way Ste C, Petaluma, CA 94954 Phone: 707-763-0802 Fax: 707-763-0803 | |
Nikola Lozanov, M. D., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Lynch Creek Way, Suite #4, Petaluma, CA 94954 Phone: 707-782-1244 Fax: 707-782-1163 | |
County Of Sonoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Industrial Ave, Petaluma, CA 94952 Phone: 707-565-8188 Fax: 707-565-8190 | |
Vivacitas Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954 Phone: 707-766-9852 |