| Faculty Physicians And Surgeons Of Llusm | |
|
1505 Wilson Terrace, Suite 155, Glendale, CA 91206-4071 | |
| (909) 558-3636 | |
| Not Available |
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Type | Facility |
| Speciality | Transplant Surgery |
| Location | 1505 Wilson Terrace, Glendale, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508255175 | NPI | - | NPPES |
| Provider Name | Neda F Mulla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083634828 PECOS PAC ID: 1254233208 Enrollment ID: I20040121001050 |
| Provider Name | Ranae L Larsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184647869 PECOS PAC ID: 2668374620 Enrollment ID: I20040121001081 |
| Provider Name | William W Jih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417985581 PECOS PAC ID: 2567357908 Enrollment ID: I20040216001013 |
| Provider Name | David A Chamberlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205861994 PECOS PAC ID: 0840187209 Enrollment ID: I20040301000874 |
| Provider Name | Soo Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295763423 PECOS PAC ID: 6002707544 Enrollment ID: I20040323001328 |
| Provider Name | Jose A Camacho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255548327 PECOS PAC ID: 2860482668 Enrollment ID: I20040513001541 |
| Provider Name | Wichit Srikureja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205857737 PECOS PAC ID: 7719957216 Enrollment ID: I20040730000867 |
| Provider Name | David J Michelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043233737 PECOS PAC ID: 5597730846 Enrollment ID: I20040830000925 |
| Provider Name | Fay A Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861447195 PECOS PAC ID: 2062480122 Enrollment ID: I20040917000380 |
| Provider Name | Denise K Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386663805 PECOS PAC ID: 6800865882 Enrollment ID: I20040927000844 |
| Provider Name | Margarette Marie Rhamie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871595215 PECOS PAC ID: 0941269112 Enrollment ID: I20041005000496 |
| Provider Name | Clifford C Douglas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932166485 PECOS PAC ID: 3678537990 Enrollment ID: I20041116001251 |
| Provider Name | Nahla Farghalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649358128 PECOS PAC ID: 7810951712 Enrollment ID: I20041118001082 |
| Provider Name | Patricia Jm Applegate |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801900998 PECOS PAC ID: 1658322177 Enrollment ID: I20050202000315 |
| Provider Name | Amy Donn Young Snodgrass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720001217 PECOS PAC ID: 1254384696 Enrollment ID: I20050225000520 |
| Provider Name | Ihab R Dorotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750308466 PECOS PAC ID: 0840243010 Enrollment ID: I20050228000726 |
| Provider Name | Brent Mcnairy Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669480083 PECOS PAC ID: 2062456700 Enrollment ID: I20050614000862 |
| Provider Name | Thanh Xuan Hoang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992818892 PECOS PAC ID: 6103852041 Enrollment ID: I20050712001250 |
| Provider Name | Sharon C Fabbri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841224086 PECOS PAC ID: 2769418458 Enrollment ID: I20050713001232 |
| Provider Name | Juan C Alejos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518993914 PECOS PAC ID: 7416984786 Enrollment ID: I20050719000912 |
| Provider Name | Mahnaz Farahmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063454841 PECOS PAC ID: 5890728034 Enrollment ID: I20050919000320 |
| Provider Name | Aric Lee Gregson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588683007 PECOS PAC ID: 7315967130 Enrollment ID: I20051122000891 |
| Provider Name | Nancy J Halnon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215983614 PECOS PAC ID: 2769402312 Enrollment ID: I20051129000291 |
| Provider Name | Bridgeida E Elhazin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144252370 PECOS PAC ID: 5092735217 Enrollment ID: I20051202000564 |
| Provider Name | Tempe K Chen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043368863 PECOS PAC ID: 4880609270 Enrollment ID: I20060206000929 |
| Provider Name | Robert S Venick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235166075 PECOS PAC ID: 1355350737 Enrollment ID: I20060412000483 |
| Provider Name | Khashayar Dashtipour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053358457 PECOS PAC ID: 8820001878 Enrollment ID: I20060717000360 |
| Provider Name | Rafael Villicana |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669496832 PECOS PAC ID: 5597667691 Enrollment ID: I20061212000648 |
| Provider Name | Joy G Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528134186 PECOS PAC ID: 9739181827 Enrollment ID: I20070201000642 |
| Provider Name | Khaled M Selim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174688071 PECOS PAC ID: 2466555081 Enrollment ID: I20070319000655 |
| Provider Name | Sonea Qureshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922140946 PECOS PAC ID: 6901997568 Enrollment ID: I20070810000446 |
| Provider Name | Melissa D Siccama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508061557 PECOS PAC ID: 4587755079 Enrollment ID: I20070813000725 |
| Provider Name | Shahriyar Tavakoli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962407767 PECOS PAC ID: 0840380192 Enrollment ID: I20071226000411 |
| Provider Name | Tejinder Mohan Kalra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174564033 PECOS PAC ID: 3476634361 Enrollment ID: I20080116000809 |
| Provider Name | Abel R Yarrozu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952520074 PECOS PAC ID: 0143308916 Enrollment ID: I20080418000249 |
| Provider Name | Bruce A Hayton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710030192 PECOS PAC ID: 2062582737 Enrollment ID: I20080606000484 |
| Provider Name | Andrew Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396702874 PECOS PAC ID: 5193893675 Enrollment ID: I20081010000645 |
| Provider Name | Luis F Saca |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1538236450 PECOS PAC ID: 4082774443 Enrollment ID: I20081117000019 |
| Provider Name | Sunil K Nowrangi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104907666 PECOS PAC ID: 0941360812 Enrollment ID: I20081121000475 |
| Provider Name | Grace W Oei |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154522340 PECOS PAC ID: 8820158710 Enrollment ID: I20081121000601 |
| Provider Name | Arin Aboulian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104038256 PECOS PAC ID: 1658432299 Enrollment ID: I20081202000084 |
| Provider Name | Shobha Sahney |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538189337 PECOS PAC ID: 8628139300 Enrollment ID: I20081213000104 |
| Provider Name | Stanford K Shu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548280340 PECOS PAC ID: 3476615162 Enrollment ID: I20081213000234 |
| Provider Name | Daniel D Pearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376635383 PECOS PAC ID: 3476615832 Enrollment ID: I20081218000223 |
| Provider Name | Saeid Safaee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437112604 PECOS PAC ID: 4789618927 Enrollment ID: I20081219000079 |
| Provider Name | Robert G Gish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548281322 PECOS PAC ID: 2769482140 Enrollment ID: I20090114000521 |
| Provider Name | Micheal Allan Kuhn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659394328 PECOS PAC ID: 2961566302 Enrollment ID: I20090129000130 |
| Provider Name | Ravi Mandapati |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639199565 PECOS PAC ID: 8426113275 Enrollment ID: I20090211000681 |
| Provider Name | Hung Bryant Nguyen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073532826 PECOS PAC ID: 8325191133 Enrollment ID: I20090727000526 |
| Provider Name | Neel Kamal Mann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619105665 PECOS PAC ID: 7416000930 Enrollment ID: I20090731000226 |
| Provider Name | Jerry T Martell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558383802 PECOS PAC ID: 8123171667 Enrollment ID: I20090731000443 |
| Provider Name | John Jaewoo Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467676460 PECOS PAC ID: 8820144595 Enrollment ID: I20090922000164 |
| Provider Name | Samantha J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821324765 PECOS PAC ID: 3375685613 Enrollment ID: I20100125000287 |
| Provider Name | Huu Truong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639339203 PECOS PAC ID: 0840322210 Enrollment ID: I20100720000958 |
| Provider Name | Chalmer D Mcclure |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518980200 PECOS PAC ID: 6406989961 Enrollment ID: I20100804000449 |
| Provider Name | Lusine Simonyants |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669685111 PECOS PAC ID: 4385702547 Enrollment ID: I20100817000385 |
| Provider Name | Raul S Coimbra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356372791 PECOS PAC ID: 9931224649 Enrollment ID: I20100918000161 |
| Provider Name | Albert W Chan |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1447462957 PECOS PAC ID: 0941492060 Enrollment ID: I20101007001067 |
| Provider Name | Melissa K Egge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922261957 PECOS PAC ID: 8527141035 Enrollment ID: I20101109001449 |
| Provider Name | Diane Lousie Broome |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649341686 PECOS PAC ID: 6406042373 Enrollment ID: I20101118000612 |
| Provider Name | Robert E Piecuch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669495198 PECOS PAC ID: 8022192384 Enrollment ID: I20101210000826 |
| Provider Name | Maulin Surendra Soneji |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417160847 PECOS PAC ID: 2264620244 Enrollment ID: I20101216000841 |
| Provider Name | Leigh C Reardon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649200817 PECOS PAC ID: 8022293950 Enrollment ID: I20110419000670 |
| Provider Name | Maha M Amr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962514141 PECOS PAC ID: 4486830361 Enrollment ID: I20110510000403 |
| Provider Name | Melody M Chang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144493149 PECOS PAC ID: 3678750148 Enrollment ID: I20110609000460 |
| Provider Name | Rambod Amirnovin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629104492 PECOS PAC ID: 5193995983 Enrollment ID: I20110906000282 |
| Provider Name | Ali Mehdizadeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114151719 PECOS PAC ID: 8224200589 Enrollment ID: I20111010000122 |
| Provider Name | Jade C Tran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609195981 PECOS PAC ID: 2668630054 Enrollment ID: I20120214000522 |
| Provider Name | Waseemuddin Kazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700835196 PECOS PAC ID: 4284643016 Enrollment ID: I20120315000160 |
| Provider Name | Laurel Wood Impastato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548395056 PECOS PAC ID: 9830359157 Enrollment ID: I20120323000467 |
| Provider Name | Bevan A Geslani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992741862 PECOS PAC ID: 8527055276 Enrollment ID: I20120410000400 |
| Provider Name | David Hecht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972656429 PECOS PAC ID: 9335176874 Enrollment ID: I20120413000291 |
| Provider Name | Jade-ming Jeng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720241227 PECOS PAC ID: 1951563584 Enrollment ID: I20120427000139 |
| Provider Name | Pablo Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356613301 PECOS PAC ID: 6608038070 Enrollment ID: I20120501000276 |
| Provider Name | Rajagopal Krishnan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427082882 PECOS PAC ID: 0143375212 Enrollment ID: I20120606000471 |
| Provider Name | Leo M Shum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609061191 PECOS PAC ID: 2668540642 Enrollment ID: I20120712000776 |
| Provider Name | Linh A Tieu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821231101 PECOS PAC ID: 7012173651 Enrollment ID: I20120725000757 |
| Provider Name | Ayesha Zahir Sherzai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194997841 PECOS PAC ID: 5395991434 Enrollment ID: I20120806000780 |
| Provider Name | David E Michalik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194842344 PECOS PAC ID: 4587810528 Enrollment ID: I20120808000092 |
| Provider Name | Gary W Shih |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336324979 PECOS PAC ID: 3870740285 Enrollment ID: I20120820000859 |
| Provider Name | Kimber Rawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548381361 PECOS PAC ID: 7911155924 Enrollment ID: I20120917000855 |
| Provider Name | Jagmohan S Batra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801936844 PECOS PAC ID: 1052560927 Enrollment ID: I20121009000723 |
| Provider Name | Dana Darwish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295906923 PECOS PAC ID: 9335399526 Enrollment ID: I20121024000594 |
| Provider Name | Douglas Long Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184880114 PECOS PAC ID: 5698811230 Enrollment ID: I20121114000034 |
| Provider Name | Richard G Shu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356647788 PECOS PAC ID: 9931353745 Enrollment ID: I20130201000445 |
| Provider Name | Vinoy S Prasad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558528372 PECOS PAC ID: 2062666894 Enrollment ID: I20130204000180 |
| Provider Name | Sinora Shrestha Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912247503 PECOS PAC ID: 8022253913 Enrollment ID: I20130325000429 |
| Provider Name | Pooja Mahadev Swamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356570626 PECOS PAC ID: 9032357678 Enrollment ID: I20130521000420 |
| Provider Name | William S Hamra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134445596 PECOS PAC ID: 4082856927 Enrollment ID: I20130806000548 |
| Provider Name | Karen Rae O'bosky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427255033 PECOS PAC ID: 3577705672 Enrollment ID: I20130819000747 |
| Provider Name | Bronwyn D Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083872709 PECOS PAC ID: 8123206661 Enrollment ID: I20130823000699 |
| Provider Name | Ronak N Raval |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629394747 PECOS PAC ID: 8527297688 Enrollment ID: I20140212001520 |
| Provider Name | Aamir Raza |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578710158 PECOS PAC ID: 9931370954 Enrollment ID: I20140228001953 |
| Provider Name | Ingrid Fobbs-mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275807703 PECOS PAC ID: 9335379684 Enrollment ID: I20140305002085 |
| Provider Name | Mary Alice Melwak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992882906 PECOS PAC ID: 5092945212 Enrollment ID: I20140307000614 |
| Provider Name | Anas A Alani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154633709 PECOS PAC ID: 6800019589 Enrollment ID: I20140527001939 |
| Provider Name | Mita H Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417069683 PECOS PAC ID: 2163695552 Enrollment ID: I20140620000964 |
| Provider Name | Islam Abudayyeh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356451785 PECOS PAC ID: 5395641633 Enrollment ID: I20140721000120 |
| Provider Name | Gordon L Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659662583 PECOS PAC ID: 1951527118 Enrollment ID: I20140723002268 |
| Provider Name | Edward A Mccluskey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457322380 PECOS PAC ID: 9234035908 Enrollment ID: I20140819000365 |
| Provider Name | Jakub Woloszyn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376839449 PECOS PAC ID: 2860612546 Enrollment ID: I20140930002912 |
| Provider Name | Kaunteya Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801129341 PECOS PAC ID: 7810149325 Enrollment ID: I20141007001851 |
| Provider Name | Kenneth M De Los Reyes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134388879 PECOS PAC ID: 7911128988 Enrollment ID: I20141016002581 |
| Provider Name | Surakshya Regmi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942582267 PECOS PAC ID: 1759513153 Enrollment ID: I20141024002199 |
| Provider Name | Daniel Patrick Lamb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437438280 PECOS PAC ID: 0345462446 Enrollment ID: I20141105000116 |
| Provider Name | Asma Taha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154458370 PECOS PAC ID: 3779716428 Enrollment ID: I20141210000005 |
| Provider Name | Ioana F Pasca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689990111 PECOS PAC ID: 7618299108 Enrollment ID: I20141212000687 |
| Provider Name | Danish S Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801835111 PECOS PAC ID: 6305807132 Enrollment ID: I20141226000549 |
| Provider Name | Thomas J Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235264953 PECOS PAC ID: 3971735234 Enrollment ID: I20141231000128 |
| Provider Name | Ouayporn L Sakoolpailoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881729697 PECOS PAC ID: 1658504170 Enrollment ID: I20150130000357 |
| Provider Name | Arlyn M Quintos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598853277 PECOS PAC ID: 3274765540 Enrollment ID: I20150130001256 |
| Provider Name | Lauren A Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639595770 PECOS PAC ID: 1355666801 Enrollment ID: I20150204002360 |
| Provider Name | Michael L Volk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679628317 PECOS PAC ID: 4981687811 Enrollment ID: I20150302000241 |
| Provider Name | Arianna Montejano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366879751 PECOS PAC ID: 5395062103 Enrollment ID: I20150316000991 |
| Provider Name | Steve Serrao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659630549 PECOS PAC ID: 5799004305 Enrollment ID: I20150504001132 |
| Provider Name | Heather Hofmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568729861 PECOS PAC ID: 9830410653 Enrollment ID: I20150605000265 |
| Provider Name | Janice Tsai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386902211 PECOS PAC ID: 0648591149 Enrollment ID: I20150609002896 |
| Provider Name | Gamil Fteeh |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1053543165 PECOS PAC ID: 8729399043 Enrollment ID: I20150612000841 |
| Provider Name | Jeffrey E Wonoprabowo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629330436 PECOS PAC ID: 2062723190 Enrollment ID: I20150616002554 |
| Provider Name | Anamika Isha Banerji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770757528 PECOS PAC ID: 1658599824 Enrollment ID: I20150623002111 |
| Provider Name | Mitsuhiko Tsukimoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447518964 PECOS PAC ID: 6901118108 Enrollment ID: I20150630002836 |
| Provider Name | Farha M Vora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861780462 PECOS PAC ID: 2860704947 Enrollment ID: I20150701002584 |
| Provider Name | Andrew W Wai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598057333 PECOS PAC ID: 5193037943 Enrollment ID: I20150707003099 |
| Provider Name | Kaushik Mukherjee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952442386 PECOS PAC ID: 9931320603 Enrollment ID: I20150708002920 |
| Provider Name | Alexandra J Bandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003204504 PECOS PAC ID: 7911210208 Enrollment ID: I20150715001441 |
| Provider Name | Emily W Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164714614 PECOS PAC ID: 7416171798 Enrollment ID: I20150727000915 |
| Provider Name | Hilal S Abu Zahra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578821096 PECOS PAC ID: 0840504973 Enrollment ID: I20150804003662 |
| Provider Name | Joshua David Loeb |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1235372517 PECOS PAC ID: 3173837168 Enrollment ID: I20150804006067 |
| Provider Name | Leanna Marie Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598056939 PECOS PAC ID: 3476869058 Enrollment ID: I20150827000420 |
| Provider Name | Biswas Joshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396079935 PECOS PAC ID: 0840506747 Enrollment ID: I20150908001359 |
| Provider Name | Pilar D Pichon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730316100 PECOS PAC ID: 2365750163 Enrollment ID: I20150928002342 |
| Provider Name | Mina Oh Rakoski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720289374 PECOS PAC ID: 8224288055 Enrollment ID: I20151002002721 |
| Provider Name | Anthony James Moretti |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487668679 PECOS PAC ID: 6204098098 Enrollment ID: I20151012000089 |
| Provider Name | Manju Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174963177 PECOS PAC ID: 9436468196 Enrollment ID: I20151020000659 |
| Provider Name | Rosemary Ann Vannix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669517991 PECOS PAC ID: 8921230285 Enrollment ID: I20151029002642 |
| Provider Name | Sigrid Burruss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942458013 PECOS PAC ID: 3779893466 Enrollment ID: I20151109002435 |
| Provider Name | Timothy Chinnock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356505218 PECOS PAC ID: 3274843750 Enrollment ID: I20151112002772 |
| Provider Name | Janice Tham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194195719 PECOS PAC ID: 0749580926 Enrollment ID: I20151119000636 |
| Provider Name | Nicholas E Loper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790168870 PECOS PAC ID: 8527361849 Enrollment ID: I20160120002466 |
| Provider Name | Warren Warren Boling |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912007790 PECOS PAC ID: 0547245748 Enrollment ID: I20160503001584 |
| Provider Name | Stephen Quinn Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932470689 PECOS PAC ID: 6608015318 Enrollment ID: I20160512002190 |
| Provider Name | Wilson Glenn Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205272747 PECOS PAC ID: 5799075743 Enrollment ID: I20160602001620 |
| Provider Name | Raul Rodriguez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922318617 PECOS PAC ID: 6406146257 Enrollment ID: I20160607000593 |
| Provider Name | Rosa Javier Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437282522 PECOS PAC ID: 0840581997 Enrollment ID: I20160620002074 |
| Provider Name | Larry Robert Tinsley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891743761 PECOS PAC ID: 5496928921 Enrollment ID: I20160622002051 |
| Provider Name | Desiree Rochelle Nycholat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588001416 PECOS PAC ID: 9436441888 Enrollment ID: I20160706001130 |
| Provider Name | Tanya Minasian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609188747 PECOS PAC ID: 2567754682 Enrollment ID: I20160711002261 |
| Provider Name | Huayong Hu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396063707 PECOS PAC ID: 0345542999 Enrollment ID: I20160727002733 |
| Provider Name | Miguel Lopez-gonzalez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376717496 PECOS PAC ID: 9032365176 Enrollment ID: I20160729001971 |
| Provider Name | Linninea Boom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205281540 PECOS PAC ID: 6406140052 Enrollment ID: I20160804002391 |
| Provider Name | Daniel Calaguas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902244460 PECOS PAC ID: 0042504193 Enrollment ID: I20160811002197 |
| Provider Name | Shireen Mukadam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760825236 PECOS PAC ID: 5991099988 Enrollment ID: I20160815001569 |
| Provider Name | Irma Hernandez Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568818789 PECOS PAC ID: 2567756471 Enrollment ID: I20160815002436 |
| Provider Name | Hee Chan Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043656416 PECOS PAC ID: 6901191824 Enrollment ID: I20160817000258 |
| Provider Name | Drew Stephen Tadiarca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275893810 PECOS PAC ID: 5395030167 Enrollment ID: I20160818002415 |
| Provider Name | S Chandra Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003971888 PECOS PAC ID: 0042282501 Enrollment ID: I20160822001180 |
| Provider Name | Matthew Y Kushnir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316233844 PECOS PAC ID: 9436444833 Enrollment ID: I20160824002178 |
| Provider Name | Namath Hussain |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285845404 PECOS PAC ID: 4183865769 Enrollment ID: I20160825001005 |
| Provider Name | Denise Falardeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033512595 PECOS PAC ID: 3072809953 Enrollment ID: I20160831002259 |
| Provider Name | Jennifer Lo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407114010 PECOS PAC ID: 3971735523 Enrollment ID: I20160906001686 |
| Provider Name | Katherine Anne Gregersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689993206 PECOS PAC ID: 6507152113 Enrollment ID: I20160908000899 |
| Provider Name | Aditya Bharadwaj |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871729822 PECOS PAC ID: 8224324306 Enrollment ID: I20160916000245 |
| Provider Name | Jeffrey Taylor Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124386198 PECOS PAC ID: 0547557993 Enrollment ID: I20160928001586 |
| Provider Name | Rachel Nicole Gardiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619230042 PECOS PAC ID: 1850537663 Enrollment ID: I20161018001145 |
| Provider Name | Khyati Pravin Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558490912 PECOS PAC ID: 2668622945 Enrollment ID: I20161026001115 |
| Provider Name | Monica Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528197365 PECOS PAC ID: 4082992649 Enrollment ID: I20161102000610 |
| Provider Name | Melin J Narayan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710291869 PECOS PAC ID: 1052613486 Enrollment ID: I20161206001565 |
| Provider Name | Sabiha Kanchwala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972715183 PECOS PAC ID: 2365505658 Enrollment ID: I20161209000169 |
| Provider Name | Matthew J Kaptein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184995094 PECOS PAC ID: 8325328941 Enrollment ID: I20161216000940 |
| Provider Name | Young Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679861694 PECOS PAC ID: 4385873868 Enrollment ID: I20161220001355 |
| Provider Name | Akshat Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700150885 PECOS PAC ID: 8426339615 Enrollment ID: I20161230000551 |
| Provider Name | Kamal M Kotak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356571681 PECOS PAC ID: 8820312168 Enrollment ID: I20170127001505 |
| Provider Name | Julie Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659506368 PECOS PAC ID: 5294017059 Enrollment ID: I20170131002011 |
| Provider Name | Jesse Ryan Wyatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508205154 PECOS PAC ID: 2668757659 Enrollment ID: I20170313001862 |
| Provider Name | Brenda Jerez-aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052132 PECOS PAC ID: 3779868443 Enrollment ID: I20170320001371 |
| Provider Name | Vinutha Rajesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174742951 PECOS PAC ID: 9032242615 Enrollment ID: I20170324001198 |
| Provider Name | Nisrin Elimam Abdelsamie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104360627 PECOS PAC ID: 2062798184 Enrollment ID: I20170404000647 |
| Provider Name | Panicha F Kittipha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801338157 PECOS PAC ID: 5890072763 Enrollment ID: I20170502000273 |
| Provider Name | Robert D Guglielmo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407273345 PECOS PAC ID: 5496032385 Enrollment ID: I20170502001320 |
| Provider Name | Borin Hou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891043097 PECOS PAC ID: 6901183490 Enrollment ID: I20170510002883 |
| Provider Name | Vellore Gundurao Kasturi |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1588862478 PECOS PAC ID: 6406925445 Enrollment ID: I20170511001972 |
| Provider Name | Samira Rahmanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538574736 PECOS PAC ID: 6507133287 Enrollment ID: I20170531001141 |
| Provider Name | Andrew Parker Wright |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457646119 PECOS PAC ID: 2264693605 Enrollment ID: I20170606002460 |
| Provider Name | Jonathan William Smits |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447679667 PECOS PAC ID: 2466720677 Enrollment ID: I20170612002491 |
| Provider Name | Bridgett Xantee Quinonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760874366 PECOS PAC ID: 0143525865 Enrollment ID: I20170613002753 |
| Provider Name | My Van Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013329499 PECOS PAC ID: 2567730252 Enrollment ID: I20170621002673 |
| Provider Name | Endre Agoston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124439781 PECOS PAC ID: 4486922184 Enrollment ID: I20170621003035 |
| Provider Name | Shant Shirvanian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215213566 PECOS PAC ID: 7113295775 Enrollment ID: I20170622002263 |
| Provider Name | Alexandra Iacob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386064137 PECOS PAC ID: 6002184678 Enrollment ID: I20170622002799 |
| Provider Name | Hana Kazbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326468166 PECOS PAC ID: 5395014773 Enrollment ID: I20170628000218 |
| Provider Name | Vivian Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588944276 PECOS PAC ID: 4284903626 Enrollment ID: I20170628002638 |
| Provider Name | Dmitry Abramov |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1649439670 PECOS PAC ID: 7618145194 Enrollment ID: I20170629002742 |
| Provider Name | Shammah Ontario Nehemiah Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134419427 PECOS PAC ID: 2668619263 Enrollment ID: I20170703001176 |
| Provider Name | Purvi J. Parwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164658951 PECOS PAC ID: 5496050809 Enrollment ID: I20170707000935 |
| Provider Name | Shawn Jin Hyuk Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538571294 PECOS PAC ID: 6406125160 Enrollment ID: I20170712001148 |
| Provider Name | Erick Imbertson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346541380 PECOS PAC ID: 9931478567 Enrollment ID: I20170712004130 |
| Provider Name | David M Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265798698 PECOS PAC ID: 1052603834 Enrollment ID: I20170714002447 |
| Provider Name | Christina Downey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558625285 PECOS PAC ID: 3971813247 Enrollment ID: I20170717003439 |
| Provider Name | Janessa Ann James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205246501 PECOS PAC ID: 0143590208 Enrollment ID: I20170721001921 |
| Provider Name | Shrinkhala Srivastava |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295149771 PECOS PAC ID: 0648590299 Enrollment ID: I20170725001598 |
| Provider Name | Priscilla Chee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245599588 PECOS PAC ID: 7618247446 Enrollment ID: I20170726003026 |
| Provider Name | Mansoor Azim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942567540 PECOS PAC ID: 8628348463 Enrollment ID: I20170726003523 |
| Provider Name | Tricia Guadiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346686375 PECOS PAC ID: 9830460328 Enrollment ID: I20170801003832 |
| Provider Name | Richard P Lion |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699093880 PECOS PAC ID: 3779854203 Enrollment ID: I20170802001136 |
| Provider Name | Hassan Atef Haddadin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710918388 PECOS PAC ID: 0446239362 Enrollment ID: I20170802003267 |
| Provider Name | Lorraine Reverson Ray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295179620 PECOS PAC ID: 3577875830 Enrollment ID: I20170823003405 |
| Provider Name | Matheni Sathananthan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467698001 PECOS PAC ID: 4688727043 Enrollment ID: I20170830003769 |
| Provider Name | Rahul Bhardwaj |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730318452 PECOS PAC ID: 0446523096 Enrollment ID: I20170905000647 |
| Provider Name | Delphin Sallowm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801002092 PECOS PAC ID: 6507017068 Enrollment ID: I20170912002720 |
| Provider Name | Brandy Ann Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275057226 PECOS PAC ID: 8527331511 Enrollment ID: I20170913003830 |
| Provider Name | Niranjan Jeganathan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578724977 PECOS PAC ID: 0547430720 Enrollment ID: I20170918003344 |
| Provider Name | Ashley N Quitugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285158246 PECOS PAC ID: 7012281744 Enrollment ID: I20170919004261 |
| Provider Name | Gabrielle A. Pina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285053330 PECOS PAC ID: 8527332147 Enrollment ID: I20170920004115 |
| Provider Name | Patrick Wu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124448378 PECOS PAC ID: 7315211836 Enrollment ID: I20170922000422 |
| Provider Name | Lauren Elisabeth Orona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245642990 PECOS PAC ID: 6901170380 Enrollment ID: I20170923000260 |
| Provider Name | Rachel Marie Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366969867 PECOS PAC ID: 0446525505 Enrollment ID: I20170929001428 |
| Provider Name | Nicole Lauren Pope |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063831170 PECOS PAC ID: 7416222443 Enrollment ID: I20171002001460 |
| Provider Name | Timothy D Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447694633 PECOS PAC ID: 9335382977 Enrollment ID: I20171011002646 |
| Provider Name | Charles Bratton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982710869 PECOS PAC ID: 8729010657 Enrollment ID: I20171012002975 |
| Provider Name | Luamy Gabriela Cornejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003246315 PECOS PAC ID: 5799051512 Enrollment ID: I20171024000648 |
| Provider Name | Dafne Tatiana Moretta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568753986 PECOS PAC ID: 2668619453 Enrollment ID: I20171026003409 |
| Provider Name | Sunitha Lena Nune |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1275829533 PECOS PAC ID: 0446539944 Enrollment ID: I20171205002542 |
| Provider Name | Danielle Marie Henkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619986999 PECOS PAC ID: 9739183724 Enrollment ID: I20171207002972 |
| Provider Name | Peter Vaccaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740304211 PECOS PAC ID: 8921365412 Enrollment ID: I20171208002541 |
| Provider Name | Candy Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225547854 PECOS PAC ID: 3870851900 Enrollment ID: I20171219003008 |
| Provider Name | Brea T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891156352 PECOS PAC ID: 9830457969 Enrollment ID: I20171219003235 |
| Provider Name | Laura E Hiday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033496351 PECOS PAC ID: 1153689088 Enrollment ID: I20171221001878 |
| Provider Name | Mohammed S Akram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619921806 PECOS PAC ID: 0941213300 Enrollment ID: I20171228000396 |
| Provider Name | Sena Cantas Orsdemir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497037915 PECOS PAC ID: 8325266000 Enrollment ID: I20180109003514 |
| Provider Name | Sunil K Jain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477750602 PECOS PAC ID: 2163679820 Enrollment ID: I20180119002299 |
| Provider Name | Hayley Suzanne Pekarcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275055329 PECOS PAC ID: 3072872068 Enrollment ID: I20180119002501 |
| Provider Name | Richard Tang-wai |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1124470448 PECOS PAC ID: 2466711312 Enrollment ID: I20180122002452 |
| Provider Name | Rebecca Lean Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134637192 PECOS PAC ID: 3971863911 Enrollment ID: I20180212001884 |
| Provider Name | Jami Van Der Wielen Zelaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417222027 PECOS PAC ID: 6305106287 Enrollment ID: I20180214002470 |
| Provider Name | Michael Avesar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578805537 PECOS PAC ID: 0143540260 Enrollment ID: I20180219002404 |
| Provider Name | Charles Edward Kamen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033408679 PECOS PAC ID: 8022370865 Enrollment ID: I20180315000325 |
| Provider Name | Meghan R Cochran-yu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982040622 PECOS PAC ID: 9739481557 Enrollment ID: I20180416001071 |
| Provider Name | Jan Kim Pine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326495573 PECOS PAC ID: 5496018723 Enrollment ID: I20180418002312 |
| Provider Name | Daniel J Dilorenzo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851546600 PECOS PAC ID: 4486973260 Enrollment ID: I20180507002675 |
| Provider Name | Timothy Yen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871988907 PECOS PAC ID: 6608130810 Enrollment ID: I20180515002065 |
| Provider Name | Thomas Dean Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790285526 PECOS PAC ID: 2466716634 Enrollment ID: I20180516001480 |
| Provider Name | Cindy F Sihotang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720466154 PECOS PAC ID: 0446522973 Enrollment ID: I20180517002525 |
| Provider Name | Veronica Regueiro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003319104 PECOS PAC ID: 3375808454 Enrollment ID: I20180518001567 |
| Provider Name | Larry Ngo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285992016 PECOS PAC ID: 6204191844 Enrollment ID: I20180531000918 |
| Provider Name | Corrie Berk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299184 PECOS PAC ID: 0648555938 Enrollment ID: I20180601000398 |
| Provider Name | Preetham Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861840316 PECOS PAC ID: 0042575565 Enrollment ID: I20180601002314 |
| Provider Name | Euntaik Ha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578824512 PECOS PAC ID: 3274898697 Enrollment ID: I20180605001816 |
| Provider Name | Tara Billings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205249398 PECOS PAC ID: 0244595593 Enrollment ID: I20180607001807 |
| Provider Name | Deon We-jin Lau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295178002 PECOS PAC ID: 8729382296 Enrollment ID: I20180613002074 |
| Provider Name | Nicole J Kraus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558704924 PECOS PAC ID: 7618222688 Enrollment ID: I20180614001722 |
| Provider Name | Tiffany Kay D Palomero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952780215 PECOS PAC ID: 7517212277 Enrollment ID: I20180620002210 |
| Provider Name | Alexander Kyungil Min |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689052763 PECOS PAC ID: 4385999069 Enrollment ID: I20180620002962 |
| Provider Name | Anh Tuan Nguyen Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144649476 PECOS PAC ID: 4183979651 Enrollment ID: I20180625002227 |
| Provider Name | Jennifer Gastelum |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326381161 PECOS PAC ID: 1355658584 Enrollment ID: I20180625002939 |
| Provider Name | Ahmed Kheiwa |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1285865675 PECOS PAC ID: 3072892694 Enrollment ID: I20180628002416 |
| Provider Name | Janet Trang Lim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245624691 PECOS PAC ID: 1254690324 Enrollment ID: I20180629002457 |
| Provider Name | Amanda Leeann Etheridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699156943 PECOS PAC ID: 1355697426 Enrollment ID: I20180702003212 |
| Provider Name | Audrey Sue Cruz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427435015 PECOS PAC ID: 2769738533 Enrollment ID: I20180709003495 |
| Provider Name | Joshua David Chamberlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861759102 PECOS PAC ID: 9638487721 Enrollment ID: I20180716002966 |
| Provider Name | Victor Rafael Laluz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740677913 PECOS PAC ID: 0345597050 Enrollment ID: I20180725002792 |
| Provider Name | Charmaine Jamias Ortizo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689051120 PECOS PAC ID: 3577810134 Enrollment ID: I20180727001746 |
| Provider Name | Harsha Kailash Chandnani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053673863 PECOS PAC ID: 3274766886 Enrollment ID: I20180727002541 |
| Provider Name | Maria Khristina A Vibal-poaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376046680 PECOS PAC ID: 8224386800 Enrollment ID: I20180731000368 |
| Provider Name | Xuanha N White |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427346154 PECOS PAC ID: 6103066113 Enrollment ID: I20180731002194 |
| Provider Name | Matthew Cappiello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922402577 PECOS PAC ID: 7012265036 Enrollment ID: I20180808001938 |
| Provider Name | Andrew Byung-min Yoo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215314265 PECOS PAC ID: 5193074904 Enrollment ID: I20180827003205 |
| Provider Name | Laura Nicole Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194169953 PECOS PAC ID: 3971810607 Enrollment ID: I20180828000782 |
| Provider Name | Rosemarie Blanca Florian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275911844 PECOS PAC ID: 1658621446 Enrollment ID: I20180828003417 |
| Provider Name | Arianne Shana Marino |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215296819 PECOS PAC ID: 8325343775 Enrollment ID: I20180829001775 |
| Provider Name | Shelly Chatterjee Choudhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871857227 PECOS PAC ID: 3375893092 Enrollment ID: I20180830000503 |
| Provider Name | Anaita Jasmine Panthaky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508317843 PECOS PAC ID: 0244580645 Enrollment ID: I20180905003802 |
| Provider Name | Gail Lois Levine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134130651 PECOS PAC ID: 5991978090 Enrollment ID: I20180906002895 |
| Provider Name | Ronald M Atillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346747391 PECOS PAC ID: 3971853243 Enrollment ID: I20180906003011 |
| Provider Name | Rachel Elizabeth Gelfond Davidge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013304286 PECOS PAC ID: 8022368927 Enrollment ID: I20180913000862 |
| Provider Name | Peter Chau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407146947 PECOS PAC ID: 9739496555 Enrollment ID: I20180913001614 |
| Provider Name | Dennis Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538556592 PECOS PAC ID: 1456602028 Enrollment ID: I20180920000704 |
| Provider Name | Clark G Ochikubo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336104272 PECOS PAC ID: 6901079284 Enrollment ID: I20180925001205 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063705309 PECOS PAC ID: 1850642992 Enrollment ID: I20180928000883 |
| Provider Name | Tram Giang Hoang Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164905956 PECOS PAC ID: 9830442268 Enrollment ID: I20181031002677 |
| Provider Name | Hieu Duc N Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861805939 PECOS PAC ID: 7517211394 Enrollment ID: I20181114000839 |
| Provider Name | Pamela Maria Lobo Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366824070 PECOS PAC ID: 8921352444 Enrollment ID: I20181119002086 |
| Provider Name | Cheryl Elizabeth Martens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609180736 PECOS PAC ID: 7911251392 Enrollment ID: I20181121002434 |
| Provider Name | Cecille Bernad Ubbaonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013370915 PECOS PAC ID: 0749560555 Enrollment ID: I20190116003361 |
| Provider Name | Hua Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467890632 PECOS PAC ID: 9032345947 Enrollment ID: I20190212002855 |
| Provider Name | Darcy James Mainville |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588051361 PECOS PAC ID: 3274872023 Enrollment ID: I20190222001120 |
| Provider Name | Gilbert I Furman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740227701 PECOS PAC ID: 8527231927 Enrollment ID: I20190301001918 |
| Provider Name | Kartika Budiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295200038 PECOS PAC ID: 1254676869 Enrollment ID: I20190308002394 |
| Provider Name | Nicole Lynise Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215411574 PECOS PAC ID: 0840531786 Enrollment ID: I20190403000460 |
| Provider Name | Walter Sosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679019467 PECOS PAC ID: 3476895566 Enrollment ID: I20190418002580 |
| Provider Name | Sharon Takyiwaa Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538489927 PECOS PAC ID: 3375836232 Enrollment ID: I20190422001401 |
| Provider Name | Samantha Suzzanne Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851873285 PECOS PAC ID: 3678815461 Enrollment ID: I20190426000841 |
| Provider Name | Jordanne Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902361785 PECOS PAC ID: 7719229350 Enrollment ID: I20190430001752 |
| Provider Name | John Thanasukarn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144674003 PECOS PAC ID: 7810230265 Enrollment ID: I20190528001880 |
| Provider Name | Xiao Ben Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588923023 PECOS PAC ID: 7416280714 Enrollment ID: I20190530002846 |
| Provider Name | Neha Mitragotri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023464351 PECOS PAC ID: 7618200809 Enrollment ID: I20190603001023 |
| Provider Name | Anh Vu Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316393762 PECOS PAC ID: 9234462433 Enrollment ID: I20190603001601 |
| Provider Name | Michael Eugene Giang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639520349 PECOS PAC ID: 2365775582 Enrollment ID: I20190603002439 |
| Provider Name | Kalyan Ray Parashette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336316918 PECOS PAC ID: 5799924379 Enrollment ID: I20190612003125 |
| Provider Name | Elizabeth West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699287698 PECOS PAC ID: 3072846583 Enrollment ID: I20190614000018 |
| Provider Name | Regine Vielka Trinidad Salcedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942771407 PECOS PAC ID: 8325371883 Enrollment ID: I20190614002587 |
| Provider Name | Lauren Akemi Matsumoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316316946 PECOS PAC ID: 4284968561 Enrollment ID: I20190619003001 |
| Provider Name | Jennifer Anne Veltman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356599310 PECOS PAC ID: 6608096680 Enrollment ID: I20190628001488 |
| Provider Name | Dan Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518313659 PECOS PAC ID: 0941535454 Enrollment ID: I20190703002889 |
| Provider Name | Jazmin Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407200496 PECOS PAC ID: 7618202169 Enrollment ID: I20190705001129 |
| Provider Name | Shivang Harshadbhai Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518100825 PECOS PAC ID: 4385950153 Enrollment ID: I20190708002617 |
| Provider Name | Tracy Anne Gould |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275989550 PECOS PAC ID: 9234464546 Enrollment ID: I20190709002132 |
| Provider Name | Madalitso Chundu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104203207 PECOS PAC ID: 4486989621 Enrollment ID: I20190710003552 |
| Provider Name | Cori Clumpner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508210568 PECOS PAC ID: 3072848167 Enrollment ID: I20190711001760 |
| Provider Name | Catherine Jeng-fen Chen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124373329 PECOS PAC ID: 2668618380 Enrollment ID: I20190723001913 |
| Provider Name | Maher Tama |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326393737 PECOS PAC ID: 4486965654 Enrollment ID: I20190731001397 |
| Provider Name | Rachel L Stoelk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932550969 PECOS PAC ID: 9537496211 Enrollment ID: I20190805001686 |
| Provider Name | Victoria L Bazanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124681887 PECOS PAC ID: 4688902950 Enrollment ID: I20190823002394 |
| Provider Name | Donna Marie Lien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528478989 PECOS PAC ID: 6709114010 Enrollment ID: I20190826000036 |
| Provider Name | Helen Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568922599 PECOS PAC ID: 0648508879 Enrollment ID: I20190826001344 |
| Provider Name | Howard Wenhung Lan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316206832 PECOS PAC ID: 2466780655 Enrollment ID: I20190826003990 |
| Provider Name | Vinisha Garg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083980486 PECOS PAC ID: 9436488335 Enrollment ID: I20190830002327 |
| Provider Name | Afshin Ahoubim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932513488 PECOS PAC ID: 3779812532 Enrollment ID: I20190904002781 |
| Provider Name | Carlos Adrian Sandoval |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386055135 PECOS PAC ID: 2668701038 Enrollment ID: I20190910002556 |
| Provider Name | Jui Kiran Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790122216 PECOS PAC ID: 2163663261 Enrollment ID: I20190919001425 |
| Provider Name | Puja Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407237860 PECOS PAC ID: 3173874062 Enrollment ID: I20190926001868 |
| Provider Name | Amber Christine Baisz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174905251 PECOS PAC ID: 8729324686 Enrollment ID: I20190926002411 |
| Provider Name | Mohammad A A Sharif |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295968733 PECOS PAC ID: 6709003353 Enrollment ID: I20191003003749 |
| Provider Name | Courtney A Rotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821370602 PECOS PAC ID: 0446581276 Enrollment ID: I20191009002487 |
| Provider Name | Paige Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598209702 PECOS PAC ID: 9830420124 Enrollment ID: I20191017002629 |
| Provider Name | Mitali Dushyant Dave |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063706307 PECOS PAC ID: 7618278136 Enrollment ID: I20191021001781 |
| Provider Name | Joanne Medie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265834352 PECOS PAC ID: 0143520890 Enrollment ID: I20191023001880 |
| Provider Name | Pejman Solaimani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750647418 PECOS PAC ID: 3072825751 Enrollment ID: I20191025001975 |
| Provider Name | Mellissa E Mahabee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235391954 PECOS PAC ID: 5294021689 Enrollment ID: I20191028002761 |
| Provider Name | Albert Q Chow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952745390 PECOS PAC ID: 0042501470 Enrollment ID: I20191029002372 |
| Provider Name | Cynthia Jeanne Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538321500 PECOS PAC ID: 3274865712 Enrollment ID: I20191101000742 |
| Provider Name | John P. Faraci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104845775 PECOS PAC ID: 0042233124 Enrollment ID: I20191101002279 |
| Provider Name | Ronald William Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902363112 PECOS PAC ID: 9032441423 Enrollment ID: I20191105000903 |
| Provider Name | Anita Chadha Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689019606 PECOS PAC ID: 5597197780 Enrollment ID: I20191108000668 |
| Provider Name | Muhammad Bader Hammami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073801809 PECOS PAC ID: 3971721127 Enrollment ID: I20191209001563 |
| Provider Name | Joshua Lee Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326482597 PECOS PAC ID: 4183922420 Enrollment ID: I20191230002334 |
| Provider Name | Rebecca Ann Gooch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255596128 PECOS PAC ID: 5799840229 Enrollment ID: I20200121001350 |
| Provider Name | Monalisa Harshadbhai Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831487461 PECOS PAC ID: 0941635650 Enrollment ID: I20200127000337 |
| Provider Name | Latika Puri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609182120 PECOS PAC ID: 9436585791 Enrollment ID: I20200204002197 |
| Provider Name | Ammar Zanial |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205483310 PECOS PAC ID: 2860826500 Enrollment ID: I20200206000652 |
| Provider Name | Nicholas Montano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437529872 PECOS PAC ID: 9537492376 Enrollment ID: I20200220001205 |
| Provider Name | Daniel Lyman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235543943 PECOS PAC ID: 0749550911 Enrollment ID: I20200224002833 |
| Provider Name | Jessica Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699120220 PECOS PAC ID: 4880021260 Enrollment ID: I20200228001140 |
| Provider Name | Cassandre F Oscar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366794877 PECOS PAC ID: 6507084407 Enrollment ID: I20200318002412 |
| Provider Name | Marven Gerel Cabling |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063674265 PECOS PAC ID: 9830312487 Enrollment ID: I20200407002731 |
| Provider Name | Nikhil Thiruvengadam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972923431 PECOS PAC ID: 6901105386 Enrollment ID: I20200415003546 |
| Provider Name | Jeremy Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083140172 PECOS PAC ID: 5294165510 Enrollment ID: I20200428001018 |
| Provider Name | Eri Kuramoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922644988 PECOS PAC ID: 3274963509 Enrollment ID: I20200428001130 |
| Provider Name | Omar Midhat Hashem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578193702 PECOS PAC ID: 6800227687 Enrollment ID: I20200511003089 |
| Provider Name | Reed Fredrick Krause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649706102 PECOS PAC ID: 9133550643 Enrollment ID: I20200518002161 |
| Provider Name | Minh-tri Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679940076 PECOS PAC ID: 8921318742 Enrollment ID: I20200519001982 |
| Provider Name | Laura Suzanne Raty-kerstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265069025 PECOS PAC ID: 2668803040 Enrollment ID: I20200519002636 |
| Provider Name | Vallent Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730612821 PECOS PAC ID: 0749601078 Enrollment ID: I20200522000188 |
| Provider Name | Lauren Marie Harper |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306379110 PECOS PAC ID: 0446671788 Enrollment ID: I20200522000727 |
| Provider Name | Sandy Chang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629465737 PECOS PAC ID: 3173875457 Enrollment ID: I20200526001216 |
| Provider Name | Michael B Cao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205098068 PECOS PAC ID: 3779717673 Enrollment ID: I20200608001127 |
| Provider Name | Fu-sheng Chou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386935484 PECOS PAC ID: 2860785334 Enrollment ID: I20200610001030 |
| Provider Name | Oluwafisayomi Nwachukwu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487187456 PECOS PAC ID: 0143642355 Enrollment ID: I20200617000110 |
| Provider Name | Taryn Rose Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376930602 PECOS PAC ID: 3577985795 Enrollment ID: I20200617000299 |
| Provider Name | Kelly Alyssa Jeu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497288724 PECOS PAC ID: 2961824107 Enrollment ID: I20200617001201 |
| Provider Name | Kelvin Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154979870 PECOS PAC ID: 7315369444 Enrollment ID: I20200618002384 |
| Provider Name | David N Farchadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467985705 PECOS PAC ID: 1557783180 Enrollment ID: I20200626001101 |
| Provider Name | Peter Demuth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831622034 PECOS PAC ID: 5193147726 Enrollment ID: I20200626001113 |
| Provider Name | Moosa Azadian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013443746 PECOS PAC ID: 2769804301 Enrollment ID: I20200626002027 |
| Provider Name | Jeanette Masae Fong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467984625 PECOS PAC ID: 4385066935 Enrollment ID: I20200626002201 |
| Provider Name | Deepak Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598116857 PECOS PAC ID: 8820383565 Enrollment ID: I20200629000403 |
| Provider Name | Bradley James Cacho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629488317 PECOS PAC ID: 2567884141 Enrollment ID: I20200629000928 |
| Provider Name | Lauren Gigliotti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770016560 PECOS PAC ID: 4284903899 Enrollment ID: I20200629001447 |
| Provider Name | Mallory Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306263587 PECOS PAC ID: 7911200522 Enrollment ID: I20200629001758 |
| Provider Name | Xin Zheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215460282 PECOS PAC ID: 6800218363 Enrollment ID: I20200630000619 |
| Provider Name | Nikhil Santosh Limaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043746092 PECOS PAC ID: 9537582036 Enrollment ID: I20200630002386 |
| Provider Name | Vikash Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619383163 PECOS PAC ID: 5698012953 Enrollment ID: I20200707002502 |
| Provider Name | Sara Quraish Abu-tabikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265810055 PECOS PAC ID: 4183047228 Enrollment ID: I20200708003223 |
| Provider Name | Jodiann T Ledford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881910149 PECOS PAC ID: 3870810047 Enrollment ID: I20200709000659 |
| Provider Name | Juan Julian Martinez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699195776 PECOS PAC ID: 2264855188 Enrollment ID: I20200710002948 |
| Provider Name | Alice H Rhee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487034807 PECOS PAC ID: 2466741681 Enrollment ID: I20200713002827 |
| Provider Name | Ahmed L Seliem |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1104187368 PECOS PAC ID: 3971813858 Enrollment ID: I20200714001427 |
| Provider Name | Jason Matthew Hoff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336583301 PECOS PAC ID: 7517380298 Enrollment ID: I20200714001864 |
| Provider Name | Simona Lupu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053799296 PECOS PAC ID: 2668895350 Enrollment ID: I20200714002087 |
| Provider Name | Wasseem Skef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558625699 PECOS PAC ID: 0143515627 Enrollment ID: I20200715002505 |
| Provider Name | Emilienne Youmbi Watonsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386913754 PECOS PAC ID: 7012331689 Enrollment ID: I20200716001055 |
| Provider Name | Kristin Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750768362 PECOS PAC ID: 7517218399 Enrollment ID: I20200723000302 |
| Provider Name | Michael Andaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548790926 PECOS PAC ID: 1456775345 Enrollment ID: I20200724001500 |
| Provider Name | Abdalhamid F Al Harash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790618 PECOS PAC ID: 4789809120 Enrollment ID: I20200724001798 |
| Provider Name | Shaina Khan Lodhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053728824 PECOS PAC ID: 4789009622 Enrollment ID: I20200810000684 |
| Provider Name | Mona Shah Guglielmo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932526886 PECOS PAC ID: 9537584362 Enrollment ID: I20200810003404 |
| Provider Name | Antonie Anais Fedora Meixel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508286964 PECOS PAC ID: 9032534870 Enrollment ID: I20200811000032 |
| Provider Name | Lakshmi Lakshmanan Ganesan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821356288 PECOS PAC ID: 6800212523 Enrollment ID: I20200812001757 |
| Provider Name | Toby Douglas Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144308743 PECOS PAC ID: 2567889033 Enrollment ID: I20200828001223 |
| Provider Name | Ayman M Lotfy Mohamed Ads |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467488023 PECOS PAC ID: 9638110687 Enrollment ID: I20200917002903 |
| Provider Name | Nicole Bitencourt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386878700 PECOS PAC ID: 9638392053 Enrollment ID: I20200922001528 |
| Provider Name | Brian Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346583242 PECOS PAC ID: 5597046714 Enrollment ID: I20200922001813 |
| Provider Name | Giv Heidari Bateni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265847214 PECOS PAC ID: 3476859539 Enrollment ID: I20200922002636 |
| Provider Name | Pratik D Mehta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063853919 PECOS PAC ID: 7012252497 Enrollment ID: I20200923003112 |
| Provider Name | Sayna Norouzi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649666041 PECOS PAC ID: 4385947399 Enrollment ID: I20200928001106 |
| Provider Name | Victoria Gerhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841730397 PECOS PAC ID: 0648555813 Enrollment ID: I20201007001371 |
| Provider Name | Hussein Abidali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205274768 PECOS PAC ID: 1557642451 Enrollment ID: I20201014002220 |
| Provider Name | Daniel Betat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679000657 PECOS PAC ID: 9830519610 Enrollment ID: I20201015003114 |
| Provider Name | Babu Bangaru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457546582 PECOS PAC ID: 1052509858 Enrollment ID: I20201028001502 |
| Provider Name | Jonathan Thomas Arcobello |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396131983 PECOS PAC ID: 5193135614 Enrollment ID: I20201111002064 |
| Provider Name | Alpha Shanika Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801425145 PECOS PAC ID: 2961812300 Enrollment ID: I20201113000971 |
| Provider Name | Joy Gozum Magno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497217889 PECOS PAC ID: 6204247851 Enrollment ID: I20201202003190 |
| Provider Name | Kristina Pulliam Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013517960 PECOS PAC ID: 7214349877 Enrollment ID: I20201223002627 |
| Provider Name | Martin Rosenthal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891094207 PECOS PAC ID: 9032490875 Enrollment ID: I20201230000807 |
| Provider Name | Heain H Aung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457969032 PECOS PAC ID: 4789097163 Enrollment ID: I20201231001399 |
| Provider Name | Bidur Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780996132 PECOS PAC ID: 8224279765 Enrollment ID: I20210107001002 |
| Provider Name | Katherine Rae Angeles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780215699 PECOS PAC ID: 3072926807 Enrollment ID: I20210115000122 |
| Provider Name | Maryam B. Tabrizi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164680708 PECOS PAC ID: 9931320363 Enrollment ID: I20210118000364 |
| Provider Name | Edil V Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184272759 PECOS PAC ID: 8426462169 Enrollment ID: I20210120003368 |
| Provider Name | Brenda Irene Aceves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083812 PECOS PAC ID: 9537573217 Enrollment ID: I20210121001652 |
| Provider Name | Fely Embrado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902417124 PECOS PAC ID: 6002220605 Enrollment ID: I20210121002466 |
| Provider Name | Stefanie Mecham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619525086 PECOS PAC ID: 2567876162 Enrollment ID: I20210121002850 |
| Provider Name | Jesus Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659939510 PECOS PAC ID: 2961816533 Enrollment ID: I20210122002185 |
| Provider Name | Anna Leigh Christine Ursales |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710118906 PECOS PAC ID: 1557589728 Enrollment ID: I20210127002066 |
| Provider Name | Yoginder Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770177388 PECOS PAC ID: 3375950785 Enrollment ID: I20210401000363 |
| Provider Name | Perpetua A Lawas-alejo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154373207 PECOS PAC ID: 9436323003 Enrollment ID: I20210407003120 |
| Provider Name | Rachel Rae Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811580350 PECOS PAC ID: 2062820657 Enrollment ID: I20210420002424 |
| Provider Name | Muhammad Baig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780097170 PECOS PAC ID: 8527477199 Enrollment ID: I20210511002939 |
| Provider Name | Maryann Jane Manalang Davies |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720585342 PECOS PAC ID: 5890104269 Enrollment ID: I20210514002090 |
| Provider Name | Christin Tu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346771607 PECOS PAC ID: 1951679844 Enrollment ID: I20210520002945 |
| Provider Name | Diane Ducthihuc Tran |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1962665786 PECOS PAC ID: 9739470873 Enrollment ID: I20210525001418 |
| Provider Name | Hector Miguel Almanzar-ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326544958 PECOS PAC ID: 6204235922 Enrollment ID: I20210601001253 |
| Provider Name | Eric Tsongshien Tsay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275911364 PECOS PAC ID: 8224437850 Enrollment ID: I20210601001913 |
| Provider Name | Nancy Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629404975 PECOS PAC ID: 9931491669 Enrollment ID: I20210601002192 |
| Provider Name | Maham Farshidpour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891105565 PECOS PAC ID: 6901103407 Enrollment ID: I20210602001755 |
| Provider Name | Talisa Jaalina Foust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629506514 PECOS PAC ID: 8426457037 Enrollment ID: I20210602001982 |
| Provider Name | Michelle Elaine Imperio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639669104 PECOS PAC ID: 5496154965 Enrollment ID: I20210603001396 |
| Provider Name | Artem Minalyan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417481045 PECOS PAC ID: 8123398997 Enrollment ID: I20210603002539 |
| Provider Name | Derek Jamal Mccalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417484437 PECOS PAC ID: 3072912468 Enrollment ID: I20210604002858 |
| Provider Name | Morgan Alexander Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124478664 PECOS PAC ID: 6103226501 Enrollment ID: I20210607000910 |
| Provider Name | Jalaj Garg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558631663 PECOS PAC ID: 8527343433 Enrollment ID: I20210607001321 |
| Provider Name | Laura Ann Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245617497 PECOS PAC ID: 9133529555 Enrollment ID: I20210607001661 |
| Provider Name | Hyungjin Benjamin Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619397296 PECOS PAC ID: 1759651821 Enrollment ID: I20210607002389 |
| Provider Name | Gautam Nagendra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265827802 PECOS PAC ID: 3173923463 Enrollment ID: I20210608001217 |
| Provider Name | Constanza Burciaga Calderoni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770016735 PECOS PAC ID: 2860892106 Enrollment ID: I20210608003232 |
| Provider Name | Rosela J Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497348726 PECOS PAC ID: 3971903212 Enrollment ID: I20210608003594 |
| Provider Name | Syed Mohammed Uzair Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649777897 PECOS PAC ID: 1658771415 Enrollment ID: I20210615003534 |
| Provider Name | Allyssa Dann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508356304 PECOS PAC ID: 5991105629 Enrollment ID: I20210616002701 |
| Provider Name | Kwame B Agyeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821521527 PECOS PAC ID: 9931509569 Enrollment ID: I20210617002970 |
| Provider Name | Suraj Rajesh Batish |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124519418 PECOS PAC ID: 3375943921 Enrollment ID: I20210618000104 |
| Provider Name | Maryjane Awatin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295200046 PECOS PAC ID: 2264832708 Enrollment ID: I20210621001605 |
| Provider Name | Erik Frandsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265859375 PECOS PAC ID: 1355567033 Enrollment ID: I20210621003535 |
| Provider Name | Stephen Jefrey Nageotte |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568870434 PECOS PAC ID: 8224366109 Enrollment ID: I20210630003556 |
| Provider Name | Wei-te Li |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639558745 PECOS PAC ID: 0840579926 Enrollment ID: I20210708003233 |
| Provider Name | Paul Anthony Leonor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407275423 PECOS PAC ID: 8022434034 Enrollment ID: I20210708003332 |
| Provider Name | Elliot Ho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184044760 PECOS PAC ID: 7618308982 Enrollment ID: I20210714000740 |
| Provider Name | Ashley Zerr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629430103 PECOS PAC ID: 4486996006 Enrollment ID: I20210715002024 |
| Provider Name | Mohammad Qureashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124513163 PECOS PAC ID: 2466797477 Enrollment ID: I20210715003021 |
| Provider Name | Kaivan Dadachanji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285130807 PECOS PAC ID: 0042613648 Enrollment ID: I20210720002133 |
| Provider Name | Dana Kostiner Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255346771 PECOS PAC ID: 4284704461 Enrollment ID: I20210720003732 |
| Provider Name | Jaspal Singh Hothi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750510293 PECOS PAC ID: 7214220581 Enrollment ID: I20210802001689 |
| Provider Name | Daniel Kenneth Joe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760917835 PECOS PAC ID: 6709280423 Enrollment ID: I20210803001687 |
| Provider Name | Sofia Khera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982929428 PECOS PAC ID: 0143456087 Enrollment ID: I20210804000007 |
| Provider Name | Luis Fernando Rivera Melara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275915985 PECOS PAC ID: 3173927431 Enrollment ID: I20210809001424 |
| Provider Name | Jesse Wei-dirk Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174815005 PECOS PAC ID: 3971870460 Enrollment ID: I20210809002953 |
| Provider Name | Patrick E Phelan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083771398 PECOS PAC ID: 5597809400 Enrollment ID: I20210810002816 |
| Provider Name | Vincent-arthur Aruiza Yoro-bacay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336412063 PECOS PAC ID: 5799189882 Enrollment ID: I20210811003800 |
| Provider Name | Arham Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700267382 PECOS PAC ID: 0941593230 Enrollment ID: I20210816000075 |
| Provider Name | Christine Elizabeth Hermann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861998122 PECOS PAC ID: 1456756246 Enrollment ID: I20210817001220 |
| Provider Name | Elissa Eunjin Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467958769 PECOS PAC ID: 9133524929 Enrollment ID: I20210817001453 |
| Provider Name | Chioma M Enweasor |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184078099 PECOS PAC ID: 5092055806 Enrollment ID: I20210817003436 |
| Provider Name | Alexandra Yue Yi-riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649852385 PECOS PAC ID: 8921403494 Enrollment ID: I20210820002329 |
| Provider Name | Yuan Cao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467815308 PECOS PAC ID: 5092098715 Enrollment ID: I20210824000473 |
| Provider Name | Amna Jafry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730175647 PECOS PAC ID: 0446357636 Enrollment ID: I20210824002742 |
| Provider Name | Rodolfo Silva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396177127 PECOS PAC ID: 2769887710 Enrollment ID: I20210830000708 |
| Provider Name | Amanpreet Dulai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447516919 PECOS PAC ID: 0143514885 Enrollment ID: I20210830002950 |
| Provider Name | Minh-tri Nhat Pham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043604077 PECOS PAC ID: 2961719992 Enrollment ID: I20210913002328 |
| Provider Name | Hannah Frances Rossie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518541960 PECOS PAC ID: 0244636371 Enrollment ID: I20210915000178 |
| Provider Name | Judith Haejin Oh Leonor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437511516 PECOS PAC ID: 9638576531 Enrollment ID: I20210920002292 |
| Provider Name | Haydee Maria Ramirez-mamdani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053993808 PECOS PAC ID: 5890192447 Enrollment ID: I20210923002170 |
| Provider Name | Thuy Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073118907 PECOS PAC ID: 9931506599 Enrollment ID: I20210923002835 |
| Provider Name | Bichtram Huynh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447782685 PECOS PAC ID: 5193063477 Enrollment ID: I20210927002877 |
| Provider Name | Harmanpreet Chawla |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528501822 PECOS PAC ID: 0840546909 Enrollment ID: I20210928001708 |
| Provider Name | Yamini Kapileshwarkar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306186861 PECOS PAC ID: 2668773235 Enrollment ID: I20210929002735 |
| Provider Name | Austin Alicastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376160796 PECOS PAC ID: 5799183976 Enrollment ID: I20211004000696 |
| Provider Name | Michael Karim Rizk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508301854 PECOS PAC ID: 5799056503 Enrollment ID: I20211005002093 |
| Provider Name | Natalie Sue Shwaish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104264217 PECOS PAC ID: 8426344128 Enrollment ID: I20211102002614 |
| Provider Name | Janet H Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386315992 PECOS PAC ID: 1658761978 Enrollment ID: I20211201000012 |
| Provider Name | Nour Alhoda Parsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053725366 PECOS PAC ID: 9739426834 Enrollment ID: I20211201001764 |
| Provider Name | Ricardo Sampang Sayat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114689510 PECOS PAC ID: 0143610048 Enrollment ID: I20211208002518 |
| Provider Name | Alessia Duca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518593300 PECOS PAC ID: 5496145054 Enrollment ID: I20211214001673 |
| Provider Name | Eugene Wei-kang Liu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700049376 PECOS PAC ID: 5395092282 Enrollment ID: I20211229000644 |
| Provider Name | Kiran Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518064120 PECOS PAC ID: 5991726812 Enrollment ID: I20220307002440 |
| Provider Name | Courtney Alexandra Novoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821517780 PECOS PAC ID: 7214322767 Enrollment ID: I20220318001255 |
| Provider Name | Vu T Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528736766 PECOS PAC ID: 7416343876 Enrollment ID: I20220412000746 |
| Provider Name | Patricia Linda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508492950 PECOS PAC ID: 4789071465 Enrollment ID: I20220427002146 |
| Provider Name | Debora Cynthia Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154090694 PECOS PAC ID: 8426445115 Enrollment ID: I20220427002621 |
| Provider Name | Kevin John S Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447902101 PECOS PAC ID: 4789071408 Enrollment ID: I20220428000229 |
| Provider Name | Andrea Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780707075 PECOS PAC ID: 1456584119 Enrollment ID: I20220504000931 |
| Provider Name | David Eng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720549926 PECOS PAC ID: 8820418551 Enrollment ID: I20220512000701 |
| Provider Name | Tamara Jean Hitchcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740864271 PECOS PAC ID: 9133506975 Enrollment ID: I20220516002527 |
| Provider Name | Lana P Ang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528533940 PECOS PAC ID: 1153708920 Enrollment ID: I20220517000739 |
| Provider Name | Scarlette Mercedes De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801134994 PECOS PAC ID: 0547483885 Enrollment ID: I20220518000734 |
| Provider Name | Marzena Anna Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518550755 PECOS PAC ID: 4082091616 Enrollment ID: I20220519001254 |
| Provider Name | Maria Paola Martes Gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265963136 PECOS PAC ID: 4587041116 Enrollment ID: I20220519001495 |
| Provider Name | Rosemarie Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942424643 PECOS PAC ID: 3870769151 Enrollment ID: I20220520001995 |
| Provider Name | Tania Arous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114468360 PECOS PAC ID: 6103204565 Enrollment ID: I20220526000971 |
| Provider Name | Theodore Thien Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104484781 PECOS PAC ID: 9436537784 Enrollment ID: I20220527002010 |
| Provider Name | Kimberly L Hillyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235252529 PECOS PAC ID: 2466693007 Enrollment ID: I20220601002349 |
| Provider Name | Lisa Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881725869 PECOS PAC ID: 1850567769 Enrollment ID: I20220603002365 |
| Provider Name | Dann Omar Gans Banaag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639842198 PECOS PAC ID: 1658759550 Enrollment ID: I20220606001495 |
| Provider Name | Jhoanne Cana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306405139 PECOS PAC ID: 1153709746 Enrollment ID: I20220610000683 |
| Provider Name | Manish Prasad Shrestha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407135411 PECOS PAC ID: 0840440483 Enrollment ID: I20220614002761 |
| Provider Name | Serenity Arroyo Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679753735 PECOS PAC ID: 0749669000 Enrollment ID: I20220617000297 |
| Provider Name | Carvy Floyd Oabel Luceno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245895945 PECOS PAC ID: 3476932633 Enrollment ID: I20220617000718 |
| Provider Name | Kevin Yuki Nishino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396301313 PECOS PAC ID: 4880073972 Enrollment ID: I20220621000698 |
| Provider Name | Sneha Sanjeev Shaha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740847300 PECOS PAC ID: 5496134272 Enrollment ID: I20220624001481 |
| Provider Name | Vu Van Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154884583 PECOS PAC ID: 5597145185 Enrollment ID: I20220628003530 |
| Provider Name | Sophie Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144726829 PECOS PAC ID: 2860872322 Enrollment ID: I20220630002075 |
| Provider Name | Yvonne Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891224168 PECOS PAC ID: 0749660868 Enrollment ID: I20220707001776 |
| Provider Name | Amr M Mohsen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932363132 PECOS PAC ID: 4789975657 Enrollment ID: I20220707001901 |
| Provider Name | Brittany Nicole Chow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043874647 PECOS PAC ID: 2466832332 Enrollment ID: I20220708003293 |
| Provider Name | Afzal Mohammad Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538612403 PECOS PAC ID: 7517297880 Enrollment ID: I20220715001947 |
| Provider Name | Josianne Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033772546 PECOS PAC ID: 1557742814 Enrollment ID: I20220718001923 |
| Provider Name | Ellen Sohyun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912249400 PECOS PAC ID: 4082848064 Enrollment ID: I20220719003856 |
| Provider Name | Rod Masanori Shinozaki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063828093 PECOS PAC ID: 4385937648 Enrollment ID: I20220721001012 |
| Provider Name | Nanette Kay Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700302494 PECOS PAC ID: 1355761966 Enrollment ID: I20220723000127 |
| Provider Name | Serena Shu-yee Luong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457914954 PECOS PAC ID: 8729460449 Enrollment ID: I20220727003654 |
| Provider Name | Emily Batton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164871844 PECOS PAC ID: 4789976374 Enrollment ID: I20220805000983 |
| Provider Name | Lindsay Ladzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700542040 PECOS PAC ID: 7618350380 Enrollment ID: I20220812000152 |
| Provider Name | Lauren M Truffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194099432 PECOS PAC ID: 7810129541 Enrollment ID: I20220817002599 |
| Provider Name | Medha Shukla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013370204 PECOS PAC ID: 0446633879 Enrollment ID: I20220818001049 |
| Provider Name | Melchorita Tolentino Quinte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700912821 PECOS PAC ID: 9638552755 Enrollment ID: I20220822002540 |
| Provider Name | Fabienne Saint Preux |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689108524 PECOS PAC ID: 4486994068 Enrollment ID: I20220824001631 |
| Provider Name | Andrei Florea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972156479 PECOS PAC ID: 9133503162 Enrollment ID: I20220825000707 |
| Provider Name | Shogik Abramyan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841653441 PECOS PAC ID: 0941547160 Enrollment ID: I20220906000184 |
| Provider Name | Jane Yunchi Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033615265 PECOS PAC ID: 9537544622 Enrollment ID: I20220909000541 |
| Provider Name | Rita Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184809733 PECOS PAC ID: 2567636855 Enrollment ID: I20220910000575 |
| Provider Name | Heather Gillespie |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346380748 PECOS PAC ID: 3971609736 Enrollment ID: I20220913000004 |
| Provider Name | Alvaro Galvis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417344631 PECOS PAC ID: 9537474812 Enrollment ID: I20220914000887 |
| Provider Name | Amanda Frances Suplee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356793046 PECOS PAC ID: 5193100352 Enrollment ID: I20220923002459 |
| Provider Name | Montserrat Montesinos De Perez Milicua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497281380 PECOS PAC ID: 0941686828 Enrollment ID: I20220929002101 |
| Provider Name | Adil Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831119882 PECOS PAC ID: 5698876357 Enrollment ID: I20221012000184 |
| Provider Name | Andrew Mcveigh Stacy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972030930 PECOS PAC ID: 0547636698 Enrollment ID: I20221014002134 |
| Provider Name | Yinglin Gao |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245890854 PECOS PAC ID: 9739555392 Enrollment ID: I20221021002644 |
| Provider Name | Dante Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134788862 PECOS PAC ID: 5294102406 Enrollment ID: I20221101000852 |
| Provider Name | Liberty Gilbert Mabena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407580376 PECOS PAC ID: 9638546856 Enrollment ID: I20221101001438 |
| Provider Name | Ryan Serrano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194160804 PECOS PAC ID: 9537476502 Enrollment ID: I20221114002936 |
| Provider Name | Dean E Busser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831810696 PECOS PAC ID: 1658749551 Enrollment ID: I20221128001239 |
| Provider Name | Violeta Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902378862 PECOS PAC ID: 5991173601 Enrollment ID: I20221129003214 |
| Provider Name | Aliyah Asma Khan-serrano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043655855 PECOS PAC ID: 7214245125 Enrollment ID: I20221130001353 |
| Provider Name | Juan Carlos Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164194676 PECOS PAC ID: 1153790639 Enrollment ID: I20221205001690 |
| Provider Name | Sujata Kishor Mushrif |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801035134 PECOS PAC ID: 0042680688 Enrollment ID: I20221223000262 |
| Provider Name | Rooplekha Sneha Tekwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750005864 PECOS PAC ID: 5395115372 Enrollment ID: I20230109001576 |
| Provider Name | Alec George Kherlopian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639551302 PECOS PAC ID: 5193073872 Enrollment ID: I20230125000859 |
| Provider Name | Ashley Gefen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740636141 PECOS PAC ID: 8022309467 Enrollment ID: I20230130001760 |
| Provider Name | Steffi Mohind Khurana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245685635 PECOS PAC ID: 4981075850 Enrollment ID: I20230201001451 |
| Provider Name | Victor Olexandrobych Nekrasov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619368461 PECOS PAC ID: 8224400288 Enrollment ID: I20230221001247 |
| Provider Name | Lee J Brock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912008871 PECOS PAC ID: 5395118962 Enrollment ID: I20230301001502 |
| Provider Name | Tanya Doctorian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275917940 PECOS PAC ID: 8729451356 Enrollment ID: I20230302000866 |
| Provider Name | Winnie Yin Kai Ng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235269994 PECOS PAC ID: 9830562206 Enrollment ID: I20230306001309 |
| Provider Name | Tami Jo Darlene Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518622067 PECOS PAC ID: 5698140705 Enrollment ID: I20230403001825 |
| Provider Name | Melissa Anne Martz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740945948 PECOS PAC ID: 4486019528 Enrollment ID: I20230425002203 |
| Provider Name | Francesca Paterno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285299230 PECOS PAC ID: 6406212091 Enrollment ID: I20230524002470 |
| Provider Name | Saurabh Shankar Chiwane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265665855 PECOS PAC ID: 2860713104 Enrollment ID: I20230531000519 |
| Provider Name | Patrick Kane Zacharias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215564034 PECOS PAC ID: 0345607370 Enrollment ID: I20230607001672 |
| Provider Name | Michael Kyungjin Min |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205462108 PECOS PAC ID: 8729445556 Enrollment ID: I20230608002809 |
| Provider Name | Hannah Caitlin Lokos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962038828 PECOS PAC ID: 5799143384 Enrollment ID: I20230613003452 |
| Provider Name | Christelle Miot |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1487150736 PECOS PAC ID: 8325442858 Enrollment ID: I20230619000697 |
| Provider Name | Prashanth Porayette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841425568 PECOS PAC ID: 7113166794 Enrollment ID: I20230628003761 |
| Provider Name | Douglas Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013572015 PECOS PAC ID: 2668831165 Enrollment ID: I20230630001785 |
| Provider Name | Kristofer John Vance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124643135 PECOS PAC ID: 3577923044 Enrollment ID: I20230714003192 |
| Provider Name | Trisha Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881214187 PECOS PAC ID: 1658731005 Enrollment ID: I20230717001632 |
| Provider Name | Tanya Gentry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881197200 PECOS PAC ID: 3476913831 Enrollment ID: I20230717002115 |
| Provider Name | Carolina Celeste Olavarry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639706401 PECOS PAC ID: 0143681486 Enrollment ID: I20230802002072 |
| Provider Name | Dhara Anil Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053952440 PECOS PAC ID: 0446612246 Enrollment ID: I20230810002192 |
| Provider Name | Sprina Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942706064 PECOS PAC ID: 0244692416 Enrollment ID: I20230821001105 |
| Provider Name | Anthony Eli Shoo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396087979 PECOS PAC ID: 0042442634 Enrollment ID: I20230824000505 |
| Provider Name | Armand Cito R Fabella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245938463 PECOS PAC ID: 5395108286 Enrollment ID: I20230824003296 |
| Provider Name | Dexter Frederick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366490690 PECOS PAC ID: 0749201531 Enrollment ID: I20230906002069 |
| Provider Name | Gina Hou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316474125 PECOS PAC ID: 4385008572 Enrollment ID: I20230906002323 |
| Provider Name | Cristopher Robert Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265069264 PECOS PAC ID: 0345604526 Enrollment ID: I20230907001358 |
| Provider Name | Midian L Ambo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598323370 PECOS PAC ID: 9436503364 Enrollment ID: I20230927000840 |
| Provider Name | Jonathan J Khoubian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851770044 PECOS PAC ID: 8527331354 Enrollment ID: I20231016002695 |
| Provider Name | Beverly Giang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629508460 PECOS PAC ID: 4587010095 Enrollment ID: I20231019001397 |
| Provider Name | Jessica Vanessa Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144926601 PECOS PAC ID: 5991151714 Enrollment ID: I20231030002384 |
| Provider Name | Nicholas Dreger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174902548 PECOS PAC ID: 5890069280 Enrollment ID: I20231110002208 |
| Provider Name | Paola Liseth Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699550921 PECOS PAC ID: 1557719929 Enrollment ID: I20231122003002 |
| Provider Name | Marcus Wayne Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225612468 PECOS PAC ID: 4082066618 Enrollment ID: I20240119001456 |
| Provider Name | Anna Reyna Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154193597 PECOS PAC ID: 6608229869 Enrollment ID: I20240124003384 |
| Provider Name | Danielle Mae Groot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265214480 PECOS PAC ID: 8921441981 Enrollment ID: I20240206003963 |
| Provider Name | Rebecca Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134581895 PECOS PAC ID: 8426384397 Enrollment ID: I20240327001792 |
| Provider Name | Laura Ann Wilson |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1841794567 PECOS PAC ID: 9739500026 Enrollment ID: I20240417000857 |
| Provider Name | Ayesha Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770003519 PECOS PAC ID: 6103199823 Enrollment ID: I20240511000285 |
| Provider Name | William Joseph Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033819958 PECOS PAC ID: 2062853690 Enrollment ID: I20240514003531 |
| Provider Name | Arwa A Nada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386925634 PECOS PAC ID: 6002198173 Enrollment ID: I20240604002539 |
| Provider Name | Elaine Marie Vos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023645298 PECOS PAC ID: 2769924778 Enrollment ID: I20240605003530 |
| Provider Name | Da-eun Choi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295313849 PECOS PAC ID: 9931641586 Enrollment ID: I20240611001181 |
| Provider Name | Veriah Briselle Plasencia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255891917 PECOS PAC ID: 6507308905 Enrollment ID: I20240612002574 |
| Provider Name | Kristine Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154876381 PECOS PAC ID: 8820530215 Enrollment ID: I20240613001197 |
| Provider Name | Minh A Phan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669050266 PECOS PAC ID: 1759824147 Enrollment ID: I20240613001557 |
| Provider Name | Tyler A Moreno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861078396 PECOS PAC ID: 5395102503 Enrollment ID: I20240613002322 |
| Provider Name | Adriana I Rassi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568620532 PECOS PAC ID: 6103074380 Enrollment ID: I20240613003943 |
| Provider Name | Vani Krishna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285293191 PECOS PAC ID: 5092040758 Enrollment ID: I20240614000709 |
| Provider Name | Chin L Tsai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487237624 PECOS PAC ID: 8820531627 Enrollment ID: I20240621000847 |
| Provider Name | Lauren Trajano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013788199 PECOS PAC ID: 4486198314 Enrollment ID: I20240702001597 |
| Provider Name | Annie Guan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326815341 PECOS PAC ID: 1254875933 Enrollment ID: I20240705001555 |
| Provider Name | Jessica Yom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750871158 PECOS PAC ID: 1850635715 Enrollment ID: I20240716003783 |
| Provider Name | Ashley Han |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073047213 PECOS PAC ID: 4082045604 Enrollment ID: I20240718001151 |
| Provider Name | Catherine Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902347347 PECOS PAC ID: 8325584907 Enrollment ID: I20240718003710 |
| Provider Name | Mary Joanne Vollmer-sandholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659575157 PECOS PAC ID: 1153867106 Enrollment ID: I20240725003489 |
| Provider Name | Heather M Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184203630 PECOS PAC ID: 2668918426 Enrollment ID: I20240729002488 |
| Provider Name | Min Jung Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700374634 PECOS PAC ID: 5395282164 Enrollment ID: I20240730002453 |
| Provider Name | Komal Aziz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841786258 PECOS PAC ID: 5496002263 Enrollment ID: I20240808001821 |
| Provider Name | Megan Pelter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598292302 PECOS PAC ID: 8628474798 Enrollment ID: I20240822002311 |
| Provider Name | Vinh Nguyen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295231868 PECOS PAC ID: 7911305453 Enrollment ID: I20240918000844 |
| Provider Name | Alexander Nguyen Dang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528627189 PECOS PAC ID: 7416498456 Enrollment ID: I20240918001776 |
| Provider Name | Anu Vishwanath |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982816237 PECOS PAC ID: 3971807199 Enrollment ID: I20240923001075 |
| Provider Name | Christopher John Galley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043897515 PECOS PAC ID: 1254862725 Enrollment ID: I20241008003056 |
| Provider Name | Angel Marie Shatto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760219794 PECOS PAC ID: 6305378209 Enrollment ID: I20241016004237 |
| Provider Name | Ivonna Mae Seaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487328662 PECOS PAC ID: 8325572944 Enrollment ID: I20241105002354 |
| Provider Name | Adriana Celena Mossontte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659100097 PECOS PAC ID: 7214461839 Enrollment ID: I20241105002459 |
| Provider Name | Safwan Gaznabi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306296074 PECOS PAC ID: 5991090748 Enrollment ID: I20241107003198 |
| Provider Name | Marlene Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407678717 PECOS PAC ID: 5799212080 Enrollment ID: I20241227001478 |
| Provider Name | Golda Marcell Harvatin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023541232 PECOS PAC ID: 2163952532 Enrollment ID: I20250214000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Physicians And Surgeons Of Llusm File # 54701, Los Angeles, CA 90074-4701 Ph: (909) 558-3111 | Faculty Physicians And Surgeons Of Llusm 1505 Wilson Terrace, Suite 155, Glendale, CA 91206-4071 Ph: (909) 558-3636 |